Prescription weight-loss medicines suit some people and not others. The clinician reads your answers, your medical history and what you have tried, and replies with what is appropriate: a prescription sent to your pharmacy, advice, or a recommendation to be seen in person. $50, charged only when a clinician replies to you.
A Canadian physician or nurse practitioner replies to you in writing, within 24 hours. Any prescription goes straight to your pharmacy. No account, no booking, nothing to set up until the end.
An intake, not a chat with a clinician: a few questions, then a physician or nurse practitioner replies in writing.
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Five weight-loss drugs are approved in Canada for long-term weight management, all by prescription. Three are weekly injections: semaglutide (Wegovy, and since 2026 a generic version for weight loss; Ozempic is the same medicine approved for diabetes), tirzepatide (Zepbound; Mounjaro is the diabetes brand) and liraglutide (Saxenda). Two are pills: naltrexone with bupropion (Contrave) and orlistat (Xenical). Each has conditions it is not used with, and none is right for everyone. A physician or nurse practitioner decides after an assessment.
A licensed Canadian physician or nurse practitioner reviews your request and replies in writing; there is no video call and no appointment. You answer a set of questions a weight-loss doctor would ask, the clinician reads them, and the reply comes within 24 hours with any prescription sent to your pharmacy.
When the assessment supports it, yes. The weekly injections are prescription medicines; the prescription goes to your pharmacy, which dispenses the pen and shows you how to use it. The clinician may instead advise a pill, lifestyle support, or a visit in person, and says why.
Sometimes. Semaglutide for weight management is Wegovy or its generic; Ozempic is approved for type 2 diabetes. Whether either is appropriate depends on your height and weight, your health history, other medicines and what you have tried. The clinician reads your answers and decides, and may decline or suggest something else. Nothing is charged if they cannot help.
The 2025 Canadian guideline considers medicine from a body-mass index of 30, or 27 with a weight-related condition such as high blood pressure, sleep apnea or fatty liver, alongside eating and activity changes. The number is not the whole story: waist, health conditions and what you can keep up long-term all matter, and the clinician weighs them.
They are not used in pregnancy, while breastfeeding or when planning a pregnancy soon. A personal or family history of medullary thyroid cancer and a history of pancreatitis rule out the injections. An eating disorder, past or present, needs care in person. Seizures, regular opioid painkillers and heavy alcohol use rule out naltrexone with bupropion. The questions in the chat cover these.
Nausea, vomiting, constipation and diarrhea are common at the start and usually settle. Health Canada has issued warnings about pancreatitis, gallbladder problems, loss of muscle with fast weight loss, mood changes, and a temporary worsening of diabetic eye disease. The weekly injections are paused before surgery or a procedure. The clinician explains what applies to you.
Often, yes. Tell us the medicine, the dose and who prescribed it. The clinician usually continues at the current dose rather than restarting, and asks who follows you so your care is not split.
Compounded or pharmacy-made injections and products bought online without a prescription are not approved products in Canada. Tell the clinician what you have been taking; the reply explains and moves you to an approved product where appropriate.
Usually some: blood sugar, kidney and liver tests and cholesterol are the baseline the guideline asks for. If yours are older than a year, the reply often comes with a requisition, and a blood pressure reading can be done at the pharmacy.
No. Phentermine is sold in the United States and is not approved for sale in Canada, so no Canadian clinician prescribes it. The approved options here are the ones listed above.
The consultation is $50, charged only when a clinician replies to you. The medicine itself is paid at the pharmacy. Private drug plans vary: some cover weight-loss medicines, many do not, and the pharmacy can check yours. A generic semaglutide and the pills are the cheaper options; the clinician considers what you can keep up long-term.
If a medicine is prescribed, the prescription goes straight to the pharmacy you choose and the reply tells you how to start, what to watch for and when to follow up. If not, the reply says why and what the clinician recommends instead.
I've run out of my blood pressure pills and my family doctor retired last month. Can I get a refill?
Yes. I've sent three months of your blood pressure medication to your pharmacy. Please have your blood pressure checked within the month so your next renewal is straightforward.
Not covered by provincial health plans — your own doctor or a walk-in clinic remains free.