1st Optimal vs DudeMeds
An in-depth comparison of two leading GLP-1 Providers
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1st Optimal
Best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program
Visit 1st Optimal →DudeMeds
Best for: men seeking no-fee GLP-1 access with oral and injectable options
Visit DudeMeds →1st Optimal and DudeMeds 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, DudeMeds starts at $175/mo, and DudeMeds edges ahead overall (6.9 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
Pricing not publicly listed.
DudeMeds
$175/mo (orig $295 struck), Total Billed $525 (Orig. $885); 503B compounded; cheapest product on site — advertised '$149+' price not found on any product page
$179/mo (orig $295), Total Billed $716 (Orig. $1,180)
$597 billed (orig $885); ongoing refill tier
$498 billed (orig $590); ongoing refill tier
$837 billed (orig $885); ongoing refill tier
$249/mo (orig $1,299 struck), Total Billed $747 (Orig. $1,299); unchanged from our record
$699 billed (orig $1,299); ongoing refill tier — below the $249 tirz median
$598 billed (orig $866); ongoing refill tier
$1,179 billed (orig $1,299); NOTE site labels this 'High Dose' at 5mg/week — same mg as the low tier, likely a site labeling error
NEW branch: Total Billed $4,755 (3 months)
NEW branch: Total Billed $4,755 (3 months)
NEW branch: Total Billed $4,050 (3 months)
NEW branch: Total Billed $4,050 (3 months)
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What’s included
1st Optimal
Inclusions not disclosed.
DudeMeds
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
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
DudeMeds
6.9/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | DudeMeds |
|---|---|---|
| Starting Price | — | $175/mo |
| Features | ✓8 features | 4 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| 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 DudeMeds
DudeMeds is a men's telehealth platform offering semaglutide and tirzepatide in both oral and injectable formats from $175/month. No membership fee, no doctor fee, free shipping. Also offers TRT, ED, and hair loss treatments. Accepts clinic-switch patients from existing GLP-1 and TRT providers.
Read our full DudeMeds 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
DudeMeds
What we like
- Semaglutide and tirzepatide in both oral and injectable forms
- No membership or doctor fee, free shipping — all-in pricing from $175/mo
- HSA and FSA eligible
- Accepts patients switching from existing GLP-1 and TRT providers
- Async consultations in most states — no video visit required
- 24/7 patient portal for ongoing care and dose adjustments
Watch-outs
- Men's-only branding may not appeal to women
- State availability not published — described only as 'most states'
- No visible LegitScript certification or PCAB accreditation
- Newer brand with limited independent reviews
- Advertised 'from $149/month' price doesn't exist at checkout — the cheapest real plan is $175/mo, billed $525 upfront
Our Verdict
DudeMeds edges out 1st Optimal with a higher overall score of 6.9/10 and is particularly strong for men seeking no-fee GLP-1 access with oral and injectable options. 1st Optimal remains a solid alternative, especially if you're looking for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.
Choose 1st Optimal if…
You want Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.
Choose DudeMeds if…
You want men seeking no-fee GLP-1 access with oral and injectable options and a starting price around $175/mo.
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GobyMeds
Budget-conscious shoppers
From $93/mo
Get started →RNK Health
Compounded GLP-1 alongside NAD+, peptide and longevity add-ons
From $197/mo
Get started →Wellorithm
Compounded GLP-1 access with oral tablet options across 49 states
From $147/mo
Get started →1st Optimal vs DudeMeds: 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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