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1st Optimal vs Modern Age

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

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6.7

1st Optimal

Best for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program
★★★☆☆3.4
Semaglutide GLP-1Tirzepatide GLP-1Oral tablet optionAt-home lab testing
Visit 1st Optimal
6.9

Modern Age

Best for Patients wanting a premium, branded-GLP-1 weight program inside a longevity clinic.
★★★3.5

Starting at $900/mo

Longevity clinicBranded semaglutideWegovy & OzempicBoard-certified clinicians
Visit Modern Age

Side-by-Side Comparison

Feature1st OptimalModern Age
Overall Score6.7/106.9/10
Starting Price$900/mo
Editorial Rating3.4 ★ /53.5 ★ /5
Features8 features8 features
States Available00
Compounded
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

Pros & Cons

1st Optimal

Pros

  • 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

Cons

  • 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

Pros

  • 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

Cons

  • 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

Winner: Modern AgeScore: 6.9/10

Modern Age edges out 1st Optimal with a higher overall score of 6.9/10 and is particularly strong for Patients wanting a premium, branded-GLP-1 weight program inside a longevity clinic.. 1st Optimal remains a solid alternative, especially if you're looking for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Glossary references

Key terms in this article, linked to their canonical definitions.

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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.