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1st Optimal vs Recovery Delivered

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

Visit 1st Optimal
VS
Recovery Delivered logo

Recovery Delivered

7.4
★★★3.7/5

Best for: Cheap compounded GLP-1 with an included provider video visit and fast home delivery

Visit Recovery Delivered

1st Optimal and Recovery Delivered 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, Recovery Delivered starts at $199/mo, and Recovery Delivered edges ahead overall (7.4 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

Pricing not publicly listed.

Recovery Delivered

Starter (0.25-1ml/wk)Compounded
$199/mo
semaglutide

$199.99/mo start; scales to $229.99 then $299.99 at higher weekly doses; includes video visit + delivery

Starter (2.5mg/wk)Compounded
$219/mo
tirzepatide

$219/mo start, includes provider visit + delivery

Oral (30mg/mo)Compounded
$249/mo
semaglutide

oral drops/tablets from $249/mo

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What’s included

1st Optimal

Inclusions not disclosed.

Recovery Delivered

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

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

Recovery Delivered

7.4/10

Value25%

6.5A
vs
B
8.0

Effectiveness25%

7.0A
vs
B
7.5

User Experience15%

6.5A
vs
B
7.5

Trust & Safety15%

6.5A
vs
B
6.5

Accessibility10%

6.5A
vs
B
7.5

Support10%

7.4A
vs
B
7.0

Features & Coverage

Feature1st OptimalRecovery Delivered
Starting Price$199/mo
Features8 features6 features
States AvailableNot disclosed32
Compounded✓ Yes
Brand Name
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 Recovery Delivered

Recovery Delivered is a US telehealth service (Tara Healthcare LLC) that offers compounded GLP-1 weight-loss medication alongside its addiction-recovery care. Compounded semaglutide injections start at $199.99/mo and compounded tirzepatide at $219/mo, each including a video visit with a provider and home delivery. Oral semaglutide is also available from $249/mo. Service is offered in 31 states plus DC.

Read our full Recovery Delivered 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

Recovery Delivered

What we like

  • Low entry price: compounded semaglutide from $199.99/mo, tirzepatide from $219/mo
  • Video visit with a provider and home delivery included in the price
  • Offers both injectable and oral compounded GLP-1 options

Watch-outs

  • Compounding pharmacy is not publicly named
  • Not available in 19 states (including CA, IL, TN, GA, MI)
  • Higher semaglutide doses cost up to $299.99/mo

Our Verdict

Winner: Recovery Delivered

Recovery Delivered edges out 1st Optimal with a higher overall score of 7.4/10 and is particularly strong for Cheap compounded GLP-1 with an included provider video visit and fast home delivery. 1st Optimal remains a solid alternative, especially if you're looking for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Choose 1st Optimal if…

You want Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Choose Recovery Delivered if…

You want Cheap compounded GLP-1 with an included provider video visit and fast home delivery and a starting price around $199/mo.

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7.8

Embody

Low flat-rate compounded GLP-1 pricing at every dose

6.9

YourEra

$99 first-month entry pricing on compounded GLP-1s

8.2

Gala

Compounded GLP-1/GIP combo therapy on a yearly subscription with free shipping nationwide

1st Optimal vs Recovery Delivered: FAQ

Key terms, explained

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