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1st Optimal vs HumeCare+

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
1st Optimal logo

1st Optimal

6.7
★★★☆☆3.4/5

Best for: GLP-1 therapy within a lab-driven functional-medicine program

Visit 1st Optimal
VS
HumeCare+ logo

HumeCare+

7.2
★★★3.6/5

Best for: GLP-1 weight loss with real-time body-composition tracking to protect muscle

Visit HumeCare+

1st Optimal and HumeCare+ 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, HumeCare+ starts at $199/mo, and HumeCare+ edges ahead overall (7.2 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.

HumeCare+

StartingCompounded
$199/mo
semaglutide

Program from $199/mo, billed monthly; includes the GLP-1 medication plus a free Hume Pod body-composition device

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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

HumeCare+

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

Overall

HumeCare+

7.2/10

Value25%

6.5A
vs
B
7.5

Effectiveness25%

7.0A
vs
B
7.0

User Experience15%

6.5A
vs
B
7.5

Trust & Safety15%

6.5A
vs
B
6.8

Accessibility10%

6.5A
vs
B
7.0

Support10%

7.4A
vs
B
7.4

Features & Coverage

Feature1st OptimalHumeCare+
Starting Price$199/mo
Features8 features8 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

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 HumeCare+

HumeCare+ is the GLP-1 telehealth program from Hume Health, the body-composition scale company. It pairs clinician-prescribed compounded semaglutide with continuous body-composition tracking via an included Hume Pod device, so you can see whether you are losing fat rather than muscle. Plans start from $199/mo billed monthly (cancel anytime) and include the medication plus the device. The state-availability list is not published, and the prescribing medical group and pharmacy partner are not named on the marketing site.

Read our full HumeCare+ 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

HumeCare+

What we like

  • Pairs compounded semaglutide with continuous body-composition tracking (lose fat, preserve muscle)
  • Includes a Hume Pod body-composition device at no extra cost
  • From $199/mo, billed monthly, cancel anytime
  • Backed by Hume Health, an established body-composition scale brand
  • Clinician-prescribed and monitored with weekly tracking

Watch-outs

  • Final medication pricing is gated behind an intake quiz
  • Only semaglutide is shown on the marketing site (tirzepatide not confirmed)
  • Prescribing medical group and pharmacy partner not named
  • States of operation not published
  • Not LegitScript-certified (no certification displayed)

Our Verdict

Winner: HumeCare+

HumeCare+ edges out 1st Optimal with a higher overall score of 7.2/10 and is particularly strong for GLP-1 weight loss with real-time body-composition tracking to protect muscle. 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.

Choose HumeCare+ if…

You want GLP-1 weight loss with real-time body-composition tracking to protect muscle and a starting price around $199/mo.

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8.3

Found

Mainstream telehealth GLP-1 access

7.4

Breeze Meds

Compounded GLP-1 access with named prescribers and 4-pharmacy network

8.1

GobyMeds

Budget-conscious shoppers

1st Optimal vs HumeCare+: FAQ

Key terms, explained

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