1st Optimal vs Florida Weight Loss MD
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 →Florida Weight Loss MD
Best for: physician-led GLP-1 care with an insurance or self-pay option
Visit Florida Weight Loss MD →1st Optimal and Florida Weight Loss MD 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 Florida Weight Loss MD 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
Care membership only — the GLP-1 medication is billed separately and is not priced.
Florida Weight Loss MD
Published as "Monthly Program: From $179.00", alongside "Weekly Shots: From $69.00" and "3-Month Supply: From $399.00". No molecule is tied to the figure, so no drug is assigned.
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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
Florida Weight Loss MD
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
Florida Weight Loss MD
6.9/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Florida Weight Loss MD |
|---|---|---|
| Starting Price | ✓$99/mo | $179/mo |
| Features | ✓8 features | 6 features |
| States Available | Not disclosed | 1 |
| 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 Florida Weight Loss MD
Florida Weight Loss MD (Florida Surgery & Weight Loss Center) is a physician-led telehealth clinic serving patients statewide across Florida. Led by Dr. Sergey Terushkin, MD, FACS, it provides physician-supervised compounded semaglutide and tirzepatide programs, plus brand options such as Wegovy, Ozempic, Mounjaro and Zepbound when medically appropriate. Same-day virtual visits are available; it accepts most insurance or self-pay. The initial consult is $99, with $49 credited toward the program.
Read our full Florida Weight Loss MD 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
Florida Weight Loss MD
What we like
- Physician-led (Dr. Sergey Terushkin, MD, FACS) with same-day telehealth visits statewide in Florida
- Offers both compounded GLP-1 and brand Wegovy/Ozempic/Mounjaro/Zepbound when appropriate
- Accepts most insurance or self-pay; consult $99 with $49 applied to the program
Watch-outs
- Florida residents only — no service outside the state
- Monthly medication pricing is not published; disclosed after evaluation
- Single-clinic operation rather than a national telehealth platform
Our Verdict
Florida Weight Loss MD edges out 1st Optimal with a higher overall score of 6.9/10 and is particularly strong for physician-led GLP-1 care with an insurance or self-pay option. 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 Florida Weight Loss MD if…
You want physician-led GLP-1 care with an insurance or self-pay option and a starting price around $179/mo.
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Found
Mainstream telehealth GLP-1 access
From $99/mo
Get started →Breeze Meds
Compounded GLP-1 access with named prescribers and 4-pharmacy network
From $199/mo
Get started →Telos Rx
Needle-free, microdosed compounded GLP-1 with lab-monitored care
From $99/mo
Get started →1st Optimal vs Florida Weight Loss MD: 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.