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1st Optimal vs Potere Health MD

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

Visit 1st Optimal
VS
Potere Health MD logo

Potere Health MD

7.3
★★★3.7/5

Best for: low-cost, physician-led GLP-1 weight loss without a subscription

Visit Potere Health MD

1st Optimal and Potere Health MD 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, Potere Health MD starts lower at $80/mo versus $99/mo, and Potere Health MD edges ahead overall (7.3 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

Weight Loss Care membership — medication not includedBrand-name
$99/mo
semaglutide

Care membership only — the GLP-1 medication is billed separately and is not priced.

Potere Health MD

Starting planCompounded
$80/mo
semaglutide
Starting planCompounded
$135/mo
tirzepatide

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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

Potere Health MD

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

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

Potere Health MD

7.3/10

Value25%

6.5A
vs
B
8.0

Effectiveness25%

7.0A
vs
B
7.0

User Experience15%

6.5A
vs
B
7.0

Trust & Safety15%

6.5A
vs
B
7.8

Accessibility10%

6.5A
vs
B
5.5

Support10%

7.4A
vs
B
7.9

Features & Coverage

Feature1st OptimalPotere Health MD
Starting Price$99/mo$80/mo
Features8 features8 features
States AvailableNot disclosed1
Compounded✓ Yes
Brand Name✓ Yes
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 Potere Health MD

Potere Health MD is a Utah-based, physician-led weight loss clinic offering semaglutide and tirzepatide in both FDA-approved and compounded forms via telehealth and in-person visits. Led by Dr. Joshua Silva, MD, it serves patients in Utah (clinics in St. George, Salt Lake City, and Cedar City), with same or next-day appointments and pickup or statewide delivery. It emphasizes a no-subscription model, third-party Certificate of Analysis verification, and a LegitScript-certified pharmacy. Pricing starts around $80 to $135/month. Compounded medications are not FDA-approved.

Read our full Potere Health MD 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

Potere Health MD

What we like

  • Low starting pricing (about $80-$135/month) with no subscription lock-in
  • Physician-led by a named MD, not automated messaging
  • Third-party COA and LegitScript-certified pharmacy
  • Both telehealth and in-person Utah visits with fast scheduling

Watch-outs

  • Serves only patients located in Utah
  • Limited dose-specific pricing detail on main pages
  • Compounded medications are not FDA-approved

Our Verdict

Winner: Potere Health MD

Potere Health MD edges out 1st Optimal with a higher overall score of 7.3/10 and is particularly strong for low-cost, physician-led GLP-1 weight loss without a subscription. 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 Potere Health MD if…

You want low-cost, physician-led GLP-1 weight loss without a subscription and a starting price around $80/mo.

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7.4

Brightmeds

Compounded or brand GLP-1 bundled with TRT and peptides for men

6.4

Direct Meds

Listed for disclosure only — see its FDA warning and BBB complaints first

7.6

Maximus

Men seeking compounded GLP-1 alongside testosterone optimization

1st Optimal vs Potere Health MD: FAQ

Potere Health MD is cheaper. Its lowest ongoing monthly cash price is $80/mo, compared with $99/mo for 1st Optimal. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
Potere Health MD scores higher overall at 7.3/10 versus 6.7/10, and is particularly strong for low-cost, physician-led GLP-1 weight loss without a subscription. That said, 1st Optimal is a better fit if you want GLP-1 therapy within a lab-driven functional-medicine program.
Potere Health MD lists availability in 1 state, while 1st Optimal's state list is not publicly listed.
Neither 1st Optimal nor Potere Health MD is currently an affiliate partner, so we earn no commission from either. We rank all providers editorially using the same six-dimension framework and disclose any commercial relationships.
For Semaglutide, Potere Health MD is cheaper at $80/mo versus $99/mo at 1st Optimal.

Key terms, explained

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Continue exploring 1st Optimal and Potere Health MD head-to-heads in the same category.

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