Q1: What are your main reasons for wanting to lose weight? Improve my overall health
Address specific health concerns
Feel stronger, more energised, and rested
Improve my mobility and reduce pain
Feel more confident
Preparing for surgery
I have a different reason
We are unable to supply you with medication for erectile dysfunction. Please consult your GP.

Q2: What’s your weight loss goal? Losing up to 1 stone (approx. 6.5 kg)
Losing 1 to 3.5 stone (approx. 6.5 to 22 kg)
Losing more than 3.5 stone (over 22 kg)
Not sure, I just want to lose some weight
We are unable to supply you with medication for erectile dysfunction. Please consult your GP.

Q3: How many different weight loss programmes have you tried in the past? None, this is my first time trying
1 to 5
6 to 10
More than I can remember
We are unable to supply you with medication for erectile dysfunction. Please consult your GP.

Q4: Enter Your Height.

Q5: Enter Your Weight.

Q6: Do you suffer from prediabetes, diabetes, heart disease, high blood pressure, high cholesterol or obstructive sleep apnoea?

Q7: Have you ever suffered from an eating disorder such as Anorexia Nervosa or Bulimia?

Q8: Are you pregnant or breast feeding or intending to become pregnant or start breast feeding whilst taking medication?

Q9: Are you allergic to orlistat?

Q10: Have you been diagnosed with any of the following?

• Problems absorbing food (chronic malabsorption syndrome) diagnosed by a doctor
• Liver problems
• Kidney problems
• Thyroid problems
• Surgery to remove your gall bladder (cholecystectomy)
• Cholestasis (condition where the flow of bile from the liver is blocked)
• any serious medical condition which may require immediate hospitalisation

Q11: Are you using an oral contraceptive?

Q12: Are you taking any medicine for high cholesterol, diabetes or high blood pressure?

Q13: Are you currently taking any medication (including over the counter, prescription or recreational drugs)?

Q14: Do you understand that treatment cannot be continued if you gain weight 3 months after starting the treatment?

Q15: Do you understand that the treatment must be stopped once your BMI goes below 28?

Q16: Do you understand the treatment should be taken with a nutritionally balanced, calorie controlled diet that contains approximately 30% of the calories from fat? It is recommended that your diet is rich in fruit and vegetables.

Q17: Do you understand that you should take a multivitamin that contains vitamins D, E, and K and beta carotene? It should be taken once a day at least 2 hours before or after taking Orlistat (Xenical/Alli/Orlos) such as at bedtime.

Q18: Do you agree to the following?

• You will read the patient information leaflet supplied with your medication
• You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment.
• The treatment is solely for your own use
• You have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.

I agree to the Terms and Conditions and I confirm that I am over 18. You must agree to continue.

Important: Consultation Required Before Order Fulfilment Please note that your order will only be fulfilled after a consultation with our prescriber. Once your order is placed, we will send you a link to book an appointment with the prescriber. Please complete the consultation to confirm your eligibility for the treatment.