1st Optimal vs Broose Wellness
An in-depth comparison of two leading GLP-1 Providers
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1st Optimal
Best for: GLP-1 therapy within a lab-driven functional-medicine program
Visit 1st Optimal →
Broose Wellness
Best for: people who want compounded semaglutide or tirzepatide with lifestyle coaching and posted prices
Visit Broose Wellness →1st Optimal and Broose Wellness 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, 1st Optimal starts lower at $99/mo versus $179/mo, and Broose Wellness edges ahead overall (7.3 vs 6.7 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
Care membership only — the GLP-1 medication is billed separately and is not priced.
Broose Wellness
$249 per 4 weeks. 12, 24 and 52-week plans are listed at $649, $1,189 and $2,319 ($216, $198 and $178 per 4 weeks)
$279 per 4 weeks. 12, 24 and 52-week plans are listed at $779, $1,429 and $2,699 ($260, $238 and $208 per 4 weeks)
$339 per 4 weeks. 12, 24 and 52-week plans are listed at $939, $1,739 and $3,499 ($313, $290 and $269 per 4 weeks)
Low-dose program, not a standard weight-loss dose. 12, 24 and 52-week plans are listed at $499, $959 and $1,939
Low-dose program, not a standard weight-loss dose. 12, 24 and 52-week plans are listed at $499, $959 and $1,939
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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
Broose Wellness
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Not disclosed
Lab work
Not disclosed
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
Broose Wellness
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Broose Wellness |
|---|---|---|
| Starting Price | ✓$99/mo | $179/mo |
| Features | ✓8 features | 7 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
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 Broose Wellness
Broose Wellness is a physician-founded telehealth practice that pairs compounded semaglutide and tirzepatide with lifestyle coaching, and also offers microdose GLP-1 plans, men's health and longevity injections. Prices are posted openly: $249 per 4 weeks for semaglutide injections, $279 for oral semaglutide and $339 for tirzepatide. Plans bill every 4 weeks, and 12, 24 and 52-week supplies cost less per 4 weeks.
Read our full Broose Wellness 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
Broose Wellness
What we like
- Every plan price is posted on the site before you start the intake, including the multi-month options
- Offers semaglutide as a weekly injection or a daily tablet, plus weekly tirzepatide injections
- The terms name four dispensing pharmacies with their addresses and phone numbers
- Plans pair medication with nutrition, movement and habit coaching rather than prescriptions alone
- Support is reachable by phone and email, and both are listed on every page
- You are refunded in full if the medical provider finds you are not eligible for treatment
- Separate low-dose microdosing plans are offered for people who want a gentler start
Watch-outs
- Plans bill every 4 weeks, which works out to 13 charges a year, while the refund policy describes the charge as monthly
- The cheapest $179 price is the microdose program; standard semaglutide injections start at $249 per 4 weeks
- The lower per-4-week prices on 12, 24 and 52-week plans are listed as one larger price for the whole supply
- Outside a medical disqualification, canceling does not earn a refund, and you must cancel 72 hours before billing
- Tirzepatide is offered only as an injection; the tablet option is semaglutide only
- Shipping cost and delivery times are not stated anywhere on the site
- The brand is new and has no independent customer reviews yet
Our Verdict
Broose Wellness edges out 1st Optimal with a higher overall score of 7.3/10 and is particularly strong for people who want compounded semaglutide or tirzepatide with lifestyle coaching and posted prices. 1st Optimal remains a solid alternative, especially if you're looking for GLP-1 therapy within a lab-driven functional-medicine program.
Choose 1st Optimal if…
You want GLP-1 therapy within a lab-driven functional-medicine program and a starting price around $99/mo.
Choose Broose Wellness if…
You want people who want compounded semaglutide or tirzepatide with lifestyle coaching and posted prices and a starting price around $179/mo.
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Wellorithm
Compounded GLP-1 access with oral tablet options across 49 states
From $147/mo
Get started →AgelessRx
Longevity-focused GLP-1 care
From $139/mo
Get started →Willow
Mainstream telehealth GLP-1 access
From $299/mo
Get started →1st Optimal vs Broose Wellness: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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