A healthy weight is the front door.

Two molecules.

Everything on this page is one of two medications.

Semaglutide is a GLP-1 receptor agonist, acting on the receptors the body’s own GLP-1 hormone acts on. Tirzepatide acts on two incretin pathways rather than one, GIP and GLP-1. Both are prescription-only, taken once weekly in their injectable forms, and started low.

Which one is appropriate is a clinical decision, not a preference. It depends on your history, your current medications, and how your body responds over time.

Compounded or brand name.

Both molecules come two ways.

The brand-name products — Wegovy® and Zepbound® — are made by Novo Nordisk and Eli Lilly and approved by the FDA for chronic weight management in adults who meet defined criteria.

The compounded versions are prepared by licensed 503A pharmacies against a patient-specific prescription. They are not reviewed or approved by the FDA for safety, effectiveness, or quality, they are not the same product as the brand-name versions, and they are not generics — no generic semaglutide or tirzepatide exists.

Four forms.

Standard injectable, once weekly, dosed on a schedule your clinician sets.

Microdose, the same molecule at a lower dose with vitamin B12, for a more gradual introduction. There is no FDA-approved dosing for microdose protocols.

Sublingual drops, held under the tongue instead of injected, for people who would rather not inject. There is no FDA-approved sublingual form of either molecule.

Brand name, dispensed by a licensed U.S. pharmacy on a prescription written after a clinician review.

What’s included.

Every plan includes the medication, injection supplies where applicable, the clinician consultation and review, ongoing clinician oversight, and shipping. No membership, no hidden fees. You are not charged unless a clinician approves treatment.

Where to start.

One consultation covers all of it. You don’t need to decide between eight products before you begin — you answer an intake, a licensed clinician reviews it, and they recommend what’s appropriate for you.

A healthy weight is the front door here, not the finish line. The point is what comes after: the years ahead.