Starting Programme

The Foundation
Programme

Everything you need for medically supervised weight loss — a personalised tirzepatide protocol, monthly doctor oversight, and the support to stay on track. Available in-person in Sandton or virtually across South Africa.

Foundation Programme

R4,200

per month · no lock-in

  • Personalised tirzepatide protocol
  • Zero-waste compounded dosing
  • Monthly doctor check-in
  • Monthly protocol review
  • WhatsApp access
Get Started — R1,677 Consult

Consultation fee applied to your first month if you enrol

Everything Included

What You Get Each Month

Foundation is designed to give you everything a medically supervised weight loss programme requires — no unnecessary extras, no missing essentials.

Personalised Tirzepatide Protocol

Your starting dose, escalation schedule, and injection timing are all set by your doctor based on your individual history and goals — not a template.

Zero-Waste Compounded Dosing

Your medication is compounded in the exact dose you need — no surplus, no under-dosing. Adjusted monthly as your body responds and your tolerance builds.

Monthly Doctor Check-in

A dedicated appointment every month with your Rho doctor. We review your progress, assess how your body is responding, and adjust your protocol as needed.

Monthly Protocol Review

Your dose, timing, and any supporting interventions are reviewed at each check-in. If something isn't working, we change it — not at the next appointment, now.

WhatsApp Access

Reach your doctor between appointments. Whether it's a question about side effects, an unusual symptom, or a dose concern — you're not on your own between check-ins.

Side Effect Management

Nausea, constipation, and reduced appetite are common in the early weeks. Your doctor guides you through each stage with practical strategies — not just reassurance.

Your Journey

What to Expect

Most patients begin to feel the medication working within the first two weeks. Here's how the first three months typically unfold on Foundation.

1

Before Day 1

Your Consultation

A 45-minute in-person or virtual assessment with your Rho doctor. We review your full health history, current medications, weight history, and goals. Baseline bloodwork is requested. You leave with a clear protocol and a start date.

2

Weeks 1–4

Starting Dose & Settling In

You begin at a low starting dose to allow your body to adjust. Mild nausea, reduced appetite, and fatigue are common and expected. Your doctor is available on WhatsApp. Most side effects ease by the end of the first month.

3

Month 1 Check-in

First Review & Dose Adjustment

Your first monthly check-in. We assess your response, review any side effects, and decide whether to hold your dose or escalate. Most patients are ready to move up by week four. Your next month's protocol is confirmed.

4

Months 2–3

Building Momentum

Appetite suppression is well-established. Significant weight loss typically becomes visible by the end of month two. Dose escalation continues on your personalised schedule. Monthly check-ins track your progress and fine-tune your protocol.

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Ongoing

Long-Term Maintenance

After reaching your target dose, the focus shifts to maintaining your results. Some patients continue Foundation long-term; others transition to a quarterly check-in model or upgrade to Elevate for additional support.

Pricing & Policy

Clear Costs, No Surprises

We believe in transparent pricing. Here's exactly what you'll pay and what the terms look like.

Cost Breakdown

Foundation Fees

Initial consultation R1,677
Monthly programme fee R4,200 / month
Tirzepatide (compounded) Included
Monthly doctor check-in Included
WhatsApp support Included
Payment method PayFast (monthly)
Medical aid accepted Not currently

Cancellation Policy

What You Need to Know

  • No long-term contract. You're on a rolling monthly basis.
  • Cancel any time with one calendar month's notice.
  • First month is non-refundable. This covers your prescription, compounding setup, and initial protocol.
  • Consultations cancelled with 24 hours' notice.
  • Pause your programme if you need to — speak to your doctor.
  • Upgrading to Elevate or Longevity can be done at any monthly check-in.

Want More?

Foundation is a great start.
Elevate takes it further.

If you want weekly check-ins, monthly body composition scans, and dedicated dietitian support — Elevate gives you the full picture. Same doctor care, more data, more guidance.

Weekly doctor check-ins (virtual or in-person) Monthly inBody body composition scan The Nutrition House dietitian partnership
View Elevate

R5,500 / month

Start with a Consultation

Book your 45-minute new patient assessment. We'll review your health, confirm your suitability, and build your Foundation protocol — ready to start within the week.