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.
- PriceNot published
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- 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.
Ranked #416 of 548 providers we have reviewed — for comparison, read the CoreAge Rx review, ranked #1. In the ranking it sits between KERNX Health at #415, 56/100 above and Always Wellness and Recovery at #417, 56/100 below, with the AVArx write-up the next one down.
If that review 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 compared it head to head: CoreAge Rx vs 1st Optimal goes to CoreAge Rx, 94/100 to 56/100.
Compare 1st Optimal
Compare with other providers
The closest reviews to 1st Optimal by Verdict Score — the realistic shortlist if you are weighing this one up.
- #419Klinic— Klinic is a LegitScript-certified multi-condition telehealth platform prescribing brand-name GLP-1 medications—Wegovy (semaglutide) and Zepbound (tirzepatide)—to patients in all 50 states.56/100
- #420Strive Pharmacy— 503A compounding pharmacy that supplies compounded GLP-1 medications to telehealth providers.56/100
- #421Superior Remedies— Superior Remedies runs three named programs — semaglutide, tirzepatide, and a dedicated GLP-1 Microdose protocol for longevity and body composition — and publishes no price for any of them.56/100
- #422Sunlight— 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
- #423Fifty 410— Compounded GLP-1 telehealth with no subscription; medication ships upfront. Its headline price is a three-month prepaid starter-dose bundle.55/100
- #424Garcia Weight Loss— Established Tampa Bay medical weight-loss clinic operating since 2000 with four Florida locations.55/100
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.