Am I Eligible?

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

Step 1 of 7

14%

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 - Centimeter(Required)

Weight - Kilogram(Required)

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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

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What is your biological sex at birth?

Male

Female

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Are you currently pregnant, trying to conceive or breastfeeding?

Yes

What is your date of birth?

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Day

Please enter a number from 1 to 31.

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Month

Please enter a number from 1 to 12.

This field is hidden when viewing the form

Year

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Current Date

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Age

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.

Please, book a video consultation with Dr Emil to proceed

Full Name(Required)

First

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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

Step 1 of 7

14%

Calculate your BMI

ImperialMetric

Height - Feet(Required)

Height - Inches

Weight - Stone(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

This field is hidden when viewing the form

What is your biological sex at birth?

Male

Female

This field is hidden when viewing the form

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

Yes

What is your date of birth?

This field is hidden when viewing the form

Day

Please enter a number from 1 to 31.

This field is hidden when viewing the form

Month

Please enter a number from 1 to 12.

This field is hidden when viewing the form

Year

This field is hidden when viewing the form

Current Date

This field is hidden when viewing the form

Age

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.

Please, book a video consultation with Dr Emil to proceed

Full Name(Required)

First

This field is hidden when viewing the form

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

Am I Eligible?

Calculate your BMI

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

Please, book a video consultation with Dr Emil to proceed

Calculate your BMI

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

Please, book a video consultation with Dr Emil to proceed

Have a question?

General Form

Approved by...

Dr. Emil Gadimali