Programme Support

Harness breakthrough weight loss medication with comprehensive care & support to reboot your metabolism and take control of your weight

Taking your medication

It is important that you know how and when to use your medication. If you have any questions that are not covered by this page, please contact the team on 0800 531 6703 or email us at

Where to Inject?

Inject your dose into an area with more fat such as your stomach, thigh or upper arm. Do not inject into a vein or muscle.

What time should you inject?

The injection should be taken once a week. Aim to take your injection on the same day and time each week for the best results. 

If you miss a dose, take it as soon as you remember but if more than 5 days have passed, you should wait for the next week’s dose to take it. 

How long will Each pen last?

Each pen will deliver 4 weekly injections at the advertised dose so will last for 4 weeks.

Managing your dose

It is important that you follow the dosage instructions to minimise side effects and to get the best results. You will start on a low dose to help your body adjust to the medication and gradually increase to the maximum dose over a number of weeks. It is for this reason that the programme has a minimum term of 3 months as it takes some time to reach the full dose with the maximum effect on appetite suppression.

As you move up to a higher dose, you may find that side effects increase for a day or two as your body adjusts. If the side effects do not settle, you may need to stay on the lower dose for longer. You can move up slower through the doses but you must not move faster through the doses than outlined below.


  • Week 1-4 – 0.25mg
  • Week 5-8 – 0.5mg
  • Week 9-12  – 1.0mg
  • Week 13-16 – 1.7mg
  • Week 17+ – 2.4mg


  • Week 1-4 – 2.5mg
  • Week 5-8 – 5.0mg
  • Week 9-12  – 7.5mg
  • Week 13-16 – 10.0mg
  • Week 17-20 – 12.5mg
  • Week 21+ – 15.0mg

Storing your pens

Store any pens you are not using in the fridge between 2°C to 8°C. 

The pen that is currently in use can be kept at room temperature (below 30°C) for 21 days. This means that if you are away from home for less than 3 weeks, for example on holiday, you can keep your pen out of the fridge. 

Pens in use should be thrown away after 56 days even if they still have medication in them. 

Disposing of your pens

After your injection is complete, carefully remove the needle from the pen. To avoid needlesticks, do not put the needle cap back on the needle. Immediately place the needle in a sharps container, easily obtained from your local pharmacy for a small cost. 

Put the pen cap back on your pen after each use to protect your medication from sunlight. Do not throw away used needles in household trash or recycling bins.

After you have used your pen for 4 injections, your pen is finished and can be discarded.

Considerations for pregnancy

The following advice is important for female patients of child-bearing age.

The medication must not be used if you are pregnant or breastfeeding or if you are actively planning pregnancy. If, when using the medication, you believe that you may be pregnant, you must stop using the medication completely. 

As the medication may reduce the effectiveness of oral contraceptives, you must use additional barrier methods for contraception until you have reached your highest dose and been stable at that dose for one month. 

If you wish to try for a baby, stop using the medication and wait three months.


How often should you eat?

You should aim to eat 3 small meals a day. Once you are feeling the benefits of the appetite suppression, the objective is to work towards better eating habits with smaller portions of good quality food with fewer snacks in between.

You will of course stop using the medication at some point and to get the best long term results, you want to use the time you have with the medication as support to help you get into a better routine and relationship with food. A routine that you can sustain in the long term.

how many calories should you aim for daily?

This will differ for every patient depending on your starting weight and exercise patterns but the recommended daily calorie consumption is 2000kcal for a woman and 2500kcal for a man.

To lose weight, you need to be in calorie deficit ie taking in fewer calories (through food and drink) than you are expending in activity. As 3500kcal equates to 1lb of fat, a calorie deficit of 500kcal per day / 3500kcal per week would result in 1b of fat loss.

If you are eating a balanced diet, a calorie limit of 1000kcal for a woman or 1500kcal for a man would be a reasonable guide to work towards. If you are more physically active however, you may find that you need more calories. 

how much should you drink

Good hydration is important for so many bodily functions so you should aim for the recommended 2 litres of fluid a day.

Thirst is also easily mistaken for hunger so maintaining good hydration can also help with feeling satisfied in between meals. 

symptoms and when to seek help

As with all medications, there are potential side effects. Although these risks are small, we want to make you aware of them and give you advice on what to do if you experience any.

Please read the leaflet within your medication box for full details on the medication and related side effects. If you need any further advice or are concerned about any symptoms, call us on the numbers below or contact your GP.

Do you have nausea, sickness or diarrhoea?

Mild symptoms are a common reaction to the medication and usually resolve as the dose increases. We may discuss changing your medication dose if it continues to trouble you.

Call us on 0800 531 6703

Feel faint, dizzy or shaky without reason?

This could indicate low blood sugar levels or hypoglycaemia. Drink a sugary drink such as Lucozade or eat a chocolate bar / confectionary to raise your blood sugar levels.

Call us on 0800 531 6703.

Do you have severe abdominal pain?

This could potentially be pancreatitis, a serious medical condition that requires urgent treatment.

Call us on 0800 531 6703 or contact your GP. If you are unable to contact either, proceed to your nearest A&E immediately.