lifestyle
Who Can Prescribe GLP-1
With the rising demand for GLP-1 medications for weight loss, it's important to understand who can prescribe them and what to expect from the process. Different types of medical professionals must meet specific qualifications and licensure requirements to ensure safe and effective treatment. Additionally, Does Semaglutide Cause Constipation?
To make that process easier, our GLP-1 app connects users with licensed providers who specialize in GLP-1 Medication Management, offering personalized care and expert support tailored to your weight loss goals.
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Who Can Take GLP-1 Medications for Weight Loss?
GLP-1 medications are primarily used to treat type 2 diabetes and to support weight management. Each brand is FDA-approved for one or more of these conditions. These medications are sometimes prescribed off-label for other uses. For instance, Ozempic® is FDA-approved to treat type 2 diabetes, but it is frequently prescribed off-label for weight loss. Learn more about getting a GLP‑1 prescription and what to expect.
Who Qualifies for GLP-1 Medications
To get a prescription for a GLP-1 medication for weight management, individuals must meet specific criteria.
Eligibility Requirements Based on BMI
Key requirements include:
Have a BMI of ≥30.
or
Have a BMI of ≥27 with at least one weight-related medical condition.
Understanding the Role of BMI
If a person has a certain BMI (body mass index), doctors may consider them eligible for a semaglutide prescription. BMI is a number based on weight in relation to height.
Those who have a BMI of at least 30—classified as obese—are typically eligible for a GLP-1 prescription. Individuals with a BMI of 27 or higher may also qualify if they have at least one weight-related medical condition.
These conditions may include cardiovascular disease, high blood pressure, high cholesterol, or chest pain. For more information, see types of GLP‑1 drugs & brands.
Expert Insights on BMI Limitations
"BMI is not a perfect measure for evaluating health and there is no one size that fits all ideal weight," says Elizabeth Huggins, RDN, of Hilton Head Health Wellness Resort & Spa. "But studies have found that a BMI higher than 25 increases one’s risk for heart disease, type two diabetes, and some forms of cancer. Researchers continue to refine the best, most accurate ways to evaluate who should be eligible to use GLP1 medications."
Most Type 2 Diabetes Patients Are Eligible
GLP-1 helps the body produce more insulin and maintain healthy blood sugar levels, which often makes people with diabetes eligible for GLP-1 prescriptions. However, individuals with type 1 diabetes face a different scenario.
These medications are designed primarily for people with type 2 diabetes, where they help regulate insulin and blood sugar levels, Dr. Tovar says. GLP-1s are not recommended for individuals with type 1 diabetes, as these patients require insulin therapy rather than medications that enhance insulin secretion.
Learn more in our GLP‑1 medication overview.
Who Should Avoid GLP-1 Medications
Even with a high BMI, not everyone is eligible for Ozempic and semaglutide or tirzepatide medications. Specifically, patients with certain health and family health histories may not qualify: “Individuals with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 should avoid GLP-1 medications,” Dr. Tovar says. “Pregnant or breastfeeding women are also advised against using these medications, as are those with severe gastrointestinal diseases like gastroparesis or a history of pancreatitis.” You can learn more about overview of GLP‑1 side‑effects and who may not be a good fit.
Medical Evaluation and Support
Typically, a doctor will also want to see that lifestyle changes alone haven’t worked well in the past. They will help determine which medication is best based on specific medical needs.
Noom Med can assist by connecting individuals with qualified clinicians who can recommend the medication that aligns with their needs. Learn how to manage appetite on GLP‑1 medications as part of a holistic care plan.
Extensive Screening Before Taking Ozempic Is Crucial
Because health and family history is so important, Huggins reiterates that careful screening is important before starting medications like Wegovy or Ozempic: “People respond to medicines differently, so clear and thorough communication with one’s health care professional is very important to make sure a GLP1 medication are safe for the user,” she explains.
Websites for the FDA approved GLP-1 medications have detailed lists describing safety information. Gastrointestinal side effects are common and can range from mild to severe and even life threatening. Other dangerous side effects include inflammation of the pancreas, serious allergic reactions, severe stomach problems, dehydration, changes in vision, gallbladder problems, kidney problems.
If you're experiencing issues, read about tummy problems on GLP‑1. Our GLP-1 app helps track side effects and progress, giving users a clearer picture of how their body is responding.
It's Dangerous for People Who Aren't Overweight to Take Ozempic
Even though some celebrities who never appeared to be overweight are allegedly taking GLP-1s, it isn’t necessarily safe. Dr. Tovar explains there are various unnecessary risks in taking drugs like Ozempic if a person does not have a BMI of 27 or more.
Since GLP-1s are intended for those who are overweight or obese, using these medications in individuals with lower BMIs may lead to unnecessary risks without significant benefits, she explains. Potential side effects like nausea, pancreatitis, and hypoglycemia could outweigh the benefits in individuals who are not overweight.
To better understand individual progress, explore why am I not losing weight on semaglutide.
People With a Past of Eating Disorders Should Also Refrain From Taking GLP-1s
Nutrition and a healthy mindset are key while taking these medications, so individuals who under-eat or have a history of eating disorders should consult their doctor about whether to avoid Ozempic, Wegovy, or other GLP-1s.
It cannot be overstated that there are significant concerns for people with a current or past history of eating disorders and/or disordered eating as it may reignite or exacerbate symptoms, Dr. Tovar adds.
There is also an overall danger for anyone taking these medications without proper nutrition, especially if caloric intake is too low, which is often the case with those on these medications.
Learn how mindset & mood on a GLP‑1 can influence success.
GLP-1s Like Ozempic Also Have Age Restrictions, For Both Seniors and Younger People
Many older individuals may seek out GLP-1s to make losing weight easier, but it may not always be safe. Dr. Tovar notes that these kinds of medications can pose numerous potential health risks for older adults. “There are concerns with older adults, especially those over 75, who may be more prone to side effects like dehydration and gastrointestinal issues.”
In such cases, lower doses are often useful to monitor tolerance. “There are [also] significant concerns for younger populations as they have specific nutritional needs.”
Staying hydrated is essential—read more in this resource on hydration on GLP‑1.
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Here are a Few Other Conditions That Might Mean GLP-1 Therapy Isn’t Right for You
The following conditions may indicate that GLP-1 therapy is not appropriate:
Thyroid cancer risk
Personal or family history of medullary thyroid carcinoma (MTC): GLP-1 medications have been associated with a slightly increased risk of developing MTC, a type of thyroid cancer. Individuals with a personal or family history of MTC are typically not recommended for GLP-1 treatment.
Pancreatitis history
History of pancreatitis: GLP-1 medications have been linked to a small but increased risk of pancreatitis, an inflammation of the pancreas. People with a history of pancreatitis or those with risk factors for the condition may need to avoid these medications.
Gastrointestinal issues
Severe gastrointestinal conditions: Individuals may experience worsening of existing stomach and digestion issues when taking GLP-1 medications.
Allergic reactions
Allergy to GLP-1 medications: People with known allergies to GLP-1 medications or their components shouldn’t use them.
Pregnancy and breastfeeding
Pregnancy or breastfeeding: GLP-1 medications aren’t for use during pregnancy or breastfeeding.
Other medical conditions
Other medical conditions: Certain other medical conditions, such as kidney or liver disease, may require careful consideration and monitoring when using GLP-1 medications.
Consulting a healthcare provider
Before starting GLP-1 medications, it is important to inform a healthcare provider about any relevant health history. A medical professional can help determine whether these medications are a safe and suitable option.
Learn about GLP‑1 injection management and tips for proper use.
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Download our GLP-1 app to Turn Your Weight Loss Journey into Your Favorite Game
Starting Ozempic, Wegovy, or Mounjaro? These medications support weight loss, but avoiding side effects like muscle loss and severe constipation requires effort.
MeAgain transforms that effort into an engaging experience by incorporating an adorable capybara that motivates users to reach their protein, fiber, water, and exercise goals.
Track your progress with the Journey Card—an easy way to document your transformation. When change happens quickly, every milestone matters.
Our all-in-one GLP-1 app makes staying healthy feel as rewarding as the results. Download MeAgain and turn your health journey into a game worth playing.
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