Who Qualifies for Semaglutide Treatment?

This question comes up in almost every free consult, so let me just answer it the way we answer it across the desk.

The textbook criteria: adults with a BMI of 30 or higher, or BMI of 27+ with a weight-related condition — high blood pressure, high cholesterol, prediabetes, sleep apnea, type 2 diabetes. That's the starting point.

But here's what I'd tell you if you were sitting in our Puyallup office: the BMI number gets you in the door, it doesn't make the decision. We've seen 1,300+ patients now, and two people with the identical BMI can be completely different candidates. One has twenty years of lose-it-regain-it cycles, constant food noise, and blood pressure creeping up. The other gained fifteen pounds after a rough year and just needs a reset. Same BMI. Different conversation.

The pattern we see most often in good candidates: you're hungry again soon after meals, portion control feels like a fight even when you're motivated, and weight comes back fast after every diet. If that's you, the problem was never your effort. It's biology — and that's exactly what this medication treats.

Who's NOT a candidate matters just as much. Certain personal or family thyroid cancer history (medullary thyroid carcinoma, MEN2), pregnancy, pancreatitis history — there are real reasons we sometimes say "not this, not now." A clinic that never says no is a red flag, not a convenience.

The only way to actually know is a real evaluation — your history, your meds, your goals. That's what the free consult is. No contract, no membership fees, no pressure. Worst case, you leave with an honest answer.

Come talk to us.

-Daryl

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www.pnwmedicalgroup.com

Puyallup: 253-340-2270

Federal Way: 253-363-8877