There is a lot of interest in GLP-1 medications, such as semaglutide (Ozempic® and Wegovy®), tirzepatide (Zepbound®), and liraglutide (Saxenda®) due to their ability to support weight loss, improve blood sugar control, and curb appetite. But there seems to be some misconception about where to start if you are interested in one of these medications.

Yes, many online retailers and programs are offering GLP-1 medications. But these are not the safest, cheapest, or most effective places to get the medications. The best place to start is with your primary care physician or main healthcare provider.

If you’re wondering how to bring them up with your healthcare provider or whether they’re right for you, it can feel intimidating. It may seem easier to go to an “anonymous” online provider. But if you want the best results, I suggest you talk to your doctor first.

The good news? You don’t have to go into the conversation knowing all the answers. What matters most is starting a thoughtful, informed discussion tailored to your unique needs and health goals.

This guide will help you prepare for that conversation, know what questions to ask, and feel more confident discussing GLP-1 medications with your doctor or care team.

Why Your Doctor is the Best Place to Start

Your primary care provider is the best person to talk to if you’re considering starting a GLP-1 medication because they have a full understanding of your medical history, current medications, and overall health profile. They can assess whether a GLP-1 is appropriate for your specific needs, identify any potential risks or interactions, and monitor your progress over time.

PCPs also coordinate your care across specialists, which is especially important if you have other conditions like diabetes, thyroid issues, or gastrointestinal concerns. Starting with your PCP ensures you’re getting personalized, evidence-based advice rather than one-size-fits-all recommendations. They’re your first line of support and can guide you through the process safely and effectively. 

Additionally, your PCP can also help with the insurance process, submitting the necessary documentation, prior authorizations, and medical justifications to improve your chances of getting coverage. This can significantly reduce your out-of-pocket costs and help you avoid unnecessary delays or denials. By working with your provider, you increase the likelihood of getting affordable access to the medication that’s right for you.

So, not only is it the safer way to go, but it will also likely be cheaper if they can help you get covered.

How to Start the Conversation

Not sure how to bring it up to your doctor, or feel embarrassed? Try saying something like:

• “I’ve been reading about GLP-1 medications and was wondering if they might be an option for me.”
  
• “I’ve struggled with weight and appetite regulation, and I’m curious about medications that could support my goals safely.”
  
• “I’ve seen improvements in others who’ve used GLP-1 meds. Can we talk about whether that’s something we should explore together?”

These openers show your interest and invite your doctor to explain whether these medications make sense for your situation.

Questions to Ask Your Doctor

Here are some questions that can guide a productive, informed discussion:

• Do I meet the criteria for a GLP-1 medication?
  
• How might it interact with my other medications or conditions?
  
• What are the most common side effects?
  
• How often would I need to take it and in what form (injection vs. pill)?
  
• How will we measure progress or determine if it’s working for me?
  
• Are there lifestyle changes I should make to support the medication’s effects?

Pro tip: Write these questions down ahead of your visit so you feel more organized and less flustered. While you’re talking to your doctor, write down answers to your questions so you can refer back to them at a later time. 

What to Share With Your Doctor

To help your provider determine if GLP-1s are right for you, be ready to talk about:

• Your weight history and weight-loss attempts
  
• Current and past health conditions
  
• Medications or supplements you’re taking
  
• Any digestive issues or appetite concerns
  
• Lifestyle habits (diet, physical activity, sleep, etc.)

Being honest, even about things that feel personal, will help your doctor make a decision that supports your whole health, not just one number on the scale.

What If They Say No?

Sometimes, a provider might not think GLP-1s are the best fit, or they may recommend trying other interventions first. That doesn’t mean the door is closed forever. Ask:

• “What would need to change for this to be an option?”
  
• “Can we revisit this discussion in a few months?”

Use the opportunity to learn about other tools that might support your goals in the meantime, like a referral to a registered dietitian or diet and lifestyle tips for a GLP-friendly lifestyle. 

Navigating Insurance and Coverage

GLP-1 medications can be expensive, and insurance coverage can vary. Ask your provider:

• “Is this covered by my insurance plan?”
  
• “Can you help me submit a prior authorization if needed?”
  
• “Are there patient assistance programs or generic options available?”

It can also help to call your insurance provider directly to ask if the medication will be covered, as your doctor may not know. The more informed you are, the easier it is to advocate for yourself.

Final Tips for Success

• Be proactive. If your provider isn’t familiar with newer GLP-1s, bring in reliable resources or studies to support the conversation.
  
• Keep it collaborative. Your doctor is there to help, but you’re the expert on your body.
  
• Follow up. If you start a GLP-1 medication, check in regularly to monitor progress and adjust your plan if needed.

You’re Your Best Advocate

Talking to your doctor about GLP-1 medications doesn’t need to be awkward or overwhelming. By coming to the conversation informed and open, you’re already doing the most important thing: advocating for your health. Whether you’re exploring medications for weight management, blood sugar control, or both, you’re not alone, and there are evidence-based tools available to help.

Need help with food ideas that support your journey? Check out our guide to GLP-1 friendly breakfasts and other practical resources to support your nutrition, movement, and mindset while using a GLP-1 medication. 

If you need support around talking to your doctor, come join our Facebook group!