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Graded #315

1st Optimal

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.

Visit 1st Optimal ↗We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Semaglutide
Not disclosed
Tirzepatide
Not disclosed
Coverage
Coverage not published
Brand-name
Compounded only

Line 1st Optimal up against its closest alternatives. Because 1st Optimal dispenses compounded medication, it’s worth understanding whether compounded semaglutide is legit and safe.

Factor breakdown

Each of the six graded dimensions. See the methodology.

Cost value45/100
Dose & formulation51/100
Clinical oversight77/100
Labs & monitoring97/100
Fulfillment60/100
Contract terms37/100

Strengths

  • 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

Where it loses points

  • 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

Bottom line — Grade C

Best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Ranked #315 of 544 on this scorecard. See our top-scoring pick, CoreAge Rx (#1), for comparison.

Visit 1st Optimal ↗

Closest here

The rankings grading nearest 1st Optimal — the realistic shortlist.

DadVantage Men's Health#316

DadVantage Men's Health is a Florida concierge men's clinic offering GLP-1 weight loss alongside testosterone and hormone optimization, peptide therapy, sexual health, and PRP.

Unique Physique#317

Unique Physique is a hybrid in-office and telehealth weight-loss clinic in Baton Rouge, Louisiana, with medical oversight from Reena John, DO.

Youth & Soul#318

Ten-vertical telehealth marketplace selling compounded GLP-1 tiers alongside HRT, ED, nootropics and peptides, running on the Bask Health platform.

Fitstry#320

Fitstry is the GLP-1 weight-loss program of Weightstry, LLC, a LegitScript-certified, cash-pay telehealth practice focused on women 40+.

Bioverse#321

Bioverse (GoBioverse) offers compounded semaglutide and tirzepatide plus brand-name Ozempic, Wegovy, and Mounjaro.

Genesis Health#322

Genesis Health is a telehealth platform offering compounded semaglutide and tirzepatide injections alongside brand-name Wegovy, Ozempic, and Zepbound.

The 18 rankings nearest this one

View full scorecard rankings →

Pricing/verification reflect 1st Optimal's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on 1st Optimal's site. Not medical advice; see our disclosure.

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