Repeat Treatment Form

Online Review Form

Please fill out the following form
to order your repeat product.

Your Details

Has there been any changes to your medical history since your last order?

Confirm Delivery Address:

Your package is sent via special next day delivery for £4.99 & needs to be signed for. What days can you accept deliver?

For your information:

Please read the below information. ​Only click agree if you fully understand the information. If you are unsure, please contact us via email.

Licensing of the medication:

The daily injection is licensed for weight loss the UK & EU under the brand name Saxenda.

The weekly injection and the daily tablet are NOT yet licensed for weight loss in the UK & EU. Novo Nordisk (the manufacturer) has been approved for a weight loss license for the medication in the UK & EU but the new brand of that licensed weight loss medication (Wegovy) is not yet available within the UK. It has been approved for weight loss in the USA and is available there under the brand name Wegovy.

It is safe & legal to prescribe a medication for a purpose other than it's current license - this is called off-label prescribing. You must be aware and fully informed of this, plus all the information regarding the medication (how it works, side effects etc) before being prescribed a medication off-label.

Side Effects:

Everyone is different. You may not experience any side effects, you may experience one side effect or several side effects.


The most common side effects associated with this medication are:

  • Nausea

  • Headaches

  • Dry Mouth

  • Constipation

  • Loose Stool

  • Tiredness

  • Stomach Cramps

We send aftercare literature to advice you on how to deal with these side effects should you experience them. Please do not hesitate to contact us if you need any support on dealing with side effects. We are more than happy to advise you.

Adverse Effects:

Adverse effects are rare but they are something you should be aware of.

Adverse effects may include:

  • Palpitations / Fast Heart Rate

  • Pancreatitis

If you experience or feel that you may be experiencing these adverse effects, please stop using the medication & contact 111. When you are safe to do so, please contact us.


There have been no documented cases of an anaphylactic reaction to Liraglutide or Semaglutide but as this is a new medication being introduced to your body, we want to make you aware of the possible signs of anaphylaxis.

If you experience swelling of the lips/tongue/throat, difficulty breathing, tightness in the chest, a severe rash or severe itching, discontinue use immediately and call 999.

For further information, see


What are the next steps?

We send your form to the pharmacy for review.

The pharmacy will deliver to your chosen address.