In line with India-specific obesity guidelines, weight-loss medication is prescribed only to people with:
- a BMI of 27 or above, or
- a BMI of 25 or above with at least one weight-related health condition, such as type 2 diabetes, prediabetes, high blood pressure, abnormal cholesterol, fatty liver or obstructive sleep apnoea. [3] [5]
These thresholds are deliberately lower than Western ones. South Asians carry more visceral fat and develop metabolic disease at a lower body weight, so Indian guidance uses lower BMI cut-offs than the international standard of 30.
Weight-loss medication is only prescribed under the supervision of, and after a consultation with, an internal medicine doctor. Before anything is prescribed, a detailed medical history is taken to assess whether the medicine is safe and right for you. If it isn't, we will tell you so.