Online medical assessment
Clinician eligibility review
Low-dose semaglutide prescription
Delivered to your door
Monthly check-in & dose review
Confidential patient portal
Features
Who This Plan Is Designed For

Regular Heavy Drinkers
You drink more than you intend to, most weeks — and find it difficult to stop once you start.

Struggling With Cravings
You experience persistent urges to drink — especially under stress, in social situations, or at certain times of day.

Tried Cutting Down Before
You've tried to reduce your drinking before but found willpower alone wasn't enough to sustain change.

Metabolic Health Concerns
You're concerned about weight, blood sugar, or liver health alongside your drinking patterns.

Value Privacy & Discretion
You want help without visiting a clinic or discussing your drinking face-to-face — right now.

Not Seeking Abstinence Only
You want to reduce or control your drinking — not necessarily achieve total abstinence immediately.
⚠️ This programme is not suitable for people with severe alcohol dependence requiring medically supervised detox. Our clinicians screen for this during assessment.
The Science
NAD⁺ (Nicotinamide Adenine Dinucleotide) is a naturally occurring coenzyme found in all living cells. It plays a central role in:
GLP-1 (glucagon-like peptide-1) receptor agonists — originally developed for metabolic health — are showing remarkable promise in the treatment of alcohol use disorder. Research suggests that GLP-1 receptors are present in the brain's reward circuitry, particularly in areas governing craving and impulse control. When activated, these receptors appear to dampen the dopamine-driven reward response that makes alcohol feel pleasurable and reinforcing — effectively quieting the neurological "pull" toward drinking.
At low doses, GLP-1 agonists have been observed to reduce alcohol cravings, lower the frequency and volume of drinking and in some individuals produce a natural disinterest in alcohol altogether. Preclinical studies and emerging clinical data indicate that this effect may be dose-dependent, meaning therapeutic benefit can be achieved without the side effects typically associated with higher doses used in metabolic treatment.
Unlike traditional alcohol dependence medications, which often work by creating aversion or blocking euphoria after drinking, GLP-1 therapy works upstream — reducing the desire before it takes hold. This represents a meaningful shift in how we think about supporting recovery: not as punishment or restriction, but as recalibrating the brain's relationship with alcohol at a biological level.


Why Patients Choose Us
Registered South African Doctors
All consultations are conducted by doctors registered with the HPCSA. Your care is in qualified hands — not an algorithm.
100% Online — Anywhere in SA
No clinic visit required. Access evidence-based treatment whether you're in Cape Town, Johannesburg, or a rural area.
POPIA-Compliant Privacy
Your health information is fully protected under South Africa's POPIA framework. Nothing is shared without your consent.
Prescription & Delivery Included
Your prescription is issued digitally and fulfilled by a registered SA pharmacy — delivered discreetly nationwide.
Ongoing Clinical Monitoring
Your doctor reviews progress monthly. Dosing is adjusted based on response and tolerability — not a one-size-fits-all approach.
Disclaimer
GLP-1 therapy (semaglutide) for alcohol dependency is prescribed off-label and is not approved by SAHPRA specifically for this indication. It is prescribed by registered South African medical practitioners on an individual basis following a thorough clinical assessment, in compliance with ethical prescribing guidelines. Individual outcomes vary. This plan does not replace specialist psychiatric or addiction medicine care for severe alcohol use disorder.
This page is for informational purposes only and does not constitute medical advice. Always disclose all medications and medical conditions during your assessment.
If you are in crisis, please call SADAG on 0800 12 13 14 (toll-free, 24/7).
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