1st Optimal vs Found Youth
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 →Found Youth
Best for: choosing between injection, microdose and sublingual formats of either GLP-1
Visit Found Youth →1st Optimal and Found Youth 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 $149/mo, and Found Youth edges ahead overall (7.6 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.
Found Youth
Term selector offers 1, 3 or 6 months. The 6-month term is $1,259 charged once, about $209.83/mo.
Low-dose tier, cheapest GLP-1 entry on the site.
Needle-free sublingual format.
Term selector offers 1, 3 or 6 months.
Low-dose tirzepatide tier.
Needle-free sublingual format.
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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
Found Youth
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
Found Youth
7.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Found Youth |
|---|---|---|
| Starting Price | ✓$99/mo | $149/mo |
| Features | ✓8 features | 6 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 Found Youth
Found Youth is a boutique compounded-medication shop selling semaglutide from $249 and tirzepatide from $329 a month, each also available as a microdose tier or as sublingual drops — six GLP-1 formats in total. It names its fulfilling pharmacy, The Pharmacy Hub in Miami. Longer terms are prepaid in a single charge rather than billed monthly.
Read our full Found Youth 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
Found Youth
What we like
- Six GLP-1 formats — standard, microdose and sublingual drops for both semaglutide and tirzepatide
- Names its fulfilling pharmacy: The Pharmacy Hub, 15600 NW 15th Ave, Miami FL, with a published phone number
- A genuine one-month option exists on every product, so you are not forced into a prepay
- Microdose semaglutide starts at $149, the lowest entry price on their own menu
- Subscriptions can be paused, modified or canceled before the next renewal, by portal or email
- Prices are on the shop cards, so nothing is gated behind an intake
Watch-outs
- All sales are final once a prescription product has been dispensed
- The 3 and 6-month terms are single upfront charges, not a lower monthly rate
- No legal entity name is published on the return or shipping policy pages
- No state list is published anywhere
- Support is email-only, with a stated one-business-day response and no phone line
- Sublingual and microdose GLP-1 formats have thinner evidence than standard injections
Our Verdict
Found Youth edges out 1st Optimal with a higher overall score of 7.6/10 and is particularly strong for choosing between injection, microdose and sublingual formats of either GLP-1. 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 Found Youth if…
You want choosing between injection, microdose and sublingual formats of either GLP-1 and a starting price around $149/mo.
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Care Bare Rx
LGBTQ+-inclusive compounded GLP-1 telehealth
From $199/mo
Get started →Enhance MD
Lab-monitored compounded GLP-1 with mandatory video visit
From $112/mo
Get started →MEDVi
Switching between compounded and brand-name GLP-1 through one provider
From $99/mo
Get started →1st Optimal vs Found Youth: 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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