Treatments

The lowest dose that works, not the highest you tolerate.

Every medication here is prescribed by a clinician after an assessment. What is right for you depends on your history, not on what is trending.

Catalog

What we prescribe

GLP-1

Semaglutide, weekly

Available

A once-weekly injection. Usually the starting point, and the one most people have heard of.

Availability confirmed at checkout.

GLP-1 / GIP

Tirzepatide, weekly

Available

A once-weekly injection acting on two receptors. Often used when semaglutide has stalled or is not tolerated.

Availability confirmed at checkout.

GLP-1

Oral GLP-1, daily

Limited supply

A daily tablet for patients who cannot or will not inject. Stricter timing rules around food.

Availability confirmed at checkout.

Step down

Maintenance dosing

Available

A reduced dose used during the step-down phase, reviewed by your clinician at every level.

Availability confirmed at checkout.

Placeholder catalog — pricing and availability sync live from the clinic system before launch

Dosing

How dosing actually works

Four steps, and the direction of travel is downward as soon as it can be.

  1. 01

    Start low

    The lowest starting dose, always. Most side effects come from moving too fast, not from the medication itself.

  2. 02

    Escalate only if needed

    If the current dose is doing its job, we stay there. There is no prize for reaching the top of the range.

  3. 03

    Find the effective dose and hold

    The dose that controls appetite enough for you to eat well and train. That is the target, and for many people it is not the maximum.

  4. 04

    Plan the way down

    Once habits are established, dose steps down on a schedule, one level at a time, reviewed each step.

Side effects

Straight talk, split into two lists

A

Common and manageable

  • Nausea, especially in the first week of a new dose
  • Constipation — usually water and fibre, not the medication
  • Reflux or burping
  • Fatigue, often from eating too little rather than the drug
  • Injection-site tenderness

Tell us early. Most of these are solved by slowing down, not by stopping.

B

Call us, or get urgent care

  • Severe or persistent abdominal pain, especially radiating to the back
  • Vomiting that stops you keeping fluids down
  • Signs of dehydration — dizziness, very dark urine, no urine
  • A rapid heartbeat, fainting, or chest pain
  • A neck lump, hoarseness, or trouble swallowing
  • Vision changes, if you have diabetes

Chest pain, trouble breathing or fainting: call 911 now.

Medication questions

What people want to know

That is decided at your assessment, based on your history, other medications and what is available. It is not something you pick from a menu.

There is a daily oral option for some patients. It has stricter timing rules around food and water, and it is not right for everyone.

Sometimes, and coverage varies widely. We will tell you what we know for your plan, and the pricing page lists what is not included.

We tell you early and your clinician plans around it rather than letting you find out at the pharmacy. Availability is confirmed at checkout.

Not for everyone

These medications are not appropriate during pregnancy or breastfeeding, with a personal or family history of medullary thyroid carcinoma or MEN2, or with certain other conditions. A clinician makes that call, not a form.

Medication is one part of it. The plan is the rest.

See what the program includes, and what it costs.

See pricing→Medical safety→