Regarding this weight loss consultation, we'll be inquiring about your health and medical background to determine if a prescription is suitable for you. We are asking ethnicity, because metabolic disorders may affect some spesific ethnicities differently.

By proceeding to the next step, you affirm that you:

  • Are personally filling out this questionnaire and providing information to the best of your knowledge.
  • Will openly share any significant illnesses you have experienced.
  • Will openly share details about any prescription medications you are presently taking.
  • Agree to abide by our Terms & Conditions
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