1st Optimal vs Nava Health
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 →
Nava Health
Best for: GLP-1 weight loss inside a functional-medicine program with lab testing
Visit Nava Health →1st Optimal and Nava Health 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 at $99/mo, and both land at 6.7/10 overall. 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.
Nava Health
Pricing not publicly listed.
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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
Nava Health
What the monthly price covers
Medication
Not disclosed
Provider visits
Billed separately
Shipping
Not disclosed
Lab work
Billed separately
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
Nava Health
6.7/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Nava Health |
|---|---|---|
| Starting Price | $99/mo | — |
| Features | 8 features | 8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | — |
| 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 Nava Health
Nava Health is a functional and integrative medicine practice offering its NavaRX medical weight loss program with GLP-1 medications (semaglutide and tirzepatide, brand or compounded). Care combines advanced lab testing, nutrition coaching, and hormone-aware treatment delivered via telemedicine or at centers in Maryland and Virginia. The clinic is cash-based with upfront pricing, financing, and membership plans, and is staffed by board-certified MDs, DOs, NPs, PAs, and functional-medicine nutritionists. Specific GLP-1 prices are not published online and depend on a consultation plus lab work.
Read our full Nava Health 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
Nava Health
What we like
- Integrative functional-medicine approach with advanced lab testing
- Both telemedicine and in-person options
- Board-certified MDs, DOs, NPs, PAs, and nutritionists
- Offers both brand and compounded GLP-1 formulations
- Financing and membership plans available
Watch-outs
- No published GLP-1 medication pricing online
- Consultation plus lab work adds to total cost
- Bundled integrative model costs more than medication-only platforms
- State availability for telehealth not clearly listed
Our Verdict
Both 1st Optimal and Nava Health score equally well overall — the right choice depends on your priorities.
Choose 1st Optimal if…
You want GLP-1 therapy within a lab-driven functional-medicine program and a starting price around $99/mo.
Choose Nava Health if…
You want GLP-1 weight loss inside a functional-medicine program with lab testing.
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Sunlight
Compounded GLP-1 with unlimited telehealth visits and free shipping
From $88/mo
Get started →MadeMed
Compounded GLP-1 in both injection and oral forms
From $219/mo
Get started →Found
Mainstream telehealth GLP-1 access
From $99/mo
Get started →1st Optimal vs Nava Health: 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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