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1st Optimal vs BodyLogicMD

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
1st Optimal logo

1st Optimal

6.7
★★★☆☆3.4/5

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

Visit 1st Optimal
VS
BodyLogicMD logo

BodyLogicMD

6.6
★★★☆☆3.3/5

Best for: GLP-1 weight loss bundled with hormone therapy and specialist care

Visit BodyLogicMD

1st Optimal and BodyLogicMD are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, BodyLogicMD starts lower at $79/mo versus $99/mo, and 1st Optimal edges ahead overall (6.7 vs 6.6 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

1st Optimal

Weight Loss Care membership — medication not includedBrand-name
$99/mo
semaglutide

Care membership only — the GLP-1 medication is billed separately and is not priced.

BodyLogicMD

BodyLogicMD Advantage membership (treatments and labs at member pricing, billed separately)Compounded
$79/mo

"Become a Member — $79/Month", "cancel anytime". Hormone panels and treatments are discounted for members but billed on top.

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What’s included

1st Optimal

What the monthly price covers

Medication

Not disclosed

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Included

BodyLogicMD

What the monthly price covers

Medication

Billed separately

Provider visits

Included

Shipping

Not disclosed

Lab work

Billed separately

Coaching

Not disclosed

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

1st Optimal

6.7/10

Overall

BodyLogicMD

6.6/10

Value25%

6.5A
vs
B
6.0

Effectiveness25%

7.0A
vs
B
7.0

User Experience15%

6.5A
vs
B
6.5

Trust & Safety15%

6.5A
vs
B
6.5

Accessibility10%

6.5A
vs
B
7.0

Support10%

7.4A
vs
B
7.0

Features & Coverage

Feature1st OptimalBodyLogicMD
Starting Price$99/mo$79/mo
Features8 features5 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

About 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. Its model pairs prescription GLP-1 therapy with at-home lab testing, blood-work interpretation, unlimited coaching, and personalized protocols framed around long-term weight loss and longevity. Care is delivered virtually by credentialed providers, and treatments ship to the home with no long-term contracts. The site does not publish monthly pricing or a state list.

Read our full 1st Optimal review →

About BodyLogicMD

BodyLogicMD is a US telehealth and clinic network (operating since 2003) best known for bioidentical hormone replacement therapy, now offering medically supervised GLP-1 weight management alongside it. Care runs through a $79/month Advantage membership that includes comprehensive hormone labs, board-certified specialists, and personalized protocols; GLP-1 medications are prescribed on top of the membership. Weight-loss drug pricing and state availability are not published on the marketing site.

Read our full BodyLogicMD review →

Pros & Cons

1st Optimal

What we like

  • 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

Watch-outs

  • 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

BodyLogicMD

What we like

  • Established since 2003 with board-certified specialists and a national network of local clinics plus telehealth
  • Integrates GLP-1 weight management with bioidentical hormone therapy and lab-based, whole-person protocols
  • Transparent $79/month membership, no insurance required, cancel anytime

Watch-outs

  • GLP-1 medication cost is not published — only the $79 membership fee is shown; drug type (compounded vs brand) not stated
  • Weight loss is secondary to the hormone-therapy core; not a GLP-1-first telehealth
  • State availability and dispensing pharmacy are not disclosed on the marketing site

Our Verdict

Winner: 1st Optimal

1st Optimal edges out BodyLogicMD with a higher overall score of 6.7/10 and is particularly strong for GLP-1 therapy within a lab-driven functional-medicine program. BodyLogicMD remains a solid alternative, especially if you're looking for GLP-1 weight loss bundled with hormone therapy and specialist care.

Choose 1st Optimal if…

You want GLP-1 therapy within a lab-driven functional-medicine program and a starting price around $99/mo.

Choose BodyLogicMD if…

You want GLP-1 weight loss bundled with hormone therapy and specialist care and a starting price around $79/mo.

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7.6

Sprout Health

LegitScript-verified compounded GLP-1 via named pharmacies

7.5

PeterMD

Men wanting flat-priced compounded GLP-1 with TRT or peptides

7.8

Care Bare Rx

LGBTQ+-inclusive compounded GLP-1 telehealth

1st Optimal vs BodyLogicMD: FAQ

BodyLogicMD is cheaper. Its lowest ongoing monthly cash price is $79/mo, compared with $99/mo for 1st Optimal. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
1st Optimal scores higher overall at 6.7/10 versus 6.6/10, and is particularly strong for GLP-1 therapy within a lab-driven functional-medicine program. That said, BodyLogicMD is a better fit if you want GLP-1 weight loss bundled with hormone therapy and specialist care.
Neither 1st Optimal nor BodyLogicMD publicly lists its exact state availability. Most national GLP-1 telehealth providers operate in the majority of states — confirm your state is covered during sign-up.
Neither 1st Optimal nor BodyLogicMD is currently an affiliate partner, so we earn no commission from either. We rank all providers editorially using the same six-dimension framework and disclose any commercial relationships.

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