By Dr. Sergey Terushkin, MD, FACS, Bariatric and General Surgeon
In the evolving landscape of medical weight loss, medications like Mounjaro and Zepbound have emerged as significant tools, offering hope and tangible results for many. As a member of the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery, I frequently encounter questions about the criteria for these treatments, particularly concerning Body Mass Index (BMI). As a renowned surgeon at the Florida Surgery and Weight Loss Center in Hollywood, FL, specializing in general and bariatric surgery, I believe understanding the role of BMI in Mounjaro and Zepbound eligibility is crucial for anyone considering this path.
Before diving into BMI requirements, let’s clarify what Mounjaro and Zepbound are and how they function. Both medications contain the same active ingredient, tirzepatide. The FDA initially approved Mounjaro for the management of Type 2 diabetes, while Zepbound is specifically FDA-approved for chronic weight management.
Tirzepatide is a first-in-class medication that is a dual GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide-1) receptor agonist. This means it mimics the action of two key natural hormones in your body that are involved in blood sugar control and appetite regulation.
This dual action plays a key role in:
The combination of these effects leads to a significant reduction in appetite and calorie consumption, ultimately resulting in effective weight loss.

The question of “what BMI do you need for Mounjaro or Zepbound?” is common and important. While Mounjaro is technically FDA-approved for Type 2 diabetes, many healthcare providers prescribe it off-label for weight loss, given it contains the same active ingredient as Zepbound. The eligibility criteria for both weight management medications are the same.
Generally, you may be considered eligible for Zepbound (or off-label Mounjaro) for weight loss if you meet one of the following BMI criteria:
What are these “weight-related comorbidities”? They are health conditions often linked to excess weight, and they can include:
It’s important to understand that your BMI is just one piece of the puzzle. A comprehensive evaluation by a qualified medical professional, like myself, is essential to determine if Mounjaro or Zepbound is the right choice for your health profile and weight loss goals. This evaluation will involve a thorough review of your medical history, current health conditions, and previous weight loss attempts.
While BMI provides a helpful guideline, our approach at Florida Surgery and Weight Loss Center goes beyond a single number. We believe in a holistic, patient-centered approach to medical weight loss. This means considering your overall health, lifestyle, and individual challenges.
For instance, even if your BMI falls within the eligible range, we’ll assess other factors such as:
Our goal is not just to prescribe a medication but to develop a personalized weight management plan that sets you up for long-term success and improved health.
20-Week Program — with 4-, and 10-week options also available. Includes medication, supplies, and medical supervision.
| Plan Option | Duration | Calculated Price | Notes |
|---|
| Weekly Injections | 1 week | $69.00 | Starting From |
| 1-Month Program (4 Weeks) | 4 weeks (1 month) | $279.00 total | Minimum commitment — includes medication & supervision |
| 10-Week Program (2.5 Months) | 10 weeks | $449.00 total | Minimum commitment — includes all medication, supplies & supervision |
| 20-Week Program (5 Months) | 20 weeks | $749.00 total | Minimum commitment — best value; includes all medication, supplies & supervision |
Disclaimer: Pricing may vary based on individual response, dosage, program length, and provider recommendations.

Dr. Sergey Terushkin, MD, FACS
Compassionate, affordable care for lasting weight loss.
📍 Virtual Consultations Available Nationwide
Contact Dr. Terushkin at (954) 551-3508 or fill out the form to schedule a consultation and start your journey towards a healthier lifestyle today! Our address 1911 Harrison Street, Hollywood, FL 33020

Disclaimer: This blog post is for informational purposes only and should not be considered medical advice. Always consult your doctor before starting any new medication or changing your treatment plan.
Real people, REAL RESULTS! Check out a few of the many people that we have helped reach their ideal weight goals over the years.