1st Optimal vs Noom
An in-depth comparison of two leading GLP-1 Providers
WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more
1st Optimal
Best for: GLP-1 therapy within a lab-driven functional-medicine program
Visit 1st Optimal →
1st Optimal and Noom 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 $199/mo, and Noom edges ahead overall (7.1 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.
Noom
⛔ THREE DIFFERENT CLOCK LENGTHS IN ONE SENTENCE, quoted verbatim from Noom's own footnote: 'Initial 3 week subscription and 4 weeks of medication from $149 plus tax and $349 per month plus tax for 12 week subscription thereafter.' So the intro is a THREE-week subscription bundled with FOUR weeks of medication, and the '$349 per month' that follows is charged against a TWELVE-week subscription commitment. It is not a cancel-anytime monthly rate. One program price covers either molecule: /med lists 'Semaglutide Wegovy®', 'Semaglutide Ozempic®', 'Tirzepatide Zepbound®' and 'Tirzepatide Mounjaro®' under the same programme tier, so this row and the tirzepatide row below are the SAME $349 offer split by drug for filtering, not two separate charges.
⛔ THREE DIFFERENT CLOCK LENGTHS IN ONE SENTENCE, quoted verbatim from Noom's own footnote: 'Initial 3 week subscription and 4 weeks of medication from $149 plus tax and $349 per month plus tax for 12 week subscription thereafter.' So the intro is a THREE-week subscription bundled with FOUR weeks of medication, and the '$349 per month' that follows is charged against a TWELVE-week subscription commitment. It is not a cancel-anytime monthly rate. Same $349 programme as the semaglutide row above; split by drug for filtering only.
Footnote 2 verbatim: 'Initial 3 week subscription and 4 weeks of medication from $79 plus tax and $199 per month plus tax for 12 week subscription thereafter.' Same three-clock structure as the main programme. ⚠ A SITE-WIDE BANNER ADVERTISES A THIRD FIGURE THAT RECONCILES WITH NEITHER: '$49 Limited-Time Offer: Microdose GLP-1Rx Program (Compounded Semaglutide). Price includes medication.' The $49 is not explained anywhere on the page and does not match the $79 intro in the footnote — treat it as an unverified promotional entry price.
Get alerted when GLP-1 prices drop
Join the GLP-1 price-watch list — we re-verify 500+ providers' prices on their own sites and email you when tracked prices move.
What’s included
1st Optimal
What the monthly price covers
Medication
Not disclosed
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Included
Noom
What the monthly price covers
Medication
Not disclosed
Provider visits
Included
Shipping
Not disclosed
Lab work
Not disclosed
Coaching
Included
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
Noom
7.1/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Noom |
|---|---|---|
| Starting Price | ✓$99/mo | $199/mo |
| Features | ✓8 features | 2 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| 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 Noom
Behavioral weight-loss app that also prescribes GLP-1s. Its GLP-1Rx Program runs $349 a month and a compounded Microdose program $199, both after a cheaper intro — but the 'per month' is billed against a twelve-week subscription, so neither is a cancel-anytime monthly rate.
Read our full Noom 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
Noom
What we like
- Both semaglutide and tirzepatide available
Watch-outs
- Pricing not publicly disclosed
Our Verdict
Noom edges out 1st Optimal with a higher overall score of 7.1/10 and is particularly strong for mainstream telehealth GLP-1 access. 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 Noom if…
You want mainstream telehealth GLP-1 access and a starting price around $199/mo.
Ready to start? Vetted GLP-1 providers
Vetted telehealth providers that prescribe GLP-1 online.
No insurance needed · vetted by our editors
WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more
Brightmeds
Compounded or brand GLP-1 bundled with TRT and peptides for men
From $100/mo
Get started →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
Get started →1st Optimal vs Noom: 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
Related comparisons
Continue exploring 1st Optimal and Noom head-to-heads in the same category.
- 1st Optimal vs Amazon One Medical
- 1st Optimal vs Vytora Health
- 1st Optimal vs Collective
- Noom vs CoreAge Rx
- Noom vs EverSlim
- Noom vs Found
Or see the full category ranking.
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.