Medications, formats, starting prices, and terms — side by side, in plain facts. No star ratings I can't stand behind. Plus how to check any provider yourself before you hand over a card number.
I get asked which GLP-1 provider to use more than almost anything else. Here's the honest answer I always give first: I can't have tried all of them, so I won't pretend I did. I lost 65 lbs on a GLP-1 and I know my own experience — but eight different telehealth companies is not something one person tests.
So instead of inventing ratings, I did the next most useful thing: I pulled together the facts that are actually verifiable — what each one prescribes, in what form, what it starts at, and how the commitment works — and put them in one place so you can compare without opening twelve tabs.
The most useful thing I can hand you isn't my opinion. It's the facts lined up, plus how to check the rest yourself.
One thing worth knowing up front: every provider below prescribes compounded GLP-1 medication (SHED also offers brand-name and an FDA-approved pill). Compounded semaglutide and tirzepatide use the same active ingredients as Wegovy, Ozempic, Mounjaro, and Zepbound, but the finished compounded product is not FDA-approved. That's not a scare — it's a fact every provider in this space operates under, and one you should understand before you start.
Starting prices are the advertised entry rate. Most rise after the first month or require a longer plan for the lowest number — so confirm the ongoing price at checkout, not just the headline.
| Provider | Medications | Formats | Starting price | Commitment | |
|---|---|---|---|---|---|
| Trimi | Compounded semaglutide & tirzepatide | Injection | $99 semaglutide$125 tirzepatide · flat across doses (annual plan) | Month-to-month · pause or cancel anytime | Visit → |
| Embody | Compounded semaglutide & tirzepatide | Injection + oral gum (needle-free) | ~$149 first monthongoing typically higher — confirm at checkout | Month-to-month · cancel anytime | Visit → |
| Sprout | Compounded semaglutide & tirzepatide | Injection + oral tablet | ~$199 first monththen ~$249 sema / ~$299 tirz | No contractnot available in AL, AR, CA, LA, MS, ND | Visit → |
| SHED | Compounded sema & tirz + brand-name Wegovy / Zepbound + FDA-approved pill | Widest menu — injection, drops, lozenges, tablets, pill | from ~$199rises with dose on some plans | 2-month minimum10% weight-loss guarantee (conditions apply) | Visit → |
| Gala | Compounded semaglutide & tirzepatide (+ microdosing) | Injection | ~$149–199lowest rate on 3-month or annual plan | 3-month / annual for best pricewomen-focused · app for tracking | Visit → |
How to read this: "Compounded" means the medication is mixed by a licensed pharmacy to a prescription rather than being an FDA-approved finished product. Prices and state availability change often and vary by plan length — treat everything here as a starting point to verify on the provider's own site, not a quote.
These are also on my radar, but I couldn't verify enough about their pricing or terms to compare them fairly in the table above. So I'm listing them plainly rather than making claims I can't back up — run the checks below before signing up with any of them.
Telemedicine platform for prescription management and ongoing care.
GLP-1 treatment plans with licensed provider guidance and flexible monthly-to-yearly bundles.
Not GLP-1 · Longevity / anti-aging
A different category entirely — physician-guided anti-aging and longevity care, not GLP-1 weight loss.
This matters more than which name you pick from the table. Run through these on any GLP-1 telehealth site — including the ones above — before you enter payment details.
The number in the ad is almost always a first-month or long-plan rate. Click through to what you'll pay in month two and beyond. This is the single most common surprise in this space.
Availability changes by state and by month, sometimes mid-treatment. Check your specific state before signing up, not after.
Look for how you cancel and whether there's a minimum commitment. If you can't find a clear cancel path before paying, treat that as the answer.
Look the provider up on Trustpilot and the BBB directly. Ratings on "review" sites that link out to the provider can be inflated — go to the source.
Legitimate compounding providers name their pharmacy partners and often carry LegitScript certification. A missing pharmacy name is worth a pause.
Compounded GLP-1s cost far less but aren't FDA-approved as finished products. Know which one you're getting, and talk to a provider about the trade-off.
Brand-name Wegovy and Zepbound run well over $1,000 a month without insurance, which is why compounded programs at $99–$299 exist at all. That gap is real — but so is the FDA scrutiny on compounded GLP-1s right now. If long-term stability is your goal, factor in whether your chosen provider will still have your medication available six months from now.
Choosing a provider is one decision. What you do once you're stable is another — and the one I got wrong.
What happened when I tried spacing my GLP-1 doses to save money — the physical fallout, the mental noise, and the framework I use now before changing anything. Free, no signup.
Download free →The full personal account — I lost 65 lbs, tried to be clever with every-other-week dosing, and lost two months of stability. Here's exactly what broke and what fixed it.
Read the account →Affiliate disclosure. This page contains affiliate links. If you sign up through a "Visit" link here, AfterTheChange may earn a commission at no additional cost to you. The comparison is built from publicly available information and personal research — not paid placements, and providers do not pay to be ranked or featured. This is not medical advice. It reflects personal experience and independent research and is provided for educational purposes only. Always consult a qualified healthcare professional regarding medication decisions.