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Do you qualify? Eligibility, explained properly

The actual criteria physicians use for GLP-1 medication, who gets ruled out and why, and what happens in a real review. No quiz-funnel theater, just the standard.

8-minute read · Updated August 2026 · Based on the Conduit clinical protocol

The criteria, stated plainly

The FDA indication for this medication class is specific. You qualify with a body mass index of 30 or higher, or a BMI of 27 or higher alongside at least one weight-related condition: high blood pressure, prediabetes or type 2 diabetes, abnormal cholesterol, or obstructive sleep apnea are the common ones.

That is the doorway. Most adults carrying meaningful extra weight clear it, which surprises people who assume medication is reserved for severe cases. The harder and more important question is the one the physician answers next: whether it is right and safe for you specifically.

The hard rule-outs

Some histories end the conversation regardless of BMI, and an honest program screens for every one of them: a personal or family history of medullary thyroid carcinoma, the genetic syndrome MEN2, a history of pancreatitis, and pregnancy, breastfeeding, or actively trying to conceive.

There are also softer flags a physician weighs rather than auto-declines: gallbladder disease, severe digestive conditions, a history of eating disorders, and certain medication interactions. These are exactly why the intake asks real questions. A form that cannot say no is not screening you; it is billing you.

What a real review weighs

BMI gets you reviewed; it does not get you approved. Dr. Kokoricha reads the whole picture: your conditions and medications, your prior experience with weight loss, your baseline vitals, and what you are actually trying to do. Someone twenty pounds from their goal gets a different conversation than someone starting a hundred-pound journey, and both get a different plan than a bodybuilder cutting for a show.

This is also where identity verification matters. Care is tied to a verified you, which protects you and keeps the prescription defensible. Programs that skip it are not being convenient; they are being careless.

How finding out works here

  1. Two minutes

    The check

    Your goal, your health picture, your Texas address. It ends with the protocol matched to you and its real price.

  2. About 48 hours

    The review

    A physician reads your intake and decides. Not an algorithm, not a rubber stamp.

  3. Then

    A yes or an honest no

    A yes comes with your protocol and first shipment. A no comes with a full refund and, where appropriate, what to pursue instead.

If you do not qualify

A no from a physician is information, not a dead end. Depending on why, the answer may be treating an underlying condition first, a different approach entirely, or simply a conversation with your primary care doctor armed with better questions. The one wrong move is shopping for a program with lower standards, because the standard is the safety.

Questions members actually ask

Is BMI really the standard? It seems crude.

It is crude, and physicians know it. BMI is the regulatory doorway because it is measurable and standardized, but muscle mass, body composition, and metabolic health all shape the actual clinical decision. That is precisely why a human review follows the form.

I take medication for blood pressure or diabetes. Am I ruled out?

Usually the opposite: those conditions often support eligibility at the lower BMI threshold. What matters is that you list every medication honestly so the physician can check interactions and coordinate safely.

Can I qualify if I only want to lose 15 or 20 pounds?

Sometimes. It depends on your BMI and health picture, and it is exactly the situation where the physician weighs whether medication is proportionate. If the honest answer is no, you will hear it, and you will not be charged.

Do I need labs before applying?

Not to apply. The intake asks for your history and, optionally, baseline vitals. If the physician needs labs to decide or dose safely, that becomes part of your plan rather than a gate before you start.

Sources

  1. FDA prescribing information, semaglutide 2.4 mg (indication and contraindications)
  2. Wilding et al., STEP 1 trial, NEJM 2021

This guide is educational and is not medical advice. It restates the Conduit clinical protocol in plain language; your physician’s individual guidance always comes first. If you are experiencing a medical emergency, call 911.

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