Cognitive Behavioral Therapy (CBT) for Weight Management

Cognitive Behavioral Therapy (CBT) is a proven psychological approach that helps you identify and change negative thinking patterns and behaviours related to eating and weight. It's about understanding the link between your thoughts, feelings, and actions. By addressing the psychological roots of overeating, CBT can be a valuable tool in achieving sustainable weight loss.

While Hi-Doctor does not offer CBT therapy directly, we understand the importance of a comprehensive approach to weight management. Our EU-licensed doctors are here to provide medical support. If appropriate for your case, you can get a prescription for modern weight loss medications like Wegovy, Mounjaro, or Saxenda online. The consultation costs just €25, and you receive your prescription in under 24 hours, valid at any pharmacy across the EU.

How it works — get your weight loss medication prescription in 4 steps

1. Fill the online medical questionnaire: It takes just 2–3 minutes. Then, pay the €25 consultation fee.
2. A licensed EU doctor reviews your case: Our doctors assess your medical history confidentially. If the doctor determines the treatment is NOT appropriate for you, your €25 fee is **refunded automatically** — no risk, you pay nothing.
3. Receive your electronic prescription: If approved, you get a REMPE electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
4. Collect your medication at any EU pharmacy: Print the PDF or show it on your phone. Present it at **any pharmacy in the EU** to collect your medication.

Who qualifies for weight loss medication like Wegovy, Mounjaro, or Saxenda

Our EU-licensed doctors individually review every case to ensure the treatment is safe and appropriate for you. Generally, for medications like Wegovy (semaglutide) or Mounjaro (tirzepatide), doctors look for:

• A Body Mass Index (BMI) of 30 kg/m² or greater (obesity).
• A BMI of 27 kg/m² or greater (overweight) with at least one weight-related comorbidity such as type 2 diabetes, high blood pressure, or high cholesterol.
• No history of certain medical conditions, including specific thyroid cancers (medullary thyroid carcinoma) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
• Not pregnant or breastfeeding.

The doctor will assess your full medical history from your questionnaire to confirm eligibility and rule out contraindications before issuing a prescription.

What weight loss medications actually do (and don't do)

Medications like Wegovy (semaglutide), Mounjaro (tirzepatide), and Saxenda (liraglutide) are GLP-1 receptor agonists. They work by mimicking natural hormones in your body that regulate appetite and food intake. This helps you feel fuller for longer, reduces cravings, and can lead to significant weight loss when combined with a healthy diet and exercise.

These medications are not magic pills. They are tools to support healthy lifestyle changes, not replace them. Realistic timelines for weight loss vary, but consistent use along with diet and activity can lead to noticeable results over several months. They will not instantly make you lose a specific amount of weight, and results are highly individual.

Side effects and when to stop

Like all medications, weight loss treatments can have side effects. Common ones often include nausea, constipation, diarrhoea, vomiting, and abdominal pain, especially when starting treatment or increasing dosage. These are usually mild and temporary.

You should stop the medication and consult a doctor immediately if you experience severe abdominal pain, persistent vomiting, signs of pancreatitis, or an allergic reaction. Your Hi-Doctor will provide full details on managing side effects and when to seek further medical advice.

Why Hi-Doctor vs. walking into a clinic

• Speed: Get your prescription in under 24 hours with Hi-Doctor, compared to waiting weeks for an in-person appointment at a clinic.
• Price: A flat €25 for your online consultation. Clinic fees can vary and often cost significantly more.
• Convenience: Everything happens within your secure Hi-Doctor account – no travel, no waiting rooms, just a few clicks from your phone or computer.
• Privacy: Your medical review and communication with the doctor are completely private and RGPD-compliant, all within the app. No reception desks or public waiting areas.
• Trust: Join over 50,000 satisfied patients with a 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

Frequently asked questions

What happens if the doctor decides I'm not a candidate for the medication?

If our EU-licensed doctor determines that the treatment is not appropriate for you, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved – it's completely risk-free.

Is the REMPE prescription valid outside Spain?

Yes, absolutely. REMPE is Spain's official private electronic prescription standard. Under EU Directive 2011/24/EU, any pharmacy across the European Union (including France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland, etc.) is legally obliged to recognise and dispense from it. You receive a downloadable PDF that you can print or show on your phone.

How do I actually collect the medication once I have the prescription?

Once you receive your REMPE prescription as a PDF, simply print it or display it on your phone at any EU pharmacy. The pharmacist will scan the QR code or verify the digital signature and dispense your medication.

Is it legal to get weight loss medication online in my country?

Yes, it is legal to obtain weight loss medication online via an EU-licensed doctor who issues a valid REMPE prescription. This process adheres to all EU cross-border prescription directives, making it fully compliant for patients across the EU.

How long does the prescription take?

Our EU-licensed doctors review your case and issue a REMPE electronic prescription in under 24 hours, provided the treatment is deemed appropriate.

Is my data private?

Yes. Hi-Doctor is fully RGPD-compliant. All your medical information and communication with the doctor are private, secure, and auditable within your personal account.

How much does it cost?

The online consultation fee is a flat €25. This fee includes the doctor's review and prescription if approved. If the treatment is not suitable, you get your money back.