ZIVOLABS — Doctor-Supervised GLP-1 Weight Loss Program India

Medical Consent Form

ZIVOLABS

Effective Date: April 10, 2026

1. Purpose of This Document

This Medical Consent Form explains the nature of the ZIVOLABS weight management program, the risks and benefits of GLP-1 medication therapy, and your rights as a patient. By proceeding with our health assessment, you confirm you have read and understood this document.

2. Nature of Treatment

The ZIVOLABS program involves doctor-supervised GLP-1 receptor agonist medication therapy for weight management. GLP-1 medications are prescription-only Schedule H drugs, prescribed only by licensed doctors after clinical assessment.

All consultations are conducted via telemedicine in compliance with the Telemedicine Practice Guidelines 2020.

3. Benefits of Treatment

• Average 15-17% reduction in body weight in clinical trials (STEP-1, NEJM 2021)

• Significant reduction in appetite and food cravings

• Improved blood sugar control in patients with Type 2 diabetes

• Potential improvement in metabolic health markers

• Doctor supervision throughout treatment

4. Risks & Side Effects

Common side effects (usually mild and temporary):

• Nausea

• Vomiting

• Diarrhoea or constipation

• Reduced appetite

• Fatigue in first 1-2 weeks

Less common side effects:

• Abdominal pain

• Headache

• Dizziness

• Injection site reactions

Serious side effects (seek emergency care immediately):

• Severe persistent abdominal pain (possible pancreatitis)

• Signs of allergic reaction (rash, difficulty breathing, swelling)

• Severe vomiting preventing fluid intake

• Vision changes

Contraindications (you must not take this medication if you have):

• Personal or family history of medullary thyroid carcinoma (MTC)

• Multiple Endocrine Neoplasia syndrome type 2 (MEN2)

• Active pancreatitis

• Pregnancy or breastfeeding

• Severe kidney or liver disease

• Known allergy to GLP-1 medications

5. Patient Rights

• Right to refuse treatment at any time without penalty

• Right to ask your doctor any questions about your treatment

• Right to request a second medical opinion

• Right to access your medical records

• Right to withdraw consent and discontinue treatment at any time

• Right to be treated with dignity and respect

• Right to privacy and confidentiality of your health information

6. Patient Responsibilities

• Provide complete and accurate health history

• Disclose all current medications and supplements

• Report side effects to your doctor promptly

• Store medication correctly (2-8°C refrigeration)

• Attend all scheduled consultations

• Complete monthly check-in forms

• Seek emergency care for serious adverse events

7. Consent Declaration

By completing the ZIVOLABS health assessment and making payment, you confirm:

• You have read and understood this Medical Consent Form

• You consent to a telemedicine consultation with a licensed doctor

• You consent to your health information being shared with our licensed medical partners

• You understand the risks and benefits of GLP-1 medication therapy

• You understand that a prescription is not guaranteed

• You are above 18 years of age

• You are a resident of India