A weekly semaglutide pen. It acts like GLP-1, a hormone your gut releases after you eat, to help you feel full. Approved in Japan for obesity disease. A doctor decides whether it suits you.
Your first three months, building up from the starting dose with your doctor.
The usual schedule. Your doctor sets your dose.
Semaglutide acts like GLP-1, a hormone your gut already makes after you eat. In clinical trials, weight loss was reported alongside diet and exercise. Results vary.
Mounjaro acts on GLP-1 and GIP. Your doctor recommends what fits, and you can change it later.
WeeklyMounjaroTirzepatide · weekly penA weekly pen that acts on GLP-1 and GIP. Off-label for weight loss.From ¥15,000 first-order set
DailyRybelsusSemaglutide · daily tabletThe same active ingredient, as a tablet. Off-label for weight loss.From ¥187 a day
Prescription only: a free consult with a doctor licensed in Japan comes first, and the doctor may decide not to prescribe. Private care (jiyū shinryō): not covered by public health insurance. Prices include tax. For illustration only. Wegovy is approved in Japan for obesity disease. Mounjaro and Rybelsus: Approved in Japan for type 2 diabetes. Prescribing it for weight loss is off-label use. Japan’s Relief System for Sufferers from Adverse Drug Reactions doesn’t cover off-label use.
All online, no clinic visits. Screens are for illustration.
A few questions about your health, your weight and any medicine you take, the pill included. Only your doctor sees them.
A doctor licensed in Japan checks treatment suits you and shows you how to use the pen. We’ll ask for photo ID.
Your doctor checks in and decides whether, and when, to raise your dose.
Most care ends at the consult. That’s where we start.
A reminder on dose day and a quick log after each pen, which your doctor can see too. The screen is for illustration.

Three weeks in a row. How’s your stomach been? Let’s talk about your next step before week 5.
Wegovy is approved in Japan for obesity disease. Your doctor decides whether it suits you, from your BMI, your health and what you’ve tried with diet and exercise. Even with a high BMI, treatment may not be right for you.
It isn’t for anyone pregnant, breastfeeding or planning a pregnancy, anyone with type 1 diabetes or a history of pancreatitis, or anyone with a personal or family history of medullary thyroid cancer or MEN2. Tell your doctor about any allergies and every medicine you take.
Once a week, on the same day, at any time. Inject under the skin of your stomach, thigh or upper arm, and change the spot each week. Each pen is one dose, and a step-by-step guide comes with it.
If your next dose is 2 or more days away, take it when you remember. If it’s less than 2 days away, skip it and go back to your usual day. Never take two doses at once.
Yes. Always tell your doctor you take the pill. Bad sickness or diarrhoea can stop the pill being absorbed properly.
Yes, with your doctor. Follow-ups are free, so it’s a conversation, not a new start.
The most common are nausea, diarrhoea and constipation, especially when you start or step up a dose, and they often settle. Get help straight away for severe stomach pain that doesn’t go away: it may be pancreatitis.
Consults are free, first and follow-up. You pay for medicine only once a doctor prescribes it. If medicine isn’t right for you, you pay nothing.
A few questions to see if you’re eligible, then a free video consult.