At Hillsborough Aesthetics, our medical weight management service is led exclusively by Dr. Aidan and Dr. Alexandra, both of whom follow the latest clinical recommendations from NICE (The National Institute for Health and Care Excellence) for safe, evidence-based prescribing of weight-loss medications such as Mounjaro® (Tirzepatide).
These treatments are highly effective, but they are not suitable for everyone. For this reason, every patient goes through a thorough, multi-step assessment to ensure the medication is safe, appropriate, and clinically justified.
Step 1 – Complete Your Medical Questionnaire
Before booking a consultation, you will be asked to complete our bespoke medical weight loss questionnaire.
This allows our doctors to review your medical history, current medications, previous weight-loss attempts and any factors that may affect suitability for treatment.
We also require patients to meet the eligibility criteria recommended by NICE, including the recommended BMI thresholds.
Please click the links below to view the latest NICE guidance on managing overweight and obesity:
If it appears that the treatment is not suitable or does not meet safety criteria, we will advise you on safer alternatives.
Step 2 – Your Doctor Consultation
Patients who meet the initial criteria will then be invited for a face-to-face consultation with either Dr. Aidan or Dr. Alexandra.
During this appointment, we will:
- Review your full medical, family, and weight-management history
- Record baseline measurements (e.g. weight, blood pressure, and other relevant health markers)
- Discuss potential risks, benefits, and expected outcomes
- Explore diet, lifestyle, and non-medication approaches
- Ensure you have all the information needed to make an informed decision
This consultation is designed to confirm that the treatment is safe, clinically appropriate, and in your best medical interests.
Please note:
No medication is dispensed at this first appointment. Prescription-only treatments must never be rushed. Instead, you will be given time to consider the information carefully.
Step 3 – Reflection Period
Following your consultation, we allow a short period of reflection before prescribing treatment.
This ensures you feel confident, informed, and fully prepared before beginning a prescription-only weight loss medication.
When you return, we will confirm that you still wish to proceed and that the treatment remains appropriate.
Step 4 – Starting Treatment
Once you and your doctor agree to proceed, your prescription will be issued and you will return to the clinic to begin treatment.
Your first dose will be demonstrated and supervised to ensure you feel comfortable and confident administering the medication safely.
Step 5 – Ongoing Monitoring & Support
Weight-loss medication works best when paired with ongoing medical support.
You will have regular reviews with your doctor to:
- Monitor progress and check for side effects
- Adjust dosing if required
- Review lifestyle habits and support your long-term success
- Ensure the treatment continues to be safe and effective
You will never be left to “go it alone” - your journey is medically supervised at every stage.
