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Body mass index (BMI) of 30 or higher, or 27 with related health conditions Adults aged 18 and older No contraindications, such as certain thyroid cancers or pancreatitis Willingness to commit to lifestyle changes alongside medication Meeting these criteria does not guarantee a prescription but is a common starting point for discussion with your healthcare provider

This 25-27 gap is where many people find themselves frustrated, knowing they carry excess weight but falling just short of the medical criteria that would unlock treatment

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Some clinicians extend each step to six or eight weeks, allowing the body more time to adapt