Weight care
Tirzepatide
- Mounjaro®
- dual GIP and GLP-1 receptor agonist
- one injection a week
Most programmes will not tell you what you are buying. This one is prescribed by a licensed Malaysian doctor when they judge it appropriate, and dispensed by our partner clinic's licensed pharmacy.
Not everyone is prescribed the same thing. Your doctor decides what fits your history and how you respond, and for most people that is tirzepatide.
Our partner clinic holds the licence to supply Mounjaro.
01
three, and they are not interchangeable
Which one you are prescribed depends on your history, what else you take, and how you respond to it. That is a matching decision your doctor makes, not a menu you pick from.
- most prescribed
Tirzepatide
Mounjaro
dual GIP and GLP-1 receptor agonist
one injection a week Semaglutide
Ozempic / Wegovy
GLP-1 receptor agonist
one injection a weekLiraglutide
Saxenda
GLP-1 receptor agonist
one injection a day
The rest of this page describes tirzepatide, because it is what most people here are prescribed. If your doctor decides one of the others fits you better, they will take you through it at your consultation.
02
what it does, and what it does not do
Tirzepatide acts on two gut hormone receptors, GIP and GLP-1. Those are part of the signalling your body already uses to tell you it has eaten enough. The medicine makes that signal steadier.
you eat
The gut releases hormones that report back on what has arrived.
the signal travels
Those hormones act on receptors that influence appetite and how quickly the stomach empties.
the brain reads it
Fullness registers earlier and lasts longer, so the decision to stop eating gets easier to make.
and it holds
One injection a week keeps that signal steady, rather than something you have to summon each day.
It is not a substitute for how you eat or how you move, and it is not a permanent change to your body. It works while you take it, alongside the nutrition guidance in your programme.
03
who it is for, and who it is not for
Your doctor decides this, from your assessment and your history, at your consultation. The list below is what they are weighing.
may be appropriate
- Adults whose weight is affecting their health, judged on measurements taken at assessment.
- People whose weight carries related conditions, such as type 2 diabetes, high blood pressure or sleep apnoea.
- People who have tried to manage weight through diet and activity and have not been able to hold it.
- People who can attend a telehealth consultation and keep up a weekly check-in.
not appropriate
- Anyone with a personal or family history of medullary thyroid carcinoma, or with MEN2.
- Anyone who has had a serious allergic reaction to tirzepatide or any of its ingredients.
- Anyone pregnant, planning pregnancy, or breastfeeding.
- Anyone with a history of pancreatitis, or significant gastrointestinal disease such as gastroparesis, without specialist advice.
- Anyone under 18.
This list is not complete, and it is not a self-assessment. Tell your doctor everything you take, including supplements and traditional medicine, before anything is prescribed.
04
the dose is climbed, not chosen
You start at the lowest dose and step up only when your doctor decides you are ready. Each step is at least four weeks. Many people never reach the top of the ladder, and that is a normal outcome rather than a failure.
012.5 mg
Starting dose. It is there to let your body settle, not to treat.
025 mg
The first therapeutic step, after at least four weeks.
037.5 mg
Only if your doctor judges more is warranted.
0410 mg
Same rule again, at least four weeks apart.
0512.5 mg
Reviewed against how you have tolerated each step.
0615 mg
The maximum. Most people do not need it.
Your doctor may hold you at a dose, step you back down, or stop. That decision is theirs and it is made from your weekly readings and how you say you feel.
05
you do it yourself, once a week
This is the part most people are quietly dreading, so here it is plainly. The pen is pre-filled and the needle is short, fine and hidden inside it. You will not see it, and you do not measure anything.
01take it out of the fridge
Most people leave it out for about half an hour first. A pen straight from the fridge stings more than one at room temperature.
02pick a soft spot
The front of the thigh, the stomach a little away from the navel, or the back of the upper arm. Move it around week to week rather than using the same place.
03hold it flat and press
The pen sits flush against the skin and you press the button. There is a click when it starts.
04count to ten
Keep it still until the second click and the window changes. Then lift it away. The whole thing takes about fifteen seconds.
05put it in the sharps bin
The used pen goes into the bin that comes with your delivery. It is never household rubbish.
Your doctor takes you through your first one on a call, and you can message the same thread the moment something feels wrong. Nobody expects you to get this right from a leaflet.
06
what the first week actually feels like
Most people feel something, and it usually settles. Knowing roughly when it comes is the difference between a difficult week and a frightening one.
Day 1
the injection
Fifteen seconds, then it is done. Most people notice nothing for the rest of the day.
Days 2-3
when it is usually strongest
If you are going to feel nauseous or full very quickly, this is generally when. Smaller meals, eaten slowly, are what most people find helps.
Days 4-6
it usually eases
For most people it settles as the week goes on. Appetite is often quieter than it was, without much drama.
Day 7
the next one
Same day each week. Your doctor decides whether you hold at this dose or step up, and a step up can bring the earlier days back for a week.
This is what is typical, not what will happen to you. Some people feel very little. Some find it hard enough that their doctor holds them at a lower dose, which is a normal decision and not a setback.
WhatsApp · your first week07
what can go wrong
This section is the same size as the others on purpose. Side effects are common, mostly digestive, and usually strongest in the days after a step up.
common
- Nausea
- Vomiting
- Diarrhoea
- Constipation
- Abdominal pain and indigestion
- Reduced appetite
- Tiredness
- Reactions where you injected
uncommon, and serious
- Inflammation of the pancreas (severe, persistent abdominal pain)
- Gallbladder problems, including gallstones
- Dehydration and kidney injury, usually after prolonged vomiting or diarrhoea
- Low blood sugar, particularly alongside insulin or a sulfonylurea
- Serious allergic reactions
- Worsening of existing diabetic eye disease
Stop and contact your doctor if you have severe or lasting abdominal pain, or a reaction that frightens you. Your doctor is in the same thread you use for your weekly check-in, and you do not need an appointment to ask.
08
what you pay, and what you do not
Three lines, billed by three different parties, and we publish every one of them. The medicine costs more at a higher dose, because it is supplied by dose. Our care fee does not move with it.
Included in the care programme
- Your weekly check-ins and your doctor's weekly review.
- Questions answered between appointments, on WhatsApp.
- Nutrition guidance built around how you actually eat.
- Coordination of your prescription and your refills.
- Cold-chain courier delivery to your door, in plain packaging.
Priced separately
- The consultation, charged by the clinic at your appointment.
- Your medicine, dispensed and charged by the licensed pharmacy, priced by dose.
- Any tests your doctor orders, if they order any.
RM299 to RM499/month
The care programme. Consultation and medicine are priced separately.
Every figure, at every dose, is on the pricing page — including the highest dose, before you start the lowest. A RM49 deposit is credited to your first month, and is only asked for once a doctor has cleared you to start. Cancel any time, no questions and no penalties.
The full price list09
how it reaches you
It is a cold-chain medicine, so how it travels matters as much as what it is.
- 01
dispensed, not shipped
A licensed pharmacist at the partner clinic dispenses against your doctor's prescription. It is not picked from a warehouse.
- 02
cold the whole way
It travels in an insulated box with a cold pack, and goes into your fridge when it arrives.
- 03
plain on the outside
Nothing on the box says what is inside, or who it is from.
- 04
same day
Dispensed and couriered the same day, and your doctor walks you through the first one.
10
questions people actually ask
The ones that get typed at one in the morning, answered the way we would answer them in the chat.
Does the injection hurt?
Most people describe a sting for a second or two, and some feel nothing at all. The needle is very fine and short, and it stays hidden inside the pen, so you do not see it going in. Letting the pen come to room temperature first makes a noticeable difference.
Will anyone know?
Nothing on the delivery box says what is inside or who sent it. There is no clinic branding on the packaging and no clinic name on the courier label. In your phone it looks like any other WhatsApp thread.
Can I drink alcohol?
There is no absolute rule, but alcohol can make nausea worse and it is worth being careful in the days after an injection, especially after a step up. Tell your doctor how you actually drink so their advice fits your life rather than an ideal version of it.
What about travelling, or Ramadan?
Both are workable and both need planning rather than improvising. Tell your doctor before you travel or before you fast, and they will work out the timing with you in the thread.
Is this the same as what I have seen on TikTok?
The molecule may be. The route it took to reach you is not. Ours is prescribed by a licensed Malaysian doctor after a consultation and dispensed by a licensed pharmacy, cold, with your name on the prescription. Product bought from a reseller has none of those things, and no one to message when something goes wrong.
How quickly will I see anything?
We do not put a number on that, because it differs and anyone who gives you one is guessing. What your doctor watches is the trend across weeks, which is why the check-in is weekly rather than daily.
What happens if I stop?
Appetite generally returns to where it was. The medicine works while you take it and does not permanently change how your body regulates hunger, which is why the nutrition side of the programme matters as much as the prescription. If you want to stop, tell your doctor rather than simply stopping, so they can plan it with you.
What if I miss a week?
Message the thread and ask before you do anything. There are rules about how late is too late and they depend on where you are in the week, so it is a question for your doctor rather than a general answer we can give here.
Do I have to keep it in the fridge?
Yes, normally, between 2 and 8 degrees. It can spend a limited period out of the fridge at room temperature, which is what makes travel possible, but the exact limit matters and your pharmacist will tell you what applies to your pen.
Will I lose muscle as well?
Losing weight quickly can mean losing muscle along with fat, which is one reason the programme includes nutrition guidance and asks about protein rather than only counting the number on the scale.
Can I use it with the medicines I already take?
Often yes, and sometimes it changes what your doctor prescribes or how they monitor you. Bring the full list to your consultation, including supplements and traditional medicine, because that is the list they are making the decision from.
What if it is not right for me?
Then your doctor says so. Being assessed is not the same as being prescribed, and some people are told this is not appropriate for them. That is the assessment working, not failing.
not ready to start?
You do not have to begin an assessment to ask something. Send the question first.
No assessment, no payment, no obligation to go further.
a doctor decides, not a checkout.
The assessment is where this starts. It takes a few minutes, a doctor reads every answer, and nothing is prescribed and nothing is charged on the strength of it alone.
Start your assessmentBeing assessed does not mean being prescribed. Some people are told this is not appropriate for them, and that is the assessment doing its job.