Am I eligible?

Quick read · 4 min

Most weight loss drugs require a BMI of 30 or higher, or BMI 27+ with a qualifying health condition. A doctor makes the final call.

BMI eligibility at a glance

Under 27
Not typically eligible
BMI 27–29.9
Eligible with a qualifying condition
BMI 30–39.9
Eligible — all drugs
BMI 40+
Eligible — all drugs

A doctor makes the final decision. This shows the general FDA-approved thresholds.

Check your BMI

Enter your height and weight to see your number and whether you would likely meet the standard criteria. This is a guide only — a doctor makes the final decision.

BMI Calculator


Standard FDA eligibility criteria

BMI ≥ 30

Classified as obesity. Eligible for all FDA-approved weight loss medications regardless of whether other health conditions are present.

— OR —
BMI ≥ 27 with at least one qualifying condition
🩸Type 2 diabetes
❤️High blood pressure
🧪High cholesterol
😴Obstructive sleep apnoea
🫀Cardiovascular disease

Source: FDA approved indications + WHO GLP-1 guideline 2024 [1]


Reasons your doctor might say no

🚫
Medullary thyroid carcinoma (MTC)
Affects: All GLP-1 class drugs

Personal or family history of this rare thyroid cancer. FDA black box warning — animal studies showed tumour risk at GLP-1 receptor sites in thyroid tissue.

🚫
MEN 2 syndrome
Affects: All GLP-1 class drugs

Multiple Endocrine Neoplasia type 2 — an inherited condition involving genetic tendency to develop thyroid and other endocrine tumours.

🚫
Pregnancy
Affects: Phentermine/topiramate (black box) and GLP-1s (not studied)

Phentermine/topiramate causes birth defects — cannot be used. GLP-1s are not approved for pregnancy.

⚠️
Active opioid use
Affects: Naltrexone/bupropion (Contrave)

Naltrexone blocks opioid receptors. Taking it while on opioids causes immediate withdrawal.

⚠️
History of seizures
Affects: Naltrexone/bupropion

Bupropion lowers the seizure threshold — not suitable for people with a seizure history.

⚠️
Glaucoma or hyperthyroidism
Affects: Phentermine/topiramate

Phentermine is a stimulant — not suitable in narrow-angle glaucoma or overactive thyroid.


⚠️ BMI isn't perfect

Does not distinguish fat from muscle — a very muscular person may exceed the threshold without significant body fat
Some Asian populations have metabolic risk at lower BMI thresholds (some guidelines use ≥25 or ≥27)
Does not capture where fat is stored — belly fat carries higher health risk than fat elsewhere

Think you might qualify? Next step: talk to your doctor

Find out what to bring to the appointment, how to frame the conversation, and what to do if your GP is unfamiliar with current treatments.

How to talk to your doctor →

Think you might qualify? Next step: talk to your doctor

Find out what to bring to the appointment, how to frame the conversation, and what to do if your GP is unfamiliar with current treatments.

How to talk to your doctor →

Next step most people take

Based on clinical trials · No rankings · Every claim linked to source

Last reviewed: April 2026

Medical disclaimer: This website is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before starting, stopping, or changing any treatment.