In recent years, weight-loss medications have emerged as a powerful tool to aid in weight goals. However, they are not a one-size-fits-all solution. A thorough and open conversation with your doctor is crucial before embarking on this treatment path.
To ensure you are making an informed decision, here are the essential questions you should be asking your doctor about weight-loss medicine.
1. Am I a Suitable Candidate for Weight-Loss Medication?
The first and most important question is to determine if you are an appropriate candidate. Eligibility for prescription weight-loss medication is not based on cosmetic desires but on clinical need.
Generally, these medications are considered for individuals with a Body Mass Index (BMI) of 30 or higher, or a BMI of 27 or higher with at least one weight-related comorbidity such as type 2 diabetes, high blood pressure, or high cholesterol.
Your doctor will conduct a comprehensive evaluation of your overall health, including your medical history and any existing conditions, to determine if the benefits of medication outweigh the potential risks.
2. How Do These Medications Work?
Understanding the mechanism of action is key to appreciating how a medication will affect your body. Different weight-loss drugs work in various ways.
Some, like GLP-1 receptor agonists (e.g., semaglutide and liraglutide), mimic a hormone that targets areas of the brain that regulate appetite and food intake, making you feel fuller for longer.
Others may work by reducing the absorption of fat from the food you eat. Asking your doctor to explain how a specific medication works will help you understand the changes you may experience.
3. What Are the Potential Side Effects and Risks?
Every medication comes with a risk of side effects. It is vital to have a transparent discussion with your doctor about the potential adverse effects of any weight-loss drug you are considering. Common side effects of GLP-1 agonists, for instance, can include nausea, diarrhea, constipation, and abdominal pain, especially when starting the medication or increasing the dose.
While many side effects are temporary and mild, there can be more serious risks. Inquire about both the common and the rare but severe side effects, and what symptoms should prompt you to seek immediate medical attention.
4. What Kind of Results Can I Realistically Expect?
Managing expectations is crucial for a successful weight-loss journey. Ask your doctor about the average weight loss that can be expected with the medication they are recommending, based on clinical trial data and their own professional experience.
It’s important to understand that results can vary significantly from person to person. Long-term success with weight-loss medication is most significant when combined with lifestyle modifications.
Studies have shown that these medications can lead to a 5% to 15% reduction in body weight, which is a clinically significant amount that can lead to substantial health improvements.

5. How Will This Medication Fit into a Broader Weight Management Plan?
Weight-loss medication is a tool, not a magic bullet. For sustainable success, it must be integrated into a comprehensive weight management plan that includes dietary changes, regular physical activity, and behavioural support. Discuss with your doctor how the medication will complement these other essential components.
If you’re seeking a structured approach, we do offer programs like our obesity treatment in Guelph that can provide a medically supervised and holistic path to weight management.
A comprehensive plan should also include nutrition tips for fat reduction to ensure you are nourishing your body while in a caloric deficit.
6. What Are the Long-Term Implications and What Happens if I Stop Taking the Medication?
Obesity is often considered a chronic condition, and as such, treatment may need to be long-term. Ask your doctor about the expected duration of treatment. It is also critical to discuss what happens if you stop taking the medication.
For many people, discontinuing the medication without having solidified healthy lifestyle habits can lead to weight regain. Understanding the plan for long-term weight maintenance is as important as the initial weight loss phase.
7. What Is the Availability and Cost of Weight-Loss Medicine in Canada?
The landscape of weight-loss medicine in Canada is continually evolving. Inquire about the specific medications that are approved by Health Canada and their availability.
Costs can be a significant factor, as many of these newer, more effective medications can be expensive and may not be fully covered by all provincial health plans or private insurance. Your doctor’s office can often provide information on pricing and potential coverage options to help you make a financially sound decision.
8. Are There Any Alternatives I Should Consider?
Finally, it’s always wise to explore all your options. Ask your doctor about alternatives to medication, or what other treatments could be used in conjunction with it. This could include more intensive dietary counselling, a structured exercise program, or even a referral to a bariatric specialist to discuss surgical options if appropriate.
A good healthcare provider will discuss all available avenues and help you choose the path that best aligns with your health goals and personal preferences.

Taking the step to discuss weight-loss medication with your doctor is a proactive move towards better health. By asking these critical questions, you empower yourself with the knowledge needed to make a confident and informed choice.
If you are ready to explore your options for medical weight loss and have a comprehensive discussion with a healthcare professional, contact HOW Clinics today at (519) 340-2744 to learn more about our personalized and medically supervised programs.

