Taken it before? Go straight to the medications
Pick the medication, plan and dose. A provider reviews the choice in your visit.
Weight loss
Weight loss, treated like the medical condition it is.
A licensed provider reviews you online and decides what, if anything, to prescribe: compounded semaglutide or tirzepatide, which are not FDA-approved.
Choose how to start
First time? Let a short quiz narrow it down
A short quiz on your goals, health and state shows options with prices. Nothing is prescribed until a provider reviews you.
What a visit covers
- Metabolic health review
- Compounded semaglutide or tirzepatide — weekly injections, which a provider may prescribe only where they document a clinical reason. Not FDA-approved.
- Dose steps and provider check-ins
How GLP-1 medication works
It isn't a stimulant and it isn't a diet pill. It's a long-acting copy of a hormone your own gut releases after a meal.
A hormone you already make
After a meal your gut releases GLP-1. It signals fullness to the brain, helps regulate insulin and breaks down within minutes.
The same signal, extended
The medication resists that breakdown, so the signal lasts between meals. Tirzepatide adds a second gut-hormone pathway, GIP.
The stomach empties more slowly
Food stays put longer, so smaller meals satisfy. The same mechanism causes nausea, the most common side effect.
Which is why the dose ramps
Providers start low and increase gradually so the gut adapts. The schedule is a clinical decision, revisited at every check-in.
A simplified explanation, not a treatment plan. Individual response varies, and whether any of this applies to you is a decision your provider makes after reviewing your health.
Questions
Is compounded semaglutide or tirzepatide FDA-approved?
No. Compounded medications are prepared for an individual patient by a licensed compounding pharmacy and are not FDA-approved. The FDA does not review them for safety, effectiveness or quality. The brand-name pens carry that approval; compounded semaglutide and tirzepatide are different products. Your provider may prescribe one only where they document a clinical reason specific to you.
Do you prescribe Wegovy, Zepbound, Ozempic or Mounjaro?
No. We publish educational pages on them but don't offer them: a brand-name pen bought through us would cost more than buying it from the manufacturer. If a brand-name product is the right choice for you, your provider will say so, and you can get it through the manufacturer's program or your insurance.
Which pharmacy fills my prescription?
A licensed US pharmacy in our clinical partner's network. We choose which one fills each order, based on your state and the medication. It dispenses and ships to you directly; we don't hold or ship medication. The pharmacy's name is on your label.
Partner pharmaciesWhat if I live in Ohio or Washington?
Those two states treat compounded GLP-1 medications differently, so our providers don't prescribe compounded semaglutide, tirzepatide or liraglutide there, and we have no other weight-loss medication to offer, so weight-loss care isn't available in Ohio or Washington. Your state is the first thing the quiz asks, so you'll know before you answer anything else.
Will I definitely be prescribed medication?
No. A licensed provider reviews your health history and prescribes only if treatment is appropriate and safe for you. If it isn't, you are told why. For a compounded GLP-1 the provider must document a clinical reason it's the right choice for you; that is a legal requirement. Everything above the $32 consultation stands only if prescribed and is refunded automatically if nothing is; the $32 is not refunded.
Is this a subscription?
No. You pay for each 4-week or 12-week supply when you start it; nothing renews on its own. The full cost — the $32 provider consultation, which is not refunded, and the medication if prescribed — is shown before you are charged.
Prices are if prescribed. If nothing is prescribed, the medication portion is refunded; the $32 consultation is not.