Step 3 of 3

Final Confirmations

Please read and confirm each of the following before we submit your consultation

Do you understand the following: *

Treatment must be stopped once your BMI goes below 28
Treatment cannot be continued if you gain weight 3 months after starting the treatment
You should take a multivitamin that contains vitamins D, E, and K and beta carotene. It should be taken once a day at least 2 hours before or after taking Orlistat (Xenical/Alli/Orlos) such as at bedtime
Treatment should be taken with a nutritionally balanced, calorie-controlled diet that contains approximately 30% of the calories from fat. It is recommended that your diet is rich in fruit and vegetables

Agree

Do you agree to the following? *

You will read the patient information leaflet supplied with your medication
You will contact us and inform your GP of your medication if you experience any side effects of treatment, you start new medication and/or your medical conditions change during treatment
The treatment is solely for your own use
You have answered all the above questions accurately and truthfully
You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
You understand that whilst decisions relating to your treatment are made jointly between you and the prescriber, the final decision to issue a prescription will always be with the prescriber

Agree