Question 1

What BMI is required for semaglutide?

Accepted Answer

Generally, candidates should have a BMI of 30 or higher (obesity), or a BMI of 27 or higher with at least one weight-related health condition such as high blood pressure, Type 2 diabetes, or high cholesterol. However, our physicians evaluate each patient individually based on their complete health picture.

Question 2

Can I take semaglutide if I have diabetes?

Accepted Answer

Yes, semaglutide is FDA-approved for both Type 2 diabetes (Ozempic) and weight management (Wegovy). If you have diabetes, GLP-1 medications can be particularly beneficial as they help with both blood sugar control and weight loss. Your physician will coordinate with your existing care.

Question 3

Is semaglutide safe if I have thyroid problems?

Accepted Answer

Semaglutide is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). For other thyroid conditions like Hashimoto's or hypothyroidism, your physician will evaluate if GLP-1 therapy is appropriate.

Question 4

Can I take semaglutide if I'm on other medications?

Accepted Answer

GLP-1 medications can interact with certain drugs, particularly diabetes medications and blood thinners. During your consultation, our physicians will review all your current medications to ensure safety and adjust dosing if needed.

Question 5

Am I a candidate if I've had weight loss surgery?

Accepted Answer

It depends on the type of surgery and how long ago it was performed. Some patients who've had weight loss surgery can benefit from GLP-1 medications, particularly for weight regain. Our physicians will evaluate your specific situation.

Question 6

Is there an age limit for semaglutide?

Accepted Answer

Semaglutide is FDA-approved for adults 18 and older. There's no upper age limit, but older adults may require careful monitoring and slower dose titration. Your overall health status is more important than age alone.

Question 7

Can I take semaglutide while pregnant or breastfeeding?

Accepted Answer

No. Semaglutide is contraindicated during pregnancy and breastfeeding. Women should use contraception during treatment and discontinue semaglutide at least 2 months before planning to conceive. This is a strict requirement.

Question 8

What if I have a history of eating disorders?

Accepted Answer

Patients with a history of eating disorders require careful evaluation. While GLP-1 medications can help regulate appetite, they may not be appropriate for everyone with a history of disordered eating. Our physicians will discuss this during your consultation.

Am I a Candidate for GLP-1 Weight Loss?

Vandhana Kiswani-Barley, MD

Quick Eligibility Checklist

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General Eligibility Criteria

BMI 30+

BMI 27+ with health conditions

Failed traditional diets

Weight-related health risks

Committed to lifestyle changes

Adult 18+

Contraindications

Medullary thyroid carcinoma

MEN 2 syndrome

Pregnancy or breastfeeding

Severe gastrointestinal disease

History of pancreatitis

Severe kidney disease

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