Your Mounjaro price guide · October 2026

Can I Eat Ham on Mounjaro? A Practical Guide (October 2026)

Yes, you can eat ham on Mounjaro. No food is banned on treatment, and ham is a useful protein source when your appetite is low. Choose lean, plainly cooked slices, keep portions small and eat slowly, because fatty or heavily processed food is more likely to leave you feeling unwell while the stomach empties more slowly.1

£129.99/ 4 weeks
2.5 mg starting dose
One pen. Four weekly doses.

New customers£40 off your first order with code FIRST40. Standard price £169.99.

A woman enjoying a peaceful moment outdoors
UK pharmacy. Personal care.
Support at every step.

From your first consultation to ongoing care.

  • GPhC-registered UK pharmacy
  • Prescriber assessment
  • Temperature-controlled delivery
  • Advice from our pharmacy team

Compare UK Mounjaro Prices

Prices checked 12 October 2026

Published UK provider Mounjaro prices for the 2.5mg, 5mg, 7.5mg, 10mg, 12.5mg, 15mg doses, checked 12 October 2026.
Provider2.5mg5mg7.5mg10mg12.5mg15mgNotes
£40 off first order£129.99First orderReorders £144.99£178.99First orderReorders £193.99£239.99First orderReorders £254.99£250.99First orderReorders £265.99£279.99First orderReorders £294.99£289.99First orderReorders £304.99Consultation and next-day tracked delivery included
Boots Online Doctor£179.00£199.00£259.00£299.00£319.00£339.00Free click & collect; cold-chain home delivery chargeable
Asda Online Doctor£148.97£188.97£248.97£278.97£287.47£298.97Refrigerated delivery from £4.50; free click & collect
MedExpress£179.99£189.99£249.99£279.99£299.99£309.99Delivery £2.90 to £3.95; new-customer discount at checkout
Simple Online Pharmacy£169.00£199.99£259.99£279.99£299.99£319.99Delivery £4.99 per order
Oxford Online Pharmacy£143.96£188.96£248.96£278.96£288.96£309.95Free consultation; cold delivery £5.49
Chemist4U£148.00£188.00£248.00£278.00£288.00£298.00Consultation included; free temperature-controlled delivery
Chemist Click£163.99£173.99£232.99£259.99£279.99£299.49Cold-chain delivery charged; £20 off with code
Click Pharmacy£169.99£189.99£239.99£269.99£289.99£299.99Free assessment; delivery £3.50 to £7.95
Medino£147.99£169.99£249.99£269.99£299.99£319.99Consultation and delivery included

Prices collected weekly from each provider's published price list.

A quick overview

What to know
before you start.

  • Ham is allowed on Mounjaro; no food is banned, and a protein source at each meal is a sensible aim.
  • Lean, plain ham works better than fatty, fried or heavily processed versions that can sit heavily.
  • Small portions eaten slowly suit a stomach that empties more slowly.
  • Ham does not replace vegetables, fibre and fluids; build the plate around all of them.
  • Treatment is licensed alongside a reduced-calorie diet, so the overall pattern matters more than any single food.
In this guide

01 · The core answer

Ham on Mounjaro: the short answer and what to do

You can eat ham on Mounjaro, and for many people it is an easy way to get protein when meals feel like a chore. The medicine does not interact with any particular food. What changes is how your body handles a meal: you feel full sooner, and the stomach empties more slowly.1 That is why the form of the ham, the size of the portion and the speed you eat at matter more than the label "ham" itself.

No food is banned, but some choices make treatment easier and more effective. Prioritise protein at each meal, vegetables and fibre, and regular fluids. Many people feel worse after very fatty, fried or very sugary food, and large portions sit heavily.1 Apply that to ham and the practical advice follows naturally.

Ham choiceHow it tends to suit MounjaroPractical tip
Lean, plain sliced hamGood protein source with little fat to slow you downAdd to a salad, an omelette or a wrap with vegetables
Thick-cut roast ham, trimmed of visible fatWorks well in a smaller portionCut it small and chew slowly
Fatty or fried ham dishesMore likely to leave you feeling heavy or nauseousSave for a day when you feel well, in a small portion
Ham in rich, creamy or pastry-based dishesFat and large portions can combine badlyChoose a lighter version or share the dish
Ham with plenty of vegetables and fluidsBalanced and easy to tolerateMake the ham the protein, not the entire plate

02 · What you are really deciding

The decisions you are actually facing

Most people asking this question are really asking two things. First: will ham make me feel ill? Second: does it help or hinder weight loss? On the first, tolerance varies from person to person and from week to week, particularly around dose increases. If a food makes you feel unwell, simply eat less of it, or leave it for a few days and try again in a smaller portion.

On the second, ham sits comfortably in a reduced-calorie diet when it is lean and portions are modest. Treatment is licensed alongside a reduced-calorie diet, so the aim is a sustainable deficit, not a perfect food list.1 A sandwich that is mostly ham and salad is a very different thing from a plate of fried ham with rich sauce, even though both contain ham. If you also wonder about other meats, our guides to pork on Mounjaro and steak on Mounjaro follow the same principles.

The Mounjaro pen starts at £169.99 for the 2.5mg starter pen at its standard price, and a new customer's first order is £40 less with code FIRST40. Everything is reviewed by a GPhC-registered prescriber first.

03 · What to do next

A simple way to use ham well this week

Start by choosing lean, plain ham and building the plate around it. Pair it with vegetables for fibre, add a drink of water, and stop when you feel comfortably full rather than finishing the portion out of habit. Because appetite is lower, a small amount of ham with a few other items often covers your protein better than a large single serving.

Keep a simple note of what sits well and what does not. Over a couple of weeks a pattern usually emerges, and that personal pattern is more reliable than any general food list.

04 · Why food feels different

Why ham and other foods feel different on Mounjaro

Mounjaro changes the way a meal feels, which is why a food you ate easily before can suddenly seem heavy. Tirzepatide is the first treatment of its kind to activate two natural gut-hormone receptors at once: GIP and GLP-1. Together these help regulate appetite, slow how quickly the stomach empties, and improve the way the body responds to insulin.1 In practice, most people feel fuller sooner and less hungry between meals, which supports a reduced-calorie diet.

For ham, this has a few practical consequences. A portion that once felt ordinary may now feel generous. A sandwich with several layers of meat may be more than you can comfortably finish. And because food leaves the stomach more slowly, anything rich or fatty can linger and bring nausea, reflux or a bloated feeling. Ham itself is not special in this respect; it behaves like any other protein food, and its effect depends on how it is cooked and what it is served with.

Large portions sit heavily because the stomach empties more slowly, and smaller, slower meals work better.1 That is the single most useful habit to adopt. Put the fork down between mouthfuls, stop at the first signs of fullness and save the rest for later. Many people find that a small plate eaten calmly is far more comfortable than a large plate eaten quickly.

It also helps to think about timing. Early in treatment, and after each dose increase, side effects are more likely to show up, so ham that was fine last week may not be this week. That does not mean you have developed an intolerance. It usually means your stomach is adapting. Choose lighter options on those days, such as lean ham with salad, and return to your usual choices once you feel settled.

It is also worth separating a food problem from a medicine problem. If you feel unwell after almost everything you eat, or you cannot keep food or fluids down, that is not about ham. Contact your clinical team rather than trying to find a food that works. For everyday meals that merely feel heavy, small adjustments to portion size, fat content and pace are usually enough.

Finally, do not be discouraged if your appetite for meat changes. Some people go off certain foods for a while, while others find they crave simple, plain foods. Both are common. Flexibility is more useful than rules, and plain lean ham is one of the easier proteins to keep in the fridge for those low-appetite days.

05 · Protein and muscle

Why protein matters, and where ham fits

Ham earns its place on a Mounjaro plate mainly because it is an easy protein source. Some of any rapid weight loss comes from lean tissue, and protecting muscle protects your metabolism, strength and appearance.1 The two levers are adequate protein and resistance exercise. Aim to include a protein source at every meal, which is harder when appetite is low, and do resistance exercise two or more times a week.

This is the point where ham can genuinely help. When you are not hungry, preparing a full cooked meal can feel like too much effort, and it is tempting to skip the protein altogether. A few slices of lean ham need no cooking, keep well in the fridge and can be folded into an omelette, a salad, a wrap or a bowl of soup. They make "include a protein source at every meal" achievable on days when nothing appeals.

This matters more, not less, as the dose rises and appetite falls.1 If you are moving up through the strengths, it is worth checking that your protein has not quietly dropped away. A quick test is to look at your last few meals and ask whether each had a clear protein source. If not, ham is one convenient way to fill the gap, alongside eggs, fish, poultry, dairy and pulses.

Ham should not be your only protein, though. Variety helps you stay interested in food, and it spreads your choices across different fat and salt levels. Leaner cuts of other meats, fish and eggs all work. Our guides on lamb on Mounjaro and pork on Mounjaro cover other meats you might be rotating through.

Do not treat protein as a substitute for movement. Muscle preservation depends on both. Resistance work does not need a gym: bodyweight exercises, resistance bands or light weights at home all count. Pair a ham and salad lunch with a short strength session and you are using both levers.

One practical idea is to front-load protein at the meal you find easiest. If breakfast is the one time you feel hungry, put your protein there, then keep later meals small and simple. The aim is not a perfect schedule but a steady supply across the day, even when each meal is modest.

06 · Choosing and preparing ham

How to choose and prepare ham on Mounjaro

The way ham is chosen and prepared makes more difference than whether you eat it at all. Start with the fat. Very fatty food is one of the things many people feel worse after on treatment, so trimming visible fat and picking leaner slices is a sensible default.1 Plain, thinly sliced ham usually suits better than thick, fatty or breaded versions.

Next, look at how it is served. Ham that is boiled, roasted or sliced cold is far gentler than ham that has been fried in oil or baked into a rich dish. Fried food often sits heavily, and large portions sit heavily because the stomach empties more slowly.1 A cold ham salad and a deep-fried ham and cheese snack may share an ingredient, but they will feel very different an hour later.

Read the label as well. Cured and processed meats vary a lot in how salty they are, so comparing packs and choosing the plainer option is a good habit. Saltier foods can also make you thirstier, which is a useful reminder to keep water close. This is simple label-reading rather than a clinical rule, and it is not a reason to avoid ham.

Think about what goes with it. Ham works best when it is one part of a plate rather than the whole thing. Good partners include salad leaves, cucumber, tomatoes, peppers, cooked vegetables, a small portion of wholegrain bread or a modest serving of potatoes. If you are curious about starchy sides, our guide to potatoes on Mounjaro explains how they fit in, and the page on toast on Mounjaro covers bread.

Keep sauces light. Mustard, a squeeze of lemon or a little relish adds flavour without much fat. Heavy mayonnaise, creamy sauces and buttery toppings are where calories quietly accumulate, and where nausea is more likely. Because treatment is licensed alongside a reduced-calorie diet, those extras are the easiest place for the deficit to leak.

Finally, size your portion for the appetite you have today, not the one you had before treatment. A small handful of slices is often plenty. If you are still hungry afterwards, you can always add more vegetables or a little extra protein, which is much easier than dealing with the discomfort of eating too much at once.

07 · Sandwiches, cheese and butter

Ham sandwiches, cheese, butter and other pairings

Ham rarely arrives alone, so it helps to think about the foods that usually accompany it. A ham sandwich is the classic case. The ham is not the problem; the bread, the butter or spread and any cheese are what change the calories and how heavy it feels. Building a lighter version is easy: use thinner bread or a wrap, go easy on the spread, and add plenty of salad.

Is butter okay on Mounjaro? No food is banned, so a thin scraping is fine. Very fatty food is something many people feel worse after, and treatment sits alongside a reduced-calorie diet.1 So the sensible approach is to use butter sparingly, not to cut it out in a panic. If you notice that rich, buttery meals make you queasy, that tells you where to trim.

Can you eat cheese on Mounjaro? Again, nothing is off limits. Cheese adds protein but also a good deal of fat, so a small amount in a ham and cheese toastie or salad is usually better tolerated than a large, melted portion. If a rich cheese dish sits heavily, scale it back and see how you feel next time.

What snacks are good on Mounjaro? Choose snacks that carry protein and are easy to eat in small amounts. Rolled-up lean ham slices, boiled eggs, yoghurt, a few nuts or vegetables with a dip can all fit. The aim is to avoid grazing on very sugary or fried snacks that fill you up without nourishing you, since very sugary food is another thing many people feel worse after.1

For breakfast ideas, ham works well with eggs, in a small omelette or on a slice of wholegrain toast. For lunch, think ham and salad wraps, or ham in a vegetable soup. For dinner, a small portion of roast ham with vegetables is a gentle option. If you enjoy spicy food, note that richness and heat can combine uncomfortably for some people; our guide to curry on Mounjaro looks at that more closely.

Do not forget vegetables that add flavour without bulk. Our page on onions on Mounjaro covers one common ingredient that some people find harder to digest, which is worth knowing if your ham dish is built around a cooked onion base.

The secret to enjoying food on treatment is mostly about small portions, slow eating and paying attention to how you feel, rather than following strict rules. Allow yourself foods you like, in sizes your appetite can handle.

08 · Eating too little

What happens if you eat too little on Mounjaro

Eating very little is a real risk when appetite falls, and ham is one tool for avoiding it. The medicine reduces hunger, and it is easy to drift into skipping meals. The aim is a sustainable deficit, not eating as little as possible.1 Eating far too little can leave you tired, short of protein and short of nutrients.

Protein is the first thing to slip. Some of any rapid weight loss comes from lean tissue, and protecting muscle depends on adequate protein and resistance exercise, which is harder when appetite is low.1 If you are barely eating, a muscle-protecting plan is hard to follow, so it is worth tackling the problem early rather than waiting.

Nutrient gaps are another concern. No supplement is required with Mounjaro, but eating much less can leave gaps, so a standard daily multivitamin is a reasonable safety net while losing weight. Discuss anything beyond that with a pharmacist.1 Supplements sold as natural GLP-1 boosters are not equivalents and are not substitutes for prescribed treatment.

Fluids matter as much as food. Reduced appetite means less fluid from food, and vomiting or diarrhoea can dehydrate you quickly, which is the main route to the rare kidney problems reported with this class of medicine.1 Keep water within reach through the day. If you cannot keep fluids down, treat that as a contact-your-clinical-team issue, not something to push through.

If you are struggling to eat, try small, frequent, easy-to-digest meals rather than forcing large ones. Soft, lean protein such as plain ham, eggs or yoghurt is often easier than a big cooked dinner. Eat slowly and stop when comfortably full. Our own aftercare includes ongoing monthly reviews and side-effect support from the prescribing team, so you do not have to manage a very low appetite alone.

You should also check the patient information leaflet for the full list of side effects and when to seek medical help.13 If you feel persistently weak or dizzy, or cannot eat at all, contact your clinical team rather than waiting it out. A low appetite is an expected effect of treatment, but an inability to eat or drink is a different matter.

09 · Diet, exercise and results

How ham fits into diet, exercise and weight-loss results

Can you eat ham and still lose weight? Yes, when it sits inside a reduced-calorie pattern. Mounjaro is licensed for use alongside a reduced-calorie diet and increased physical activity, and the trial results reflect that combination.2 In the SURMOUNT-1 trial of 2,539 adults, people taking tirzepatide alongside diet and exercise lost on average 15% of their body weight on 5mg, 19.5% on 10mg and 20.9% on 15mg over 72 weeks, compared with 3.1% with lifestyle changes alone.2

These are trial averages — individual results vary, and treatment works alongside a reduced-calorie diet and increased physical activity, not instead of them.2 No single food, ham included, decides your outcome. The overall pattern of what you eat, how much you move and how consistently you follow your plan matters far more.

Exercise is part of the licence, not an optional extra. Nothing special is required: the evidence-backed pattern is regular moderate activity such as brisk walking, plus resistance work for muscle.1 Start where you are and build. On injection days with early side effects, lighter movement still counts. Exercise also protects against regain if you later stop treatment.

When it comes to ham, the practical contribution is protein and convenience. A lean ham salad after a walk is a perfectly sound meal. A heavy, fried ham dish in a large portion is less helpful, mainly because it is dense in calories and more likely to make you feel unwell. The dividing line is preparation and portion, not the meat itself.

Drinks deserve a mention, since they can undermine a good plate. There is no direct interaction between Mounjaro and alcohol, but drinking on a reduced appetite and emptier stomach can hit harder than usual, and alcohol adds calories that work against your goals.1 Coffee and tea are fine, though strong coffee on an empty, slower-emptying stomach can aggravate nausea or reflux for some people, and high-calorie coffee drinks are an easy place for the deficit to leak.

If you want to understand how your diet fits your dose, the prescribing team can talk it through at your monthly review.

10 · Serious side effects

Serious side effects: when to get help straight away

Serious side effects are uncommon but need urgent attention. Seek immediate medical help for: severe, persistent stomach pain that may spread to your back, with or without vomiting (possible pancreatitis); pain in the upper right abdomen, fever or yellowing of skin/eyes (possible gallbladder problems); or signs of a severe allergic reaction such as swelling of the face or throat and difficulty breathing. If you take insulin or a sulfonylurea alongside Mounjaro, watch for low blood sugar (shakiness, sweating, confusion) — your prescriber may need to adjust those medicines.1 If you are pregnant or planning a pregnancy, Mounjaro must not be used during pregnancy, and it should be stopped at least one month before trying to conceive.

11 · Starting treatment

NHS or private: how to get Mounjaro if you are not on it yet

If you are reading about food because you are considering treatment, it helps to know the routes. Mounjaro is available on the NHS, but access is being phased in over several years. NICE recommends it for adults with a BMI of at least 35 plus at least one weight-related condition, and the NHS primary-care rollout began in June 2025 with the highest-need groups first, initially BMI 40+ with four or more qualifying conditions.46 Full rollout is expected to take years, which is why many people who meet the licensed criteria choose regulated private treatment rather than waiting.

Mounjaro, the brand name for tirzepatide, is a once-weekly injectable prescription medicine made by Eli Lilly. In the UK it is licensed for weight management in adults and for type 2 diabetes. It comes as a pre-filled multi-dose pen in six strengths: 2.5mg, 5mg, 7.5mg, 10mg, 12.5mg and 15mg.1 It is a prescription-only medicine, supplied only after an online consultation reviewed by a GPhC-registered prescriber.

With EverydayMeds, the process is straightforward. First, complete a free online consultation, a short health questionnaire with no charge and no obligation. Second, your answers are reviewed by a GPhC-registered prescriber; payment is taken when you place the order, and if the prescriber decides the treatment is not suitable, the order is refunded automatically in full. Third, our registered pharmacy dispenses it, with same-day dispatch when ordered by 3pm, and free next-day tracked delivery in temperature-controlled packaging.

Supply is official LillyDirect supply, meaning Mounjaro direct from Eli Lilly's UK distribution, with genuine KwikPens. All six doses are in stock. The Mounjaro pen starter strength is £169.99 at the standard price; new customers save £40 on their first order with code FIRST40, and an automatic £25 reorder discount applies to every future order (code DOSE25). There are no subscriptions, and Klarna and pay-monthly options are available.

Ongoing monthly reviews, dose-titration and follow-up assessments are part of aftercare, along with side-effect support. That includes food questions like this one. Repeat orders re-check suitability, and there is no auto-shipping. You can also use our free GLPTrackr companion app to track your journey.

Mounjaro is used alongside a reduced-calorie diet and increased physical activity. Individual results vary. This page is information, not a substitute for medical advice, and we are registered with the GPhC (9012878).

How ordering works

How ordering works at EverydayMeds

Three steps, with our pharmacy team alongside you.

  1. EverydayMeds online consultation on a mobile phone

    Step 1: Online consultation — 5–10 minutes

    Complete a confidential health questionnaire covering BMI, medical history and current medication. No payment is taken until you're approved.

  2. A clinician ready to review an online consultation

    Step 2: Prescriber review — usually same day

    A UK registered prescriber checks your suitability against the licensed criteria (BMI ≥30, or ≥27 with a weight-related condition) and contraindications, and confirms your starting dose.

  3. An EverydayMeds delivery box

    Step 3: Next-day tracked delivery

    Dispensed by our GPhC-registered pharmacy in temperature-controlled packaging with needles and a sharps bin included. Orders approved by 3pm for next-day tracked delivery.

Start your free consultation

Prescription and dispatch follow clinical approval. Confirm current delivery options when ordering.

Afterwards you're not on your own: dose-change reviews are built in before each step up, our pharmacist team is available for side-effect questions, and repeat orders re-check suitability rather than auto-shipping.

Your questions, answered

Mounjaro price UK — frequently asked questions

Answers to common questions about Mounjaro prices, NHS access and ongoing treatment.

Ask our pharmacy team
Can I eat ham on Mounjaro?
Yes. No food is banned on Mounjaro, and ham is a convenient protein source when your appetite is low. The best choices are lean, plainly cooked slices in modest portions, eaten slowly and alongside vegetables. Very fatty, fried or rich versions are more likely to sit heavily because the stomach empties more slowly. If a particular ham dish makes you feel unwell, eat less of it or leave it for a few days and try again.
Is a couple of slices of ham a day bad?
A couple of slices of lean ham is not a problem in itself, and it can help you reach a protein source at each meal. What matters more is the rest of your diet and how the ham is served. Fatty or heavily processed versions and rich accompaniments are less helpful. Treatment works alongside a reduced-calorie diet, so judge ham by how it fits your overall day, and ask your prescriber if you have specific dietary concerns.
Can you eat ham and still lose weight?
Yes, you can eat ham and still lose weight, provided it fits within a reduced-calorie diet. Mounjaro is licensed alongside diet and increased physical activity, and trial results reflect that combination, with individual results varying. Lean ham is a useful protein source, while fried or creamy ham dishes add calories quickly. Think about the whole plate, portion size and your activity levels rather than any single food deciding your progress.
What is the secret to enjoying food while on Mounjaro?
The secret is small portions, slow eating and flexibility rather than strict rules. No food is banned, so you can still enjoy what you like, but large portions sit heavily because the stomach empties more slowly. Put protein first, add vegetables and fibre, keep fluids going, and stop when comfortably full. Notice which foods sit well and which do not, and adjust your own pattern accordingly rather than copying someone else's list.
Is butter okay on Mounjaro?
Yes, butter is not banned, and a thin scraping is fine for most people. Very fatty food is something many people feel worse after on treatment, and treatment is licensed alongside a reduced-calorie diet, so heavy use can cause discomfort and add calories quickly. Use it sparingly, notice whether buttery, rich meals make you queasy, and trim back where they do. Lighter flavourings such as mustard or lemon can replace it.
What foods worsen Mounjaro side effects?
Many people feel worse after very fatty, fried or very sugary food, and large portions sit heavily because the stomach empties more slowly. Strong coffee on an empty stomach can aggravate nausea or reflux for some people, and alcohol can hit harder on a reduced appetite. No food is banned, so the practical fix is smaller, slower meals and lighter choices on days when you feel unwell.
Can I eat cheese on Mounjaro?
Yes, cheese is allowed. It adds protein but also fat, so a small amount in a salad, omelette or sandwich is usually better tolerated than a large, rich or melted portion. Because very fatty food is something many people feel worse after, scale the portion to your appetite and see how you feel. If cheese dishes regularly leave you nauseous or bloated, eat less of them or choose lighter options.
What snacks are good on Mounjaro?
Good snacks carry some protein and are easy to eat in small amounts. Rolled-up lean ham slices, boiled eggs, yoghurt, a few nuts or vegetables with a dip are all sensible options. Try to avoid grazing on very sugary or fried snacks, which many people feel worse after and which add calories without much nourishment. Aim for a protein source at every meal and use snacks to fill gaps when your appetite is low.
What happens if you eat too little on Mounjaro?
Eating too little can leave you short of protein and nutrients, and it makes protecting muscle harder. Some weight loss comes from lean tissue, so adequate protein and resistance exercise matter, especially as appetite falls. A standard daily multivitamin is a reasonable safety net, and fluids are important because dehydration is the main route to rare kidney problems. If you cannot keep food or fluids down, contact your clinical team.
When is the best time of day to take Mounjaro?
Mounjaro is a once-weekly injection, so the more important decision is choosing a day you can stick to rather than a particular hour. There is no best time of day: Mounjaro works the same morning or evening, with or without food. Many people prefer a day when they can rest if early side effects appear, because lighter movement still counts on those days. Your prescribing team can advise on timing if you are unsure.
Mahommed Zunaid Ayub Patel, Superintendent Pharmacist at EverydayMeds

Clinically reviewed by

Mahommed Zunaid Ayub Patel

Superintendent Pharmacist

Accountable for the safe running of our registered pharmacy — from dispensing checks to delivery.

GPhC registration no. 2217101 · check the GPhC register

Reviewed
Last updated
Next review

EverydayMeds is operated by OVIO Ltd · GPhC-registered pharmacy 9012878 · Registered premises, Leicester · Superintendent Pharmacist: Mahommed Zunaid Ayub Patel