Questions Related to Weight loss

To date, have you ever taken any weight loss prescription treatments such as Reductil, Xenical, Acomplia, Saxenda/Victoza or Phentermine? If yes which one and when did you last take this treatment?

Are you currently on a course of any of the weight loss prescription treatments mentioned above?

If you wish to obtain a repeat prescription for a treatment you are currently taking please tell us how much weight you have lost since you have started using the medication and provide the exact name and dosage of this treatment.

Is there any psychological cause for your condition (e.g. Anxiety or Depression)?

Have you ever suffered from an eating disorder such as Anorexia Nervosa or bulimia?

Do you suffer from diabetes or have high cholesterol levels and if so, how are these conditions controlled?

Do you suffer from severe hepatic (liver) impairment?

Do you suffer from severe renal (kidney) impairment?

Do you suffer from Epilepsy?

Do you suffer from any of the following rare hereditary problems: Galactose intolerance, the Lapp Lactase deficiency or a glucose-galactose malabsorption?

Do you suffer from bowel problems like Crohns disease or ulcerative Colitis?

How else have you tried to treat your condition?
Have you consulted your GP? (When was the most recent visit to your GP)
Have you tried regular exercise and a controlled diet?
Is there anything else which you have tried to help remedy the condition?

I understand that I must have exhausted all other methods of trying to control my weight problem before any prescription treatments can be used.

Are you pregnant, breastfeeding or planning to start a family soon?

Do you regularly eat chocolate or crisps?

Do you regularly eat takeaways eg pizza?