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1st Optimal vs RegenCen

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
RegenCen logo

RegenCen

6.7
★★★☆☆3.4/5

Best for: GLP-1 weight loss alongside menopause and hormone care

Visit RegenCen

1st Optimal and RegenCen 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

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.

RegenCen

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

RegenCen

What the monthly price covers

Medication

Not disclosed

Provider visits

Not disclosed

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

Overall

RegenCen

6.7/10

Value25%

6.5A
vs
B
6.0

Effectiveness25%

7.0A
vs
B
7.0

User Experience15%

6.5A
vs
B
7.0

Trust & Safety15%

6.5A
vs
B
7.0

Accessibility10%

6.5A
vs
B
6.5

Support10%

7.4A
vs
B
7.4

Features & Coverage

Feature1st OptimalRegenCen
Starting Price$99/mo
Features8 features8 features
States AvailableNot disclosed2
Compounded
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 RegenCen

RegenCen is a women's and menopause-focused practice offering its Medically Guided Weight Loss program with GLP-1 medications including semaglutide and tirzepatide, paired with peptides, metabolic care, and coaching. Virtual consultations by video or phone are available to patients in Michigan and Florida, alongside physical locations in both states and Bluffton, South Carolina. The clinic is led by Dr. Gustav Lo, MD and Courtney Lo, PA, and includes Menopause Society Certified Practitioners. It emphasizes hormone support via its RegenHRT approach. Specific GLP-1 prices are not published.

Read our full RegenCen 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

RegenCen

What we like

  • Virtual consultations by video or phone for MI and FL patients
  • MD-led oversight (Dr. Gustav Lo) plus PA co-founder
  • Menopause Society Certified Practitioners on staff
  • GLP-1 paired with coaching and metabolic care
  • Bundles weight loss with bioidentical hormone therapy

Watch-outs

  • Telehealth limited to Michigan and Florida
  • No published GLP-1 medication pricing
  • No named pharmacy or medication sourcing details
  • Menopause/women's focus rather than weight-loss-only

Our Verdict

Both 1st Optimal and RegenCen 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 RegenCen if…

You want GLP-1 weight loss alongside menopause and hormone care.

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6.9

Try Ageless

Lowest-tier compounded GLP-1 in injection, troche and sublingual forms

7.3

Sunlight

Compounded GLP-1 with unlimited telehealth visits and free shipping

7.4

MadeMed

Compounded GLP-1 in both injection and oral forms

1st Optimal vs RegenCen: FAQ

1st Optimal lists a lowest ongoing price of $99/mo, while RegenCen does not publicly list one. See the side-by-side pricing above for the full breakdown.
1st Optimal and RegenCen tie at 6.7/10 overall, so the right pick comes down to your priorities — 1st Optimal for GLP-1 therapy within a lab-driven functional-medicine program, RegenCen for GLP-1 weight loss alongside menopause and hormone care.
RegenCen lists availability in 2 states, while 1st Optimal's state list is not publicly listed.
Neither 1st Optimal nor RegenCen 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.

Key terms, explained

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Continue exploring 1st Optimal and RegenCen head-to-heads in the same category.

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