Weight loss medication, prescribed online

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?

  Prescriptions ship within 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 is $191 a month and tirzepatide $239 a month, paid per refill at the same price at every dose. Prepaid 3-, 6- and 12-month plans cost less per month, down to $99 and $149 a month on the 12-month plan, paid upfront ($1,188 and $1,788). Metformin starts at $25 a month.

• Are these medications FDA-approved?

  Semaglutide and tirzepatide as prescribed here are compounded — prepared for you by a 503A compounding pharmacy that is licensed by its state board of pharmacy. 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 refunded in full 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 you are refunded in full for what you paid at checkout.

• Can I use my HSA or FSA?

  Yes. We accept HSA and FSA cards at checkout. Prescription medications prescribed by a physician are generally qualified medical expenses under IRS rules. Your plan administrator has the final say on any individual claim, and we can provide an itemised receipt on request.