> ## Documentation Index
> Fetch the complete documentation index at: https://docs.hi-doctor.ai/llms.txt
> Use this file to discover all available pages before exploring further.

# Metabolic syndrome — the medical treatment options

> Metabolic syndrome mixes central obesity with altered blood pressure and glucose. The weight-management medicines a doctor considers, side by side.

Metabolic syndrome is a mix of central obesity and altered blood pressure and glucose. It isn't addressed by a single pill — the medical plan a doctor considers targets weight, blood pressure, lipids and glucose in parallel.

## Treatments a doctor considers

A licensed doctor decides case by case. Hi-Doctor never prescribes without an evaluation.

<CardGroup cols={2}>
  <Card title="Semaglutide (Wegovy / Ozempic)" icon="syringe" href="/library/medicines/ozempic">
    Weekly GLP-1 receptor agonist. A doctor may prescribe it if BMI and history match the indications. Requires follow-up.
  </Card>

  <Card title="Tirzepatide (Mounjaro)" icon="syringe">
    Dual GLP-1/GIP agonist. Assessed by the doctor based on comorbidities and BMI.
  </Card>

  <Card title="Liraglutide (Saxenda)" icon="syringe" href="/library/medicines/victoza">
    Daily GLP-1 agonist. Indicated in selected patients with elevated BMI after medical evaluation.
  </Card>

  <Card title="Orlistat 120mg" icon="pills">
    Fat-absorption inhibitor. A non-GLP-1 alternative a doctor may consider based on history.
  </Card>
</CardGroup>

<Note>
  **Rybelsus (oral semaglutide)** — a once-daily semaglutide tablet authorised for type 2 diabetes. Any use in weight management is an individual medical decision and may be off-label.
</Note>

Medication is paid for separately at the pharmacy of the patient's choice — Hi-Doctor does not sell medications. See [pricing](/essentials/pricing) for what the consultation covers.

## Your path to treatment

<Steps>
  <Step title="Start the online visit">
    Answer a questionnaire about health and goal. No in-person appointment, no travel — an eligibility answer arrives within 24 hours.
  </Step>

  <Step title="A doctor reviews the case">
    A licensed doctor reviews the answers personally. If they need clarification, they message through the private chat in the account. If treatment is appropriate, they sign an electronic prescription.
  </Step>

  <Step title="Review and payment">
    If the doctor does not approve treatment, the consultation fee is refunded in full within 48 hours.
  </Step>

  <Step title="Ongoing support">
    Private chat with the doctor for questions, a 4-week check-in, and renewal before the prescription expires.
  </Step>
</Steps>

## Related reading

* [Semaglutide (Ozempic) — indication and dosing](/library/medicines/ozempic)
* [Liraglutide (Victoza) — trial evidence and side effects](/library/medicines/victoza)
* [Safety and eligibility](/essentials/safety)

## Start a consultation

<Card title="Weight-loss consultation" icon="stethoscope" href="https://hi-doctor.ai/consultation/weight-loss/1">
  Answer the weight-loss questionnaire and a registered doctor reviews it.
  They decide whether treatment is appropriate, which one, and at what dose —
  and declining is a normal outcome. See [what it costs](/essentials/pricing)
  and [how the review works](/essentials/how-it-works).
</Card>

<Warning>
  This page is reference information, not medical advice and not a prescription. Whether a medicine is appropriate for you is decided by a registered doctor after reviewing your consultation.
</Warning>