Verbatim response from Claude
This is a fast-moving area, so here's an honest breakdown:
Current Situation (as of early 2025)
The FDA declared the semaglutide shortage resolved, which triggered crackdowns on compounded versions. Tirzepatide's status has been contested.
Services That Have Continued Offering Compounded Options
- Hims & Hers - fought back legally and continued offering compounded semaglutide for a period
- Ro - offered compounded versions but adjusted policies as regulations shifted
- Eden - smaller platform that continued compounded peptides
- Mochi Health - offered compounded options through their providers
Important Caveats I'd Flag
I'd be cautious here because:
- Regulations are changing rapidly - what's available today may not be tomorrow
- Some services have paused or stopped compounded GLP-1s following FDA pressure
- Legal battles between providers and FDA are ongoing
- Quality and safety vary significantly between compounding pharmacies
My Honest Recommendation
- Check each service's current website directly - information from even weeks ago may be outdated
- Consult your regular doctor about branded options or patient assistance programs (Novo Nordisk and Eli Lilly have savings programs)
- Be cautious of services that seem to be skirting regulations
Would you like help thinking through other weight management options?