To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.

Height should be above 1 ft 10 inches

Please tell us in Kg's or Stone

Do you require assistance?


If yes, what's the length of time you've been taking them?
Are you still shedding pounds?

Blood-thinning medications (such as warfarin).
Acarbose is a kind of sugar (to treat diabetes).
Ciclosporin is a kind of antibiotic (to prevent organ rejection).
Lithium is a kind of lithium (for mental health problems).
Amiodarone is a kind of amiodarone that is (for heart problems).
Medicines for the treatment of epilepsy and seizures.
Antiretroviral drugs (ARVs) are drugs that are used to treat HIV
Medicines for the treatment of psychosis and other mental illnesses.

If you do, what is your current dose and when was your latest thyroid blood test?

For the best results, you must commit to a calorie-controlled, healthy diet combined with exercise.
To avoid side effects, keep your fat intake to less than 15 grams per meal.
You do not need to take a dose if you skip a meal or eat one that is low in fat.
Before going to bed, take a multivitamin supplement with vitamins D, E, and K.
It is suggested that you use a supplementary contraceptive technique if you take the contraceptive pill, especially if you have diarrhoea.
If you have not lost weight after three months of treatment or if your BMI falls below 27, your treatment may be stopped.

Orlistat causes an allergic reaction or hypersensitivity in you.
You've previously used Orlistat and experienced serious side effects.
You are experiencing rectal bleeding.
You have chronic malabsorption syndrome, which has been identified by a doctor.
You have been diagnosed with cholestasis (condition where the flow of bile from the liver is blocked)

Please select your option
Male
Female
Transmale (Born a female)
Transfemale (Born a male)

Please select your option
Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding

Please provide more information of the medication being used if any.

You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have cardiovascular conditions or might have had suffered a stroke
You suffer from a low liver or kidney function

If yes, please provide details



Diabetic gastroparesis; Inflammatory bowel disease; Ketoacidosis; Congestive heart failure; Severe renal impairment; Severe hepatic impairment; Thyroid disease; Pancreatitis.



If yes, please provide details

Dysglycaemia; Hypertension; Dyslipidaemia; Obstructive sleep apnoea.

If yes, please list it below





If yes, please provide details


If yes, please provide details

If yes, please provide details