# Fierce Health reviews (2026): GLP-1 telehealth sellers | This GLP The order is paid before the medical intake, and a nurse practitioner sets the dose afterward. Publisher: This GLP Editorial Team Canonical: https://thisglp.com/reviews/fierce-health Updated: 2026-10-28 By [This GLP Editorial Team](https://thisglp.com/about) · Updated September 2026 Checkout first, intake after # Fierce Health review The order is paid before the medical intake, and a nurse practitioner sets the dose afterward. ## The verdict Fierce Health sells its full-dose compounded semaglutide program at $297 a month and tirzepatide at $497. Payment comes first, and the intake form arrives after checkout. A refund is promised if a provider finds the treatment unsuitable. **Disclosure:** This GLP is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. The order on this page is not commercial, and a commission never changes what we write about a provider. [How we make money](https://thisglp.com/disclosures). Category GLP-1 telehealth Molecule Semaglutide · Tirzepatide Form Injection From From $297/mo Dose published No Prescription Required Compounded Yes — not FDA-approved Pharmacy Not named LegitScript Claimed by provider Fierce Health is a cash-pay online store for compounded GLP-1 programs and other prescription products. The weight-loss menu has two tracks: full-dose programs and lower-priced microdose programs. Ivermectin, methylene blue, NAD+ and lab panels are sold from the same shop. Each program is a monthly subscription, with three- and six-month options paid in full. 1. ## Who writes the prescription, and what do they see? The home page says a board-certified, US-licensed provider reviews the intake and prescribes, or declines. The semaglutide page says the dose is set from the intake and approved by a licensed nurse practitioner. A telemedicine appointment is scheduled only if the intake leaves questions open. No individual provider or medical group is named anywhere on the product pages. Messaging runs through the Fierce Portal, and access to a registered nurse is listed as included. Meal plans, a workout library and a monthly progress check-in are bundled into every program. Medication ships from a partner pharmacy, and the product page estimates about two weeks from checkout. Subscriptions can be adjusted, paused or canceled at any time without a cancellation fee. 2. ## What happens when the dose goes up? Doses are written in syringe units, not milligrams, so the strength behind a unit is not stated. Patients start at 5 to 10 units and move up as the body adjusts. One vial ships each month, and the page asks patients to email support once the dose passes 50 units. What that change does to the monthly price is not stated. A maintenance program is described for tapering off the medication. 3. ## What the price includes The full-dose programs are $297 a month for semaglutide and $497 for tirzepatide, each labeled as the regular price. The three- and six-month options are each paid in a single upfront charge. Separate microdose programs cost less and are sold beside them on the same menu. No separate membership or consultation fee is listed on either product page. 4. ## What it claims, and what it cites Both molecules are compounded and come from a licensed partner pharmacy, which is not named. The site footer states that compounded medications are not reviewed by the FDA for safety or efficacy, and they are not FDA-approved. The [semaglutide](https://thisglp.com/research/semaglutide-cochrane-review) page quotes the STEP and cardiovascular trials, which studied the approved product at labeled doses. ## Where it holds up, and where it does not - Strength: Refund promised if treatment is declined - Strength: Monthly plan with no long-term contract - Strength: Nurse access through the patient portal - Strength: LegitScript certification is stated - Limitation: Payment is taken before the intake - Limitation: Doses are written in units, not milligrams - Limitation: No pharmacy or prescriber is named - Limitation: Shipping coverage is stated two different ways ## What the evidence says about this kind of treatment The assessment above is about Fierce Health. These are about the drugs it sells, and they are traced to the primary literature. - [What happens to the dose, and to the side effects, over the first twenty weeks?](https://thisglp.com/research/how-long-does-nausea-last-on-a-glp1) - [How much of the weight lost is muscle, and what changes that?](https://thisglp.com/research/muscle-loss-on-glp1) - [What does the trial evidence show when treatment stops?](https://thisglp.com/research/stopping-glp1-and-weight-regain) Right for A buyer who wants a monthly plan with meal and workout material bundled in. Wrong for A reader who wants a clinician's review before paying, or a dose in milligrams. ## The evidence behind what Fierce Health prescribes These studies examine the medicines, not this provider. Results with approved products do not establish the quality or effectiveness of a seller’s compounded formulation. - [Cochrane Review of Semaglutide for Obesity: 18 Trials Graded](https://thisglp.com/research/semaglutide-cochrane-review) A 2025 Cochrane review pooled eighteen randomized trials. The weight figure is high certainty and smaller than the marketing, and almost everything else is graded lower. - [Tirzepatide vs Semaglutide: Which Works Better for Weight Loss?](https://thisglp.com/research/tirzepatide-vs-semaglutide-which-works-better) In a 72-week randomized trial at weight-management doses, weight fell 20.2 percent on tirzepatide and 13.7 percent on semaglutide. Routine-care studies found a smaller gap, three to four points. ## How Fierce Health compares | Seller | Who it suits | Go | | --- | --- | --- | | Zera Health | A reader who budgets from the monthly rate printed beside the first-month offer. | | | Cielo | Buyers who want the commitment behind a headline rate spelled out in the asterisk under it | | | FitFlow | Buyers who read the plan table before the page title and want the whole ladder in one place | | [Compare all providers side by side →](https://thisglp.com/best) More GLP-1 telehealth sellers reviews: [Obu Health](https://thisglp.com/reviews/obu-health) [Omnia TeleHealth](https://thisglp.com/reviews/omnia-telehealth) [Omzo](https://thisglp.com/reviews/omzo) [Ondra Health](https://thisglp.com/reviews/ondra-health) [Raeliva](https://thisglp.com/reviews/onlinesemaglutideorg) [OnlyRx](https://thisglp.com/reviews/onlyrx) Sponsored alternative SkinnyRx Readers choosing tirzepatide, the one line with a published standing rate ## Frequently asked What does Fierce Health charge for semaglutide and tirzepatide? The full-dose programs are $297 a month for semaglutide and $497 for tirzepatide. The microdose programs are separate and cost less. When does the medical review happen? After checkout, when an intake form is sent for the paid order. If treatment is not suitable, the money is refunded. Which states does Fierce Health ship to? The product page says all 50 states, while the home page FAQ says most states, with a refund where it cannot ship. No state list is published. Is Fierce Health expensive compared with other GLP-1 telehealth sellers? Fierce Health publishes a starting figure of $297/mo. Across the 402 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $190, which puts Fierce Health above the median. The other 178 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes. Or [compare every seller we cover](https://thisglp.com/best). **Research, not medical advice.** This GLP is independent and educational. Nothing here is a substitute for individualized care from a licensed clinician, and reading it creates no doctor–patient relationship. Talk to your own provider before starting, stopping, or changing any medication, peptide, or therapy. See our [methodology](https://thisglp.com/methodology) and [terms](https://thisglp.com/terms).