What NewSelf's Eligibility Process Actually Means
NewSelf GLP-1 is designed for adults seeking clinician-supervised compounded weight-loss medication without insurance complexity. The NewSelf platform connects you with independent US physicians who make individualized prescribing decisions based on your specific health profile. This is not a "pass the form and get medication" model — a real licensed physician reviews every intake and can and does decline patients when GLP-1 therapy is clinically inappropriate.
Understanding eligibility before you pay is important because: (1) payment is charged before the consultation, and (2) while a clinician denial receives a full refund, a pre-consult cancellation is refunded minus $99. See our cost and cancellation guide for full financial terms.
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General Eligibility Criteria
NewSelf's GLP-1 program is generally available to adults who meet the following baseline criteria:
- Age: 18 years or older. Patients under 18 are not eligible.
- Weight status: Typically BMI ≥30 (obesity), or BMI ≥27 with at least one weight-related health condition (hypertension, insulin resistance, sleep apnea, dyslipidemia, cardiovascular risk)
- Location: US residents in states served by NewSelf's physician network. NewSelf operates in all 50 states through 1,000+ licensed providers, but confirm your specific state at intake
- No disqualifying contraindications (see below)
- Motivation for supervised medical weight management: GLP-1 therapy is not appropriate for patients with primarily cosmetic weight-loss goals at healthy baseline weights
What the Physician Evaluates in Your Intake
Your NewSelf physician reviews the health questionnaire you complete after checkout. Key domains they evaluate:
- Current weight, height, and BMI calculation
- Cardiovascular history — hypertension, heart disease, stroke, arrhythmias
- Metabolic conditions — type 2 diabetes, prediabetes, insulin resistance, PCOS
- Thyroid history — hypothyroidism, hyperthyroidism, thyroid cancer history
- Gastrointestinal conditions — gastroparesis, Crohn's, IBD, pancreatitis history
- Current medications and supplements — especially anything that interacts with GLP-1 agents
- Reproductive status — pregnancy, breastfeeding, planned pregnancy
- Personal and family medical history — specifically MTC and MEN2 (see contraindications)
- Prior weight management treatments and outcomes
- Mental health conditions relevant to eating and weight
Contraindications — Who Cannot Use GLP-1 Medications
Certain conditions disqualify patients from GLP-1 therapy regardless of weight or BMI. NewSelf's physician will decline patients with:
Absolute contraindications: Personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2). These are hard stops — GLP-1 receptor agonists are contraindicated due to thyroid C-cell tumor risk shown in animal studies. Never withhold this information from your provider.
- Active or history of severe pancreatitis
- Pregnancy or planned pregnancy within the treatment period (discontinue 2 months before trying to conceive)
- Active breastfeeding
- Severe gastrointestinal disease incompatible with GLP-1 mechanism (e.g., gastroparesis)
- Known hypersensitivity or allergic reaction to semaglutide or tirzepatide
- Type 1 diabetes or diabetic ketoacidosis (GLP-1 alone is not indicated)
Who Is Best Suited for NewSelf vs. Alternatives
✓ Good Fit for NewSelf
- Adults ≥18 with BMI ≥30 or BMI ≥27 + comorbidity
- No absolute contraindications
- Comfortable with compounded (non-FDA-approved) injectable medication
- Can commit to 3-month minimum program
- Cash-pay preference — no insurance requirement
- Want both semaglutide and tirzepatide access at flat pricing
✗ Consider Alternatives
- Under 18 years old
- Personal or family history of MTC or MEN2
- Pregnant, breastfeeding, or planning pregnancy
- Need FDA-approved brand-name pens (Wegovy, Zepbound)
- Require insurance billing for medication
- Cannot commit to 3-month minimum
- Prefer oral medication over injections
What Happens If You're Declined
If your NewSelf physician determines you are not eligible for GLP-1 therapy, you receive a full refund of your payment — no deductions, no fees. This is one of NewSelf's strongest consumer protections. The refund timeline and process are managed through the patient portal. If you believe the declination was in error, you can raise it with NewSelf's clinical support team through secure messaging.
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✓ All dosages same price · ✓ Full refund if declined · ✓ No membership fees