Your Weight Loss Journey

Step 1 of 22 Basic Information

Let's create your body profile

Select your gender

Please select an option.

Find out what your BMI indicates

Enter your current weight (kg)

Height

Enter your height (cm)

You could lose weight with our program

Based on a study of our patients who lost an average of 13.7% body weight in 4 months

Based on a study of program participants who lost an average of 13.7% body weight in 4 months. Individual results may vary.

What is your date of birth?

Please ensure this matches your ID

What is your ethnic background?

Your ethnic background affects health risks related to weight

Please select an option.

Are you pregnant, breastfeeding, or trying to conceive?

Our treatment is not suitable during these periods

Please select an option.

Have you been diagnosed with any of these conditions?

Select all that apply

Have you ever been diagnosed with any of the following conditions related to your weight?

Choose all that apply

Is there a history of thyroid cancer in your family?

Please select an option.

Do you have any other conditions your practitioner should be aware of?

Keep your answer as concise as possible

Are you currently taking any medications or supplements?

Choose all that apply

Have you ever taken the following weight loss medications?

This may impact your starting dose.

Please select an option.

Do you have any of the following allergies?

Choose all that apply.

Do you have a medication preference?

Your preference will be taken into account by your prescriber during your consultation.

Please select an option.

Confirm your answers

It's important your answers are accurate, as we'll use them to determine your suitability for the Weight Reset Program.

Create an account to get started

Full Name

Review Your Answers

Please review your responses before continuing

Create Your Account

Set up your account to track your progress

Please enter your name

Select Products

Choose one or multiple products for your order

Please select at least one product.

Shipping Address

Please provide your shipping details

Payment Method

How would you like to pay?

Credit/Debit Card

Pay securely with your card

PayPal

Pay with your PayPal account

Payment Information

Enter your payment details to complete your order

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