Clinician-led semaglutide or tirzepatide care when appropriate, with nutrition coaching and medication delivered to your door. A licensed clinician decides who is eligible.
Compounded medications are not FDA-approved. Medication cost is separate from membership. Read the Important Safety Information.
Dose day
Thursday
Step 2 of 5 · set by your clinician
MTWTFSS
Weight trend
181.4 lb
Illustrative. Individual results vary.
Next box ships Oct 23
How GLP-1 care works
A medicine, a plan, and people on your side.
GLP-1 medicines are prescribed for adults when a licensed clinician decides they are appropriate. Here is the idea in plain language.
It works on appetite signals
These medicines act on hormone pathways involved in hunger and fullness, and they slow digestion. For some people that means feeling hungry less often.
Doses go up in small steps
Your clinician starts with a low dose and steps up gradually, only if side effects are manageable. You never change a dose on your own.
Habits make it last
Medication is one tool. Food, movement, sleep and regular check-ins carry the rest. Appetite and weight can change after stopping, so that is planned with your clinician.
Medications
Two medicines. Clear labels.
A licensed clinician may prescribe semaglutide or tirzepatide if they decide you are a candidate. Each can come as a manufacturer brand or as a compounded version. Compounded medications are not FDA-approved.
Semaglutide
GLP-1 receptor agonist
Once-weekly injection
Weight-management brand
Wegovy
Same molecule, diabetes brand
Ozempic
Compounded version
Not FDA-approved.Made by a compounding pharmacy and not reviewed by the FDA for safety or effectiveness before sale.
Tirzepatide
GLP-1 and GIP receptor agonist
Once-weekly injection
Weight-management brand
Zepbound
Same molecule, diabetes brand
Mounjaro
Compounded version
Not FDA-approved.Made by a compounding pharmacy and not reviewed by the FDA for safety or effectiveness before sale.
Brand vs compounded, side by side
Attribute
Manufacturer brand
Compounded
Who makes it
The drug manufacturer, under its own label
A compounding pharmacy, prepared to a prescription
FDA status
Labeled and reviewed by the FDA for its listed uses
Not FDA-approved
Safety and potency review
Reviewed in clinical trials and printed on the label
Not reviewed by the FDA for safety or effectiveness before sale. Quality depends on the pharmacy.
Dose steps
Printed schedule from the label
Clinician sets the schedule. Confirm the concentration with the pharmacy.
Explore an example dose ladder
Example only, not a prescription. Select a step to read about it.
Dose-day planner
Pick a day that fits your week.
If a clinician prescribes a once-weekly medicine, you choose the day that is easiest to remember. Try it to see how doses and deliveries line up.
Weekly dose day
Sample planner for people who have been prescribed a weekly medicine. Your clinician sets your dose and your schedule, and a delivery usually arrives 2 to 5 days after it ships.
Delivered to your door
From prescription to porch in 2 to 5 days.
When a clinician prescribes medication, a licensed pharmacy prepares it for you and ships it in plain packaging. Delivery is included with every plan.
1
Your clinician prescribesOnly after reviewing your assessment, history and labs.
2
The pharmacy prepares itA licensed pharmacy fills the order and checks it against your prescription.
3
Packed with supplies and instructionsCold packs are added when your medicine needs them.
4
Delivered in 2 to 5 daysTrack every step in your portal, and message us if anything looks off.
Your medication, labeled for you
Needles or pen supplies
Alcohol wipes
Written dosing instructions
A sharps disposal guide
Storage instructions
Nutrition and movement
Coaching for the rest of your week.
A weekly dose takes minutes. The rest of the week is food, movement, sleep and routine, and your coach helps with all of it. Plus and Plan for two include coaching.
A plate with protein, fiber and color
A walk after dinner counts
Protein
First
Protein at each meal helps you feel full and supports your muscles. Your coach sets a daily range for you.
Fiber and fluids
Steady
Vegetables, beans, whole grains and regular water help with digestion while your appetite changes.
Movement
Small
Short walks and two or three strength sessions a week. Start where you are, and build from there.
An example sequence. Your clinician sets your own schedule, and steps happen only if you are ready for them.
Week1
Assessment and review
Clinician reads your intake and orders baseline labs if needed.
Week2
Plan and first box
If medication is prescribed, it ships and the starting dose begins.
Week3
Coaching starts
Your coach builds a plate and a walking routine around your week.
Week4
First check-in
Side effects, hydration and appetite reviewed together.
Week5
Possible dose step
Only if tolerated, and only when the clinician confirms.
Week6
Meals tuned
Coach adjusts portions and timing where protein runs short.
Week7
Movement builds
Walks get longer and strength sessions get a little harder.
Week8
Second check-in
Weight, waist and energy reviewed, plus any side effects.
Week9
Next step, if ready
Dose steps are never automatic.
Week10
Hydration and labs
Repeat labs ordered if your clinician indicates.
Week11
Habit review
Keep what works, drop what does not.
Week12
Review and next plan
Your clinician sets the plan for the next stretch with you.
Side-effect support
When your stomach pushes back.
Nausea, constipation and low appetite are the most common early effects. Many ease with small adjustments, and your care team helps. Tell us about anything that persists or worsens.
Nausea
Common in the first weeks and after each step up.
Smaller meals, eaten more slowly
Yogurt or a protein shake when meals feel heavy
Stay upright after eating
Constipation
Slower digestion is expected with GLP-1 medicines.
Fiber from vegetables, beans and whole grains
Steady fluids through the day
A daily walk
Low appetite and tiredness
Appetite drops, and protein can slip without a plan.
Keep your protein target as the floor
Your coach adjusts meal size and timing
Shorten workouts rather than skipping
Dehydration
Vomiting or diarrhea can cause fluid loss quickly.
Sip fluids through the day
Tell us if you cannot keep fluids down
We review hydration at every check-in
Contact your clinic the same day for any of these
Vomiting that stops you keeping fluids down. Severe stomach pain that spreads to your back, which can signal pancreatitis. Yellowing of the skin or eyes. Symptoms of low blood sugar that do not settle. This list is not medical advice and does not replace urgent care. In an emergency, call emergency services.
Fit
Who this may not be right for.
GLP-1 medicines are not right for everyone. These are common reasons a clinician may decline or pause treatment.
A licensed clinician decides eligibility, and may decline even when nothing on this list applies to you.
A personal or family history of medullary thyroid carcinoma (MTC) or MEN 2
Pregnant, planning a pregnancy or breastfeeding
A history of pancreatitis or serious gallbladder disease
Significant kidney disease
Under 18
Pricing
Plus is $199 a month.
Care, coaching and delivery in one monthly fee. Medication is billed separately, and the sample range is stated below so there are no surprises.
Brand products are made by the manufacturer and labeled for their listed uses. Compounded medications are prepared by a compounding pharmacy. Compounded medications are not FDA-approved. The FDA does not review them for safety or effectiveness before they are sold.
A licensed clinician decides eligibility after your assessment, medical history and any labs. Some people cannot use a GLP-1 medicine, including anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, and anyone who is pregnant.
No. Many members start with nutrition coaching and labs, and medication is only part of the plan if your clinician decides it is appropriate and you want it.
Every two weeks while a dose is being adjusted, then monthly. Each check-in covers side effects, nutrition, movement and the next dose step. You can message your team any time in between.
You can pause or cancel any time. Stopping a GLP-1 medicine often changes appetite and weight, so that decision is made with your clinician, who helps plan what comes next.
Important Safety Information
Boxed warning: risk of thyroid C-cell tumors
In rodents, semaglutide and tirzepatide cause thyroid C-cell tumors, including medullary thyroid carcinoma (MTC). It is not known whether they cause thyroid C-cell tumors, including MTC, in people. Do not use if you or a family member has had MTC, or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your clinician about symptoms of thyroid tumors, such as a lump or swelling in the neck, hoarseness, trouble swallowing or shortness of breath.
Common side effects
Nausea, vomiting and diarrhea
Constipation and stomach pain
Heartburn, reduced appetite and tiredness
Serious risks
Pancreatitis (severe, lasting stomach pain)
Gallbladder problems
Low blood sugar, especially with insulin or a sulfonylurea
Kidney problems, which can follow dehydration from vomiting or diarrhea
Serious allergic reactions
Pregnancy
Not for use in pregnancy. Tell your clinician right away if you may be pregnant or are planning a pregnancy.
Results vary
Individual results vary, and the examples on this page are illustrative. Medication is for adults and is used with nutrition and activity. Eligibility is decided by a licensed clinician.
Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality. Ask your clinician for the full prescribing information and medication guide before you start. This page describes a fictional sample practice and is not medical advice.
Ready to see if it fits you?
Start with the assessment. A licensed clinician reviews it, then decides whether a GLP-1 plan is right for you.
