LeanDose logo

LeanDose Review

7.5
★★★★☆3.8/5

Semaglutide & tirzepatide GLP-1 weight-loss clinic · Independently scored 7.5/10

Best for: Texas-area and multi-state patients wanting doctor-guided compounded GLP-1 with clinic backup

Price is where LeanDose scores best in our breakdown.

Semaglutide

$159/mo · intro price

Tirzepatide

$279/mo · intro price

Price checked on LeanDose’s site,

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not stated

Coaching

Not stated

See plans →

No insurance neededVetted by our editors

Compare top-rated alternatives ↓

LeanDose is a doctor-guided compounded GLP-1 service with telehealth in 17 states and in-person clinics in Texas. Compounded semaglutide is $159 for the first month and tirzepatide $279 for the first month, with no membership fee and free shipping; ongoing prices are not published. Medication comes from Striker Pharmacy in Katy, Texas, and the site displays a LegitScript seal. Compounded medications are not FDA-approved.

By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
CompoundedSemaglutideTirzepatideLegitScript VerifiedNo membership feeFree shippingTexas in-person clinicsEnglish & Spanish support

WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. How we make money

Vetted alternatives to LeanDose

7.7/ 10
Partner

Ro

Best for: FDA-approved brand GLP-1s, including the Wegovy pill and Foundayo, with insurance help

★★★★☆3.9/5

Editorial score · methodology

$149/mosemaglutide
+ required membership
BrandSemaglutideTirzepatideOrforglipron
Get StartedRead full Ro review →
8.3/ 10
Partner

Collective

Best for: the lowest flat medication price if you can absorb an annual membership fee

★★★★☆4.2/5

Editorial score · methodology

$59/mosemaglutide
+ required membership
$69/motirzepatide
+ required membership
CompoundedSemaglutideTirzepatide
Get StartedRead full Collective review →
8.3/ 10
Partner

CoreAge Rx

Best for: lowest-price compounded semaglutide and tirzepatide with one flat price at every dose

★★★★☆4.2/5

Editorial score · methodology

$79/mosemaglutide
“starting at” price
$129/motirzepatide
“starting at” price
CompoundedSemaglutideTirzepatideNAD+SermorelinLegitScript Verified
Get StartedRead full CoreAge Rx review →
LeanDose logo
3.8 / 5
Our editorial rating
Visit LeanDose →

from $159/mo (intro price) · no insurance needed

LeanDose at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$159/mo (intro price)
What's included
Medication · Consult · Shipping
Availability
17 states
FDA status
No FDA warning letter on record

How we scored LeanDose

Each dimension is scored algorithmically from LeanDose’s published pricing, drugs offered, verification status, and disclosed inclusions, using the same six-dimension framework we apply to every provider.

Value25%

8.0/10

At $159/mo (intro price), LeanDose runs about 11% below the $179 median for GLP-1 providers (each program's lowest listed ongoing monthly price for compounded semaglutide).

Effectiveness25%

8.0/10

LeanDose offers both semaglutide and tirzepatide, the two GLP-1 molecules with the strongest published weight-loss trial outcomes.

User Experience15%

7.3/10

Online intake and platform experience (consult included in the price); 8 platform features disclosed.

Trust & Safety15%

8.0/10

Key details fully confirmed by our editors; no FDA warning letters on file.

Accessibility10%

6.4/10

LeanDose is available in 17 states. Confirm yours is covered.

Support10%

5.8/10

LeanDose provides standard clinician follow-up; no extended coaching or community program is disclosed.

6scored dimensions
671providers compared

Each checked against the provider’s own site.

Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →

How we verified this LeanDose review

Last checked October 2026
  • Confirmed current pricing across 2 dose/plan tiers
  • Confirmed availability in 17 states
  • Confirmed what the monthly price does and doesn't include
  • Checked the FDA warning-letter database for enforcement actions
  • Walked the provider's public sign-up flow, stopping before payment

Pricing, availability, and compliance facts come from the provider's own site and primary regulatory records. See the sources below. Editorial confidence in this data: high.

What we checked

Provider's own pricing page
$159–$279/mo across 2 dose/plan tiers (checked October 2026)
State pharmacy licensing & LegitScript status
LegitScript Verified
FDA warning-letter register
No letter on file for this provider

What to expect when you sign up with LeanDose

We walked LeanDose’s public signup flow in October 2026 to document the process (the steps, pricing transparency, and what’s required) before you commit. (We don’t create accounts, enter medical information, or check out; this is the observable funnel, not a prescribing outcome.)

  1. 1On the Get Started page, choose telehealth from home or a Texas local clinic, in English or Spanish.
  2. 2The telehealth quiz opens with '$0 unless a provider prescribes' and free shipping; a pop-up offers a free supplement bundle with the 12-week plan.
  3. 3The first question asks what you hope to get back (energy, confidence, getting ahead of a diagnosis); walk stopped before answering.
Price shown before you start
  • First-month prices ($159 semaglutide, $279 tirzepatide) are shown on the homepage and product pages before any quiz.
  • Ongoing monthly prices and the 12-week plan price are not shown upfront.
  • The site names its pharmacy and lists its 17 telehealth states in the FAQ.
  • The footer's Terms, Privacy, and Refund Policy links returned page-not-found errors.
  • Support by phone and email, Mon-Fri 9 AM-7 PM and Sat 10 AM-12 PM.

LeanDose customer support

Phone
(832) 900-4410
Email
info@leandose.co
Hours
Mon-Fri 9 AM-7 PM, Sat 10 AM-12 PM

GLP-1 medications LeanDose offers

Tap any medication to read our plain-English guide: how it works, dosing, side effects, and what the trials found.

SemaglutideTirzepatide

Pricing

Prices re-verified

First monthCompounded
$159/mo
semaglutide

$159 for the first month; no membership fee and free shipping. Ongoing monthly price is not published. A 12-week plan is also offered.

First monthCompounded
$279/mo
tirzepatide

$279 for the first month; no membership fee and free shipping. Ongoing monthly price is not published. A 12-week plan is also offered.

Ready to get started?

Plans and promotions change often, so check LeanDose's current pricing and active discounts before you decide.

See LeanDose pricing →

What we like

  • Clear first-month pricing (compounded semaglutide $159, tirzepatide $279) with no membership fee
  • Names its pharmacy (Striker Pharmacy in Katy, Texas) and displays a LegitScript seal
  • Publishes its telehealth state list (17 states) and offers in-person clinics in Houston, McAllen, Laredo, and San Antonio
  • Free shipping when prescribed, plus care-team help with dose and refill questions
  • Quiz and support available in English and Spanish, with phone support six days a week

Watch-outs

  • Compounded medications are not FDA-approved, and are not brand Wegovy, Ozempic, Zepbound, or Mounjaro
  • Only first-month prices are published; your ongoing monthly cost isn't shown upfront
  • Telehealth covers just 17 states
  • Cancellation and refund terms are vague, and the linked policy pages did not load when we checked
  • Some FAQ answers read like unfinished draft copy

Is LeanDose worth it?

LeanDose is built for Texas-area and multi-state patients wanting doctor-guided compounded GLP-1 with clinic backup. It runs $159/month (intro price). That is a qualified figure, not a plain month-to-month price, so we don't rank it against the category median; the cost section below says what it covers. No single feature of its GLP-1 program sets it apart from the category on its own, so the price and terms below are the things to compare.

LeanDose is LegitScript-certified. It also charges no membership fee and runs in-person clinics.

How much LeanDose costs

Compounded semaglutide runs $159/month (intro price) and compounded tirzepatide runs $279/month (intro price).

Because LeanDose's headline figure is an intro price, we don't set it against the roughly $179 market median for this category. That median is each program's lowest listed ongoing monthly price for compounded semaglutide, so compare LeanDose with the month-to-month prices of the alternatives below instead.

bmiMD (about $159/month) is one of the closest alternatives to weigh LeanDose against.

Medications: what LeanDose prescribes

LeanDose prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro), the two most-studied weight-loss molecules on the market today. Rather than brand-name pens, you get a compounded formulation from a licensed pharmacy, which is why the monthly cost is lower. Just know compounded drugs aren't FDA-approved as finished products, the standard caveat in this market.

Who LeanDose is best for, and who should skip it

A good fit if you…

  • want a straightforward telehealth GLP-1 program and are comfortable comparing it against the alternatives below.

Look elsewhere if you…

  • specifically want an FDA-approved brand-name pen instead of a compounded formulation, which this provider doesn't fill.
  • need to bill insurance, since like most of this market it's cash-pay with no claims filed on your behalf.

Trust, safety, and medical oversight

LeanDose is available in 17 states, and we found no FDA warning letter on file for it. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation, and we explain how in our scoring methodology.

Bottom line

LeanDose is a reasonable telehealth GLP-1 option; weigh its pricing and coverage against the alternatives below before deciding. To see LeanDose against the wider field, use our ranking of semaglutide providers; the patient guide to compounded versus brand-name GLP-1s covers what to weigh before choosing a compounded program.

The Bottom Line

Price is where LeanDose scores best in our breakdown.

Score: 7.5/10Best for: Texas-area and multi-state patients wanting doctor-guided compounded GLP-1 with clinic backupFrom: $159/mo (intro price)

Ready to start with LeanDose?

From $159/mo (intro price). See current pricing and start your free consultation.

Visit LeanDose →

LeanDose might not be your best fit if…

We rank editorially, so here’s where a different provider we track may serve you better.

  • If you want brand-name Ozempic, Wegovy, Mounjaro or Zepbound, consider altRX.
  • If the lowest possible monthly price is your top priority, consider YourEra (from $89/mo).
  • If you want built-in coaching and behavior-change support, consider Ro.
See all alternatives to LeanDose →

Head-to-head

Compare LeanDose vs…

LeanDose scores7.5/10

Side-by-side pricing, medications and scores. Pick a matchup.

Scores are our independent editorial ratings out of 10.

Frequently Asked Questions

LeanDose is a doctor-guided telehealth service offering compounded GLP-1 medication for eligible adults. Treatment is doctor-prescribed and supervised with personalized care plans, and a licensed clinician determines whether treatment is appropriate for you before prescribing.
LeanDose offers compounded semaglutide and compounded tirzepatide (which it calls Tirz GLP-1/GIP), dispensed by Striker Pharmacy in Katy, Texas, and shipped to your home. Compounded medications are not FDA-approved and are not the same as brand Wegovy, Ozempic, Zepbound, or Mounjaro.
LeanDose lists compounded semaglutide at $159 and compounded tirzepatide at $279 for the first month, with no membership fee and free shipping when prescribed. It does not publish the ongoing monthly price after the first month, so ask the care team what later months will cost before you enroll.
LeanDose offers telehealth in 17 states: Alaska, Alabama, Colorado, Florida, Georgia, Illinois, Louisiana, Michigan, Minnesota, Mississippi, Nevada, North Carolina, Oklahoma, Tennessee, Texas, Virginia, and Washington. It also runs in-person clinics in Houston, McAllen, Laredo, and San Antonio, Texas.
LeanDose is a cash-pay service and does not advertise insurance billing. Contact LeanDose to confirm current payment options, including whether FSA or HSA cards are accepted.
Choose telehealth or a Texas clinic on the Get Started page, then take the short eligibility quiz in English or Spanish. If you may qualify, you complete a medical intake, a licensed provider reviews it, and approved prescriptions ship with tracking. You pay nothing unless a provider prescribes. Ask the care team about cancellation and refill timing before enrolling.
LeanDose doesn't use public promo or coupon codes. Third-party sites advertising "LeanDose discount codes" are typically fake; any current offer applies automatically through the link on this page.
LeanDose is an operating weight-loss clinic, and we found no FDA warning letter on file for it. On its public pages, it shows LegitScript certification. We last checked its prices and policies on its own site in October 2026. We scored it 7.5/10 from published information, which is not a clinical endorsement. Talk to a licensed clinician before starting any medication.
We don't collect customer complaints, so this covers what our own review found. There is no FDA warning letter on file for LeanDose. The concerns our review flags: Compounded medications are not FDA-approved, and are not brand Wegovy, Ozempic, Zepbound, or Mounjaro; Only first-month prices are published; your ongoing monthly cost isn't shown upfront; Telehealth covers just 17 states; Cancellation and refund terms are vague, and the linked policy pages did not load when we checked. Weigh them before you sign up.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Sources

The primary regulatory filings and peer-reviewed studies cited throughout this LeanDose review:

Sources & methodology (as of November 2026)
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  7. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.

See LeanDose's current pricing

Plans from $159/mo (intro price). Start your free consultation to check eligibility and today's price.

Visit LeanDose →