Medication is just one aspect of the treatment programme. The crux of it is making the changes to your lifestyle that you need to make in order to reach and maintain a healthier weight. Our guidance will teach you to manage new lifestyle patterns. This reduces the chances of falling back into old habits quite a lot. Taking the medication for several years is possible.

We endeavour to do this with you. We have the tools in place to offer some if you're really struggling.

No, not yet unfortunately. It's down to health insurers to decide.

Medication can be a good option for people with a gastric band who are still feeling hungry a lot and want to lose some more weight.

No, our treatments are not reimbursed by health insurers. However, you can pay for treatments at NOK Clinics in instalments. Financing is available from €2,500. We work with Cosmetic Finance for this.

NOK Clinics' treatments are not reimbursed by health insurers. In some cases our treatments are tax-deductible under fiscal specific healthcare costs. See your tax advisor on this.

No, it's primarily a coaching process rather than one that involves a personal trainer. That said, we will look together at sports and exercise options in your local area.

We offer treatment in Heerlen, Hoogeveen, Arnhem, The Hague, Nieuwegein, Amsterdam or Venlo. You can also have the treatment (wholly or partly) on video calls or telephone calls, if you wish. Obviously you're more than welcome to attend our sites.

If six months' coaching turns out not to be enough, then will a longer process be an option? An extended process is an option. We will consider whether you want and need this during your treatment.

Treatment session frequency depends on the treatment you're getting. As a minimum, you'll see us once a month – more often at the start of the process and less often towards the end.

No, we don't do that. We would advise you to explore this thoroughly for yourself and discuss it with your GP.

A filled gastric balloon cannot be vomited. Once the balloon has emptied after 16 weeks, there will be a small pellet left over. This will leave the body along with your stools, but in 1 in 100 people it will come out via the mouth. This is not dangerous.

No, we always review progress after four months. If everything goes well and you're happy, then we'll keep going to the six-month point. If things aren't going as expected at the time of the four-month review, then you'll have the option of switching to one of the other treatment options (provided this is suitable for you from a medical perspective).

In principle, all the treatment options are possible for people with high blood pressure. We'll discuss the treatment that will suit you best together.

Obviously it depends on several factors, such as weight, muscle mass and age. There's no gold standard for this. It's important to look at what works for you and how you can get the best results.

Our aim is for you to bring about a change in lifestyle with the aid of the diet and exercise specialists on our team.

On average, clients lose 8-12% of their body weight* in a year when losing weight with medication in the form of an injector pen. We know from experience that the real percentages are lower than the ones specified in the official patient information leaflet. The exact amount of weight you'll lose will depend on the extent to which you manage to adapt your lifestyle.

• Source: See publication. Obes Sci Pract. 2017; 3(1): 3–14.

Sometimes after stomach reduction surgery the patient may start to notice increased appetite and feeling less full, making it harder to keep the weight off. In such cases, starting medication might be a good idea for these people.

No, we can see you quickly.

Treatment combinations are possible. For example, you could have a second gastric balloon after the first one, if you want and need this. Some patients are also keen to maintain their weight more easily after the gastric balloon treatment.

Sure. If we decide together that the injector pen is the best option, you'll be given a comprehensive explanation. You'll be given instructions for the injections and a dosage schedule.

Yes, we have seven treatment sites.

We offer two different forms of medication to support weight loss. One is administered by means of an injector pen, while the other comes as tablets. Each works in a different way. We discuss which treatment might suit someone best during the intake session.

There's a minimal chance (0.1 to 1%) of inflammation of the pancreas or the gallbladder during use of the weight loss medication (injector pen). You might also feel nauseous, vomit, experience constipation, diarrhoea, headache, fatigue and dyspepsia in the first few days or weeks.

On average, clients lose 8-12% of their body weight* in a year on the antiobesity tablet treatment. Your results will depend on the extent to which you manage to adapt your lifestyle.

The advice is to request a statement of medication ('medicijnverklaring') from your pharmacist. Keep the statement of medication with your medication in your hand luggage.

The treatment with an injector pen costs €1,059. This includes six months' guidance and supervision from your treatment team to enable you to get the optimum effect from the treatment. What's more, you'll pay approximately €150 per month for the medication itself.

NB This treatment will not be covered by your health insurance. You would be welcome to pay in instalments via Cosmetic Finance. Financing is available from €2,500.

If you opt for the antiobesity tablet treatment and six months' lifestyle coaching, then you'll pay approximately €1,059 for the entire programme plus around €150 a month for the medication. The process is not covered by health insurers.

No, although you would be best off avoiding certain painkillers, the so-called NSAIDs. These irritate the stomach. Examples include: diclofenac, meloxicam, ibuprofen, naproxen and etoricoxib.

In extremely rare cases (1 in 1000 clients) tablets can trigger an epileptic seizure. If this happens, you must stop taking the tablets immediately and consult a doctor. At the start and during the build-up phase of the treatment you might also experience the following side effects: sore tummy, constipation, headache, dizziness, excessive sweating, dry mouth, itching, hair loss, agitation, elevated heart rate and erectile dysfunction. Not everyone will experience these side effects to the same extent and they are usually transient in nature.

No. NOK Clinics does not offer a CLI. Nor do we have a modified treatment for people who are following or have followed a CLI. You will simply follow our regular programme and the treatment will not be reimbursed.
In some cases, medication will be reimbursed in combination with a CLI. Your health insurer will be able to give you more information on this.