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Licensed U.S. clinicians Ships to all 50 states

Prescription weight loss, without the waiting room.

Answer a few health questions online. A licensed clinician reviews your file, usually within 24 hours. If you're approved, your GLP-1 medication ships free in 48 hours — from $179/month, no insurance required.

  • No insurance, no prior authorization. One flat monthly price that includes the medication.
  • No clinic visits and no lab work required for most people to get started.
  • Your dose is adjusted month to month by the clinical team, with support 7 days a week.
  • Cancel any time. No contract, no cancellation fee.
Compounded in U.S. pharmacies cGMP standards Free 48-hour shipping Support 7 days/week

Step 1 of 2

Check your eligibility

Takes about 30 seconds. No payment details, no commitment.

210LBS
110450 LBS
You likely qualify. Based on the numbers you entered, a clinician can review you for a GLP-1 program.
BMI 33.9

This is not a diagnosis. Final eligibility is determined by a licensed clinician after reviewing your full health history.

Verified LegitScript Certified, Made in USA, HIPAA Compliant Licensed in 50 states
Semaglutide from $179/mo Tirzepatide from $259/mo Shipping always free Cancel anytime
GLP-1 and GLP-1 plus GIP medication vials

The medication

Two options. Your clinician picks the fit.

Both arrive as a single-vial four-week supply with everything you need to dose at home. Same shipping, same support, same cancel-anytime terms.

GLP-1 medication vial containing semaglutide
GLP-1Contains semaglutide
$179/mo
GLP-1 plus GIP medication vial containing tirzepatide
GLP-1 + GIPContains tirzepatide · dual action
$259/mo

What arrives

Everything for the first month, in one box.

Shipped in plain packaging with no medical branding on the outside. Nothing to pick up, nothing to assemble.

Opened shipping box containing medication cartons
The deliveryFree tracked shipping on every order, including refills. Typically 48 hours once the pharmacy fills it.
Fatless Living treatment selection screen alongside medication vials
The appPick your plan, message the care team, and manage refills from your phone.
Medication vials with a security shield, representing HIPAA-compliant handling
Your dataHIPAA-compliant handling. Your health information is never sold.

How it works

Four steps. Most people finish the first one in five minutes.

01 / INTAKE

Answer the health questions

Online, on your phone. Medical history, current medications, and your goals. No video call needed.

≈ 5 minutes
02 / REVIEW

A clinician reviews your file

A licensed provider in your state decides whether a GLP-1 is appropriate for you, and which one.

Usually under 24 hours
03 / DELIVERY

Medication arrives at your door

Filled by a U.S. compounding pharmacy, shipped cold and discreet. Needles and instructions included.

48 hours, free
04 / ONGOING

Your dose gets adjusted

Check in monthly. If side effects show up or progress stalls, the clinical team changes the plan.

Every month

What it does

GLP-1 is a hormone your body already makes.

The medication is a synthetic version of it. It doesn't burn fat directly — it changes the signals that drive how much you eat.

Illustrative — not to anatomical scale

  • A

    It turns down appetite signalling in the brain

    GLP-1 receptors in the hypothalamus register fullness. Most people describe the effect as the constant background chatter about food going quiet.

  • B

    It slows how fast your stomach empties

    Food stays put longer, so you feel full sooner and stay full for longer after a smaller portion. This is also why nausea is the most common early side effect.

  • C

    It sharpens the insulin response after a meal

    The pancreas releases insulin more efficiently when blood sugar rises, and less glucagon. This is why the drug class started out as a type 2 diabetes treatment.

What the research shows

Published trial averages, not promises.

Anyone showing you dramatic side-by-side photos is either breaking advertising rules or showing you an outlier. Here is what the clinical literature reports instead.

Semaglutide + lifestyle change Lifestyle change alone
0% −4% −8% −12% −16% WK 0 16 32 48 68 ≈ −15% AVG ≈ −2.4% AVG

Source and honesty note. Figures reflect published clinical trial averages for semaglutide in adults with overweight or obesity over roughly 68 weeks, alongside lifestyle intervention. Trial participants received structured diet and activity counselling. These are averages across thousands of people, not a prediction for you. Individual results vary widely and depend on dose, adherence, diet, activity and your own biology. Some people lose considerably less, and some stop treatment because of side effects. Weight loss is not guaranteed. Replace this chart with your own outcome data only if you can substantiate it — FTC health claims require competent and reliable scientific evidence.

Pricing

One price. The medication is in it.

No membership fee stacked on top of a drug cost. No surprise pharmacy bill. The price you see is what you're charged each month.

TirzepatideGLP-1 + GIP · COMPOUNDED · WEEKLY INJECTION
$0/month

Dual-action. Often prescribed when semaglutide isn't the right fit.

  • Everything in the semaglutide plan
  • Dual GLP-1 / GIP receptor action
  • Same-dose pricing as you titrate up
  • Switch plans at any time, no fee

All treatments

Every option, with the real price next to it.

Brand-name pens are available if a clinician decides they are right for you. Most people choose a compounded option because the medication is the same active ingredient at a fraction of the cost.

Most affordable GLP-1 weight loss medication

GLP-1

Contains semaglutide
Starting at $179/mo
Important info

Prescription only. Compounded medications are prepared by a licensed U.S. pharmacy and are not FDA-approved. GLP-1 medicines carry a boxed warning for risk of thyroid C-cell tumors. Do not use if you or a family member has had medullary thyroid carcinoma or MEN 2. Common side effects include nausea, diarrhea, vomiting and constipation.

Fastest results GLP-1 + GIP weight loss medication

GLP-1 + GIP

Contains tirzepatide
Starting at $259/mo
Important info

Prescription only. Compounded medications are prepared by a licensed U.S. pharmacy and are not FDA-approved. GLP-1 medicines carry a boxed warning for risk of thyroid C-cell tumors. Do not use if you or a family member has had medullary thyroid carcinoma or MEN 2. Common side effects include nausea, diarrhea, vomiting and constipation.

Ozempic® weight loss medication

Ozempic®

Semaglutide · Novo Nordisk
Starting at $1149/mo
Important info

Prescription only. Carries a boxed warning for risk of thyroid C-cell tumors. Do not use if you or a family member has had medullary thyroid carcinoma or MEN 2. Common side effects include nausea, diarrhea, vomiting and constipation. Dispensed only if a licensed clinician determines it is appropriate for you.

Mounjaro® weight loss medication

Mounjaro®

Tirzepatide · Eli Lilly
Starting at $1249/mo
Important info

Prescription only. Carries a boxed warning for risk of thyroid C-cell tumors. Do not use if you or a family member has had medullary thyroid carcinoma or MEN 2. Common side effects include nausea, diarrhea, vomiting and constipation. Dispensed only if a licensed clinician determines it is appropriate for you.

Zepbound® weight loss medication

Zepbound®

Tirzepatide · Eli Lilly
Starting at $1249/mo
Important info

Prescription only. Carries a boxed warning for risk of thyroid C-cell tumors. Do not use if you or a family member has had medullary thyroid carcinoma or MEN 2. Common side effects include nausea, diarrhea, vomiting and constipation. Dispensed only if a licensed clinician determines it is appropriate for you.

Wegovy® weight loss medication

Wegovy®

Semaglutide · Novo Nordisk
Starting at $1579/mo
Important info

Prescription only. Carries a boxed warning for risk of thyroid C-cell tumors. Do not use if you or a family member has had medullary thyroid carcinoma or MEN 2. Common side effects include nausea, diarrhea, vomiting and constipation. Dispensed only if a licensed clinician determines it is appropriate for you.

How to read this. Compounded semaglutide and tirzepatide contain the same active ingredients as the brand-name products beside them, prepared by a licensed U.S. compounding pharmacy rather than the original manufacturer. They are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality. Brand-name prices shown are self-pay cash prices without insurance and can change. A licensed clinician decides which, if any, of these is appropriate for you.

The alternative

What getting a GLP-1 usually looks like.

Most people who land here have already tried the traditional route and hit a wall — either a denial, a waitlist, or a price.

Insurance & clinic routeThis program
Getting an appointmentOften 2–8 weeks outSame day, online
Prior authorizationRequired, frequently deniedNot applicable
Monthly cost if denied$900–$1,300 retailFrom $179, flat
Lab work before startingUsually requiredNot required for most
Getting a dose changedNew appointmentMessage the care team
RefillsPharmacy trips, stock shortagesShipped free, automatically

Straight answers

This isn't right for everyone.

We'd rather tell you now than take your money and have a clinician turn you down later. Here's roughly where the line sits.

Usually eligible

  • Adults 18 and over living in the U.S.
  • BMI of 30 or higher
  • BMI of 27 or higher with a related condition such as high blood pressure, high cholesterol, sleep apnea or prediabetes
  • Willing to pair the medication with changes to how you eat and move

Talk to your own doctor first

  • Personal or family history of medullary thyroid carcinoma, or MEN 2 syndrome
  • Pregnant, planning pregnancy, or breastfeeding
  • History of pancreatitis or serious gastrointestinal disease
  • A current or past eating disorder
  • Under 18

Member feedback

What people say once they're a few months in.

★★★★★

I'd been putting this off for two years because I assumed I'd get denied again. Filled out the form on a Tuesday night, had an answer Wednesday afternoon. The part I didn't expect was how much the food noise quieted down.

Placeholder — Denise R., Ohio
★★★★★

First two weeks the nausea was real. I messaged the team, they slowed my titration, and it settled. That's the part that made me stay — somebody actually answered.

Placeholder — Marcus T., Texas
★★★★★

What sold me was that the price didn't move when my dose went up. I'd read enough horror stories about the bill tripling in month three.

Questions

The things people actually ask.

Is this real medication?
Yes. Prescriptions are written by licensed U.S. clinicians and filled by U.S. compounding pharmacies operating under cGMP standards. Compounded semaglutide and tirzepatide are prepared by a licensed pharmacy rather than manufactured by the brand-name drug maker, which is why the price is different. They are not FDA-approved products, and that distinction is explained in full before you agree to anything.
How much weight do people actually lose?
In published clinical trials of semaglutide, adults with overweight or obesity lost an average of roughly 10–15% of their body weight over about a year. Your result depends on your dose, your starting point, what you eat, how you move, and your own biology. Weight loss is not guaranteed and some people lose considerably less.
Do I need insurance?
No. This program does not bill insurance, which is exactly why there's no prior authorization and no denial letter. You pay one flat monthly price by card.
What are the side effects?
The common ones are gastrointestinal: nausea, diarrhea, constipation, fatigue, and soreness at the injection site. They're usually mildest at low doses and settle as your body adjusts. Serious risks include pancreatitis, gallbladder problems, and thyroid C-cell tumors seen in rodent studies. Your clinician reviews all of this with you, and you should stop and seek care for severe abdominal pain or an allergic reaction.
Do I need lab work or a video visit?
Not for most people. The intake form covers the medical history a clinician needs. If something in your answers calls for labs or a live conversation, the clinician will ask for it before prescribing.
What happens if I'm not approved?
You aren't charged. If a clinician decides a GLP-1 isn't appropriate for you, we tell you why and, where we can, point you toward a next step.
Can I cancel?
Yes, any time, from your account or by calling. There's no contract and no cancellation fee. Cancelling before your next fill date stops the next charge.
How fast does it ship?
Once a clinician approves you and the pharmacy fills the prescription, delivery typically takes 48 hours. Shipping is free on every order, including refills.

Find out where you stand in about two minutes.

No card, no commitment, no phone tag. Answer the questions and a licensed clinician takes it from there.

Free · No payment details required · Cancel any time