A once-daily tablet that excretes glucose via urine to help manage weight and blood sugar. Online consultations available nationwide.
International patients are very welcome. Customs certificates for returning travelers are also available.
- We use SGLT2 inhibitors routinely in treating diabetes, heart failure, and kidney disease, giving us thorough knowledge of these medications’ properties and risks
- We can make comprehensive assessments including cardiac and renal status, not just weight management
- If side effects such as urinary tract infections occur, we can manage them on the spot as internists
- 血糖、血压、血脂等生活习惯病指标一并管理
What Are SGLT2 Inhibitors?
SGLT2 inhibitors work on the kidneys to excrete excess glucose from the blood via urine. Approximately 60–100g of glucose (equivalent to about 240–400 kcal) is automatically eliminated from the body each day. This is a completely different mechanism from GLP-1 medications — glucose is excreted even after meals, which is this drug class’s unique advantage.
In addition to weight loss (average 2–4 kg), recent research has revealed cardiac and renal protective effects, making these medications particularly suitable for patients with obesity-related lifestyle diseases.
Available Medications
Forxiga (dapagliflozin)
Considered to have the highest weight-reduction effect among SGLT2 inhibitors. Also indicated for heart failure and chronic kidney disease, with extensive supporting evidence. An average weight loss of approximately 2.58 kg over 52 weeks has been reported.
Canaglu (canagliflozin)
Backed by extensive international clinical research. An average weight loss of approximately 3.8 kg (about 5%) over 24 weeks has been reported. Suitable for those concerned about post-meal blood sugar spikes or those prioritizing weight loss.
Jardiance, Suglat, Lusefi
We also carry other SGLT2 inhibitors. Jardiance is preferred for cardiac protection; Suglat and Lusefi may be options for those concerned about side effects. Please discuss during your consultation.
适合哪些人？
- Those who enjoy carbohydrates (rice, noodles, bread) and find strict dieting difficult
- Those who prefer to avoid injections (Mounjaro, Wegovy)
- Those concerned about water retention or seeking a mild diuretic effect
- Those with elevated blood pressure or uric acid levels
- Those seeking cardiac and renal protection in addition to weight management
- Those who want gentle, sustainable weight and blood sugar control
哪些人不能使用？
- Those with severe kidney impairment (eGFR below 30)
- Those who are dehydrated or have recurrent urinary tract infections
- 正在怀孕、计划怀孕或哺乳的人
- BMI低于18.5的人
- Those aged 75 or over with sarcopenia or cognitive impairment
常见副作用
| 副作用 | 频率 | 处理方法 / Notes |
|---|---|---|
| Urinary tract / genital infections | 10–15% | Maintain hygiene; seek early medical attention |
| Frequent urination / polyuria | 5–10% | Usually settles within 1–2 weeks of starting |
| Dehydration | 3–8% | Drink plenty of fluids (1.5–2L per day) |
| Hypoglycemia (with other diabetes medications) | Rare | Caution when combined with insulin or sulfonylureas |
| Ketoacidosis (rare) | <0.1% | Seek immediate medical attention for general malaise, nausea, or abdominal pain |
费用（含税，运费另计）
运费：¥35,000以上免费 / ¥35,000以下¥1,500 / 不可退货 / 付款：信用卡、银行转账或现金
Forxiga (dapagliflozin)
Canaglu (canagliflozin)
※ Pricing for Jardiance, Suglat, and Lusefi will be provided during consultation.
就诊流程
💊 问诊费用
¥0 — 您已明确所需药物及剂量
¥5,500 — 您希望就药物选择、剂量或减重方案进行咨询 （日语或英语）
🏥 来院就诊（北海道札幌市中央区）
🖥 线上问诊（全国对应）
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付款
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配送
线上诊疗结束后进行结算，发货至您指定的地址。
可发往住宅、公司或酒店等全国各地。不支持海外发货。
※ 可为归国旅客开具海关证明。※ 不支持国际配送。
常见问题
- Q. 接受健康保险吗？
- When used for weight loss without a diagnosis of diabetes, heart failure, or kidney disease, treatment is self-pay (private). Patients with these conditions may be eligible for insurance coverage.
- Q. How much weight can I expect to lose?
- Clinical trials show an average reduction of 2–4 kg (approximately 4–5% of body weight) over 24 weeks to 1 year. The effect is more moderate than GLP-1 medications (Mounjaro, Wegovy), but SGLT2 inhibitors offer superior cardiac and renal protection.
- Q. How are SGLT2 inhibitors different from Mounjaro or Wegovy?
- GLP-1 medications suppress appetite to reduce weight, while SGLT2 inhibitors excrete glucose via urine to manage weight and blood sugar. GLP-1 medications generally produce greater weight loss, but SGLT2 inhibitors offer better cardiac and renal protection and are well-suited to those who enjoy carbohydrates.
- Q. Can I use SGLT2 inhibitors without a diabetes diagnosis?
- Yes, they can be prescribed as private (self-pay) care at a physician’s discretion. Forxiga and Jardiance also have indications for heart failure and chronic kidney disease.
- Q. 外国患者可以接受治疗吗？
- 是的，可提供英语服务。我们还可以在您返回本国时为您出具海关申报所需的诊断证明书。
- Q. 福适佳等SGLT2抑制剂有哪些副作用？
- 副作用可能包括：生殖器感染、尿频、口渴、尿路感染、脱水、酮症酸中毒、肾盂肾炎、败血症、福尼尔坏疽、血栓栓塞等。
- Q. 在线诊疗后，药品何时送达？
- 付款在线上诊疗期间完成。药品将于发货日后第二天送达（全国配送，北海道至冲绳）。
发货日因就诊时间而异。
以下情况可能导致延迟：就诊时间 发货日 周一・周二・周四・周五 11:30前 当天发货 其他（11:30后・周三・周六・休诊日） 次诊疗日发货
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预约线上或来院诊疗
预约 / 申请[Physician Explanation] SGLT2 Inhibitors (Forxiga / Canaglu): Effects, 副作用s, and Clinical Trial Data