Quick Answer: Do You Qualify?
Use our BMI calculator to check your current BMI.
Understanding BMI Criteria
Body Mass Index (BMI) is the primary criterion used by medical guidelines worldwide. It is calculated from your height and weight. Here is what the numbers mean:
| BMI Range | Classification | Medication Eligibility |
|---|---|---|
| 18.5 - 24.9 | Normal weight | Not recommended |
| 25 - 26.9 | Overweight | Lifestyle first |
| 27 - 29.9 | Overweight | Eligible with comorbidities |
| 30 - 34.9 | Obesity Class I | Eligible |
| 35 - 39.9 | Obesity Class II | Strongly recommended |
| 40+ | Obesity Class III | Strongly recommended |
Example: What does this look like?
A Nigerian woman who is 165cm tall with BMI 30 weighs approximately 82kg. A man who is 175cm tall with BMI 30 weighs approximately 92kg. If this sounds like you, you likely qualify for GLP-1 medications.
Health Conditions That Make You a Candidate
Even with a BMI of 27-29.9, certain health conditions make medication a reasonable option. The FDA and international guidelines recognize that excess weight worsens these conditions.
Type 2 Diabetes
GLP-1 medications were originally developed for diabetes. They lower blood sugar while causing weight loss. In STEP trials, semaglutide reduced HbA1c by 1.5-2.0% on average.
Strong candidate
High Blood Pressure (Hypertension)
Weight loss of 5-10% can reduce blood pressure by 5-10 mmHg. Many patients in Lagos and Abuja take 2-3 BP medications. Weight loss often allows dose reduction.
Strong candidate
High Cholesterol (Dyslipidemia)
GLP-1 medications improve lipid profiles. In trials, patients saw triglycerides drop by 15-25% and LDL cholesterol by 5-10%. This reduces heart disease risk.
Strong candidate
Sleep Apnea
Obstructive sleep apnea affects many Nigerians with obesity. Weight loss of 10-15% can significantly reduce apnea episodes. Some patients stop needing CPAP machines.
Strong candidate
PCOS (Polycystic Ovary Syndrome)
Weight loss improves insulin resistance in PCOS. Many women see restored menstrual cycles and improved fertility after losing 5-10% of body weight with GLP-1 medications.
Good candidate
Fatty Liver Disease (NAFLD)
Non-alcoholic fatty liver disease is common with obesity. GLP-1 medications reduce liver fat by 30-50% in studies. This can prevent progression to cirrhosis.
Good candidate
Medication vs. Lifestyle Changes: When to Choose What
Diet and exercise remain the foundation of weight management. But for many people, lifestyle changes alone are not enough. Here is a realistic look at what the research shows.
Diet and Exercise Alone
- - Average weight loss: 3-5% of body weight
- - Most people regain weight within 2-5 years
- - Success rate for maintaining 10%+ loss: under 20%
- - Best for: BMI 25-27, no health conditions
GLP-1 Medication + Lifestyle
- - Average weight loss: 15-22% of body weight
- - Weight maintained while on medication
- - 68% of patients lose 10%+ in STEP trials
- - Best for: BMI 30+, or 27+ with conditions
The science is clear: obesity is a chronic disease with biological drivers. Willpower alone rarely overcomes hormonal signals that drive hunger and weight regain.
This does not mean lifestyle does not matter. Patients who combine medication with healthy eating and exercise see the best results. Learn more in our comparison of medication vs lifestyle approaches.
Who Should NOT Take GLP-1 Medications
Certain conditions make these medications unsafe or require extra caution. Be honest about your medical history when ordering.
Absolute Contraindications (Do NOT Use)
-
Personal or family history of medullary thyroid cancer (MTC)
GLP-1 drugs caused thyroid tumors in rodent studies. The risk in humans is unclear but the FDA requires this warning.
-
Multiple Endocrine Neoplasia type 2 (MEN2)
This rare genetic syndrome increases thyroid cancer risk. If you have this, GLP-1 medications are not safe.
-
Pregnancy or planning to become pregnant
Stop medication at least 2 months before trying to conceive. Animal studies show potential fetal harm.
-
Breastfeeding
We do not know if GLP-1 medications pass into breast milk. Avoid until you have finished breastfeeding.
Use With Caution (Discuss With Doctor)
-
History of pancreatitis
GLP-1 medications may slightly increase pancreatitis risk. If you have had pancreatitis before, discuss with a doctor.
-
Severe kidney disease (eGFR below 30)
Dehydration from nausea can worsen kidney function. Monitor closely if you have kidney problems.
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Diabetic retinopathy
Rapid blood sugar improvement can temporarily worsen eye disease. Get an eye exam before starting.
-
On insulin or sulfonylureas
Adding GLP-1 can cause dangerously low blood sugar. Doses need to be adjusted by a doctor.
-
History of eating disorders
The appetite suppression can trigger or worsen disordered eating patterns. Mental health support is important.
-
Gallbladder disease
Rapid weight loss increases gallstone risk. If you have had gallstones, monitor for symptoms.
For more details on managing potential side effects, see our complete guide to GLP-1 side effects.
Questions to Ask Yourself Before Starting
Before ordering, honestly assess your situation. These medications work best when you are prepared for the commitment.
Have I genuinely tried diet and exercise?
If you have never seriously attempted lifestyle changes, try for 3-6 months first. But if you have tried repeatedly and failed, medication may help break the cycle.
Can I afford the ongoing cost?
GLP-1 medications cost approximately N150,000-250,000 monthly. This is a long-term commitment. Stopping often leads to weight regain. Budget accordingly.
Am I prepared for weekly injections?
These medications require a weekly subcutaneous injection. The needles are small and most people get used to it, but you should be comfortable with this.
Can I handle potential side effects?
Nausea, constipation, and reduced appetite are common, especially in the first 4-8 weeks. Most side effects improve, but the first month can be challenging.
Do I have realistic expectations?
Average weight loss is 15-20% over 12-18 months. You will not lose 40kg in 2 months. Results vary. Some people respond better than others.
Will I commit to lifestyle changes alongside medication?
The medication is a tool, not a magic solution. Patients who eat well and exercise see better results and maintain weight longer.
Learn More
Complete Weight Loss Guide for Nigeria 2026
Everything you need to know about losing weight safely in Nigeria.
Semaglutide vs Diet and Exercise
Head-to-head comparison of medication versus lifestyle alone.
Managing GLP-1 Side Effects
How to minimize nausea, constipation, and other common side effects.
Order Medications
View our available products and pricing for Nigeria.
Ready to Start Your Weight Loss?
If you meet the eligibility criteria, our team can help you get started. We deliver to Lagos, Abuja, Port Harcourt, and all major Nigerian cities.
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