What BMI do you need for IVF?
Many clinics will not start IVF above a set BMI, and the reason is the anesthesia at egg retrieval. Here is the number 21 US clinics state on their own pages, in their own words, what the labels of the weight-loss medicines say about pregnancy, and what losing weight first costs a month.
There is no national BMI limit for IVF. Each clinic sets its own, for the safety of the sedation at egg retrieval. Of the 21 US clinics whose own pages state a number, 15 set it at 40 or below, and 40 is the most common. A few treat patients well above that, up to 60 at Brigham and Women's Hospital. If a clinic asks you to lose weight first, the GLP-1 medicines Wegovy and Zepbound cost $149 a month and up without insurance, and Wegovy's label says to stop it at least 2 months before you plan to become pregnant.
The BMI limit each clinic states, in its own words
Every number below is quoted from the clinic's own website, read on Nov 7, 2026. Most clinic sites state no number at all, so ask the clinic you are considering.
- Bay IVFIVF and egg freezing (egg retrieval)BMI 31 or below
“Bay IVF's BMI limit for treatment is 31.”
Its own page, bayivf.com, read Nov 7, 2026
- Center for Reproductive Medicine (IVF Minnesota)IVF (sedation at retrieval)BMI under 35
“Currently, we only perform IVF on patients with a BMI under 35.”
Its own page, ivfminnesota.com, read Nov 7, 2026
- Pinnacle FertilityIVFBMI under 35
“To undergo IVF treatment at Pinnacle Fertility, your BMI needs to be less than 35.”
Its own page, pinnaclefertility.com, read Nov 7, 2026
- Carolina ConceptionsIVFBMI under 37
“To maximize the chance of a healthy pregnancy, women must have a BMI under 37 in order to undergo IVF treatment.”
Its own page, carolinaconceptions.com, read Nov 7, 2026
- Fertility Institute of North AlabamaIVFBMI 37
“our current BMI limit for IVF treatment is 37.”
Its own page, fertilityalabama.com, read Nov 7, 2026
- Texas Fertility Centerstarting treatmentBMI 39, with individual exceptions
“We try to maintain a BMI cut-off of 39 prior to initiation of treatment but we do take individual patient situations into consideration.”
Its own page, texasivf.com, read Nov 7, 2026
- American Reproductive CentersIVFBMI aims for under 40
“For patients undergoing IVF, we aim to reduce their BMI to below 40 before starting treatments, as higher BMIs significantly increase procedural risks and complications.”
Its own page, arcbabies.com, read Nov 7, 2026
- Atlantic Reproductive Medicineegg retrieval (in-office anesthesia)BMI under 40 for retrieval; under 50 for other care
“Note: IVF egg retrieval treatment uses in-office anesthesia and is available at BMI less than 40.”
Its own page, atlanticfertility.com, read Nov 7, 2026
- Chelsea Fertility NYCIVFBMI under 40
“Chelsea Fertility of New York City will not perform IVF procedures on women with a BMI of 40 or more.”
Its own page, chelseafertilitynyc.com, read Nov 7, 2026
- CNY Fertility Buffaloegg retrieval at its Buffalo officeBMI 40 for egg retrievals
“NOTE: BUFFALO HAS A BMI LIMIT OF 40 FOR EGG RETRIEVALS.”
Its own page, cnyfertility.com, read Nov 7, 2026
- Reproductive Medicine & Infertility Associatesprocedures under anesthesia, such as egg retrievalBMI under 40 (under 35 in its warranty program)
“For procedures requiring anesthesia, such as egg retrieval, our facility can care for patients with a body mass index (BMI) of less than 40 for patients participating in a regular program and lower than 35 for patients participating in a warranty program.”
Its own page, rmia.com, read Nov 7, 2026
- RMA of New Yorkstarting an IVF cycleBMI under 40
“Achieving a BMI between 18.5 and 40 is necessary before starting fertility treatment, and to avoid medical complications, it must be under 40 before starting an IVF cycle”
Its own page, rmany.com, read Nov 7, 2026
- Shady Grove Fertilitystarting an IVF cycleBMI under 40 (under 44 for IUI)
“Thus, at SGF, patients must have a BMI less than 40 before initiating an IVF cycle and a BMI of less than 44 before initiating IUI cycles”
Its own page, shadygrovefertility.com, read Nov 7, 2026
- The Fertility Wellness Institute of OhioIVF (anesthesia guidelines)BMI under 40
“At The Fertility Wellness Institute of Ohio, our IVF services are limited to patients with a BMI under 40 due to anesthesia guidelines, equipment limits, and accreditation standards.”
Its own page, chinbaby.com, read Nov 7, 2026
- Virginia Fertility & IVFIVFBMI 40
“in our clinic we have a BMI limit of 40 kg/m2 for IVF treatment”
Its own page, vafertility.com, read Nov 7, 2026
- Duke Fertility CenterIVFBMI 44 (over 40 sees specialists first)
“IVF is not generally available to individuals with a BMI above 44 due to the increased risk of anesthesia-related morbidity and pregnancy complications.”
Its own page, physicians.dukehealth.org, read Nov 7, 2026
- Kaiser Permanente Center for Reproductive Healthelective egg freezingBMI 45 for egg freezing
“Given the elective nature of this process, we do not advise egg freezing for those with a body mass index (BMI) over 45 kg/m2 due to increased anesthesia risks during the egg retrieval process.”
Its own page, kpivf.com, read Nov 7, 2026
- NYU Langone Fertility Centeregg retrievalBMI anesthesia review from 38; no sedation from 45; no retrieval from 50
“Anesthesia clearance is required: • If a patient's BMI is 38 or greater OR • If a patient has an illness that may compromise their airway or ability to breathe”
Its own page, nyulangone.org, read Nov 7, 2026
- Piedmont Reproductive Endocrinology GroupIVF (IV sedation at retrieval)BMI 45
“With IVF our BMI cutoff is 45 due to the inability to safely administer the anesthesia required for the IVF egg retrieval under IV sedation.”
Its own page, pregonline.com, read Nov 7, 2026
- CNY Fertility Colorado Springsegg retrieval at its Colorado Springs officeBMI 50 for egg retrievals
“NOTE: COLORADO SPRINGS HAS A BMI LIMIT OF 50 FOR EGG RETRIEVALS.”
Its own page, cnyfertility.com, read Nov 7, 2026
- Brigham and Women's Hospitalretrieval and transfer (hospital anesthesia)BMI up to 60
“In fact, as part of a tertiary care hospital staffed by highly trained anesthesiologists, the Center performs oocyte retrievals and embryo transfers for patients with BMIs up to 60.”
Its own page, brighamhealthonamission.org, read Nov 7, 2026
Clinics whose pages state no number
- Kindbody: No BMI cutoff for IUI; for egg retrievals it assesses each case.
- CCRM Fertility: No limit for treatment on its weight page; its refund program alone asks for a BMI under 35.
- CNY Fertility: Its weight and fertility page states no limit.
- UCSF Center for Reproductive Health: A goal of a BMI under 25 for all patients, not a cutoff.
The limit is about anesthesia, not a national rule
The professional society for fertility medicine rejects a society-wide cutoff and allows a clinic's own only for the safety of the egg retrieval.
No society-wide threshold
“On the basis of available evidence, there is no medical or ethical directive for adopting a society-wide BMI threshold for offering infertility treatment; rather, there is considerable evidence arguing against such a policy.”
A clinic's own limit, for retrieval safety only
“Individual programs should be empowered to adopt program-specific BMI thresholds solely on the basis of the ability to safely perform oocyte retrievals and other procedures within their clinical environment.”
Most US programs have one, mostly 35 to 45
“In the United States, 65% of SART member programs responding to a survey had a declared BMI threshold. Excepting one center with a threshold BMI exceeding 50 kg/m2, the BMI range was 35-45 kg/m2.”
Above 45 is not always unsafe
“When using intravenous sedation, patients with a BMI of ≥45 kg/m2 have similar ART outcomes with few anesthesia or ART complications compared with those with a BMI of 40-44.9 kg/m2.”
GLP-1 medicines before IVF: what the labels and studies say
Wegovy (semaglutide) and Zepbound (tirzepatide) are how many patients are now asked to reach a clinic's limit. Decide the timing with your fertility doctor before you start.
Wegovy: stop 2 months before trying to conceive
“You should stop using WEGOVY 2 months before you plan to become pregnant.”
Zepbound: stop when pregnant, and back up the pill
“Advise pregnant patients that weight loss is not recommended during pregnancy and to discontinue ZEPBOUND when a pregnancy is recognized”
“Advise patients using oral hormonal contraceptives to switch to a non-oral contraceptive method, or add a barrier method of contraception for 4 weeks after initiation with ZEPBOUND and for 4 weeks after each dose escalation”
Egg retrieval under sedation: most can continue
“Most patients should continue taking their glucagon-like peptide-1 (GLP-1) receptor agonists before elective surgery”
“The escalation phase, versus the maintenance phase, is associated with a higher risk of delayed gastric emptying with GLP-1RA usage”
Outcomes: early and mixed evidence
“Among women with class I obesity (BMI 30.0-34.9 kg/m²), live birth rates were 8.4% in the semaglutide group versus 20.0% in controls (OR = 0.37, 95% CI 0.22-0.61, p < 0.001)”
“The PR per ET was significantly higher in the COMBI (85.7%) compared with the MET (28.6%) group”
The 2026 study is observational: the women who took semaglutide may have differed in ways the matching could not remove, and it covers fertility care in general, not only IVF. Its authors call for prospective studies. The 2018 trial was a pilot of 28 women and did not measure live birth.
What losing weight first costs a month
Each seller's own self-pay price, read on its page (most on Nov 4, 2026). Sellers we have a referral program with come first in each group and are marked Partner (or Sponsored, where the seller's terms ask for that word); the rest follow by price.
Coaching, no medicine
Exercise coaching without a prescription, so there is no medicine to stop before pregnancy.
- Future personal traininga dedicated coach who writes your training plan and checks in, in the app. Cancel within 30 days for a full refund, per its page.Future's page, read Nov 7, 2026$50 first month, then $199/moFuturePartner
Brand-name, from the maker's own pharmacy
Wegovy and Zepbound bought straight from the maker's own pharmacy with a prescription from your own doctor. No membership.
- Wegovy pill (oral semaglutide)self-pay cash, lowest dose (1.5 mg). $149 a month for 1.5 mg, $199 for 4 mg, $299 for 9 mg and 25 mg.NovoCare (Novo Nordisk)'s page, read Nov 4, 2026from $149/mo
- Wegovy penthe first two 28-day fills at 0.25 or 0.5 mg for new patients, through December 31, 2026. After the introductory fills, standard doses cost $349 per box of four pens, a 28-day supply.NovoCare (Novo Nordisk)'s page, read Nov 4, 2026; offer through Dec 31, 2026$199 a fill at first
- Zepbound single-dose vialsself-pay cash by dose: $299 (2.5 mg), $399 (5 mg), $449 (7.5 to 15 mg). The $449 rate for the higher doses holds only with a refill within 45 days; after a longer gap Lilly lists $499 (7.5 mg) to $699 (10 to 15 mg). Self-pay only, through LillyDirect Pharmacy.LillyDirect (Eli Lilly)'s page, read Nov 4, 2026$299 to $449 per 28 days
Brand-name, through an online doctor
An online doctor prescribes the same brand-name medicine; the first month adds the service's own fee, shown in the price.
- Wegovy pill via WeightWatchers$149 medication plus the $25 first month of the required Med+ membership. 30-day supplies from CenterWell Pharmacy: $149 a month at the starting dose, up to $299 at higher doses (offer ends December 31, 2026). Med+ is $25 the first month on a 6- or 12-month plan, then $74 a month on the 12-month plan.WeightWatchers's page, read Nov 4, 2026; offer through Dec 31, 2026$174 first month
- Wegovy pen via Ro Body$199 medication plus the $39 first month of Ro's membership. $199 medication for the first two months at 0.25 or 0.5 mg for sign-ups by December 31, 2026, then $349 at every standard dose. The membership renews at $149 a month, or $74 to $99 a month prepaid.Ro's page, read Nov 4, 2026; offer through Dec 31, 2026$238 first month
- Wegovy pen via LifeMD$199 medication plus the $39 first month of LifeMD's program fee. Medication from $199 for new patients paying without insurance; the program fee is $39 the first month, then $149 a month.LifeMD's page, read Nov 4, 2026$238 first month
- Zepbound via WeightWatchers$299 medication (2.5 mg, from LillyDirect) plus the $25 first month of Med+. Dispensed by LillyDirect at $299 (2.5 mg), $399 (5 mg) and $449 (7.5 to 15 mg) when refilled within 45 days. Requires a 12-month Med+ plan: $25 the first month, then $74 a month.WeightWatchers's page, read Nov 4, 2026$324 first month
- Zepbound KwikPen via Ro Body$299 medication (2.5 mg) plus the $39 first month of Ro's membership. Medication $299 at 2.5 mg, $399 at 5 mg and $449 at 7.5 to 15 mg; the membership renews at $149 a month on the monthly plan.Ro's page, read Nov 4, 2026$338 first month
- Zepbound vial via LifeMD$299 medication plus the $39 first month of LifeMD's program fee. Medication from $299 for uninsured cash-pay patients; the program fee is $39 the first month, then $149 a month.LifeMD's page, read Nov 4, 2026$338 first month
Online doctor membership (medicine billed separately)
A monthly online-care membership; the medicine it prescribes is billed on top, by your pharmacy or your insurer.
- Success by Sesameannual plan billed once a year; $99 a month month to month; medicine billed separately. Medication from $149 a month, paid separately, its page says. Video visits, messaging and lab work at Quest (except in AZ, HI, ND, NJ, NY, OK, RI, SD and WY).Sesame's page, read Nov 9, 2026$59/mo membershipSesamePartner
- PlushCare weight loss programfirst month free; each visit $129 without insurance, or your copay in network; medicine billed separately. Its doctors prescribe weight-loss medicine where medically appropriate and handle prior authorizations with your insurer, which is the route to coverage where a plan covers it.PlushCare's page, read Nov 4, 2026$19.99/mo membership
- Mochi membership with compounded semaglutidemembership $79 on the 1-month plan ($207, $354 or $588 for 3, 6 or 12 months); compounded semaglutide priced by dose, $60 to $189. Medication is billed separately from the membership. Compounded; not FDA-approved.Mochi Health's page, read Nov 4, 2026$79/mo membership + medication from $60
Compounded (not FDA-approved)
Pharmacy-mixed semaglutide or tirzepatide. Compounded drugs are not FDA-approved: the FDA does not review them for safety, effectiveness or quality.
- Compounded semaglutide (HealthRX)monthly Subscribe & Save until canceled; $125, $115 or $97 a month on 3-, 6- or 12-month plans after the first month. One flat price at every dose; provider review, medication and overnight shipping included, no visit or membership fees. Compounded; not FDA-approved.HealthRX's page, read Nov 7, 2026$39 first month, then $165/moHealthRXPartner
- Compounded tirzepatide (HealthRX)monthly Subscribe & Save until canceled; $201, $195 or $177 a month on 3-, 6- or 12-month plans after the first month. One flat price at every dose; provider review, medication and overnight shipping included, no visit or membership fees. Compounded; not FDA-approved.HealthRX's page, read Nov 7, 2026$39 first month, then $214/moHealthRXPartner
- Compounded semaglutide (Embody)the flat monthly rate its home page shows under a 'Pre-Black Friday Sale' with no end date; the plan length is not stated. Weekly injection, shipped to your door. Not offered in Louisiana. Compounded; not FDA-approved.Embody's page, read Nov 9, 2026$49/moEmbodyPartner
- Compounded semaglutide (CoreAge Rx)starting self-pay rate; no membership fee; the same price at every dose. No long-term contract, free delivery. Compounded; not FDA-approved.CoreAge Rx's page, read Nov 4, 2026from $79/moCoreAge RxPartner
- Compounded oral semaglutide (lozenge) (Strut Health)daily lozenge on auto-refill, a 30-day supply; physician consultations and shipping included. Dissolved between cheek and gum once a day, not an injection. Strut says it prescribes compounded GLP-1s only for patients who cannot use a commercially available one (medical necessity required), and sets the final price after the consultation. Compounded; not FDA-approved.Strut Health's page, read Nov 7, 2026$99/30 daysStrut HealthPartner
- Compounded semaglutide (SkinnyRx)first month of a monthly subscription you can cancel any time; its page posts no price after the first month. Weekly injection with free overnight shipping. Compounded; not FDA-approved.SkinnyRx's page, read Nov 9, 2026$99 first monthSkinnyRxPartner
- Compounded tirzepatide (SkinnyRx)first month of a monthly subscription you can cancel any time; its page posts no price after the first month. Weekly injection with free overnight shipping. Compounded; not FDA-approved.SkinnyRx's page, read Nov 9, 2026$99 first monthSkinnyRxPartner
- Compounded tirzepatide (Embody)the flat monthly rate its home page shows under a 'Pre-Black Friday Sale' with no end date; the plan length is not stated. Weekly injection, shipped to your door. Not offered in Louisiana. Compounded; not FDA-approved.Embody's page, read Nov 9, 2026$99/moEmbodyPartner
- Compounded semaglutide (SnagRx)billed monthly; $89 a month on 3 months ($267), $79 on 6, $69 on 12, each billed up front. Compounded; not FDA-approved.SnagRx's page, read Nov 4, 2026$99/moSnagRxPartner
- Compounded tirzepatide (System Labs)monthly subscription, the same price at all doses; injection supplies and 2-day temperature-controlled shipping included. Compounded; not FDA-approved.System Labs's page, read Nov 6, 2026$99 first month, then $179/moSystem LabsPartner
- Compounded semaglutide (Oak Longevity)on a 12-month plan; shorter plans priced before checkout. Weekly injection. Compounded; not FDA-approved.Oak Longevity's page, read Nov 4, 2026from $119/moOak LongevityPartner
- Compounded semaglutide (Telezen MD)monthly plan; $99 a month on the quarterly plan, $297 every 3 months. Physician consultation, provider monitoring, medication and shipping included. Compounded; not FDA-approved.Telezen MD's page, read Nov 9, 2026$128/moTelezen MDPartner
- Compounded semaglutide (LevelsRx)its welcome offer, 48% off a $249 first month; health coach and a dietitian consult included; later months not stated on its home page. Compounded; not FDA-approved.LevelsRx's page, read Nov 8, 2026$129 first monthLevelsRxPartner
- Compounded semaglutide (bmiMD)1-month plan; $119/mo on 3 months ($357), $109/mo on 6 ($654), $99/mo on 12 ($1,188), each billed for the period; telehealth visit and shipping included; the same price at every dose. Not offered in CA, SC, NC, LA, ND, AL, MS, KY or AR. Compounded; not FDA-approved.bmiMD's page, read Nov 6, 2026$129/mobmiMDPartner
- Compounded semaglutide (Gala Health)all doses included; plans billed as a yearly subscription. No month-to-month price is published. Compounded; not FDA-approved.Gala Health's page, read Nov 4, 2026from $129/moGala HealthPartner
- Compounded tirzepatide (CoreAge Rx)starting self-pay rate; no membership fee; the same price at every dose. No long-term contract, free delivery. Compounded; not FDA-approved.CoreAge Rx's page, read Nov 4, 2026from $129/moCoreAge RxPartner
- Compounded semaglutide (Join Luma)monthly plan; $119 a month on the 3-month plan. Compounded; not FDA-approved.Join Luma's page, read Nov 6, 2026$139 first month, then $149/moJoin LumaPartner
- Compounded semaglutide (LongevityMeds)the same at every dose; doctor visit and shipping included, no membership fee (the page marks the price with an asterisk it does not explain). Prepared by a 503A compounding pharmacy, its page says. Compounded; not FDA-approved.LongevityMeds's page, read Nov 9, 2026$144.99/moLongevityMedsPartner
- Compounded semaglutide (JoinSkinny)its starting price; clinician review and prescription included; its page says no hidden price increases, cancel anytime. Compounded; not FDA-approved.JoinSkinny's page, read Nov 8, 2026from $149/moJoinSkinnyPartner
- Compounded semaglutide (Surfbound Health)billed every 28 days, month to month; $165 a cycle on 3 months, $160 on 6; the same price at every dose. Provider review, medication if prescribed and shipping included; no membership fee. Compounded; not FDA-approved.Surfbound Health's page, read Nov 6, 2026$169/28 daysSurfbound HealthPartner
- Compounded tirzepatide (LevelsRx)its welcome offer; health coach and a dietitian consult included; later months not stated on its home page. Compounded; not FDA-approved.LevelsRx's page, read Nov 8, 2026from $169 first monthLevelsRxPartner
- Compounded tirzepatide (bmiMD)1-month plan; $159/mo on 3 months ($477), $149/mo on 6 ($894), $139/mo on 12 ($1,668), each billed for the period; telehealth visit and shipping included; the same price at every dose. Not offered in CA, SC, NC, LA, ND, AL, MS, KY or AR. Compounded; not FDA-approved.bmiMD's page, read Nov 6, 2026$179/mobmiMDPartner
- Compounded tirzepatide (Gala Health)yearly subscription, all doses included; visit and shipping included. Cancel anytime, per its page. Compounded; not FDA-approved.Gala Health's page, read Nov 7, 2026from $179/moGala HealthPartner
- Compounded tirzepatide (LongevityMeds)the same at every dose; doctor visit and shipping included, no membership fee (the page marks the price with an asterisk it does not explain). Prepared by a 503A compounding pharmacy, its page says. Compounded; not FDA-approved.LongevityMeds's page, read Nov 9, 2026$184.99/moLongevityMedsPartner
- Compounded tirzepatide (Oak Longevity)on a 12-month plan; shorter plans priced before checkout. Weekly injection; Zepbound is also offered, quoted at checkout. Compounded; not FDA-approved.Oak Longevity's page, read Nov 4, 2026from $185/moOak LongevityPartner
- SponsoredCompounded semaglutide (Sipra)the same price at every dose. Prescribed only after a licensed physician's review. Compounded by a state-licensed pharmacy; not FDA-approved.Sipra's page, read Nov 8, 2026$199 per 28 daysSipraSponsored
- Compounded tirzepatide (Surfbound Health)billed every 28 days, month to month; $215 a cycle on 3 months, $210 on 6; the same price at every dose. Provider review, medication if prescribed and shipping included; no membership fee. Compounded; not FDA-approved.Surfbound Health's page, read Nov 6, 2026$219/28 daysSurfbound HealthPartner
- Compounded tirzepatide (Telezen MD)monthly plan; $199 a month on the quarterly plan, $597 every 3 months. Physician consultation, provider monitoring, medication and shipping included. Compounded; not FDA-approved.Telezen MD's page, read Nov 9, 2026$228/moTelezen MDPartner
- Compounded tirzepatide (JoinSkinny)its starting price; clinician review and prescription included; its page says no hidden price increases, cancel anytime. Compounded; not FDA-approved.JoinSkinny's page, read Nov 8, 2026from $249/moJoinSkinnyPartner
- Compounded semaglutide (Direct Meds)all-inclusive (medicine, doctor visits, shipping, supplies), month to month. The same price at every dose. Compounded; not FDA-approved.Direct Meds's page, read Nov 4, 2026$297/moDirect MedsPartner
- Compounded tirzepatide (TrimRx)per its terms; consultation, prescription, medication if prescribed, shipping and medical support included. Its home page advertises GLP-1 from $179 and GLP-1 + GIP from $279 without naming the plan. Compounded; not FDA-approved.TrimRx's page, read Nov 4, 2026$349 first month, then $399/moTrimRxPartner
- Compounded tirzepatide (Direct Meds)all-inclusive (medicine, doctor visits, shipping, supplies), month to month. The same price at every dose. Compounded; not FDA-approved.Direct Meds's page, read Nov 4, 2026$399/moDirect MedsPartner
- Compounded semaglutide (Mondae)the 1-month plan; the same price at every dose, no membership fee. Its homepage says from $69, the longer plans' price. Compounded; not FDA-approved.Mondae's page, read Nov 7, 2026$87/mo
- Compounded semaglutide (altRx)monthly; its pages say no membership fees, no price hike, cancel anytime. Compounded; not FDA-approved.altRx's page, read Nov 8, 2026$89/mo
- Compounded tirzepatide (Mondae)the 1-month plan; the same price at every dose, no membership fee. Its homepage says from $114, the longer plans' price. Compounded; not FDA-approved.Mondae's page, read Nov 7, 2026$126/mo
- Compounded semaglutide (Noom Med)billed $837 every 12 weeks after the first 4-week supply; medication (if prescribed), clinician visits, coaching and the Noom program included. Compounded; not FDA-approved.Noom's page, read Nov 4, 2026$129 first 4 weeks, then $279 per 4 weeks
- Compounded tirzepatide (Eden)one price at every dose; no membership fee. Doctor-guided care and shipping included; no long-term plan required. Compounded; not FDA-approved.Eden's page, read Nov 4, 2026$129/mo
- Compounded tirzepatide (Healthy Living Clinic)a 12-week box at 3 to 9 mg a week, paid in 3 payments of $149, one every 4 weeks; $199 a month above 9 mg. Physician visit, medication, syringes and shipping included; no membership fee. Compounded; not FDA-approved.Healthy Living Clinic's page, read Nov 1, 2026$149/4 weeks
- Compounded semaglutide (OrderlyMeds)month to month after the starter; doctor's visit, medication, syringes and shipping included; no membership fee. The same price at every dose. Compounded; not FDA-approved.OrderlyMeds's page, read Nov 4, 2026$149/mo
- Compounded tirzepatide (altRx)monthly; its pages say no membership fees, no price hike, cancel anytime. Compounded; not FDA-approved.altRx's page, read Nov 8, 2026$149/mo
- Compounded semaglutide (GobyMeds)a single month at any dose, one payment with no subscription; a 3-month starter bundle for first-time patients is $299. Compounded; not FDA-approved.GobyMeds's page, read Nov 4, 2026from $169 for 1 month
- Compounded semaglutide (myRNK)monthly medication supply, consultation, prescription, syringes and shipping included. Compounded; not FDA-approved.myRNK's page, read Nov 6, 2026from $197/mo
- Compounded semaglutide (Willow)once-weekly injection prescribed by a doctor; HSA and FSA eligible. Free 2-day shipping, per its page. Compounded; not FDA-approved.Willow's page, read Nov 7, 2026$299/mo
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Common questions about BMI and IVF
What BMI do you need for IVF?
There is no national limit: ASRM says there is no medical or ethical basis for a society-wide BMI threshold, and lets each clinic set its own only on the basis of safe egg retrieval. Of the 21 US clinics whose own pages state a number, 15 set it at 40 or below, and 40 is the most common (9 clinics). The lowest we found is 31 (Bay IVF) and the highest 60 (Brigham and Women's Hospital).
Can you do IVF with a BMI over 40?
Yes, at some clinics: Duke Fertility Center, BMI 44 (over 40 sees specialists first); Kaiser Permanente Center for Reproductive Health, BMI 45 for egg freezing; NYU Langone Fertility Center, BMI anesthesia review from 38; no sedation from 45; no retrieval from 50; Piedmont Reproductive Endocrinology Group, BMI 45; CNY Fertility Colorado Springs, BMI 50 for egg retrievals; Brigham and Women's Hospital, BMI up to 60. A 2025 Fertility and Sterility study found that with IV sedation, patients with a BMI of 45 or more had similar results and few anesthesia complications compared with a BMI of 40 to 44.9.
How long before IVF should I stop Wegovy or Zepbound?
Wegovy's FDA label says to stop it at least 2 months before you plan to become pregnant, because semaglutide stays in the body a long time. Zepbound's label says to stop it when a pregnancy is recognized and gives no earlier stopping time. Your clinic sets how it times the medicine around retrieval and transfer, so ask it before you start.
Does semaglutide lower IVF success?
The evidence is early and mixed. A 2026 matched study of 1,936 women with overweight or obesity found lower pregnancy and live birth rates after semaglutide in the year before fertility care (for a BMI of 30 to 34.9, live birth 8.4% versus 20.0%); it was observational and not only IVF. A 2018 pilot trial of 28 women with PCOS found a higher pregnancy rate per embryo transfer after liraglutide plus metformin than metformin alone.
Do I have to stop a GLP-1 before egg retrieval?
Not always. The October 2024 guidance from the American Society of Anesthesiologists and four other societies says most patients can keep taking a GLP-1 before an elective procedure, with a 24-hour liquid diet for those at highest risk, and names the dose-increase phase as higher risk. Your clinic's anesthesia team decides for you.
How much does a GLP-1 cost without insurance?
Brand-name Wegovy and Zepbound start at $149 a month from the makers' own pharmacies (Wegovy pill from $149, the Wegovy pen $199 for two introductory fills then $349, Zepbound vials $299 to $449 by dose). Compounded semaglutide or tirzepatide, which is not FDA-approved, starts at $39 a month.