Everything we carry, with its price. All prices include tax, and there is nothing else to pay.
The cost of the medicine is charged separately from the first or follow-up consultation fee.
| Item | What it covers | Price (incl. tax) |
|---|---|---|
| First consultation | Questions, examination and an explanation of the plan | JPY 5,000 |
| Follow-up consultation | Reviewing progress and adjusting treatment | JPY 1,650 |
All of these are self-pay and are not covered by Japanese public health insurance. They are charged on top of the consultation fees listed above.
| Dose | Per pen, incl. tax | Per pen, excl. tax |
|---|---|---|
| 2.5 mg | JPY 5,775 | JPY 5,250 |
| 5 mg | JPY 10,450 | JPY 9,500 |
| 7.5 mg | JPY 14,245 | JPY 12,940 |
| Dose | Per pen, incl. tax | Per pen, excl. tax |
|---|---|---|
| 0.25 mg | JPY 4,400 | JPY 4,000 |
| 0.5 mg | JPY 7,420 | JPY 6,750 |
| 1.0 mg | JPY 11,000 | JPY 10,000 |
| Dose | Per pen, incl. tax | Per pen, excl. tax |
|---|---|---|
| 2.5 mg | JPY 5,775 | JPY 5,250 |
| 5 mg | JPY 10,450 | JPY 9,500 |
| 7.5 mg | JPY 14,245 | JPY 12,940 |
| Medicine | Strength | Incl. tax | Excl. tax |
|---|---|---|---|
| Ozempic | 2 mg, one pen | JPY 24,750 | JPY 22,500 |
| Medicine | Strength | Incl. tax | Excl. tax |
|---|---|---|---|
| Rybelsus | 3 mg × 30 tablets | JPY 8,570 | JPY 7,790 |
| Rybelsus | 7 mg × 30 tablets | JPY 16,240 | JPY 14,760 |
| Rybelsus | 14 mg × 30 tablets | JPY 26,030 | JPY 23,660 |
Every medicine, GLP-1 products included, rests on a balance between how well it works and how safe it is. There is a limit to how far side effects can be predicted, and even with the greatest care and the best medical knowledge available today, they cannot be prevented entirely.
The most common are digestive symptoms: discomfort in the upper abdomen, constipation, nausea and diarrhoea. More rarely, serious problems such as acute pancreatitis, cholecystitis, cholangitis, hypoglycaemia, ileus (bowel obstruction) or an allergic reaction can occur. In particular, if you have severe, persistent abdominal pain with vomiting, contact us rather than waiting to see how it goes.
GLP-1 and GIP/GLP-1 receptor agonists curb appetite by acting on the stomach, but they also slow down digestion, which can cause discomfort in the upper abdomen, constipation, nausea or diarrhoea. These are most likely when you first start and when the dose is increased, so take care at those points. They usually settle with time, but do tell us if you are not feeling well.
If you feel nauseous, the following may help.
This varies from person to person, but bruising from the needle, or swelling, pain, redness, itching, tightness, warmth or a firm lump at the injection site can occur. If it bothers you, mention it to the doctor or a member of staff at your next visit.
Hypoglycaemia
This is when blood sugar falls below the normal range. If you are eating as usual, hypoglycaemia is rare with a GLP-1 injection on its own. Even so, if you notice any of the symptoms below, take sugar straight away, then contact us promptly for advice.
Symptoms of hypoglycaemia: cold sweats, headache, difficulty concentrating, palpitations, blurred vision, dizziness, fatigue, anxiety, drowsiness (yawning), trembling hands or feet, hunger, a fast pulse, pallor, convulsions, loss of consciousness
How to take sugar
Acute pancreatitis (under 0.1%), cholecystitis (frequency unknown), cholangitis (under 0.1%)
If you notice anything unusual, such as severe abdominal pain that does not go away, stop taking the medicine and contact us promptly for advice.
Allergic reaction and anaphylaxis
An allergy or hypersensitivity to the medicine is possible. If you develop symptoms that suggest an allergy — a rash, itching, difficulty breathing — contact us promptly for advice.
A “sick day” is when you are unwell with a fever, diarrhoea or nausea, have no appetite and cannot eat. Blood sugar is easily disturbed on these days, and acute complications can occasionally follow. If sick days continue during treatment and you may be getting dehydrated, take fluids regularly, and if the symptoms persist contact us promptly for advice.
Who cannot be treated, what to expect from treatment, and the other things worth knowing before you start are set out on our obesity care page.
Payment and cancellation