How It Works

Five steps from assessment to ongoing support.

See exactly what happens at each stage: when you are assessed, when you are reviewed, when you pay, when your medication ships, and what support you get after delivery.

Start your assessment →
When do you pay?

You pay at checkout. If your case is not approved after care team review, you receive a full refund. No charge without approval.

Step 1 · Assessment

Complete a structured health assessment

Answer 12 questions about your weight history, current medications, medical conditions, and treatment goals. The assessment screens for BMI eligibility, contraindications, and medication interactions before anything moves forward.

  • BMI and eligibility pre-screen
  • Medication interaction check (50+ medications)
  • Absolute contraindication detection
  • Risk scoring: green, orange, or red
  • All data encrypted and NDPC-compliant
3–5 minutes
Confident Black woman completing health assessment
Step 2 · Care team review

Your case is reviewed before any order moves forward

Our care team reviews your full assessment: medical history, risk factors, medication conflicts, and GLP-1 experience. The starter dose is protected, and higher doses stay locked until they are clinically appropriate.

  • Structured review, not a quick skim
  • Evidence-based starting dose guidance
  • Previous GLP-1 use taken into account
  • Higher doses gated until progression
  • Follow-up steps created automatically
Within 24 hours
Care team reviewing patient assessment
Step 3 · Approval and payment

You pay at checkout. Not approved? Full refund.

If your case is approved, your order moves to fulfilment. If your case requires more information, we contact you. If your case is not approved, you receive a full refund automatically. No ambiguity, no hidden charges.

  • Approved: order moves to dispatch
  • Needs more info: care team contacts you
  • Not approved: full refund processed
  • Refunds processed within 3–5 business days
Same day as review
Approval and payment — treatment journey begins
Step 4 · Cold-chain dispatch

Temperature-controlled delivery to your door

Once approved, your medication is prepared and shipped in temperature-controlled packaging with batch verification details. You receive tracking information and delivery confirmation.

  • Lagos: 1–3 working days
  • Abuja: 2–4 working days
  • Port Harcourt: 2–4 working days
  • Batch number and verification included
  • Storage instructions in every package
3–5 working days
Tizaro medication box — cold-chain delivery
Step 5 · Ongoing support

A treatment programme, not a one-time delivery

After your first delivery, you get weekly WhatsApp check-ins, weight tracking, side-effect reporting, and dose progression guidance. Every dose step-up is reviewed. This is structured ongoing care.

  • Weekly WhatsApp check-ins
  • Side-effect reporting and follow-up
  • Weight tracking through your dashboard
  • Dose progression: 2.5mg → 5mg → 7.5mg → 10mg → 15mg
  • Pause or cancel at any time, month to month
Every week, ongoing
Ongoing support and wellness — active lifestyle

How dose progression works

Tirzepatide follows a structured titration schedule. You start low and step up gradually, with each increase reviewed before it is unlocked.

2.5 mg
Weeks 1–4
Starting dose
5 mg
Weeks 5–8
First step-up
7.5 mg
Weeks 9–12
Reviewed before unlock
10 mg
Weeks 13–16
Reviewed before unlock
15 mg
Weeks 17+
Maximum dose
Every dose increase is reviewed by our care team. Not everyone reaches the maximum dose — your progression depends on response, tolerance, and goals.

What can stop approval

Not everyone is suitable for GLP-1 treatment. Our assessment screens for the following. If any apply, your case may be declined or require further review.

Absolute contraindications

  • Pregnancy or planning pregnancy
  • Personal or family history of medullary thyroid cancer or MEN2
  • History of pancreatitis
  • Known allergy to Tirzepatide

May require further review

  • BMI below 27
  • Age under 18 or over 75
  • Certain medication conflicts
  • Active eating disorder
  • Severe kidney or liver conditions

Frequently asked questions

When exactly am I charged?
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You pay at checkout, before your care team review. If your case is not approved, you receive a full refund within 3–5 business days. No charge without approval.

What is the difference between the eligibility check and the full assessment?
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The eligibility check is 5 quick questions (about 1 minute) to see if you are likely to qualify. The full assessment is 12 questions (3–5 minutes) and screens for safety, contraindications, and medication interactions in detail.

How much does treatment cost?
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The starter dose (2.5mg) starts at ₦275,000 per month. The 8-week starter bundle (2.5mg then 5mg) is ₦520,000. Pricing increases as doses step up. See the full pricing page for current prices.

Am I eligible for GLP-1 treatment?
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Generally suitable for adults aged 18–75 with BMI 30+ (or BMI 27+ with weight-related conditions such as type 2 diabetes, hypertension, PCOS, or sleep apnoea). The assessment screens for eligibility and contraindications in detail.

How is the medication delivered?
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In temperature-controlled packaging to your door. Lagos: 1–3 days. Abuja and Port Harcourt: 2–4 days. Every shipment includes batch verification and storage instructions.

What if I experience side effects?
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Report side effects through your dashboard or WhatsApp at any time. Common effects include nausea (usually settles in 1–2 weeks), reduced appetite, and mild injection-site reactions. Severe reactions are rare but flagged immediately to our care team.

Why does everyone start at a lower dose?
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Starting at 2.5mg gives your body time to adjust before any dose increase. Higher doses are only unlocked after review and progression. This is the evidence-based approach used in clinical guidelines.

Can I cancel at any time?
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Yes. Month to month, no long-term lock-in. Contact support at least 7 days before your next billing date. You can pause or stop treatment whenever you choose.

Ready to start?

Complete the health assessment. Your case is reviewed by our care team within 24 hours. If approved, your medication ships cold.

Start your assessment → Not sure yet? Take the 5-question eligibility check