1st Optimal vs Reset Solutions
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 →
Reset Solutions
Best for: a local, in-person GLP-1 clinic with coaching and body-composition tracking
Visit Reset Solutions →1st Optimal and Reset Solutions 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 $169/mo, and Reset Solutions edges ahead overall (7.2 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.
Reset Solutions
Combined: $99/mo program + medication 'starting at $70 per month' = from $169/mo all-in; per-drug pricing not itemized publicly
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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
Reset Solutions
What the monthly price covers
Medication
Included
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
Reset Solutions
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Reset Solutions |
|---|---|---|
| Starting Price | ✓$99/mo | $169/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 1 |
| Compounded | — | ✓ Yes |
| 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 Reset Solutions
Physician-led GLP-1 weight-loss clinic serving The Woodlands, Texas area, pairing semaglutide or tirzepatide with practical coaching, unlimited 3D body-composition scans, and a progress-tracking app. Care starts with a telehealth consultation, then an in-person kickoff at its Shenandoah, TX clinic. The program is $99/month with medication priced separately starting at $70/month.
Read our full Reset Solutions 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
Reset Solutions
What we like
- $99/mo program covers all medical visits, coaching, check-ins, and 3D body-composition testing
- Medication priced separately starting at $70/month - combined from ~$169/mo, under the compounded-sema market median
- Full refund if the doctor determines you are not a medical candidate
- No long-term contract - cancel anytime; lower-cost maintenance plan once established
- Local care team: in-person kickoff, dose adjustments over time, and app messaging
Watch-outs
- Texas only - requires an in-person kickoff at its Shenandoah (The Woodlands) clinic
- Medication form (compounded vs brand) is not stated in page copy; per-drug pricing not itemized
- Tirzepatide cost not published - only 'starting at $70 per month' across medication options
- Pharmacy partner not publicly named
- No LegitScript certification displayed
Our Verdict
Reset Solutions edges out 1st Optimal with a higher overall score of 7.2/10 and is particularly strong for a local, in-person GLP-1 clinic with coaching and body-composition tracking. 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 Reset Solutions if…
You want a local, in-person GLP-1 clinic with coaching and body-composition tracking and a starting price around $169/mo.
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PeterMD
Men wanting flat-priced compounded GLP-1 with TRT or peptides
From $215.67/mo
Get started →Care Bare Rx
LGBTQ+-inclusive compounded GLP-1 telehealth
From $199/mo
Get started →Enhance MD
Lab-monitored compounded GLP-1 with mandatory video visit
From $112/mo
Get started →1st Optimal vs Reset Solutions: 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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