1st Optimal review
1st Optimal is a Michigan-based telehealth and functional-medicine platform offering GLP-1 weight loss medications, including semaglutide and tirzepatide, as once-weekly injections or daily oral tablets.
- Semaglutide
- Not disclosed
- Tirzepatide
- Not disclosed
- Coverage
- Not disclosed
- Brand-name
- Compounded only
The scorecard
1st Optimal scored on our six published factors. See the methodology.
What we like
- Offers both semaglutide and tirzepatide with injectable and oral formats
- Functional-medicine approach with at-home labs and blood-work interpretation
- Unlimited coaching and ongoing support included
- No long-term contracts
- Board-certified doctors and nurse practitioners referenced
The caveats
- No public monthly pricing disclosed
- No published state availability list
- Compounded vs branded sourcing not clarified on site
- Pricing only revealed after quiz or consultation
The verdict
Best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program. 1st Optimal is a Michigan-based telehealth and functional-medicine platform offering GLP-1 weight loss medications, including semaglutide and tirzepatide, as once-weekly injections or daily oral tablets.
Ranked #409 of 539 providers we have reviewed — for comparison, read the CoreAge Rx review, our #1 pick. In the ranking it sits between KERNX Health at #408, 56/100 above and Always Wellness and Recovery at #410, 56/100 below, with the AVArx ruling the next one down.
If that ruling leaves you undecided, the 7 programs we rank against 1st Optimal are graded on the same six factors and listed in score order.If you would rather start from the top of the field, what GLP-1s cost without insurance is the place to start if you are still shortlisting. We have also ruled on it directly: CoreAge Rx vs 1st Optimal goes to CoreAge Rx, 94/100 to 56/100.
Compare with other providers
The closest rulings to 1st Optimal by Verdict Score — the realistic shortlist if you are weighing this one up.
- #392Push Health— Push Health is a large US telehealth platform that routes brand-name GLP-1 prescriptions (Ozempic, Zepbound, Mounjaro) through a 55,000+ pharmacy network.58/100
- #393T2D.com— T2D.com offers a complete service for compounded semaglutide and tirzepatide that includes the prescriber, medication, and home delivery in one integrated solution.58/100
- #394Walgreens Weight Management— Walgreens virtual care program offering compounded GLP-1 medications through its retail pharmacy network.58/100
- #395Sunlight— A no-quiz FAQ answer states both molecule prices up front, but the homepage's own "injections and oral options" claim names an oral product the rest of the site never prices or names again.55/100
- #396Aspen— Publishes every price tier before intake, but its 'monthly' plan bills three months upfront, the provider picks your molecule, and Mississippi and Louisiana are excluded.57/100
- #397Embody— Advertises low headline compounded GLP-1 prices, then quotes different figures across three funnels behind countdown timers and a promotional discount.57/100
Pricing, states and verification reflect 1st Optimal's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on 1st Optimal's site. Not medical advice; see our disclosure.