1st Optimal vs Society of You
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 →
Society of You
Best for: compounded GLP-1 from named partner pharmacies, including oral tirzepatide
Visit Society of You →1st Optimal and Society of You 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 $279/mo, and Society of You edges ahead overall (7.0 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.
Society of You
injectable; $169 first month, $279/mo thereafter (standing rate)
injectable; $279 first month, $425/mo thereafter (standing rate)
oral tablets; $249 first month, $379/mo thereafter (standing rate)
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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
Society of You
Inclusions 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
Society of You
7.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Society of You |
|---|---|---|
| Starting Price | ✓$99/mo | $279/mo |
| Features | ✓8 features | 5 features |
| States Available | Not disclosed | Not disclosed |
| 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 Society of You
Society of You is a US telehealth brand (Society Management Group) offering compounded GLP-1 weight-loss medication filled through named partner pharmacies (Emerald and Striker). Compounded semaglutide runs $279/mo (first month $169), injectable tirzepatide $425/mo (first month $279), and oral tirzepatide $379/mo (first month $249). Introductory first-month pricing applies before the standard monthly rate begins.
Read our full Society of You 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
Society of You
What we like
- Two named partner pharmacies disclosed (Emerald Pharmacy, Striker Pharmacy)
- Injectable and oral tirzepatide plus semaglutide options
- Discounted first-month introductory pricing
Watch-outs
- Standard rates are high once the intro month ends ($279-$425/mo)
- Service-area states are not published on the marketing site
- Support details are not disclosed publicly
Our Verdict
Society of You edges out 1st Optimal with a higher overall score of 7.0/10 and is particularly strong for compounded GLP-1 from named partner pharmacies, including oral tirzepatide. 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 Society of You if…
You want compounded GLP-1 from named partner pharmacies, including oral tirzepatide and a starting price around $279/mo.
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Get started →1st Optimal vs Society of You: 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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