Online medical consultation
By video call, wherever you are. The doctor reviews your history, your weight and your goals and, at follow-up consultations, tracks your progress and adjusts the plan.

If clinically indicated.


Lasting weight loss takes more than a prescription. That's why every plan brings together medical follow-up, a plan built around you and ongoing support.
By video call, wherever you are. The doctor reviews your history, your weight and your goals and, at follow-up consultations, tracks your progress and adjusts the plan.

Diet, physical activity and, when clinically indicated, medication that reduces appetite and increases fullness. The decision is always the doctor's, after the assessment.

The doctor reviews the tests you already have and, when relevant to your case, requests new ones to monitor your health throughout treatment.

Questions about taking your medication, side effects or diet? The clinical team answers by chat on weekdays, so you don't have to wait for your next consultation.
In 2 minutes, answer a few clinical questions so we can check whether medication may be suitable for you.

One of our doctors reviews your medical history, answers your questions and, if clinically appropriate, prescribes the right medication for your case, at the right dose for you.

Every month, a follow-up video consultation where the doctor reviews your progress and adjusts your treatment and dose if needed.

Rated 4.5 out of 5 onTrustpilot
“It's amazing, super human, I feel constantly supported, super personalized, immediate and total availability, amazing.”
“Attentive, and very caring, support with total dedication!!
I'm very happy and reaching the goal I wanted with the treatments.”
“The experience couldn't have gone better. The consultation with Dr. Pedro was excellent.”
“I'm very satisfied. In two weeks I lost 2 kilos and several centimeters off my waist and belly.”
“Easy, practical and efficient service! Support team 10 out of 10!!!”
“I really liked the first consultation, I was able to ask all my questions, I'm Brazilian and hadn't spoken to a Portuguese doctor yet, I was very well received, I sent my medical tests from Brazil, it was useful for analyzing my case, I'm excited to start the treatment/project.”
“I found out about Piko on social media and I'm very satisfied. Easy to get in touch, with follow-up and answers right away.
Today I had my first consultation and the attention and advice were very focused. I felt they listened to me and understood exactly what I needed. At the end I received the consultation summary, which guides me until my next consultation, and the prescription. Very careful to make sure there are no doubts about what we have to do. I recommend it.”
“I booked my consultation with Piko as soon as I saw the ad on Instagram and, I admit, it was a bit of an impulsive decision. I'm not quite sure why, but what I can say is that it was one of the best decisions I've made in a long time.
I had the online consultation with the doctor and immediately felt at ease. It was a pleasant, focused conversation with no taboos, where I could explain my situation without any embarrassment.”
This treatment is a medical answer to overweight and obesity. That's why it isn't for everyone.
Confirmed by the doctor at your consultation.



Assessed by General and Family Medicine doctors registered with the Ordem dos Médicos.
Take the 2-minute eligibility test.
Consultations are carried out by doctors registered with the Ordem dos Médicos, Portugal's medical council, with experience in treating obesity. Between consultations, the clinical team answers your questions by chat.



Can't find your answer? Write to us and we'll reply on weekdays.
support@pikohealth.comMedical treatment for obesity is indicated for adults with a BMI of 30 or more, or 27 or more when there is a weight-related condition such as type 2 diabetes, high blood pressure or sleep apnea. Some situations, such as pregnancy, breastfeeding or an eating disorder, may rule out treatment. The decision is always the doctor's, after assessing your case in a consultation.
General and Family Medicine doctors registered with the Ordem dos Médicos, Portugal's medical council, and experienced in treating obesity. As a rule, this kind of follow-up doesn't require an endocrinologist.
No. All consultations are by video call, wherever you are. Before each one, you fill in a short clinical form and, between consultations, you talk to the clinical team by chat.
It depends on each person, on the plan and on how you follow it. In the first few weeks, while your body adjusts, it's normal to notice little difference, and weight loss is never linear. Consistent results take months, and the doctor tracks your progress at every consultation.
You lose weight when you eat less than your body uses. When indicated, medication reduces appetite and increases fullness, so that this is possible without constant hunger. At each consultation, the doctor helps you adjust your diet and physical activity to your routine.
Only if the doctor considers them relevant to your case, or if you ask for them. As Piko is a private provider, it can't request tests through the SNS, Portugal's national health service.
No treatment starts without a medical assessment. The doctor reviews your history and any medication you already take before deciding, explains the possible side effects and tracks your progress every month.
Talk to the clinical team by chat: most side effects are mild and short-lived, and there are simple steps that help. If they're severe or don't go away, the doctor reassesses the treatment. If you have serious symptoms, call 112 or SNS 24 (808 24 24 24).
No. Weight-loss medication is not compatible with pregnancy or breastfeeding. If you're planning to get pregnant, talk to your doctor: treatment has to be stopped beforehand.
The first consultation costs €29. Follow-up consultations cost €49, or less per consultation if you choose a 3- or 6-month pack. Each consultation includes chat support until the next one.
No. If the doctor prescribes medication, you pick it up at a pharmacy of your choice. Medicine prices are regulated, so they vary little from one pharmacy to another.
No. You pay per consultation or per pack, with no automatic charges — so there's nothing to cancel.
We don't have agreements with insurers, but you receive an invoice for each consultation, which you can send to your insurer for possible reimbursement. Check the terms with your insurer.
Answer a 2-minute questionnaire and book your first consultation for €29.
Get StartedHealthcare provided by Welcome Honesty Serviços Médicos, registered with the Entidade Reguladora da Saúde, Portugal's health regulator, under no. 182522. All treatments are subject to medical assessment, and results vary from person to person. Piko does not provide urgent care: in an emergency, call 112.