A smarter way to reach your weight loss goals.

Your questions, answered

About Weight Loss.

• Is Medical Weight Loss right for me?

  Our intake is designed exactly for this question. Answer a few honest questions and a board-certified physician will tell you what they recommend — or whether you should hold off.

• How does it work, start to finish?

  Four steps, and only one of them needs anything from you after the first day.

  You choose a plan and complete an intake covering your health history, current medications, and what you are trying to achieve. A board-certified physician reviews it — a person, not an algorithm. If treatment is appropriate, your prescription goes to a licensed pharmacy and ships to your door. Your care team stays available after that for dose adjustments and questions.

  No video call is required. No in-person visit is required. There is no separate consultation fee.

• What is the difference between semaglutide, tirzepatide and metformin?

  Semaglutide and tirzepatide are both once-weekly injections you do yourself at home. Semaglutide acts on one incretin pathway, GLP-1. Tirzepatide acts on two, GLP-1 and GIP. Semaglutide costs less.

  Metformin is different — an oral tablet, in a different drug class, long used in type 2 diabetes and prescribed here at a physician's discretion as part of a metabolic approach. It is not a GLP-1 medication.

  Which is appropriate for you is a clinical decision made after your intake is reviewed.

  Compare semaglutide and tirzepatide →

• How fast does it ship?

  Most prescriptions ship within 24–48 hours of physician approval, with discreet, climate-controlled packaging where required.

• Do I need insurance?

  No. Goprolean is cash-pay and HSA/FSA eligible. We work to beat the drug manufacturers' direct pricing on common therapies.

• What does it cost, all in?

  Semaglutide starts at $99 a month on the 12-month plan, or $190 month to month. Tirzepatide starts at $149 a month on the 12-month plan, or $239 month to month. Metformin starts at $25 a month. Three-month and six-month plans sit in between.

  That is the whole cost. No consultation fee, no membership fee, and no separate charge for the physician review. The monthly rate stays flat as your dose is adjusted.

• Are these medications FDA-approved?

  Semaglutide and tirzepatide as prescribed here are compounded — prepared for you by a licensed pharmacy that is registered with and inspected by the FDA. The pharmacy is FDA-registered. The compounded medication itself is not FDA-approved, because compounded drugs as a category are not evaluated for approval by the FDA, which does not verify their safety, effectiveness, or quality.

  Metformin is a different case — it is an FDA-approved generic medication, approved for type 2 diabetes. Prescribing it as part of a weight management plan is an off-label use, which is legal, long established, and a decision your physician makes with you.

  Compounding is a long-standing and legal part of medicine, and a prescription is still required. But you should understand the distinction before you start, and you should be wary of any provider who blurs it.

• Do I need lab work before starting?

  Your physician will tell you, based on your history. Where labs are needed, they can be ordered through Quest or a lab near you.

• What happens if the physician says treatment is not appropriate?

  They tell you, and you are not charged for a medication you cannot have. This is a real outcome and it happens — some medical histories make these medications unsuitable, and the review exists precisely to catch that. In this scenario either you are never charged or refunded in full if you are charged.