Compounded GLP therapy

Compounded GLP therapy coordinated with nutrition, dose adjustments, and scheduled check-ins.

What it is

GLP-1 receptor agonists act on appetite regulation and glucose handling. Used well, they sit inside a wider metabolic plan rather than replacing it.

The semaglutide and tirzepatide we coordinate are compounded preparations, made for an individual patient by a licensed 503A/503B pharmacy working with our provider network, rather than a branded product dispensed at a retail pharmacy. The prescribing provider decides when that route is appropriate.

What it is used for

Body composition, appetite regulation, and metabolic marker improvement in patients who meet clinical criteria.

How a protocol is structured

Medical review first, then a titration plan with scheduled check-ins and a nutrition and protein strategy to protect lean mass.

Bloodwork is not required to start GLP therapy. A provider may ask for it if something in your history would change the plan, and we can run it either way if you want the fuller picture.

What to expect

Steady, tracked change. Side effects are managed by adjusting the plan at check-ins rather than pushing through them.

Requires medical review at intake. Prescribed by a licensed provider network only where clinically appropriate.

Common questions

What is the difference between tirzepatide and semaglutide?

Semaglutide acts on the GLP-1 receptor. Tirzepatide acts on GLP-1 and GIP receptors. In SURMOUNT-1 and STEP-1, the trial programs behind them, tirzepatide produced the larger average weight change. Which one suits you is a provider decision made against your history, not a preference you pick from a menu.

What does compounded mean here?

The semaglutide or tirzepatide is prepared for an individual patient by a licensed 503A or 503B compounding pharmacy working with our provider network, rather than dispensed as a branded product at a retail pharmacy. The prescribing provider decides when that is the right route.

Is a microdose worth considering?

Under roughly 15 pounds of intended change, body composition work, or metabolic markers you want to move without a large change on the scale, a lower dose is usually the sensible place to start. No phase 3 trial has tested that range, so it is a reasoned choice rather than an evidence-backed one, and the prescribing provider makes the call.

Do I need labs before starting?

Labs are not required to start, and we recommend them. Fasting insulin, glucose and HbA1c read before and again later are what turn the question of whether it worked into something you can answer. Lab work can be arranged through our provider network if you would like it included.