Tell us more about yourself

We just need a few details before we can confirm if the Wegovy/Mounjaro treatment is suitable for you.

Please use your legal name, real date of birth and gender assigned on your identification documents to be able to pass ID checks.

What is your current weight?

Stone
KG

What is your current height?

Feet
Centimetres

Are you from any of the below ethnic groups:Why?


-Asian (Indian, Pakistani, Bangladeshi, Chinese)
-Black Caribbean
-Arab

Why do we need to know this?

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Research shows that Black, Asian and other minority ethnic groups with a BMI of 23+ are at a higher risk developing of type 2 diabetes and chronic illnesses. Hence, a lower BMI cutoff is recommended.

Have you ever had pancreatitis?
Do you take diabetes drugs called DPP4 inhibitors (usually ending in the word 'gliptin') or sulphonylureas?

You may need to check with your pharmacist or doctor. Metformin is NOT a sulphonylurea.

Do you have any of the following medical conditions? Please select all that apply.