Several types of physicians can prescribe GLP-1 medications: primary care physicians (often the first point of contact), endocrinologists (specialists in hormones and metabolism), obesity medicine specialists (board-certified in weight management), and some gastroenterologists or cardiologists. For straightforward cases with clear BMI qualifications and no complex comorbidities, primary care physicians or telehealth obesity platforms work well. For complex cases involving diabetes management, multiple medications, or previous weight loss surgery, endocrinologists or obesity medicine specialists provide more specialized care. The Obesity Medicine Association (oma.org) maintains a directory of certified physicians. Many patients start with their PCP and get referred to specialists if needed. Nurse practitioners and physician assistants under physician supervision can also prescribe in most states. The key is finding a provider knowledgeable about obesity as a chronic disease who understands the nuances of GLP-1 therapy rather than someone who views it as simple 'diet pills.'
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