Education only. Not medical advice.
Choose and adjust programs with your clinician.

TL;DR

Pick for safety, access, and fit. Look for real prescriber follow-ups, clear lab policies, transparent pricing, reliable medication supply, and coaching that respects women’s needs across cycles, perimenopause, PCOS, fertility, bone health, hair, and gallbladder risk. Use the ScriptScores™ to weigh trade-offs.

What matters most for women on GLP-1s

• Hormone context: cycles, perimenopause, PCOS, thyroid. Ask how the program adapts dosing, labs, and nutrition.

• Fertility and pregnancy planning: clear stop rules, contraceptive guidance, and anesthesia instructions.

• Lean mass and bone: strength training prompts, protein targets, and DEXA options.

• Hair and skin: prevention plans for telogen effluvium and support for iron, vitamin D, B12.

• Gallbladder: steady loss pace, meal structure, and escalation holds when RUQ symptoms spike.

• Access reality: FDA-approved meds vs compounded alternatives, back-order plans, and pharmacy transparency.

• Cost clarity: visit fees, meds, labs, coaching, cancellations, and hidden add-ons.

Program archetypes

Use these to match your priorities. Names vary, but the features are consistent.

1. Comprehensive women’s program
   MD/NP visits, labs, RD coaching, strength templates, cycle/perimenopause playbooks, escalation holds, hair and gallbladder guidance. Good for first-timers who want structure.

2. PCOS/metabolic specialty program
   Focus on cycle regulation, insulin resistance, and fertility safety. Often pairs GLP-1s with nutrition for ovulatory support.

3. Insurance-first primary-care extension
   Leverages your existing insurance for visits and labs. GLP-1 access depends on formulary. Less coaching but lower visit costs.

4. Compounded-only membership
   Cash model, bundled meds, variable price. Verify pharmacy quality, ingredient sourcing, and back-order policies. Not equivalent to FDA-approved brands; use when appropriate and clinician-guided.

5. Budget text-heavy coaching add-on
   Messaging support, generic education, and habit tracking. Works if you already have a prescriber and need accountability.

Must-have checklist

• Licensed prescriber visit and follow-ups at defined intervals

• Clear dose-escalation and pause week policies

• Side-effect protocols for nausea, constipation, dehydration

• Written guidance for pregnancy, anesthesia, and missed doses

• Transparent pricing and cancellation terms

• Pharmacy options and switch plan if supply changes

• Data privacy and support response times in writing

Red flags

• “Guaranteed” weight loss or timelines

• No live prescriber visit before prescribing

• No plan for labs when clinically indicated

• Paywall that hides basic pricing or excludes pharmacy details

• Pressure to escalate doses when symptomatic

ScriptScores™: Program Types for Women (0–10)

Higher = better.

Scoring method: editorial heuristic weighting safety, fit, access, and support.

What to ask before you pay

• How many prescriber touches in the first 90 days

• Exact dose schedule and how to pause or step back

• Which pharmacies they use and what happens during shortages

• Whether labs are included or billed separately

• Coaching credentials and frequency

• Pregnancy and anesthesia instructions

• Total monthly cost at starter and maintenance doses

Cost anatomy to expect

• Clinical: visit fees, follow-ups, messages

• Medication: brand vs compounded, starter vs maintenance doses

• Labs: baseline and follow-up when indicated

• Coaching: RD sessions, strength templates, check-ins

• Platform: membership or cancellation fees

Simple decision path

1. List your top 3 priorities: access, coaching, cost, or specialty focus.

2. Shortlist two programs that match your priorities.

3. Compare pharmacy options, dose policies, and total monthly cost.

4. Book the one with clearer safety protocols and faster support.

Disclaimers

• Not medical advice. Education only.

• Safety first. Choose, dose, and adjust with a licensed clinician.

• Labels and availability change. Confirm current medication access and pricing before enrolling.

• Individual results vary.

• ScriptScores™. Editorial heuristics, not treatment directives.
  Last updated: September 3, 2025.