What to Say to Your Doctor to Get Mounjaro (October 2026)

01 · The short answer

What to say to your doctor to get Mounjaro

Start with the facts, then ask the question. Something like: 'My BMI is 36. I have high blood pressure and prediabetes. I have tried structured diets and exercise for several years. Is tirzepatide suitable for me, and would I qualify on the NHS?' That one paragraph covers what a prescriber needs: measurements, conditions, history and a clear request for an assessment.

You are not trying to persuade anyone. Mounjaro is a prescription-only medicine, and a prescriber has to judge whether it is suitable for you. A prescriber will assess your BMI, medical history and current medicines before deciding.¹ So the most useful thing you can do is give them accurate information. The page on whether you can get Mounjaro from your doctor covers the wider picture.

02 · Two routes

NHS or private: where the conversation goes next

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. The primary-care rollout began in June 2025 with the highest-need groups first, initially BMI 40 or above with four or more qualifying conditions.⁴⁶ Full rollout is expected to take years. Your GP may therefore tell you that you meet the licence but not yet the local NHS priority group.

If that happens, you have not been refused for a bad reason; you are in a queue. Many people who meet the licensed criteria choose regulated private treatment rather than wait.⁶ Our free online consultation is reviewed by a GPhC-registered prescriber, and you can buy Mounjaro online once approved. Your first 2.5mg pen is £129.99 with code FIRST40 (standard price £169.99), and every later order is £25 off the standard price. Prices checked 11 October 2026.

03 · Avoid

What not to say

Do not exaggerate your weight, invent conditions or hide medicines. It can lead to an unsuitable prescription, and it undermines the safety checks that exist to protect you. We cover the risks in our page on whether you can lie to get Mounjaro. Be equally careful not to downplay: if you have had low mood, an eating disorder or past reactions to medicines, say so, because that is exactly what a prescriber wants to weigh up.

It is also fine to say you are unsure. 'I am not certain this is right for me, can we talk through the options?' is a perfectly good opening line. A good clinician will respond to it.

Related guide: Lying to get mounjaro.

04 · Scripts for the appointment

A script you can adapt for the appointment

Your opening sentence should state why you are there and what you want assessed. Try: 'I would like to talk about medical help with my weight. I am interested in tirzepatide and want to know whether I am suitable.' This is clear, polite and leaves the decision where it belongs, with the clinician.

Next, give the numbers. 'I weigh 105 kg, I am 1.68 m tall, so my BMI is about 37.2.' If you do not know your BMI, give weight and height and ask the clinician to calculate it. BMI is weight in kilograms divided by height in metres squared, so the same arithmetic works at home before you go. Eligibility is built on that number: Mounjaro is licensed for weight management in adults with a BMI of 30 or above, or between 27 and 30 with at least one weight-related condition.¹

Then list conditions in plain words. 'I was diagnosed with high blood pressure three years ago, and my last cholesterol result was high. I have sleep apnoea.' The licence names high blood pressure, high cholesterol, obstructive sleep apnoea, cardiovascular disease, prediabetes and type 2 diabetes as examples of weight-related conditions.¹ If you have any of them, say which and roughly when.

Follow with your history. 'Over the last five years I have followed calorie-controlled plans, joined a group programme and walked most days. I lose some weight and it returns.' Be accurate about what you did and for how long. You do not need to prove effort; you need to describe it.

Close with an open question. 'Based on all that, is Mounjaro suitable for me? If not on the NHS yet, what are my options?' The second half matters because it prompts the GP to discuss routes rather than ending the conversation at 'not currently'.

If you feel nervous, write the script on paper and hand it over. Clinicians are used to this, and it helps you avoid forgetting a condition or a medicine. You can also ask for a longer slot when booking, or request a double appointment, because weight conversations rarely fit comfortably into ten minutes.

Finally, ask what happens next: a referral, a follow-up date, blood tests or a place on a waiting list. Write the answer down. A clear next step is a good outcome even when the answer to the prescription itself is 'not yet'.

05 · Preparing your information

How to prepare before you go

Preparation turns a vague chat into an assessment. Spend twenty minutes beforehand gathering four things: your measurements, your conditions, your medicines and your weight history.

Measurements. Weigh yourself on the same scale in the morning, and measure your height against a wall if you have not done so in years. Note the date. If you have a recent reading from a pharmacy or a previous GP visit, bring it as well. A prescriber will rely on accurate figures when deciding whether Mounjaro suits you.¹

Conditions. Write down every diagnosis you have, even if you think it is unrelated, plus any family history you know. Include things like sleep apnoea or prediabetes, which people often forget to mention because they are not on a repeat prescription.

Medicines. List prescription medicines, over-the-counter products and supplements, with doses. Mention insulin or other diabetes medicines specifically: their doses may need adjusting because of the risk of low blood sugar.¹ If you take an oral contraceptive, say so, as the medicine can reduce its absorption because stomach emptying slows.⁷ The SmPC advises switching to a non-oral method, or adding a barrier method (such as condoms), for 4 weeks after starting Mounjaro and for 4 weeks after each dose increase.¹

Weight history. Make a simple timeline: your approximate highest and lowest weights, the programmes you tried, how long each lasted and what happened afterwards. A single page is plenty.

Your own questions. Write down what you want to understand. Useful ones include: Am I eligible on the NHS now? If not, when might I be? What monitoring would I need? What should I do if I get side effects? How long would treatment last? These keep the conversation practical.

Bring someone with you if that helps, and ask for any advice in writing. If you decide to explore the private route, the same notes will help you complete our health questionnaire accurately, which is what the prescriber reviews.

Finally, be ready to talk about expectations. Mounjaro is used alongside a reduced-calorie diet and increased physical activity, not instead of them.¹ Saying that you understand this signals that you are approaching treatment as a long-term plan, which is the right frame.

06 · Eligibility explained

What qualifies you for Mounjaro

Two sets of criteria exist: the product licence, which governs private prescribing, and NHS commissioning, which governs who is prioritised on the NHS. They are not the same, and confusing them is the commonest reason for a disappointing GP visit.

The licence. Mounjaro is licensed for weight management in adults with a BMI of 30 or above, or a BMI between 27 and 30 with at least one weight-related condition such as high blood pressure, high cholesterol, obstructive sleep apnoea, cardiovascular disease, prediabetes or type 2 diabetes. It must be used alongside a reduced-calorie diet and increased physical activity.¹ A prescriber then assesses your BMI, medical history and current medicines before deciding whether it is suitable.

NHS access. NICE recommends Mounjaro for adults with a BMI of at least 35 plus at least one weight-related condition. The NHS primary-care rollout began in June 2025 with the highest-need groups first, initially BMI 40 or above with four or more qualifying conditions, and full rollout is expected to take years.⁴⁶ So being eligible under NICE does not necessarily mean you are in the current wave.

Your GP or local integrated care board can tell you which group your area is currently treating.

A worked example. Someone with a BMI of 32 and no other conditions meets the licence but not the NICE threshold. Someone with a BMI of 28 and high blood pressure meets the licence through the 27 to 30 route. Someone with a BMI of 41 and four qualifying conditions sits in the group the NHS rollout began with.

What the conditions are matters as much as the number. When you speak to your doctor, name each one. A condition you do not mention cannot count towards your eligibility.

For the NHS, the official NHS guidance and your GP are the authority. For the private route, our prescribers decide case by case. You can also see our overview of weight loss treatments if you are comparing options.

07 · Why a doctor may say no

Why your doctor might not prescribe Mounjaro

A 'no' or 'not yet' is usually about access, eligibility or safety, not about your worth or effort. Understanding which one applies tells you what to do next.

You are not yet in the priority group. The NHS rollout is phased, starting with the highest-need groups.⁶ NICE recommends Mounjaro for a BMI of at least 35 plus at least one weight-related condition,⁴ so a person below that, or one whose area has not reached their group, may be told to wait.

Your practice may not be offering it. Primary-care availability depends on local arrangements. Your GP may be unable to prescribe it for weight management in routine appointments, and may point you towards a specialist weight-management service. NHS access to Wegovy, for instance, runs through specialist weight-management services, so ask your GP what is offered locally.

Clinical reasons. A prescriber must weigh your medical history and current medicines before deciding whether the medicine is suitable. If something in your history makes it unsuitable, a decision not to prescribe is the system working as intended.

Your BMI is below the threshold. Under the licence, a BMI under 27 does not qualify, and a BMI of 27 to 30 needs a weight-related condition.¹

The conversation went badly. Sometimes it is simply a rushed appointment or a clinician who has not had training on the newer medicines. Ask politely for a follow-up, a second clinician or a referral, and ask them to record your request in your notes.

What helps in every case: stay calm, ask 'what would make me eligible, and when?', and request the reasons in writing. You are entitled to ask who else in the practice deals with weight management. If you disagree, you can also ask about the practice's complaints process, though a calm conversation usually works better first.

08 · How Mounjaro works

What Mounjaro is and how it works

Mounjaro is the brand name for tirzepatide, 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 (KwikPen) in six strengths: 2.5mg, 5mg, 7.5mg, 10mg, 12.5mg and 15mg.¹

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. In practice, most people feel fuller sooner and less hungry between meals, which supports a reduced-calorie diet.¹ This dual action distinguishes it from single-action GLP-1 medicines such as semaglutide (Wegovy and Ozempic).

Knowing this helps you in the appointment. You can say 'I understand it works by reducing appetite alongside diet and activity changes', which shows you see it as a support, not a shortcut. It also explains why prescribers ask about diet history.

Tirzepatide has a half-life of about five days, so after a final dose it takes roughly 4 to 5 weeks to clear the system. There is no way to speed this up, and nothing needs doing while it clears.¹ It is worth asking your prescriber what the plan would be if you stopped, and how the long-term plan would look.

What the trial showed. In SURMOUNT-1, a 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. At 72 weeks, 85% of participants on 5mg, 89% on 10mg and 91% on 15mg had lost at least 5% of their body weight. Half of participants on 10mg and 57% on 15mg lost at least 20%.²

As a worked example, for someone starting at 100 kg, 20.9% is about 21 kg. These are trial averages, individual results vary, and treatment works alongside a reduced-calorie diet and increased physical activity, not instead of them.² Trial averages do not predict your own result, so be wary of any provider that promises a specific outcome.

Do not ask your doctor to promise a figure. Ask what a realistic goal is for your health, such as lowering blood pressure or improving sleep, and how progress would be reviewed.

09 · Questions to ask

Questions worth asking in the appointment

Good questions show engagement and extract the information you need to decide. Pick the ones that matter to you rather than reading a list aloud.

About eligibility. 'Based on my BMI and conditions, am I eligible for tirzepatide on the NHS now?' 'Which group is our area treating, and where would I fit?' 'Is there a specialist weight-management service I could be referred to?' These questions get you information that applies to your area rather than general rules.

About suitability. 'Is there anything in my medical history or medicines that makes this unsuitable?' Remember that a prescriber assesses your BMI, medical history and current medicines before deciding.¹ If you take insulin or other diabetes medicines, ask specifically how doses would be reviewed, since they may need adjusting.

About the plan. 'Would I start on a low dose and step up?' Mounjaro comes in six strengths from 2.5mg to 15mg,¹ and a prescriber will explain how doses are chosen. 'How often would I be reviewed?' 'What diet and activity support is available?' Treatment is used alongside a reduced-calorie diet and increased physical activity, so ask what help exists for that part.

About side effects and safety. 'What should I look out for, and who do I contact if I feel unwell?' Read the patient information leaflet for the full list rather than relying on memory or online posts. If you notice a new symptom, tell your prescriber, and you can report suspected side effects through the MHRA Yellow Card scheme.¹⁹

About stopping. 'What happens if I stop?' Tirzepatide takes roughly 4 to 5 weeks to clear the system after a final dose.¹ Your prescriber can discuss what follow-up looks like.

About alternatives. 'If Mounjaro is not right or not available, what else would you suggest?' Ask your prescriber about suitability for any other medicine.

Write down the answers. If you leave with a plan, a date and a named person to contact, the appointment has worked, whatever the outcome on the prescription.

10 · Costs over a year

What private Mounjaro costs over a year

If your GP cannot prescribe yet, private treatment has a clear price structure. Each pen lasts four weeks, and the price depends on the dose. At standard prices, the Mounjaro pen costs £169.99 at 2.5mg, £218.99 at 5mg, £279.99 at 7.5mg, £290.99 at 10mg, £319.99 at 12.5mg and £329.99 at 15mg, per month. All six doses are in stock.

A new customer's first order, at any dose, is £40 off with code FIRST40. After that, an automatic £25 reorder discount applies to every future order (code DOSE25). So your first 2.5mg pen costs £129.99 with the code (standard price £169.99). If you are switching to us at a higher dose, say 15mg, your first order is £289.99.

These totals are at standard prices, before discounts. A new customer's first order is £40 less and every later order is £25 less. If you settle at 7.5mg, 10mg or 12.5mg, your monthly price is £279.99, £290.99 or £319.99 respectively.

Across the UK pharmacies we track, the cheapest and dearest Mounjaro pens (all doses) are £143.96 and £339.00, and the gap between providers for the same dose ranges from £27 to £41 (checked 10 October 2026). Pharmacy sell prices vary because of confidential discounts.

The consultation is free and the price shown is the price paid, with no hidden fees. You can pay by Visa, Mastercard or Klarna, with pay-monthly options and no subscription. Payment is taken when you place the order; if the prescriber decides the treatment is not suitable, the order is refunded automatically in full.

11 · Ordering privately

How private ordering works with us

If you decide the NHS wait is too long, ordering is a four-step process, and your GP conversation notes will make step one quicker.

1. Free online consultation. You complete a short health questionnaire, with no charge and no obligation. Use the information you gathered for your GP: measurements, conditions, medicines and history. Accuracy matters because the next step relies on it. You can start your free consultation whenever you are ready.

2. Prescriber review. A GPhC-registered prescriber reviews your answers, not a scoring script. Payment is taken when you place the order; if the prescriber decides the treatment is not suitable, the order is refunded automatically in full.

3. Dispensing and dispatch. Our registered pharmacy (GPhC 9012878) dispenses your order, with same-day dispatch when ordered by 3pm. Mounjaro comes from official LillyDirect supply, direct from Eli Lilly's UK distribution, and we stock genuine KwikPens in all six doses.

4. Delivery. Delivery is free, next-day and tracked by DPD, in temperature-controlled, discreet packaging. Saturday delivery is £14.99. Needles, a sharps bin and injection guidance are included with every order.

Counterfeit pens are a real risk when buying from unregulated sellers. The MHRA publishes counterfeit medicine alerts, and anyone offering to supply without a consultation or prescription should be avoided.⁷ You can check any UK pharmacy on the GPhC register.

After you start. Aftercare includes ongoing monthly reviews, dose titration and follow-up assessments by the prescribing team, plus side-effect support. Repeat orders re-check suitability, and there is no auto-shipping, so nothing is sent unless you ask. Support is available Monday to Friday, 9am to 5pm, by email at support@everydaymeds.co.uk, through the account portal chat, or on 0333 207 0413. Our free companion app, GLPTrackr, helps you track your journey on iOS and Android.

More than 100,000 customers have been supported on their weight loss journeys. That tells you about our experience of the service, not about what any individual result will be. If you want to go ahead, you can order Mounjaro online; your first 2.5mg pen is £129.99 with code FIRST40. Prices checked 11 October 2026.

12 · Honesty and next steps

Why honesty works better than the 'right words'

The idea that the right phrase unlocks a prescription is a myth. A prescriber's decision rests on facts: your BMI, your medical history and your current medicines.¹ If you adjust those facts to fit, the best outcome is a prescription that does not match your health, and the worst is harm.

People sometimes ask whether they can inflate a weight or leave out a condition. We cover this in our page on whether you can lie to get Mounjaro, and the short version is: don't. Mounjaro is a prescription-only medicine because it needs a proper assessment, and details such as other medicines, past reactions or pregnancy plans genuinely change what is safe. Mounjaro must not be used during pregnancy, and it should be stopped at least one month before trying to conceive. If you become pregnant during treatment, stop the medicine and tell your prescriber promptly.

Honesty also works in your favour. A clear, accurate history lets the prescriber choose a sensible approach, set review dates and spot problems early. If you notice a new symptom after starting, tell your prescriber promptly, and you can report suspected side effects via the Yellow Card scheme.¹⁹

If you are told to wait. Ask to be put on any list available, and ask when your eligibility will be revisited. Keep a record of your weight, blood pressure and other readings so that you can show change over time. Keep working on the things within your control: sleep, activity, and meals you can sustain. These matter whether or not you end up on medication, since Mounjaro is used alongside a reduced-calorie diet and increased physical activity.¹

If you are told yes. Ask what monitoring and follow-up will look like, how doses will be increased, and who to contact with questions. Keep your notes handy.

If you want to compare options first. Our overview of weight loss treatments sets them out, and our prescribers can talk through suitability in the free consultation. Payment is taken when you place the order; if the prescriber decides the treatment is not suitable, the order is refunded automatically in full.

This page is information, not a substitute for medical advice. Mounjaro (tirzepatide) is a prescription-only medicine, supplied only after an online consultation reviewed by a GPhC-registered prescriber. It is used alongside a reduced-calorie diet and increased physical activity, and individual results vary.

13 · 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