Desk Score
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.
- Semaglutide
- Not disclosed
- Tirzepatide
- Not disclosed
- Coverage
- Coverage not published
- Brand-name
- Compounded only
Line 1st Optimal up against its closest alternatives. Or go one-on-one: 1st Optimal vs CoreAge Rx. Because 1st Optimal dispenses compounded medication, it’s worth understanding whether compounded GLP-1 is legit and safe.
Desk Score breakdown
Each of the six scored dimensions. See the methodology.
What the Desk likes
- 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
Where points come off
- 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
The Desk's briefing — C
Best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.
1st Optimal ranks #491 of 498 providers scored — see #1, CoreAge Rx on the board.
Related dispatches
- #490PRIMO Health Partners42/100 · C
- #492Vital Harmony Rx41/100 · C
- #493WellMedRx41/100 · C
- #494AM Rx40/100 · C
- #495Thriving Again40/100 · C
- #496TRT Kingdom39/100 · C
Everyone else on the board (19)
- #497 OlleveCare36
- #498 Bodyshop Wellness33
- #1 CoreAge Rx94
- #2 Vaylen91
- #3 Strut Health88
- #4 Ondra Health90
- #5 Invigor Medical90
- #6 Vytora Health90
- #7 Sesame Care87
- #8 Tyde Wellness89
- #9 Effecty89
- #10 HealthRX86
- #11 RxSpan MD86
- #12 Sprout Health86
- #13 MadeMed86
- #14 Curex88
- #15 Semaglutide Online88
- #16 Enhance MD85
- #17 Telos Rx85
Pricing and verification reflect 1st Optimal's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on 1st Optimal's site. Not medical advice; see our disclosure.