Available in
Doctor-guided GLP-1 care.
Compounded GLP-1s
from $135/mo all-in
- Semaglutide and tirzepatide injections
- Medicine, doctor and shipping in one price
- Unlimited video visits and messaging
Brand-name GLP-1s
$28/mo + cost of medicine
Medicine from $149/mo at LillyDirect or NovoCare
- Zepbound, Wegovy and Foundayo
- Prescriptions and ongoing care from your doctor
- Buy the medicine at the maker's price
It takes about 2 minutes. A doctor reviews your information at no cost. You pay only if you choose medication.
Five simple steps, starting online
Fill intake
Tell us about your health and goals.
Get startedRequest care
Choose an online request (where state rules allow), written message, or video visit.
See care optionsGet reviewed
A licensed doctor decides whether treatment is right for you.
Meet the teamSubscribe
If prescribed, start your subscription and we'll order your medication.
See pricingGet meds
Your medication ships directly from a licensed U.S. pharmacy.
Your pharmacyThree ways to request care
Request medication online
FastestKnow what you want? Send it for review — no appointment needed where state rules allow.
Message a doctor
If you have questionsAsk anything and weigh your options in writing.
Book a video visit
If you'd rather talkTalk it through live and decide together.
In every case a licensed doctor reviews your information and makes the final prescribing decision.
Care continues after you start
Dose adjustment
Example tirzepatide dosing over time
Message or video visit your doctor any time
Questions about your treatment, side effects, adjusting your dose — whatever it is, just reach out.
Personally adjusted dosage throughout your journey
Your doctor finds the dose that works for you, based on your needs and tolerability.
Our care programs
Every care program includes unlimited doctor's care:
- Prescribing
- Dose adjustments and titration
- Help with side effects
- Answers to your questions along the way
Your first evaluation and video visit with the doctor are free.
If the doctor finds a program right for you, its price depends on the medication. The price you see below is the whole price, billed monthly, with no shipping fees or added taxes. HSA and FSA cards are accepted.
Compounded medication
We send two months or more (depending on your dose) of medication at a time to save on refrigerated overnight shipping costs. That's why we have a two-month minimum commitment when you start: you're billed when you start and again one month later. After each refill, you can cancel 30 days after you request it.
Semaglutide
- Self-administered weekly injections
- Needles, syringes, alcohol pads and a sharps container
- Anti-nausea medication if needed
- Unlimited messaging and video visits with your doctor
- Two-month minimum commitment
Dose tiers & prices
| Stage | Dose | Price |
|---|---|---|
| Starting | 0.24–0.48 mg/wk | $135/mo |
| Medium | >0.48–1.2 mg/wk | $159/mo |
| High-dose | >1.2–2.4 mg/wk | $199/mo |
Tirzepatide
- Self-administered weekly injections
- Needles, syringes, alcohol pads and a sharps container
- Anti-nausea medication if needed
- Unlimited messaging and video visits with your doctor
- Two-month minimum commitment
Dose tiers & prices
| Stage | Dose | Price |
|---|---|---|
| Starting | 2.5–5 mg/wk | $169/mo |
| Medium | >5–10 mg/wk | $219/mo |
| High-dose | >10–15 mg/wk | $269/mo |
Brand-name medication
You pay for your care and the medicine separately. Once the doctor sends your prescription to the pharmacy, you set up an account at LillyDirect or NovoCare, pay for the medicine there and order its free home delivery. No minimum commitment, cancel anytime.
Zepbound®(tirzepatide)
- Self-administered weekly injections
- Single-dose vial or KwikPen
- Unlimited messaging and video visits with your doctor
- No minimum, cancel any time
FDA-approved

Brand-name
Medicine at LillyDirect
You buy it yourself, from Lilly's own direct-to-patient service.
| Dose | Price |
|---|---|
| 2.5 mg/wk | $299/mo |
| 5 mg/wk | $399/mo |
| 7.5–15 mg/wk | $449†/mo |
| Supply kit | Price |
| Needles and syringes (pen needles for KwikPen) | $5/mo |
Wegovy®(semaglutide)
- Self-administered weekly injections
- Pens with the needle built in
- Unlimited messaging and video visits with your doctor
- No minimum, cancel any time
FDA-approved

Brand-name
Medicine at NovoCare
You buy it yourself, from Novo Nordisk's own direct-to-patient service.
| Dose | Price |
|---|---|
| 0.25–2.4 mg/wk | $349‡/mo |
| 7.2 mg/wk | $399/mo |
Foundayo™(orforglipron)
- A pill once a day
- No food or water rules
- Unlimited messaging and video visits with your doctor
- No minimum, cancel any time
FDA-approved

Brand-name
Medicine at LillyDirect
You buy it yourself, from Lilly's own direct-to-patient service.
| Dose | Price |
|---|---|
| 0.8–2.5 mg/day | $149§/mo |
| 5.5 mg/day | $199§/mo |
| 9–17.2 mg/day | $299†/mo |
†Zepbound 7.5–15 mg is $449 a month when you reorder within 45 days of your last delivery; otherwise $499 at 7.5 mg and $699 at 10–15 mg.
†Foundayo 9–17.2 mg is $299 a month when you reorder within 45 days of your last delivery; otherwise $349 at 14.5–17.2 mg, and 9 mg stays $299.
‡New Wegovy patients pay $199 a month for their first two fills of 0.25 mg or 0.5 mg, through December 31, 2026.
§Foundayo 2.5 mg is $149 a month through December 31, 2026, then $199.
§Foundayo 5.5 mg is $199 a month through December 31, 2026, then $299.
Medicine prices are the makers' self-pay prices as of October 19, 2026, and can change.
Meet your doctor
Every prescription is reviewed and written by a doctor licensed in every state we serve.

James Simmons, MD
I work only with evidence-based treatments, and my job is to help you make an informed decision.
“Researched a medication yourself? Bring it. I'm more than open to talking it through — we'll find what works for you, within what the evidence and the law allow.”View my credentials and state licenses
Meet your pharmacies
Your compounded medicine comes only from licensed US pharmacies, each filling your prescription for you.



Your prescription is filled by one of these partners, depending on your medication and location.
Lyndee Owens
June 2026Super easy process! The online doctor consultation was quick and convenient. Plus my medication arrived in the mail much faster than I expected. Great communication and an overall smooth experience.
Madison Gandy
June 2026Gentle Health has been amazing for my husband & I! We have collectively lost over 50lbs since January, with their products. Fast delivery and reliable customer service! Highly recommend if you’re looking for weight loss solutions.
Kara Holiman
June 2026The team at Gentle Health are top notch. I can’t recommend them enough. Such a great local find. Down 25lbs since starting! 10/10
Less overhead, lower prices
A simpler operation keeps unrelated costs out of your price, whether you choose compounded or brand-name medicine.
What the same dose costs
Pick a program and dose to update the chart.
The price at the higher doses within 2.5–5 mg/wk.
Prices as of October 2026, from each company’s published pricing.
What you pay for
- Your doctor: reviews, dose decisions, messaging and video visits
- Compounded: the medication and refrigerated delivery
- Brand-name: the medicine at the maker's own price, with no markup from us
- Licenses and independent quality checks
Costs we cut
- Insurance billing and prior authorizations
- Repeated paperwork
- Administrative layers
- Large advertising campaigns
Is compounded medication legal?
Compounded medications are not FDA-approved — but compounding is expressly permitted under federal law (Section 503A of the Federal Food, Drug, and Cosmetic Act) when a licensed pharmacy fills a prescription for an individual patient. A compounded formulation may differ from a commercially manufactured product, so we only prescribe one when there is a clinical reason a commercial product is not the right fit.
Is it semaglutide base or a salt form?
The base — the same form of the molecule as in the FDA-approved products, not a sodium or acetate salt. The active ingredient is pharmacy-grade, verified by certificate of analysis.
Is the medication tested?
Yes. The pharmacies that make our injections test them for sterility and bacterial endotoxins, and some test potency too. We'll send you their lab results if you ask.
Am I eligible?
You may be a fit if you're 18 or older and don't have any of the conditions that make GLP-1 therapy unsafe. Our intake form will tell you in a couple of minutes. Final eligibility is determined by a licensed doctor after your visit.
Do I have to follow a standard dose-escalation schedule?
No. The standard schedules are a starting map, not a rule — your doctor adjusts your dose up or down based on your results and tolerability, including a very low maintenance dose if that's what works for you.
Can I microdose GLP-1s?
Microdosing — taking doses lower than those studied in clinical trials — is a popular idea, but we don't yet have evidence that it works. What we do know is that many people respond well to lower studied doses. Your doctor will help you find the lowest dose that works for you.
Can I stay on medication after I reach my goal?
Yes. If treatment is working, your doctor can continue you on a low maintenance dose to help keep the weight off — staying on, adjusting down, or stopping is a decision you make together.
What happens when I cancel?
There is a two-month minimum commitment when you start. You're billed for your first month when you start and again one month later, because we send two months or more (depending on your dose) of medication at a time to save on refrigerated overnight shipping costs. After each refill, you can cancel 30 days after you request it. No additional medication is sent unless you request another refill, and monthly billing continues until you cancel. Cancellation stops future charges and shipments, but charges already made, including the current month's, are not prorated or refunded. Brand-name care has no minimum commitment: you can cancel any time.
When will I be charged?
Nothing is charged until you choose to start medication. If you do not start treatment, there is no charge and nothing to refund. And if no doctor is licensed where you live yet, we'll email you the moment we're available there.
Can I use insurance?
Not at this time. We've designed our pricing to be straightforward — without surprise bills, prior authorizations, or insurance paperwork.
Can I pay with my HSA or FSA?
Yes. GLP-1 treatment prescribed for a diagnosed condition is generally a qualified medical expense, and we accept HSA and FSA cards at checkout. If your plan asks for documentation, we provide itemized receipts and a Letter of Medical Necessity on request.
How quickly will I get medication?
Most patients have their visit within one business day of completing intake. Once a doctor writes the prescription, our licensed US pharmacies typically fill and ship your order within 5–7 business days — and once it ships, it arrives overnight in refrigerated, cold-chain packaging.
Browse all 40 states & DC
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Ready to start?
It takes about 2 minutes. A doctor reviews your information at no cost. You pay only if you choose medication.
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