Compounded
Semaglutide
from
$112
Often a fit if you:
- Are starting a GLP-1 for the first time
- Want gradual, in-between dose steps
- Are sensitive to nausea or other side effects
Miguel Antonatos, MD
Board-certified internist · Telemedicine since 2017
Online GLP-1 weight loss
Semaglutide & tirzepatide, managed by one physician.
The doctor who evaluates you makes every dose decision, reviews your labs, and adjusts your plan through plateaus and into maintenance.
Compounded semaglutide from $112
•
Compounded tirzepatide from $190
•
Medication included · No membership
Same-day consultations are often available.
Compounded medications are not FDA-approved. Medication is prescribed only when
medically appropriate; eligibility, pricing, and timing may vary.
Miguel Antonatos, MD · Your physician
Formerly Northwestern Medicine · Telemedicine since 2017 · Licensed in 14 states
Board Certified
Internal Medicine (ABIM)
Obesity Medicine Association
Medication Management Microcredential
Verified patient reviews
Read reviews →
2026 Best of Award
BusinessRate, based on verified reviews
Programs & pricing
Three ways to start. One physician for all of them.
Not sure which fits? Your physician makes the final recommendation after reviewing your history, labs, and goals.
Same physician every visit
Dose decisions by your doctor
No required membership
Compounded
Tirzepatide
from
$190
Often a fit if you:
- Want the highest average weight loss in trials (~21% vs. ~15%)
- Plateaued or had a limited response on semaglutide
- Have insulin resistance or prediabetes
FDA-approved · Brand-name
Insurance or brand-name
$65
visit
Often a fit if you:
- Have coverage for Wegovy®, Zepbound®, or similar
- Need a new prescriber for a medication you already take
- Need a prior authorization submitted or renewed (included)
Can't decide? Start the intake →
and choose during your visit.
Why would my physician prescribe a compounded medication?
Gradual dose steps
Smaller, in-between increases for a slower titration.
Sensitivity to standard doses
Fine-tuned adjustments instead of stopping because of side effects.
Doses not made commercially
Starting or maintenance strengths that aren't sold as brand-name pens.
Restarting after a break
A lower re-entry dose after a treatment interruption.
Compounded medications are not FDA-approved, have not been evaluated by the FDA
for safety or effectiveness, and may not produce the same results as brand-name
products. Prepared by a Florida-licensed compounding pharmacy. Brand-name options
remain available.
Final pricing depends on medication, dose, quantity, pharmacy, state, and treatment
plan. Trial figures: STEP 1 (semaglutide 2.4 mg) and SURMOUNT-1 (tirzepatide up to
15 mg), using FDA-approved products. Insurance coverage is determined by your plan and
is not guaranteed; Medicare and Medicaid may not be eligible. Wegovy® and Zepbound®
are trademarks of their respective owners.
Your estimate
See what could change, beyond the scale.
Move the sliders to match your weight and most recent labs. Estimates are based on average results from the major clinical trials.
Current weight
240lbs
140500
Average trial weight loss
−50lbs
About 21%, reaching ~190 lbs
Your labs: today vs. projected
Don't know your numbers? Leave the defaults. We check them at baseline.
Hemoglobin A1c%
Today
6.0
Projected
5.5
Average blood sugar over 3 months
Fasting insulinµIU/mL
Today
18
Projected
10
Insulin resistance, often before glucose rises
Triglyceridesmg/dL
Today
180
Projected
124
The lipid most responsive to weight loss
Liver enzyme (ALT)U/L
Today
42
Projected
29
A common early sign of fatty liver
Your real numbers start with a baseline panel, reviewed by your physician.
Get My Personal Plan →
Illustrative estimates only, not a prediction of your individual results. Weight
figures reflect average loss in the STEP 1 (semaglutide 2.4 mg, 68 weeks) and
SURMOUNT-1 (tirzepatide up to 15 mg, 72 weeks) trials of adults without diabetes,
alongside diet and activity changes. Lab projections are approximations drawn from
published trial averages and vary widely by person. Trials used FDA-approved
products. Treatment is prescribed only when medically appropriate.
Free guide
Not sure if GLP-1 treatment is right for you?
Get the physician's playbook most telemedicine programs don't give you.
- The 8 gaps in online GLP-1 programs
- How to spot supplement and "GLP-1 alternative" hype
- 10 questions to ask before you start
Please enter a valid email address.
Free PDF by email. You'll also get occasional emails from Dr. Antonatos;
unsubscribe anytime. Privacy policy
It's on the way.
Check your inbox for the GLP-1 Playbook in the next few minutes (and your promotions folder, just in case).
Ready now? Start your 2-minute intake →
Why this is personal
Your physician has been where you are.
I didn't learn about obesity only from a textbook. I lived with it from childhood through my medical career, and that experience shapes every treatment plan I write.
My struggle with weight started early.
Still living with obesity, already practicing medicine.
Strength, nutrition, and metabolic health guide how I live and treat.
"I lived with obesity. I changed my health. And the experience changed how I practice medicine." Miguel Antonatos, MD · Founder, Text2MD
ABIM Board-Certified Internal Medicine
OMA Medication Management Microcredential
15+ years clinical experience
Formerly Northwestern Medicine
Telemedicine since 2017
How it works
Intake today. Labs-guided care after.
-
Complete your intake
History, medications, goals, and any GLP-1 you've used before.
About 2 minutes -
Visit + baseline labs
Your physician reviews options and risks, and orders or reviews your labs.
Same-day often available -
Treat, re-check, adjust
Medication ships if appropriate. Same physician for every dose decision and lab re-check.
Delivery in 48–72 hours
Already on a GLP-1?
Don't restart from zero. Start from where you are.
Many of our patients come to us mid-treatment. Your history, dose, and response are reviewed first, so your plan continues instead of resetting.
Switching programs
"I want a doctor, not a rotating provider."
Your current medication and dose are reviewed so you can continue without a gap when it's safe. Using insurance? Keep your covered medication with a $65 visit.
Transfer my care →Weight loss has stalled
"My dose keeps going up. My weight doesn't."
A higher dose isn't always the answer. Your physician looks at hunger, protein, muscle, sleep, and labs, and whether a different medication fits better.
Get a plateau review →Restarting or maintaining
"I stopped, and the weight is coming back."
After a break, restarting at your old dose can bring back side effects. You'll get a safer re-entry dose, or a long-term maintenance plan if you've reached your goal.
Plan my restart →
What your physician reviews
Have these handy? Bring them to your visit.
- Current dose & last injection
- Pharmacy label or prescription
- Weight trend since starting
- Side effects & hunger
- Recent lab results
- Nutrition, sleep & activity
Dose changes and prescriptions only when medically appropriate. Insurance approval is not guaranteed.
Safety & expectations
Fast access. Not automatic prescribing.
Convenient doesn't mean careless. Every plan starts with screening and a physician's judgment.
What you can expect
- An honest review of benefits, risks, and alternatives
- A plan for managing side effects
- Dose changes based on your response and labs
- A maintenance plan, not just a start date
What we won't promise
- A prescription for everyone who applies
- Automatic dose increases
- Effortless results, or the same results as someone else
- A replacement for emergency or in-person care
Medication availability can change. If a medication becomes unavailable, your
physician will discuss alternatives with you.
Before you start
Questions about GLP-1 treatment
Will I automatically get semaglutide or tirzepatide?
No. Your physician prescribes only after reviewing your history, medications, and labs, and deciding treatment is medically appropriate. If a GLP-1 isn't the right fit, you'll hear why and what else may help.
What side effects should I expect?
The most common are nausea, constipation, diarrhea, and reflux, usually during the first weeks and after dose increases. Most are managed with slower titration, smaller meals, hydration, and adequate protein.
Severe abdominal pain, persistent vomiting, or signs of dehydration need prompt medical attention. Your physician reviews your personal risks before you start.
How long will I need to stay on medication?
Obesity is a chronic condition, and in trials, most people who stopped treatment regained a large share of the weight within a year. That's why your plan includes a maintenance phase: finding the lowest effective dose and protecting muscle, rather than stopping abruptly.
What labs do you check before starting a GLP-1?
Typically A1c, fasting glucose and insulin, a lipid panel, and a metabolic panel with liver and kidney function, plus others based on your history. Recent results from your own doctor can often be used. Re-checking them on treatment shows progress the scale can't.
Do you accept insurance?
Visits are self-pay. If your plan covers brand-name Wegovy® or Zepbound®, the $65 consultation includes prescription management and prior authorization submission. Coverage is decided by your plan and isn't guaranteed; Medicare and Medicaid may not be eligible. Lab work can often be billed to your insurance.
Can peptide therapy be combined with a GLP-1?
In some cases. Your physician evaluates whether a peptide fits your goals, history, and labs, and prescribes only when clinically appropriate. Learn about peptide care →
Find out what your physician
would recommend.
Two-minute intake. Reviewed personally by Dr. Antonatos, and he's the doctor you'll stay with.
Start My 2-Minute Intake →Already on a GLP-1? Transfer your care →
Compounded medications are not FDA-approved. Medication is prescribed only when
medically appropriate; eligibility, pricing, and timing may vary.