"*" indicates required fields

Do you agree and consent to the following?

  • I am over 18 and live in the UK
  • I will be sole user of any medication offered to me through this service
  • I confirm that all answers provided by me are entirely truthful and accurate.
What ethnicity are you?*
What sex were you assigned at birth?*
Are you currently pregnant, trying to get pregnant, or breastfeeding?*

Based on your answers provided we feel you are not eligible for the Miboko GLP-1 medication program.

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What is your Date of Birth?*

What is your height & weight?

Feet Stone
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Based on your answers provided we feel you are not eligible for the Miboko GLP-1 medication program.

Dr Franks requires you to be:

  • BMI plus 25 if an ethnic minority
  • BMI plus 27 with obesity related health issues such as diabetes or high blood pressure
  • BMI plus 30 with no obesity related health issues
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Upload your images

In order to assess you properly, we require you to upload 3 photos

  • A full-body photograph of yourself (Important for us to evaluate your suitability for our weight loss pen. It must include your face , and you can wear whatever clothing you're comfortable in.)
  • A picture of a valid ID, such as your Passport or Driver's License. (For the purpose of identity verification)
  • A photo of you standing on the scales with the weight reading visible uploaded on the same day it was taken. (This is critical for us to prescribe the medication without requiring a face-to-face appointment.)
Drop files here or
Max. file size: 24 MB, Max. files: 3.

    Upload Later

    If now isn't the perfect moment, you can continue with the rest of your assessment and finalise the payment. You'll then have a 5-day window to submit your photos.

    Our dedicated Miboko team will be in touch to assist with your photo submission process. Keep in mind, your assessment is only considered complete once we receive these photos, so make sure to send them within the 5-day timeframe.

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    Have you been diagnosed with diabetes?*
    Do you suffer from any of the following?*

    Based on your answers provided we feel you are not eligible for the Miboko GLP-1 medication program.

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    Please list any other medical conditions you may have.

    Our Miboko prescribers require your complete medical history to ensure the safety of your treatment. If none, simply answer 'none'

    Answer “none” if you don’t have any.
    Do any of the following apply to you?*
    Have you ever used any other medications to help in weight loss?*
    Let us know if you are currently using any medication, including prescription drugs, over-the-counter medications, or supplements. Select all that apply:*
    Have you taken a prescribed GLP-1 medication in the past 28 days?*
    Share with GP*
    Confirm if you'd like your NHS GP to be notified if you're eligible for treatment

    Congratulations! You qualify for Miboko's GLP-1 weight loss program. Please complete the next steps to start your weight loss journey