1st Optimal vs Eloria
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 →
Eloria
Best for: No-membership compounded GLP-1 from $179, with a brand Wegovy option and board-certified online care
Visit Eloria →1st Optimal and Eloria 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, Eloria starts at $179/mo, and Eloria edges ahead overall (8.2 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.
Eloria
Weekly compounded GLP-1 injection; no membership or hidden fees; from $179/mo. Tirzepatide also offered (price not confirmed).
Daily oral dissolving tablet from $249/mo. Brand Wegovy (pill or injection) also offered on a $99/mo membership plus medication cost.
What’s included
1st Optimal
Inclusions not disclosed.
Eloria
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
Eloria
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Eloria |
|---|---|---|
| Starting Price | — | $179/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| 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 Eloria
Eloria is a clinician-led GLP-1 weight-loss telehealth platform operated by Arora Health & Aesthetics. Board-certified providers evaluate you online and US-licensed pharmacies ship to your door with free shipping and no membership or hidden fees on its compounded plans. Compounded GLP-1 injections start at $179/mo and oral dissolving tablets at $249/mo; brand Wegovy (pill or injection) is offered on a $99 membership plus medication cost. HSA/FSA accepted, 24/7 support. Compounded meds are not FDA-approved; the pharmacy isn't named, the state list isn't published, and no LegitScript is shown.
Read our full Eloria 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
Eloria
What we like
- Compounded GLP-1 injections from $179/mo and oral dissolving tablets from $249/mo, with no membership or hidden fees
- Also offers brand Wegovy (pill or injection) on a $99/mo membership plus medication cost
- Board-certified providers (via Arora Health & Aesthetics) and US-licensed pharmacies
- HSA/FSA accepted, free shipping on every order, and 24/7 support
- Full published compliance suite (Terms, Privacy, Refund, Shipping, Physician Code of Conduct, Consent to Telehealth)
Watch-outs
- Compounded medications are not FDA-approved - not brand Ozempic, Zepbound, or Mounjaro
- State availability varies and is not published - only where providers are licensed and pharmacies can dispense
- The compounding pharmacy partner is not named (US-licensed pharmacies only)
- No LegitScript certification displayed
- Brand Wegovy uses a separate $99/mo membership-plus-medication-cost model
Our Verdict
Eloria edges out 1st Optimal with a higher overall score of 8.2/10 and is particularly strong for No-membership compounded GLP-1 from $179, with a brand Wegovy option and board-certified online care. 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 Eloria if…
You want No-membership compounded GLP-1 from $179, with a brand Wegovy option and board-certified online care and a starting price around $179/mo.
Ready to start? Vetted GLP-1 providers
Vetted telehealth providers that prescribe GLP-1 online, ranked by our editorial score.
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TrimRx
Best overall value
From $179/mo
Get started →Telos Rx
Needle-free and microdosed compounded GLP-1 options with lab-monitored care
From $49/mo
Get started →Strut Health
Oral-lozenge compounded GLP-1 access
From $99/mo
Get started →1st Optimal vs Eloria: 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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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.