Steady State Health Review

GLP-1 weight-loss telehealth · Independently scored 6.9/10

Best for: Women in Oregon or Washington wanting GLP-1 within perimenopause and menopause care

6.9
★★★3.5/5

Steady State Health is a solid telehealth option with balanced features and pricing.

What the monthly price covers

Medication

Billed separately

Provider visits

Included

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Not disclosed

See plans →

No insurance neededVetted by our editors

Compare top-rated alternatives ↓

Steady State Health is a women's-health telehealth practice run by nurse practitioner Josie Cowburn, DNP, FNP-C, serving Oregon and Washington. Its GLP-1 Metabolic Support program prescribes semaglutide or tirzepatide inside a perimenopause and menopause hormone-and-metabolic framework rather than as a standalone weight-loss drug. Clinical support starts at $139/month (or $99/month standalone); the GLP-1 medication is cash-pay and billed separately by the dispensing pharmacy.

By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
SemaglutideTirzepatideMenopause-focusedCash-payOR & WA onlyNamed clinician

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Steady State Health
3.5 / 5
Our editorial rating
Visit Steady State Health

Steady State Health at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
What's included
Consult
Availability
2 states
FDA status
No FDA warning letter on record

How we scored Steady State Health

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

Value25%

6.1/10

Steady State Health does not post a standard monthly cash price up front, so cost transparency is limited — confirm the ongoing rate before you commit.

Effectiveness25%

7.9/10

Steady State Health offers both semaglutide and tirzepatide — the two GLP-1 molecules with the strongest published weight-loss trial outcomes.

User Experience15%

7.2/10

Online intake and platform experience — consult included in the price; 6 platform features disclosed.

Trust & Safety15%

7.9/10

Key details fully confirmed by our editors; no FDA warning letters on file (last checked 2026-07-16).

Accessibility10%

5.4/10

Steady State Health operates in a limited 2-state footprint — check availability first.

Support10%

5.7/10

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

6scored dimensions
494providers compared
100%verified against live provider sites
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 Steady State Health review

Last checked July 2026
  • Confirmed availability in 2 states
  • Confirmed what the monthly price does and doesn't include
  • Checked the FDA warning-letter database for enforcement actions
  • Walked the public intake/checkout flow on the provider's site

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.

GLP-1 medications Steady State Health offers

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

What we like

  • Prescribes semaglutide or tirzepatide within a perimenopause and menopause hormone-and-metabolic care plan
  • Care delivered by a named women's-health nurse practitioner (Josie Cowburn, DNP, FNP-C)
  • Transparent flat program fee from $139/mo, with a $99/mo standalone GLP-1 support option

Watch-outs

  • Available only to Oregon and Washington residents
  • GLP-1 medication is billed separately by the pharmacy and not included in the program fee
  • Dispensing pharmacy is not publicly named

Is Steady State Health worth it? Our verdict

Steady State Health positions itself around one thing: Women in Oregon or Washington wanting GLP-1 within perimenopause and menopause care.

Beyond the core GLP-1 program, Steady State Health leans on Menopause-focused, Cash-pay, and OR & WA only.

How much Steady State Health actually costs

Steady State Health doesn't post a standard monthly cash price publicly. Start a consultation to get an exact quote, and confirm the ongoing rate — not just any first-month offer — before you commit.

Medications: what Steady State Health prescribes

Steady State Health prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro) — the two molecules with the strongest published weight-loss trial outcomes.

Who Steady State Health is best for — and who should skip it

A good fit if you…

  • want a straightforward telehealth GLP-1 program.

Look elsewhere if you…

  • specifically want an FDA-approved brand-name pen.
  • need to bill insurance — like most of this market, it's cash-pay.

Trust, safety, and medical oversight

Steady State Health is available in 2 states. We found no FDA warning letters on file for the provider. We explain how we weigh medical oversight and compliance in our scoring methodology.

Bottom line

Steady State Health could be worth a look, but it doesn't publish a standard price up front — get a quote and confirm the ongoing rate before deciding, and compare it against the alternatives below. If you're comparison-shopping, Sesame Care is one of the closest alternatives we track — worth a look before deciding.

The Bottom Line

Steady State Health is a solid telehealth option with balanced features and pricing.

Score: 6.9/10Best for: Women in Oregon or Washington wanting GLP-1 within perimenopause and menopause care

Ready to start with Steady State Health?

See current pricing and start your free consultation.

Steady State Health 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 GobyMeds.
  • If you want built-in coaching and behavior-change support, consider MEDVi.
  • If you live outside its coverage area and need nationwide access, consider Liv Body.

Frequently Asked Questions

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 Steady State Health review:

Sources & methodology — as of July 2026
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy FrameworkU.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 StandardsAccreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)Kaiser Family Foundation.

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