client transferred form Borders Aesthetics, started treatment on 19/11/25, diagnosed with obesity, starting weight 85.4kg height 167cm BMI 30 medical history reviewed no contraindications to treatment, currently on Mounjaro 15mg, tolerating medication well, no side effects. Happy to contiue the treatment prescription for Mounjaro 15mg issued
client got in touch that due to affordability she would like to have a break in the treatment and try to manage weight without the medication, advice given on stopping and starting as well as limitation to prescribing when comes to healthy BMI and treatment continuation
following reports of feeling unwell, two attempts to contact Dean to check how is he feeling, Friday 14/08/26 client unwell to talk due to sickness. Client mentioned will call back but no contact. Follow up with the message, Dean reply he is feeling well and will get in touch if anything changes. Follow up call booked
doing well on medication, will update current weight in the morning, no side effects, happy to continue on the same strength, no changes in medical history
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Patient identity verified. Consultation undertaken to discuss weight management treatment. Current weight is 102 kg and height is 167 cm, giving a BMI of 36.6 kg/m², consistent with obesity.
Treatment options were discussed, including lifestyle measures and pharmacological treatment. The patient was happy to proceed with Mounjaro (tirzepatide) and agreed to commence treatment at 2.5 mg. Prescription issued.
Medical history was reviewed and no contraindications to treatment were identified. Patient has a history of hypertension and is currently taking amlodipine. Previous cholecystectomy noted. Patient also has stage 1 fatty liver disease and reports having been advised by their GP to manage this with dietary measures. Patient understands that fatty liver disease can be reversible with appropriate lifestyle and dietary changes.
The potential benefits, risks and common side effects of treatment were discussed, and the patient expressed understanding. Advised to continue appropriate dietary and lifestyle measures and current antihypertensive treatment. Follow-up to monitor weight, treatment response, tolerability and blood pressure.
doing well on medication, no side effects, appetite reduced enough not to gain weight and not enough to loose. no changes in medical history
currently on Mounjaro 2.5mg, continue on the same strenght
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doing well on medication ,manages injections ok, slight diahorrea ,no other side effects, advice given on management, according to own scale lost 5ibs, follow up call booked next week
client transferred from Borders Aesthetics, on weight loss medication for treatment obesity with central adiposity since 10/06/25. struggling with weight since menopause. medical history reviewed no contraindications to treatment
currently on Wegovy 1mg manages to maintain weight well.
starting weight 77.1kg
current weight 68kg (no changes in the last 4 weeks)
while on holidays experience sickness and diahhorea, missed one week of medication, happy to continue on the same strength, prescription for wegovy 1mg issues
doing well on medication, managed injections ok, slight nausea but manageable, appetite up and down at the moment but definitely noticing the difference, advice given on managing nausea, follow up call schedules nest week
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Deans Mum contacted me as she was concerned how Dean is feeling in the last to weeks. Spoke to Dean on the phone, for the last two weeks he is experiencing severe fatigue with frequent bowel movements (not loose stools). Discussed diet- poor diet at the moment but he felt rubbish to put effort into healthy eating. No other contributing factors. Taking into consideration duration of treatment and the fact it is affecting Deans everyday life advice to make appointment with the GP, follow up call booked in a few days. Dean expresses permission to share any information with his mum Susan Armstrong
client transferred from borders Aesthetics. On weight loss treatment for management of obesity since 2/3/25. Currently on Wegovy 1mg, no side effects , medical history reviewed no contraindications to treatment. Managing on weight loss medication ok, no side effects however not loosing any weight, managing to maintain. Starting weight 94.3kg
current weight 72.2kg (no changes in the last 4 weeks and -22.1kg since start)
Happy to continue on the same strength, prescription for Wegovy 1mg issued
client feeling like not loosing much weight, manages to maintain, -18.7kg since start
happy to continue to on the same strength
prescription for Mounjaro 10mg issued
no changes in medical history
current BMI 32.5 diagnosis obesity
medical history reviewed, no contraindication to treatment, treatment explained, client decided to try tablets, explained how important is to take them on empty stomach,
weight goal 69kg, going on holidays on 26/08 so wont be starting medication till 7/09/26.
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doing well on medication, happy to continue on the same strenght weight update
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client moving form Borders Aesthetics, started weight loss on 30/10/24, currently on Mounjaro 15mg
starting weight 121.9kg
current weight 81.19kg (-40.71 since start and -1kg in the last 4 weeks)
no changes in medical history
prescription for mounjaro 15mg issued
client message that she had a break in taking injection as suffered sever food poisoning, feeling better now and restarted medication, asked about duration of break and side effects after restarting.
Client Happy at the moment to stay on the same strength, Mounjaro 10mg
next pen required till 28/08 due to holidays and hospital break, invoice to send on 21/08/26