01 / Start here
Guides, newest first
02 / What we recommend
Services we have checked
We include products and services we think are useful. If you buy through links on this page, we may earn a commission. Here is how we pick.
Telehealth / primary care
4.0
Sesame
Best for uninsured or high-deductible readers who want an upfront price for a visit, or a lower-fee brand-only GLP-1 program.
Sesame is the honest budget option: transparent per-visit cash prices, clinicians in every state, and a weight-loss program that sells brand-name GLP-1s only. It does not bill insurance, so insured readers pay out of pocket for the visit.
Telehealth visits from $34; weight-loss program $99/mo or $59/mo annual
Weight management / GLP-1
3.3
Trimi
Best for cash payers set on a compounded GLP-1 who will prepay a longer plan and accept that these are not FDA-approved products.
Trimi undercuts every compounded program we checked ($99 to $175 a month for semaglutide) and names its prescriber network and pharmacies. Its own terms never name a legal entity, and one cited pharmacy license resolves to a different company name. Good price, read the fine print.
Compounded semaglutide from $99/mo on a 12-month prepay; $175 month to month
Weight management / GLP-1
2.7
Bodybuilding Health+
Best for cash payers who will prepay 3 to 12 months of compounded semaglutide for the lowest rate and accept all-sales-final terms on a product the FDA has not approved.
Bodybuilding Health+ is the telehealth program sold under the Bodybuilding.com brand (operator: Dynamo Group LLC). Compounded semaglutide runs $139 to $179 a month, the FDA non-approval notice is on every page, and the Terms make every sale final. Fair price, the weakest refund terms we have scored.
Compounded semaglutide $179 first month ($100 off), then $159.33, $158 or $141.50/mo by prepaid term
Weight management / GLP-1
2.6
SHED
Best for cash payers who have decided on a compounded GLP-1, understand it is not an FDA-approved product, and are comfortable with a two-month minimum.
SHED sells compounded semaglutide from $159 to $199 a month and brand-name options through a separate membership. The prices are real; so are the two-month minimum, the non-refundable fees, and a BBB complaint pattern about billing without shipment. Read the terms before you buy.
Compounded semaglutide from $159/mo on a 12-month plan; brand Wegovy and Zepbound at pharmacy price
03 / Numbers to track
Biomarkers that matter here
Apolipoprotein B
ApoBRisk-enhancing factor: 130 or higher mg/dL
Fasting plasma glucose
FPGNormal (below the prediabetes range): under 100 mg/dL
HDL cholesterol
HDL-CLow (a major risk factor): under 40 mg/dL
Hemoglobin A1C
A1CNormal (below the prediabetes range): under 5.7 %
High-sensitivity C-reactive protein
hs-CRPLow relative risk: under 1 mg/L
LDL cholesterol
LDL-COptimal: under 100 mg/dL
Triglycerides
TGNormal: under 150 mg/dL