Medical Weight Loss · Step 1

Weight Loss Medication Eligibility Test

Considering semaglutide or tirzepatide? This short screening — the same questions your provider asks — shows whether GLP-1 weight loss medication may be a fit for you. New patients take it before booking; it takes about three minutes, and your answers stay on this page until you choose to book.

Question 1 of 8

Are you male or female?

A few questions only apply to women, so we ask this first.

Are you a new or existing patient?

Existing patients skip the screening.

About you

Age and BMI are the usual starting points for weight loss medication.

What is your age?

What is your current Body Mass Index (BMI)?

Calculate my BMI

Digestive health

GLP-1 medication works on the digestive system, so we ask about it first.

Do you currently have constipation or diarrhea?
Do you experience frequent nausea, vomiting, abdominal pain, or difficulty tolerating food?
Have you ever been diagnosed with gastroparesis or delayed gastric emptying?

Medical history

Answer for yourself, past or present.

Do you currently have, or have you ever had, an eating disorder?
Have you ever had pancreatitis?
Have you ever had gallstones or gallbladder disease?

Hydration

Roughly is fine — 8 oz is one cup.

Approximately how much water/fluid are you drinking each day?

Thyroid

These matter because of a specific warning on all GLP-1 medications.

Do you have a personal history of medullary thyroid carcinoma (MTC)?
Do you have a family history of medullary thyroid carcinoma?
Do you or anyone in your family have Multiple Endocrine Neoplasia syndrome type 2 (MEN2)?
Have you noticed any neck swelling, neck mass, persistent hoarseness, or difficulty swallowing?

Diabetes & medications

Helps us avoid low blood sugar and medication overlap.

Do you have diabetes? If yes, Type 1 or Type 2?
Do you take insulin or a sulfonylurea?
Are you currently taking another GLP-1/GIP medication or another medication for weight loss?
Does your PCP or other treating provider know that you are taking — or are considering taking — a GLP-1 medication?

Pregnancy

GLP-1 medication isn’t used during pregnancy or breastfeeding.

Are you currently pregnant?
Are you trying to conceive or planning a pregnancy?
Are you currently breastfeeding?

    A $25 deposit holds your consultation.When you book, you'll be taken to our secure payment page (Stripe) to complete it. Your test answers go with your request so your provider can prepare.

    This test is a preliminary screening, not medical advice or a diagnosis. Eligibility for weight loss medication is determined by your provider during a consultation. Your answers stay in your browser and are only sent to the clinic if you choose to book.

    What Happens Next

    From Test to Treatment

    1

    Take the Test

    About three minutes, seven short screens. You'll see right away whether GLP-1 medication may be a fit.

    2

    Book & Hold Your Spot

    Request your consultation and secure it with a $25 deposit on our secure payment page.

    3

    Meet Your Provider

    A confidential consultation with Latrina to confirm eligibility and build a plan around you.