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Medicated weight loss

Mounjaro

Hi Doctor plan starting from:€25 / month

Subject to clinical suitability. Consultation plan billed €25 every 28 days; medicine paid separately at your pharmacy.

HOW IT WORKS
GIP and GLP-1 receptor agonist that suppresses appetite, reduces cravings and improves blood sugar
Effectiveness
an average of up to 20.9% body-weight reduction1

What is Mounjaro?

Mounjaro (tirzepatide) is a medicine authorised in the EU for weight management in certain groups of people. It was first developed for type 2 diabetes and is now also authorised for adults with obesity, or overweight plus a weight-related condition.4

Taken once a week through a simple injection, it works alongside a reduced-calorie diet and more physical activity.

How effective is Mounjaro?

In clinical studies, people using Mounjaro lost more weight than with placebo, and more at higher doses.

  • Patients on 15 mg lost an average of 20.9% of body weight over 72 weeks, versus 3.1% on placebo.1
  • Weight loss increased with dose: 15.0% at 5 mg and 19.5% at 10 mg.1
  • Most participants lost at least 5% of their starting weight.1

How does Mounjaro work?

Mounjaro targets two pathways in the body:

  • Reduces appetite: controls hunger by acting on hormones that signal fullness
  • Improves insulin response: helps the body release insulin when blood sugar is high
  • Slows digestion: food stays in the stomach longer, so you feel full for longer
  • Long-lasting: a half-life of about five days allows once-weekly injections
Dose titration

Every dose, and what it is for

The dose is increased gradually (dose titration) so your body can adjust and side effects stay manageable. Not everyone needs the highest dose; your maintenance dose depends on how you respond.

2.5 mgStarting dose

Injected under the skin once a week for 4 weeks. Starting dose.

Hi Doctor fee€25 / 28 days
5 mgFirst maintenance

Once a week. First maintenance dose, reviewed by your doctor.

Hi Doctor fee€25 / 28 days
7.5 mgStep up

Once a week, after at least 4 weeks at 5 mg, if appropriate.

Hi Doctor fee€25 / 28 days
10 mgMaintenance

Once a week. Maintenance dose.

Hi Doctor fee€25 / 28 days
12.5 mgHigher maintenance

Once a week, only if clinically appropriate.

Hi Doctor fee€25 / 28 days
15 mgHighest dose

Once a week. Highest maintenance dose.

Hi Doctor fee€25 / 28 days

The Hi Doctor fee covers the consultation and your doctor's reviews. The medicine itself is paid at your pharmacy, and its price depends on the country, the dose and your health system.

How the dose moves

The titration ladder

Four weeks at each step, and never a step up without a review.

2.5 mgWeeks 1–4

The starting dose. Low on purpose, so your body can adjust.

5 mgWeeks 5–8

The first maintenance dose, held for at least four weeks.

7.5–10 mgMonths 3–4

Stepped up 2.5 mg at a time, only if you are tolerating it.

12.5–15 mgMonth 5 onwards

Higher maintenance, reached only where it is appropriate.

Results vary. Your doctor can hold you at any step, or step you back down.

Your first months

Mounjaro: what to expect

Weeks 1–4

Starting dose: 2.5 mg

A low weekly dose lets your body adjust. Mild nausea is common and usually settles.

Months 2–4

Stepping up

Your doctor reviews each 4-week cycle and increases the dose only if you're tolerating it well.

Months 4–6

Visible progress

Weight loss builds gradually and varies from person to person, alongside diet and activity.1

Month 6+

Maintenance

You and your doctor decide the long-term dose, or a plan to step down.

Results vary. Your doctor adjusts the plan at every review.
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One-time consultation

No subscription · 28 days

€35/ once

Licensed EU doctors

Every case read by a registered doctor.

Reply in under 2 hours

On average, in writing, no video call.

Pay only if approved

Not approved? Refunded in full, automatically.

Rated excellent on Trustpilot

4.8 from 540+ independent reviews.

Valid across the EU

E-prescription accepted at EU pharmacies.

Who is eligible for Mounjaro?

Mounjaro is recommended for managing weight as part of a plan that includes a reduced-calorie diet and more physical activity. You may be eligible if you have:

  • A BMI of at least 30 kg/m², or
  • A BMI of 27 to 30 kg/m² with at least one weight-related condition
  • You shouldn't take Mounjaro if you: are pregnant or breastfeeding, have a history of medullary thyroid cancer or MEN 2, have severe gut disease, or are allergic to tirzepatide.

How to use Mounjaro

A pre-filled pen you use once a week, on the same day, at any time and with or without food. You can inject in these areas:

  • Stomach: at least 5 cm from your belly button
  • Thighs: the front of the thigh
  • Upper arm: the back of the arm, if someone else injects
Read the instructions for use packed with your pen first. Check the pen before use and rotate the injection site each week. Your doctor or pharmacist can show you how to use your specific device.
Weight-loss medicines work while you take them. Your doctor reviews your progress at every renewal.

The difference between Mounjaro and Wegovy

A Hi Doctor doctor can help you make an informed decision. Here's a short summary of the main differences.

The difference between Mounjaro and Wegovy
MounjaroWegovy
Average weight loss in trialsUp to 20.9%1Up to 14.9%2
FormPre-filled injection penPre-filled injection pen
DosageOne weekly injectionOne weekly injection
Hi Doctor fee€25 / 28 days€25 / 28 days

These results come from separate trials, not a direct comparison. Results vary from person to person.

FAQs

Your questions answered

About Mounjaro4 questions
How much does Mounjaro cost with Hi Doctor?
The Hi Doctor consultation plan is €25 every 28 days at every dose. The medicine itself is paid at the pharmacy; its price depends on the country, the dose and whether your health system covers it.
In the SURMOUNT-1 trial, adults without diabetes lost on average 15.0% (5 mg), 19.5% (10 mg) and 20.9% (15 mg) of their body weight over 72 weeks, versus 3.1% on placebo. Results vary from person to person.
Take it as soon as possible within 4 days (96 hours) of the missed dose. If more than 4 days have passed, skip it and take the next dose on your usual day.
Yes, a doctor can review a switch. Tell us in the questionnaire which medicine and dose you use now, and when you took your last dose.
Safety2 questions
Nausea, diarrhoea, vomiting, constipation and reduced appetite, usually mild to moderate and most frequent while the dose is being increased.
Tirzepatide delays stomach emptying and can affect the absorption of oral medicines. Tell your doctor which contraceptive you use so they can review the current product information and explain how to stay protected.
More questions16 questions
Tirzepatide is a dual receptor agonist (GLP-1 and GIP) which, in trials, shows larger average weight loss than mono-agonist GLP-1s in adults with obesity.
Not necessarily. It is a chronic treatment while it is beneficial and safe: the doctor reviews response every 3 months and decides with you whether to continue, adjust or stop. Discontinuation must be gradual and paired with a maintenance plan.
History of pancreatitis, gallbladder issues, family history of medullary thyroid cancer, pregnancy or plans to conceive, and current medication. Recent labs are also reviewed if provided.
Quarterly medical review through the private in-app chat, dose adjustments if side effects arise, and a new electronic prescription valid in any EU pharmacy when applicable.
Yes. Tirzepatide is the active ingredient, and Mounjaro is the brand name it is sold under in the European Union. In the United States the same molecule is also sold as Zepbound for weight management, but Zepbound is not authorised in the EU, so an EU prescription for tirzepatide will be written for Mounjaro. The European Medicines Agency authorised Mounjaro on 15 September 2022, and its licence now covers both type 2 diabetes and weight management in adults who meet the BMI criteria.
Weight tends to come back. In SURMOUNT-4, adults who had already lost a mean of 20.9% over a 36-week lead-in were randomly assigned either to keep taking tirzepatide or to switch to placebo. Between week 36 and week 88 the continued group changed by a further -5.5%, while the placebo group regained 14.0%. At week 88, 89.5% of the continued group had kept at least 80% of the weight lost during the lead-in, compared with 16.6% of the placebo group. Stopping is a decision to make with your prescriber.
No. The product information lists 5 mg, 10 mg and 15 mg as the recommended maintenance doses, so 5 mg and 10 mg are licensed end points in their own right and not only steps on the way up. In SURMOUNT-1 the 5 mg group had a mean body-weight change of -15.0% at 72 weeks, the 10 mg group -19.5% and the 15 mg group -20.9%. Gastrointestinal side effects were also more frequent at higher doses. Your prescriber decides where to stop, based on how you respond and how well you tolerate each step.
Write to your doctor in the private chat in your account: describe what you notice and when it started. The doctor can adjust the plan, pause it or suggest another option. If you have severe symptoms such as difficulty breathing, swelling of the face or chest pain, call 112 or go to an emergency department straight away.
It depends on what you take. List every medicine, supplement and herbal product in the questionnaire, including ones you use only occasionally. The doctor checks for interactions before prescribing, and your pharmacist checks again when you collect Mounjaro.
The doctor can consider another weight-management medicine authorised in the EU, or a plan built on nutrition and activity alone. Some people are better served by an in-person obesity clinic or by their own doctor, and the doctor explains why when that is the case.
Before each renewal the doctor reviews your weight, side effects and how you feel, and decides whether to continue, change the dose or stop. Changes are never automatic. You can also write in the private chat between reviews.
Yes. Hi-Doctor runs 100 % online across the EU, so if you live in Madrid you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid in any EU pharmacy under Directive 2011/24/EU; in Spain it is dispensed directly from the prescription QR.
Adults with BMI ≥ 30, or ≥ 27 with comorbidities (hypertension, type-2 diabetes, dyslipidaemia). The doctor reviews your history, current medication and goals before proposing any treatment. It is not a cosmetic programme.
The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.
1) Fill in an online medical questionnaire in about 4 minutes. 2) The plan is €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth; sexual health is €35 per consultation and a skin consultation is €40. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at any EU pharmacy. If the review is not approved, the applicable fee is refunded in full.
The plan is €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth; a one-off sexual-health consultation is €35 and a skin consultation covering acne, rosacea, melasma and ageing skin is €40. Each includes a licensed doctor's review and an electronic prescription if approved. If the review is not approved, the applicable fee is refunded in full. Medication is paid for separately at the pharmacy at the price it sets.
Safety information

Mounjaro safety information

Always read the patient leaflet that comes with your medicine. Your doctor checks all of this during your consultation.

Don't use Mounjaro if

  • You are pregnant, planning pregnancy or breastfeeding
  • You or a family member have had medullary thyroid cancer or MEN 2
  • You are allergic to tirzepatide or any ingredient

It may not be suitable if

  • You have had pancreatitis
  • You have severe stomach or bowel problems, such as gastroparesis
  • You have diabetic eye disease or take insulin or sulfonylureas

Starting dose

  • 2.5 mg once a week for 4 weeks
  • Increased in 2.5 mg steps, no sooner than every 4 weeks
  • Maximum 15 mg once a week

Common side effects

  • Nausea, diarrhoea, vomiting, constipation
  • Reduced appetite, indigestion
  • Usually mild and improve over the first weeks; message your doctor if they don't

Start your treatment journey

Answer a few simple questions and a doctor reviews your case in under 2 hours on average.

Start consultationNo charge unless a doctor approves your treatment.
All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Registration: 080869277 View profile

Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work