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XENICAL® ORDERING PROCESS
An estimated 40,000 prescriptions for Xenical® are filled each day. To receive your Xenical®
prescription and subsequent order, we ask that you please complete the following three step process:
- Agree
to the Waiver of Liability.
- Complete the
Xenical Medical Questionnaire.
- Select the quantity of Xenical®.
Once approved for a Xenical® prescription, we will have
your Xenical® shipped discretely to your home or office within
1-3 business days.
XENICAL® PRICES ARE AS FOLLOWS:
120 mg Xenical® Pills
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90
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120 mg
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tablets
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1 month supply
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$140
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180
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120 mg
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tablets
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2 month supply
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$280
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270
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120 mg
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tablets
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3 month supply
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$420
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WAIVER OF LIABILITY
I hereby release 1stxenicalprescription.com and all of their employees and contractors including physicians from all liability associated with my Xenical®
consultation and/or the use of Xenical®. I understand that no physician, nurse or administrative personnel can guarantee that Xenical®, even if prescribed, will
provide the results I seek. I hereby agree to answer truthfully all of the medical questions during my consultation. I also understand that if I fail in anyway to
furnish 1stxenicalprescription.com with my complete and accurate medical history or become aware of any changes in the future which I have not notified
1stxenicalprescription.com of than I cannot hold them responsible for any adverse effects I may suffer.
I realize obesity is associated with the following health conditions,
cardiovascular disease, strokes, diabetes, gallbladder disease, certain types of cancer, gout (joint pain caused by excess uric acid), osteoarthritis
(deterioration of the joints), sleep apnea (interrupted breathing during sleep) etc. Xenical® may assist you with weight reduction but it does not treat these possible associated conditions.
I am fully aware that it is my responsibility to have an annual physical exam,
including any suggested laboratory test, to ensure that I have no disease, which might make Xenical® inappropriate for me. I also understand that this
consultation is not a substitute for my need to visit a local physician for my annual exam. I further agree to notify all physicians, whose present care I am
currently under or any physician who I will engage in the future of my decision to use Xenical® so they may advise to continue or discontinue use of the medication.
I understand Xenical® is indicated for obesity management including weight
reduction and weight management when used in conjunction with a reduced caloric diet. The diet should be nutritionally balanced and contain approximately
30% of the calories from fat. I understand secondary to Xenical's® mechanism of action there is a decrease in the absorption of the fat soluble vitamins A, D,
E, K and beta carotene, therefore physicians recommend a daily supplemental multivitamin.
I understand Xenical® can be taken in
conjunction with a mildly reduced choleric diet up to 3 times per day, the standard dose is 120 mg. Finally, I understand a qualified licensed physician
who may or may not be licensed to practice in my state will evaluate the information I am providing.
Continue with the Xenical Order
(click here)
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