1st Optimal vs TeleHealth Weight Solutions
An in-depth comparison of two leading GLP-1 Providers
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1st Optimal
Best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program
Visit 1st Optimal →TeleHealth Weight Solutions
Best for: budget-minded patients wanting low-cost compounded glp-1 refills with home delivery
Visit TeleHealth Weight Solutions →1st Optimal and TeleHealth Weight 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, TeleHealth Weight Solutions starts at $325/mo, and TeleHealth Weight Solutions edges ahead overall (6.8 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.
TeleHealth Weight Solutions
650 dollars for an initial ~10-week supply (about 325/mo); refills from ~60/mo depending on vial size
750 dollars initial supply (about 375/mo); one-time 125-dollar transfer fee
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What’s included
1st Optimal
Inclusions not disclosed.
TeleHealth Weight Solutions
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
TeleHealth Weight Solutions
6.8/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | TeleHealth Weight Solutions |
|---|---|---|
| Starting Price | — | $325/mo |
| Features | ✓8 features | 6 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| 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 TeleHealth Weight Solutions
TeleHealth Weight Solutions (branded Medi Health Clinics) is a nurse-practitioner-managed telehealth program prescribing compounded semaglutide and tirzepatide for weight loss, shipped with supplies from accredited compounding pharmacies. Published pricing: semaglutide starts at 650 dollars for an initial roughly 10-week supply (about 325 per month), refills from around 60 per month by vial size; tirzepatide starts at 750 dollars (about 375 per month); a one-time 125-dollar transfer fee applies. Advertises coverage across 43 states (not enumerated). Phone and client-portal support.
Read our full TeleHealth Weight 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
TeleHealth Weight Solutions
What we like
- Both compounded semaglutide and tirzepatide offered with published pricing
- Low refill pricing (from about 60 dollars per month) after the initial supply
- Broad advertised reach across 43 states with home delivery of medication and supplies
Watch-outs
- Dispensing pharmacy is not publicly named
- Specific states served are not listed and the site also shows a separate Medi Health Clinics brand
- 125-dollar transfer fee for outside prescriptions
Our Verdict
TeleHealth Weight Solutions edges out 1st Optimal with a higher overall score of 6.8/10 and is particularly strong for budget-minded patients wanting low-cost compounded glp-1 refills with 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 TeleHealth Weight Solutions if…
You want budget-minded patients wanting low-cost compounded glp-1 refills with home delivery and a starting price around $325/mo.
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Sunlight
Compounded GLP-1 with unlimited telehealth visits and free shipping
From $159/mo
Get started →MadeMed
Compounded GLP-1 in both injection and oral forms
From $219/mo
Get started →Found
Mainstream telehealth GLP-1 access
From $99/mo
Get started →1st Optimal vs TeleHealth Weight 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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