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1st Optimal vs Joey Med

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: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program

Visit 1st Optimal
VS
Joey Med logo

Joey Med

5.6
★★☆☆2.8/5

Best for: weight-loss GLP-1 with sexual health, hair and longevity add-ons

Visit Joey Med

1st Optimal and Joey Med 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, Joey Med starts at $199/mo, and 1st Optimal edges ahead overall (6.7 vs 5.6 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.

Joey Med

GLP-1 Core Injection (promotional)Compounded
$199/mo
semaglutide
GLP-1 Core Injection (standard)Compounded
$279/mo
semaglutide
GLP-1 Plus Core Injection (promotional)Compounded
$275/mo
tirzepatide
GLP-1 Plus Core Injection (standard)Compounded
$399/mo
tirzepatide
GLP-1 Plus Core High Dose (promotional)Compounded
$399/mo
tirzepatide
GLP-1 Plus Core High Dose (standard)Compounded
$599/mo
tirzepatide

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What’s included

1st Optimal

Inclusions not disclosed.

Joey Med

What the monthly price covers

Medication

Not disclosed

Provider visits

Not disclosed

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

Overall

Joey Med

5.6/10

Value25%

6.5A
vs
B
6.0

Effectiveness25%

7.0A
vs
B
5.0

User Experience15%

6.5A
vs
B
6.0

Trust & Safety15%

6.5A
vs
B
4.3

Accessibility10%

6.5A
vs
B
7.0

Support10%

7.4A
vs
B
6.0

Features & Coverage

Feature1st OptimalJoey Med
Starting Price$199/mo
Features8 features4 features
States AvailableNot disclosed50
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 Joey Med

Joey Med is a Tampa, FL telehealth platform offering injectable GLP-1 weight-loss treatments alongside sexual health, longevity, hair-growth, and travel-wellness products — a multi-vertical model for consolidating men's-health-adjacent care. Three GLP-1 tiers are offered, each with a promotional and standard rate, and medications ship to all 50 states. Pricing runs from $199 on the entry Core tier up to $599 on the high-dose tier; no insurance is accepted.

Read our full Joey Med 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

Joey Med

What we like

  • Three GLP-1 tiers listed with dual pricing on the products page
  • Ships to all 50 states
  • Refund and cancellation policy publicly linked
  • Tampa, FL location anchor provides a geographic identifier
  • Lets patients consolidate weight loss with ED, hair, and longevity treatments

Watch-outs

  • Drug names (semaglutide vs tirzepatide) not disclosed — products sold as 'GLP-1 Core / Plus / High Dose'
  • Compounded vs brand-name not stated (appears compounded but unconfirmed)
  • 503A vs 503B designation not specified
  • Pharmacy partner not named
  • No LegitScript certification mentioned
  • No FDA compounded-medication disclaimer published
  • Named medical director not disclosed
  • Corporate legal entity and governing law not disclosed

Our Verdict

Winner: 1st Optimal

1st Optimal edges out Joey Med with a higher overall score of 6.7/10 and is particularly strong for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program. Joey Med remains a solid alternative, especially if you're looking for weight-loss GLP-1 with sexual health, hair and longevity add-ons.

Choose 1st Optimal if…

You want Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Choose Joey Med if…

You want weight-loss GLP-1 with sexual health, hair and longevity add-ons and a starting price around $199/mo.

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1st Optimal vs Joey Med: FAQ

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