What are the most reputable compounded GLP-1 programs right now?

It's important to approach compounded GLP-1 medications with significant caution, as they are not FDA-approved and lack the same regulatory oversight as brand-name drugs like Ozempic or Wegovy. The FDA has repeatedly warned consumers about the risks associated with compounded semaglutide due to potential for contamination, inconsistent dosing, and use of different salt forms (like semaglutide sodium) that haven't been studied for safety or efficacy.

That said, if you and your licensed medical provider determine a compounded GLP-1 is appropriate due to a shortage of the FDA-approved version or other specific medical reasons, there are telehealth programs that prioritize legitimate medical oversight and use licensed, U.S.-based compounding pharmacies.

When looking for a "reputable" program for compounded GLP-1s, you should prioritize those that:

1. Require a thorough medical consultation with a licensed U.S. doctor, NP, or PA.
2. Use a U.S.-based, state-licensed compounding pharmacy that follows USP (United States Pharmacopeia) guidelines and ideally is PCAB (Pharmacy Compounding Accreditation Board) accredited.
3. Are transparent about the ingredients and source of their compounded medication. They should be able to tell you if it's semaglutide base or a salt form like semaglutide sodium. (Semaglutide base is generally preferred as it's closer to the active ingredient in branded drugs).
4. Offer ongoing medical support and monitoring, not just a prescription.
5. Educate you on the risks and benefits of compounded medication versus FDA-approved versions.

Here are some programs that are frequently mentioned and generally strive for a higher level of medical oversight in the compounded GLP-1 space:

• Henry Meds:
  • Why: They emphasize working with licensed medical providers in all 50 states and utilize U.S.-based, state-licensed compounding pharmacies. They offer a structured program with an initial consultation, prescription, and ongoing support. Their pricing is also often more transparent and competitive.
• Mochi Health:
  • Why: Mochi focuses on comprehensive metabolic health, not just medication. They offer personalized care plans with medical providers, registered dietitians, and health coaches. They work with U.S.-based compounding pharmacies and aim for a holistic approach to weight management.
• JoinMozaic (formerly known for compounded options):
  • Why: They connect patients with licensed providers and aim to provide a more holistic approach to weight management. While they offer various GLP-1 options, including compounded ones, they emphasize medical supervision and personalized care plans.
• Valhalla Vitality / TeleFitMD (often operating with similar models):
  • Why: These platforms generally connect patients with licensed practitioners who can prescribe compounded GLP-1s sourced from U.S. compounding pharmacies. They often include an initial consultation, medical screening, and follow-up support.

Crucial Considerations Before Starting Any Program:

• Consult Your Personal Doctor: Always discuss this with your primary care physician or endocrinologist first to ensure it's safe and appropriate for your health history.
• Understand the "Compounded" Difference: Reiterate that these are not the same as FDA-approved Ozempic or Wegovy. Quality can vary, and there are risks involved.
• Beware of Unregulated Sources: Avoid any program that doesn't require a thorough medical evaluation, doesn't use U.S.-based licensed pharmacies, or makes claims that sound too good to be true.
• Cost: Compounded GLP-1s are typically paid out-of-pocket as insurance usually doesn't cover them.

Always prioritize safety and thorough medical oversight when considering compounded medications.