Better MedSpa Review

A Lincoln Park aesthetics clinic that does GLP-1 weight loss the in-person way

Better MedSpa is not a national telehealth app dressed up as a clinic. It is an actual physician-led practice in Lincoln Park, Chicago, that happens to extend its weight-loss program by telehealth to the rest of Illinois. That distinction matters. Most of the providers we rank are built to sign up a patient in Phoenix and one in Miami the same afternoon. Better MedSpa is built around a single storefront and a single state, with a medical director, Dr. Brett Brechner, DO, whose name is attached to the program. If you live in Illinois and you would rather your weight-loss care come from a real office you could theoretically walk into, this is one of the few options on our list that genuinely offers that.

Who this is really for

Better MedSpa fits a specific person: an Illinois resident who wants semaglutide or tirzepatide and likes the idea of starting in person, with the option to continue by video and have refills shipped to the door. The hybrid model is the whole pitch. You can sit down in the Lincoln Park office for your first consult, get examined, and then keep the relationship going remotely. For people who distrust the entirely-online intake forms that dominate this category, that face-to-face start is reassuring.

Be just as clear about who should skip it. If you live outside Illinois, this provider is simply not available to you. And if your top priority is a published, predictable monthly price you can compare at a glance, Better MedSpa will frustrate you, because it does not post one.

How the pricing actually works (and why that's the catch)

Here is the single biggest thing to understand before you call: Better MedSpa does not publish any price for its weight-loss program online. Not a medication cost, not a membership, nothing. So there's no standard monthly rate to quote here, and anyone who claims a firm number is guessing. For rough context only, the typical GLP-1 telehealth program runs around the category median of $179 a month. Better MedSpa has not committed to anything, so confirm the real figure directly with the clinic.

How we get the category median: $179 is the middle value of the cheapest ongoing monthly price (not a first-month promo) at each of the 508 GLP-1 providers we track.

There is also a structural quirk you need to budget for. The practice requires a paid consultation before your first treatment. That consult fee is credited toward your treatment once you book, so it is not pure overhead if you go ahead, but it does mean you pay something up front just to be evaluated. Better MedSpa advertises no teaser first-month rate, so think of the consult fee as your real cost of entry.

The medication menu is unusually broad

Where Better MedSpa genuinely stands out is the range of GLP-1 options. It offers semaglutide and tirzepatide in both oral and injectable forms, plus liraglutide as a daily injectable. That is a wider shelf than many providers carry, and the liraglutide option in particular is uncommon — most telehealth clinics have quietly dropped the older daily drug in favor of weekly semaglutide and tirzepatide. Having it available means there is a path for patients who tolerate or respond to liraglutide better, or who are stepping down from a stronger agent. The oral-and-injectable flexibility on the two headline drugs is also a real plus if needles are a dealbreaker for you.

Whatever you are prescribed is shipped to your door anywhere in Illinois, so the in-person start does not lock you into repeat office trips for refills.

What the site doesn't say: the formulation

One important gap: the practice does not state whether its semaglutide and tirzepatide are brand-name FDA-approved products or compounded versions. That is not a minor detail. Compounded GLP-1s are typically far cheaper but carry different oversight, and brand products are the FDA-reviewed originals. Because Better MedSpa is silent on this, you should ask point-blank during your consult which one you would receive, and price both scenarios before committing.

Trust, oversight, and what's missing

On the positive side, this is a physician-led practice with a named medical director, Dr. Brett Brechner, DO, and a fixed brick-and-mortar address — both signals of accountability that some app-only competitors lack. There are no FDA warning letters on file against it, and the required in-person consult means a clinician actually evaluates you before prescribing.

That said, the practice tells you less about itself than the best online providers do, and the reasons are transparency-related, not red flags. It serves only a single state, publishes no pricing, and does not disclose its formulation sourcing. None of that is alarming for a legitimate local clinic. It is just thinner public information than the providers that lay everything out online. You can read how we weigh these signals in our scoring methodology.

The aesthetics positioning is a double-edged sword

Better MedSpa pairs weight loss with body contouring and aesthetic services. For some patients that one-stop shop is a feature: coordinate your GLP-1 program and your cosmetic goals under one roof. For others, a practice whose identity blends medical weight loss with aesthetics raises a fair question about how deep the obesity-medicine focus runs compared with a clinic that does nothing else. Neither read is wrong; just know which kind of patient you are.

The bottom line

Better MedSpa is a reasonable choice for one well-defined group: Illinois residents who value a physician-led, partly in-person GLP-1 program and want an unusually broad drug menu, including the rare daily liraglutide option. The hybrid local-clinic model and named medical director are real strengths. The trade-off is transparency: no published price, a paid (if credited) up-front consult, and undisclosed formulation. Go in ready to ask direct questions about cost and sourcing before you commit. If you are outside Illinois, or you need an upfront, comparable price to make your decision, you will be better served elsewhere on our list.