Wegovy-South Africa

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A new class of wellness programs has become available in South Africa, designed to support healthier habits and long-term lifestyle change. These programs work with your body’s natural processes to help you on your journey toward improved wellbeing.

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Wegovy

Personal Information
Patient Information
Payment

First Name

Last Name

Date Of Birth

Please do not proceed, you are too young and will disqualify you from receiving a prescription.

RSA ID Number

Are you a returning customer?

Yes

Address

Address Line 1

Address Line 2

City

Province

Zip Code

Country

What is your current weight in Kilograms?

What is your current height in Centimeters?

Your BMI is:

Have you used any weight loss treatments previously?

Yes

What medication or treatments have you previously used?

When did you start gaining weight?

Are you pregnant or breastfeeding?

Breastfeeding

Pregnant

Please do not proceed, this condition will disqualify you from receiving a prescription.

Are you using any contraception?

Yes

It is advisable to be on contraception while using Ozempic as it is contraindicated in pregnancy and breastfeeding.

Ozempic can cause birth defects and should be stopped at least 2 months before a planned pregnancy

Do you have any of the following symptoms?

Diarrhea

Vomiting

Nausea

Constipation

Dizziness

Body Swelling

Palpitations

Chest Pain

Heartburn / Acid Reflux

Abdominal Pain

Difficult Breathing

Difficult Swallowing

Hoarseness of Voice

None of Above

Please do not proceed, this condition will disqualify you from receiving a prescription.

Do you have a history of any of the following?

Heart Disease

Hypertension (High blood pressure)

Heart palpitations

Liver Disease

Gallbladder Disease

Pancreatic Disease

Stroke

Hypotension (low blood pressure)

Hypoglycemia (low blood-sugar level)

Myasthenia Gravis

Cancer/Tumours

None of the Above

Please do not proceed, this condition will disqualify you from receiving a prescription.

Is your hypertension well controlled?

Yes

Please do not proceed, this condition will disqualify you from receiving a prescription.

Do you have Diabetes?

Yes

Are your blood-sugar levels well controlled?

Yes

Please do not proceed, this condition will disqualify you from receiving a prescription.

Are you using Insulin or other injectable diabetic medication?

Yes

Please do not proceed, this condition will disqualify you from receiving a prescription.

Do you or any family members have a history of thyroid problems?

Yes

Please do not proceed, this condition will disqualify you from receiving a prescription.

Do you have any neck growths or masses?

Yes

Please do not proceed, this condition will disqualify you from receiving a prescription.

Have you ever been diagnosed with Multiple Endocrine Neoplasia?

Yes

Please do not proceed, this condition will disqualify you from receiving a prescription.

Do you have a history of an eating disorder e.g. anorexia or bulimia?

Yes

Would you like to be referred to our telemedicine psychologist for regular mental health sessions?

Yes

Do you have any other medical conditions?

Yes

What medical conditions do you have?

Are you currently taking any medication?

Yes

What medication are you taking?

Do you have any allergies including allergies to medication?

Yes

What allergies do you have?

Did you have a blood-pressure reading in the last 3 months?

Yes

Please do not proceed – please return to this service once you have checked your blood pressure e.g. self check/local pharmacy/clinic

What was your Systolic (top number)?

What was your Diastolic (bottom number)?

Is your resting heart rate between 60-100 beats per minute?

Yes

Please do not proceed, this condition will disqualify you from receiving a prescription.

Did you have a blood-glucose reading in the last 3 months?

Yes

What was your latest blood-glucose reading in mmol/L?

Please do not proceed, this condition will disqualify you from receiving a prescription. Range must be between 4-10

Please do not proceed – please return to this service once you have checked your blood-glucose level e.g. self check/local pharmacy/clinic

Have you done blood tests in the last 12 months including kidney function, liver function, thyroid function, cholesterol

Yes

Were the results normal?

Yes

Weight loss medication will only be effective when part of a proper diet and exercise plan. If you are not seeing a dietitian, would you like to be referred to our partner telemedicine dietitians?

Yes

Upload 2 recent images of yourself, in underwear, for body composition assessment. – Face the camera in the first image. Show a side profile in the second image. – Avoid showing your face – AI generated or unreal photos will not be accepted. You will not be eligible for a prescription if you do not have excessive body fat.

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Weight loss medication is only effective when used in conjunction with a proper diet and exercise plan. There is no guarantee of weight loss when using this medication.
I understand the questions above and have answered honestly.
I understand that any inaccurate or false information could potentially be dangerous to my health and safety.
The medication that is prescribed is for my personal use only. I understand the side effects and effectiveness of the treatments.
Treatment is prescribed as per South African medical guidelines. There is no guarantee that the treatment will be 100% effective for you. Please consult with our online doctors or visit an in-person doctor if you are still symptomatic or not improving.
I agree to the Terms & Conditions of this platform.
I am 18 years or older.
I am currently living in South Africa.
I will have an in-person medical consultation at least once a year for comprehensive care and physical examination.
Some common side-effects of Ozempic include nausea, vomiting, diarrhea, abdominal pain and constipation.
As a user I need to monitor my blood-glucose levels to make sure it does not go low (below 4 mmol/L).
I will seek emergency care if I experience severe side effects such as hypoglycemia (low blood sugar) or signs of allergic reaction such as angioedema (body swelling).
I understand that symptoms of hypoglycemia include: shakiness, sweating, headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast heartbeat, and feeling jittery.
I will stop Ozempic if tolerability is poor, and consult with our online doctors for a review. Signs of poor tolerability include: persistent nausea/vomiting, prolonged diarrhea, prolonged constipation, abdominal pain, dizziness, weakness, palpitations.
There is a potential risk of developing medullary thyroid cancer with Ozempic use, therefore it is essential to monitor for symptoms of thyroid tumours e.g.:
- mass in the neck
- painful swallowing
- difficulty breathing (gradual)
- persistent hoarse voice
This initial prescription for new Ozempic users is for 1 month after which a review is needed. After 1 month please return and select the Ozempic Existing User service
No prescription will be issued if an edited, AI generated or unreal photo is submitted, and no refund will be provided.

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Price: R4,800.00

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