Six questions · about ninety seconds · not an eligibility check
Semaglutide and tirzepatide are both prescribed here, and you choose which one you start with. The internet will tell you one is simply better. It is not that simple, and the honest differences are ones you can actually weigh yourself.
Nothing you answer leaves your browser. There is no score, no eligibility check, and no obligation at the end.
Your price is set when you choose a plan and it does not move when your dose does. It is worth asking that question of anyone you are comparing us with, and getting the answer before you buy.
Question 1 of 6
Have you taken a GLP-1 medication before?
Question 2 of 6
What matters most to you right now?
Question 3 of 6
What have you read that you are not sure about?
Question 4 of 6
How far ahead do you want to plan?
Question 5 of 6
What is your biggest hesitation?
Question 6 of 6
Do you already have one in mind?
Last thing
Where should we send this?
Your answers, the full comparison, and what to raise in your intake. One email. Not a series.
Your result
Semaglutide
Based on what you told us, semaglutide is the sensible place to start — and not for a clinical reason. It costs less at every plan length, and it has been in wider clinical use for longer, which means a longer real-world track record. For someone starting out, those are the two things that genuinely separate the two.
Tirzepatide
Your answers point to tirzepatide. That is a matter of where you are starting from and what you have told us you want — not a verdict that one molecule outranks the other. Whatever you have taken before, and at what dose, is the single most useful thing you can put in your intake, so the physician reviewing it has the full picture.
Stay with semaglutide
You are already taking semaglutide, and nothing in your answers argues for changing that. It remains the lower-cost option at every plan length and the one with the longer real-world track record. If you are here because it is not doing what you hoped, that is worth raising with your care team rather than settling from a web page — it is usually a dose conversation before it is a molecule conversation.
Stay with tirzepatide
You are already taking tirzepatide, and your answers do not argue for changing that. Put your current dose in your intake so your physician can pick up from where you are rather than starting you over. The two medications are not interchangeable at equivalent doses, and neither are two points on the same titration.
Most people go round this decision for weeks and end up more or less flipping a coin. You just made it on the things that actually differ.
The thing you flagged
“Tirzepatide is better — it works on two pathways.”
Your gut releases hormones called incretins after you eat. Semaglutide copies one; tirzepatide copies two. That is how they are built, not a verdict on which suits you. It says nothing about how you will respond or what you will tolerate.
“Compounded is not real medication.”
Compounded medications use the same active ingredients as mass-produced options, but are custom-prepared by a licensed US 503A pharmacy. They are not FDA-approved.
“You gain it all back when you stop.”
Regain after stopping is common, making this an ongoing treatment rather than a finished course. Don't let that keep you from starting; just ask what stopping looks like before you begin.
“You have to stay on it forever.”
No one can predict your ideal duration upfront. Whether you step down, stay on a low maintenance dose, or stop, your physician will guide you as you go. Don't confuse treatment length with plan length—they are two separate things.
“Your price goes up as your dose goes up.”
Many providers hike prices as your dose increases, turning a great deal into a costly one. Here, your total rate is fixed and divided evenly across your plan. Always ask competitors if their price jumps when your dose goes up.
You said you are just researching. Here is the one to watch for.
The claim you will meet most is that tirzepatide is better because it works on two pathways. Real difference, wrong conclusion — that is how the molecules are built, not how you will respond. The other thing to watch for is pricing that climbs as your dose climbs. Ask before you buy, wherever you buy.
On plan length
You said you want a month to see how it goes. Month to month costs the most per month and commits to nothing, and for a first month that is often the right trade. You are buying information about how you tolerate it.
A few months is the middle of the range. Three and six month plans sit between the two extremes on price, and they give you long enough to get past the early weeks, which are usually the hardest.
The twelve-month plan is the cheapest per month because it is paid up front — and it is only the cheaper option if you intend to be treated for a year. It is a twelve-month commitment, not a monthly rate.
Not knowing yet is a reasonable place to be. Month to month commits to nothing and costs the most per month; the twelve-month plan is the cheapest per month and is a full-year commitment. Most people who are unsure start short and move to a longer plan once they know how they respond.
What to put in your intake
That you are currently taking semaglutide, and your current dose. The two medications are not interchangeable at equivalent doses, so your physician will set a new starting point rather than matching what you are on.
That you are currently taking tirzepatide, and your current dose, so your physician can pick up from where you are rather than starting over.
That you took a GLP-1 previously and stopped — and why you stopped. Whether it was side effects, cost, or it simply not working changes what your physician does next.
That you have taken a GLP-1 before but are not certain which one. If you can find the pharmacy label or an old receipt before you complete the intake, it is worth the five minutes.
Any history of nausea, reflux or digestive trouble, and any personal or family history of pancreatitis, gallbladder disease, medullary thyroid carcinoma, or multiple endocrine neoplasia type 2. Some histories make these medications inappropriate, and this is what that review is for.
What you have already tried and what happened. “Whether it will work for me” is the right question, and your physician can answer it far better with your history in front of them than without it.
Every medication and supplement you currently take, including the ones that feel too minor to mention.
One thing to be straight about
This is not a medical assessment. You pick where to start; a physician — reads your intake and decides. Sometimes that decision is no. If you are not prescribed a medication, you are refunded in full.
What this costs here
Semaglutide is $190 a month here and tirzepatide $239 for a one-month supply, the same price at every dose. Prepaid plans cost less per month: $99 and $149 a month on the twelve-month plan, paid upfront ($1,188 and $1,788). Worth checking against anyone else you are considering.
Compounded semaglutide and tirzepatide are prepared for you by a licensed 503A compounding pharmacy. They contain the same active ingredients as the branded medications, but they are not branded medications and they are not FDA-approved products. The FDA does not verify the safety, effectiveness or quality of compounded medications. Prescriptions are issued only after a medical intake is reviewed by a licensed physician, who may determine that treatment is not appropriate. Information on this page is for general educational purposes and is not medical advice, diagnosis or treatment. Individual results vary.
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