Am I Eligible?

Just 3–5 minutes – see if Mounjaro is right for you.

Step 1 of 10

10%

Calculate your BMI

*Enter your height and weight into our BMI calculator to estimate your healthy range and see how much weight you can safely lose. We’ll use this figure as a useful indication in your initial consultation.

ImperialMetric

Height(Required)

Weight(Required)

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Height SQ

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Metric BMI

Do you have any of the following health conditions?

If you have any, please select them below, including if you're being investigated for the condition

Cardiovascular disease

Prediabetes or Type 2 diabetes

Chronic back pain

Osteoarthritis

High cholesterol

High blood pressure

Fatty liver disease

Sleep apnoea

Asthma

Venous disease

Erectile dysfunction

PCOS (polycystic ovaries)

Depression

Health Conditions - None(Required)

None of the above

What is your biological sex at birth?(Required)

Male

Female

Are you currently pregnant, trying to conceive or breastfeeding?(Required)

Yes

What is your date of birth?

Day(Required)

Please enter a number from 1 to 31.

Month(Required)

Please enter a number from 1 to 12.

Year(Required)

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Current Date

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Date of Birth

Do you have any of the following physical or mental health conditions?

Select any that apply, including if you're being investigated for the condition.

Severe liver or kidney disease

Heart failure

History of pancreatitis

Multiple endocrine neoplasia type 2

Active cancer

Type 1 diabetes

Personal or family history of medullary thyroid cancer

A current or history of an eating disorder (anorexia, bulimia, binge eating disorder)

History of gallbladder problem

History of inflammatory bowel disease

Other

Add any additional not mentioned above

Physical or mental health conditions - None(Required)

None of the above

Are you taking any of the following medications?

Taking these medications does not necessarily mean you are ineligible for the programme.

Oral contraception tablet

Insulin

GLP-1 receptor agonists, such as: exenatide (Byetta, Bydureon), tirzepatide (Mounjaro), liraglutide (Saxenda, Victoza), lixisenatide (Lyxumia), dulaglutide (Trulicity), semaglutide (Ozempic, Wegovy, Rybelsus)

Sulfonylureas (e.g. gliclazide, glipizide, glimepiride, tolbutamide)

Lithium

Levothyroxine

Digoxin

Warfarin

Methotrexate

Ciclosporin

Carbamazepine

Phenytoin

I take something else

Add any additional not mentioned above

Are you taking any medications - None(Required)

None of the above

Do you consent to us sharing relevant information about your treatment with your GP, if clinically necessary?(Required)

This helps ensure continuity of care and allows your GP to stay informed about any medications or health interventions prescribed through CutKilo.

Yes

Based on the answers you provided, you are not currently eligible for Mounjaro treatment through CutKilo.

Our eligibility criteria are in place to ensure the safety and clinical suitability of this treatment for each individual. If you believe there has been a mistake or you would like to provide additional medical information, please feel free to contact our clinical team at emil@cutkilo.com We’re happy to review your case further.

Based on the answers you provided, you are not currently eligible for Mounjaro treatment through CutKilo.

Congratulations – you're one step closer!

Based on your answers, you may be eligible for Mounjaro treatment.

To proceed, please complete your payment. Once done, you will be able to book a video consultation with Dr Emil. This is your chance to discuss your personalised treatment plan and ask any questions before getting started.

Full Name(Required)

First

Email(Required)

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Phone

This field is hidden when viewing the form

Address

Street Address Address Line 2 City ZIP / Postal Code

Condition Agreement(Required)

Tick to show you agree with our Terms & Conditions & Privacy Policy

Condition Agreement

Agree to receive email and SMS/Whatsapp marketing communication (non compulsory field).

Marketing Updates

Opt into further CutKilo marketing updates

Step 1 of 10

10%

Calculate your BMI

ImperialMetric

Height(Required)

Height

Weight(Required)

Weight - Pounds

This field is hidden when viewing the form

Imperial BMI

Do you have any of the following health conditions?

If you have any, please select them below, including if you're being investigated for the condition

Cardiovascular disease

Prediabetes or Type 2 diabetes

Chronic back pain

Osteoarthritis

High cholesterol

High blood pressure

Fatty liver disease

Sleep apnoea

Asthma

Venous disease

Erectile dysfunction

PCOS (polycystic ovaries)

Depression

Health Conditions - None(Required)

None of the above

What is your biological sex at birth?(Required)

Male

Female

Are you currently pregnant, trying to conceive or breastfeeding?(Required)

Yes

What is your date of birth?

Day(Required)

Please enter a number from 1 to 31.

Month(Required)

Please enter a number from 1 to 12.

Year(Required)

This field is hidden when viewing the form

Current Date

This field is hidden when viewing the form

Date of Birth

Do you have any of the following physical or mental health conditions?

Select any that apply, including if you're being investigated for the condition.

Severe liver or kidney disease

Heart failure

History of pancreatitis

Multiple endocrine neoplasia type 2

Active cancer

Type 1 diabetes

Personal or family history of medullary thyroid cancer

A current or history of an eating disorder (anorexia, bulimia, binge eating disorder)

History of gallbladder problem

History of inflammatory bowel disease

Other

Add any additional not mentioned above

Do you have any physical or mental health conditions?(Required)

None of the above

Are you taking any of the following medications?

Taking these medications does not necessarily mean you are ineligible for the programme.

I don't take any medications

Oral contraception tablet

Insulin

Sulfonylureas (e.g. gliclazide, glipizide, glimepiride, tolbutamide)

Lithium

Levothyroxine

Digoxin

Warfarin

Methotrexate

Ciclosporin

Carbamazepine

Phenytoin

I take something else

Add any additional not mentioned above

Are you taking any medications?(Required)

None of the above

Do you consent to us sharing relevant information about your treatment with your GP, if clinically necessary?(Required)

This helps ensure continuity of care and allows your GP to stay informed about any medications or health interventions prescribed through CutKilo.

Yes

Based on the answers you provided, you are not currently eligible for Mounjaro treatment through CutKilo.

Congratulations – you're one step closer!

Based on your answers, you may be eligible for Mounjaro treatment.

Full Name(Required)

First

Email(Required)

This field is hidden when viewing the form

Phone

This field is hidden when viewing the form

Address

Street Address Address Line 2 City ZIP / Postal Code

Condition Agreement(Required)

Tick to show you agree with our Terms & Conditions & Privacy Policy

Marketing Agreement

Agree to receive email and SMS/Whatsapp marketing communication (non compulsory field).

Marketing Updates

Opt into further CutKilo marketing updates

Am I Eligible?

Calculate your BMI

Based on the answers you provided, you are not currently eligible for Mounjaro treatment through CutKilo.

Based on the answers you provided, you are not currently eligible for Mounjaro treatment through CutKilo.

Congratulations – you're one step closer!

Calculate your BMI

Based on the answers you provided, you are not currently eligible for Mounjaro treatment through CutKilo.

Based on the answers you provided, you are not currently eligible for Mounjaro treatment through CutKilo.

Congratulations – you're one step closer!

Have a question?

General Form

Approved by...

Dr. Emil Gadimali