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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 offer

One price. Everything is in it.

No membership fee stacked on top of a drug bill, and no separate pharmacy charge arriving later. What you see below is what you are charged each month.

Get started for only $179/month
Pay over time Klarna Afterpay Affirm
  • Free clinician consultation. Reviewed by a licensed provider in your state
  • Custom dosing. Adjusted month to month as you titrate up
  • GLP-1 medication included. The drug is in the price, not billed separately
  • Free tracked delivery. On the first order and on every refill
  • Unlimited check-ins. Message the care team seven days a week
  • Flat monthly price. No contract, no cancellation fee

No insurance needed · No card required to check eligibility

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

The first year, week by week.

0.0% AVG BODY WEIGHT Week 0 of 68
Week 0 — the starting doseTreatment begins low, usually 0.25 mg once a week. Most people notice very little in the first fortnight, which is by design — the dose is deliberately small to let the body adjust.
Week 4 — appetite signals quietenThe effect people describe most often is that food stops occupying so much mental space. Portions shrink without forcing it. Nausea, if it appears, is usually mildest here.
Week 16 — the dose steps upYour clinician titrates upward as tolerated. Early gastrointestinal side effects have typically settled by this point. Weight loss is steepest across this stretch.
Week 36 — roughly a tenth downTrial participants averaged close to 10% of starting body weight by now. This is usually when clothes fit differently and blood pressure and A1c readings start to move.
Week 68 — the curve flattensThe published average lands near 15%. Loss slows and plateaus — this is normal, not failure. Maintaining it depends on staying on treatment, protein intake and resistance training.
0% −4% −8% −12% −16%

Source and honesty note. These figures are published clinical trial averages for semaglutide in adults with overweight or obesity, alongside structured diet and activity counselling. They 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. Compounded medications are not FDA-approved.

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

Real stories. Real people.

★★★★★

Nurse practitioner Jennifer had a lot of knowledge

Nurse practitioner Jennifer had a lot of knowledge about weight loss. She also had experience with the program herself personally, which made the experience very satisfying.

Deirdre Junta Verified client
Reviewed Jan 14, 2026
★★★★★

Almost done with month 2 and down 15 lbs

Almost done with month 2 and down 15 lbs. Honestly didnt think it would work this well. The appetite suppression kicked in pretty quick and I dont have to force myself to eat less anymore it just happens naturally. Shipping was fast both times I ordered and havent had any issues. Glad I gave it a shot!!

Samuel Vickers Verified client
Reviewed Mar 2, 2026
★★★★★

Felt like proper healthcare

Had my consultation with a nurse practitioner who actually took time to go through my medical history, felt like proper healthcare. Meds arrived 4 days later.

Yannick Kemp Verified client
Reviewed Mar 2, 2026
★★★★★

Way easier than I expected

Was really nervous about giving myself injections. Watched their tutorial video and honestly it's way easier than I expected. Barely feel it. Down 7 lbs in 3 weeks so far.

Gregory Campbell Verified client
Reviewed Mar 1, 2026
★★★★★

Helped me get past a plateau

Good conversation with Nurse practitioner, "Dawn". She listened and was able to communicate well. She gave me advice I needed to get out of the Plateau I'm experiencing and to lose weight again.

Terry Lee Verified client
Reviewed Feb 23, 2026

About these reviews. These are unedited reviews from verified clients of the program, shown with the reviewer's name and the date they were submitted. Individual reviews describe one person's experience. Where a reviewer mentions a specific amount of weight lost, that is their own result and not a typical or expected outcome — published clinical trial averages are shown in the research section above. Weight loss varies widely and is not guaranteed.

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