1st Optimal vs Modern Age
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 →
Modern Age
Best for: a premium, branded-GLP-1 weight program inside a longevity clinic.
Visit Modern Age →1st Optimal and Modern Age 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 $500/mo, and Modern Age edges ahead overall (6.8 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.
Modern Age
A one-time assessment. Modern Age estimates the medication at $900–$1,600/mo on top.
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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
Modern Age
Inclusions 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
Modern Age
6.8/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Modern Age |
|---|---|---|
| Starting Price | ✓$99/mo | $500/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | — |
| Brand Name | ✓ Yes | ✓ 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 Modern Age
Modern Age is a longevity-focused health clinic that uses FDA-approved branded GLP-1 medication (semaglutide - Wegovy/Ozempic) within a structured Weight Loss Program. The model is assessment-led: an Aging Wellness Assessment ($500) with blood draw, at-home tests and a one-hour board-certified clinician review, followed by a personalized 6-month Weight Loss Program ($500). GLP-1 medication is not included; if uninsured, branded Ozempic/Wegovy is estimated at $900-1600/mo. Currently available to residents in 16 states. A premium, clinician-led program, not a low-cost compounded subscription.
Read our full Modern Age 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
Modern Age
What we like
- Uses FDA-approved branded GLP-1 medication (Wegovy/Ozempic), no compounding
- Comprehensive assessment with labs, at-home tests and clinician review
- Board-certified clinicians and structured 6-month program
- Longevity-oriented, whole-person approach beyond weight loss
Watch-outs
- Expensive: $500 assessment plus $500 program, with medication billed separately
- Branded GLP-1 can cost $900-1600/mo if not covered by insurance
- Only available in 16 states (specific states not listed publicly)
- Premium positioning makes it costlier than compounded-subscription rivals
Our Verdict
Modern Age edges out 1st Optimal with a higher overall score of 6.8/10 and is particularly strong for a premium, branded-GLP-1 weight program inside a longevity clinic.. 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 Modern Age if…
You want a premium, branded-GLP-1 weight program inside a longevity clinic. and a starting price around $500/mo.
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Direct Meds
Listed for disclosure only — see its FDA warning and BBB complaints first
From $249/mo
Get started →Maximus
Men seeking compounded GLP-1 alongside testosterone optimization
From $199.99/mo
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Brand-name GLP-1s at cash prices, no compounding
From $25/mo
Get started →1st Optimal vs Modern Age: 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.