FDA-approved indications: BMI 30+ (obese), or BMI 27+ (overweight) with a weight-related health condition like type 2 diabetes, prediabetes, high blood pressure, high cholesterol, or sleep apnea. Many med spas will treat patients with somewhat lower BMI on an off-label basis. Disqualifications: personal or family history of medullary thyroid cancer or MEN-2 syndrome, history of pancreatitis, severe gastrointestinal disease, pregnancy/breastfeeding, or active eating disorders. A proper med spa program should include initial labs, medical history review, and ongoing provider oversight, not just a quick form and an injection.