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Physician-guided weight loss

Most programs send you
medication.
We send you a care team.

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Free until approved · All 50 states · No insurance required

Compounded semaglutide and tirzepatide with quarterly metabolic labs, ongoing physician visits, and dedicated health coaching — included with every prescription, starting at $183 per month.

50
States licensed
PCAB
Accredited pharmacy
503A
State-licensed compounding
48h
Physician review time
What's Included

One monthly price.
Everything you need.

Most weight loss telehealth brands charge for the medication, then upsell the care that makes it work. We include the whole program in the monthly price.

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01

Compounded medication

Semaglutide or tirzepatide, prepared by a PCAB-accredited, state-licensed 503A pharmacy and shipped to your door monthly.

02

Quarterly metabolic labs

Full metabolic panel every 3 months to track your progress, catch issues early, and adjust your program as your body changes.

03

Physician visits

A licensed physician reviews your intake, prescribes when appropriate, and stays available throughout your program for dose adjustments and questions.

04

Health coaching

Dedicated coaches to help with nutrition, movement, and the habits that make weight loss stick after you stop the medication.

05

24/7 care team messaging

Message your care team anytime through our platform. Most questions answered within one business day.

The First 90 Days

What actually happens,
week by week.

Weight loss with a GLP-1 medication is a slow, physical process. Here's what most patients experience, honestly.

Week 1-2: Titration begins
Week 1–2

Titration begins

You'll start at the lowest dose to let your body adjust. Appetite changes begin within a few days. Some patients experience mild nausea, constipation, or fatigue in the first two weeks — usually manageable with the GI support your care team recommends.

Week 3-4: First dose increase
Week 3–4

First dose increase

If you're tolerating the starting dose well, your physician increases it. Side effects often flare briefly with each dose change, then settle. Most patients report meaningful appetite reduction by the end of the first month.

Week 5-8: Settling into routine
Week 5–8

Settling into the routine

Eating patterns have shifted. You're hungry less often, smaller portions satisfy, and food doesn't occupy as much mental space. Your first health coaching sessions focus on making nutrition work with your new appetite, not against it.

Week 9-12: First lab review
Week 9–12

First lab review

At 90 days, your physician reviews your first quarterly metabolic labs with you. Weight loss at this point typically ranges from 5–10% of starting body weight, depending on dose and response. This is where your program starts to feel like a permanent shift instead of an experiment.

Weight loss with a GLP-1 medication is not instant and not linear. Some weeks the scale drops. Some weeks it doesn't. Patients who see the best long-term results treat the medication as one part of a program that includes lab work, physician guidance, and behavior change.

Pricing

Two medications.
Both include everything.

Semaglutide

The original GLP-1 receptor agonist, with the longest clinical track record for weight management.

Medication · Labs · Physician care · Coaching · 24/7 messaging
$183 /mo
Annual plan · Save $109/mo
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Not sure which is right for you? A licensed physician will recommend the right formulation based on your health history during the free assessment.
Elara GLP-1 Support Pack
Patient Add-On

Patients on our program often add the
GLP-1 Support Pack.

A physician-curated daily supplement pack designed for the metabolic and digestive shifts that happen during GLP-1 therapy.

$79/mo
Subscription · or $89 one-time
Honest Comparison

Different programs
serve different patients.

Here's where each option fits, and who it's actually for.

Option 1
Cheap compounded pharmacies
$150–$250/mo

Medication-only services. Price is the main appeal. Little to no physician follow-up, no included labs, no coaching.

Best for

Patients who have already been on a GLP-1, understand dosing, and don't need ongoing care.

Option 2
Elara
$183–$267/mo

A full program. Compounded medication plus quarterly labs, ongoing physician visits, and health coaching all included at a single monthly price.

Best for

Patients who want the medication to be part of a real program, not a standalone prescription. Especially patients new to GLP-1 therapy.

Option 3
Brand-name medication
$1,000+/mo out of pocket

FDA-approved brand medications through insurance or direct-pay. High cost without strong coverage. Often requires prior authorization.

Best for

Patients with strong insurance coverage for brand-name GLP-1s, or who specifically need an FDA-approved formulation.

Questions

Answers to what
most patients ask first.

Most low-cost compounded GLP-1 services are medication-only. You get a prescription and a monthly shipment, but no included physician visits, no quarterly labs, and no health coaching. Elara includes all of that at the subscription price. If you're new to GLP-1 therapy or want your medication to be part of a real clinical program, this is the difference that matters over a year or two of treatment.
Elara's medications are prepared by a PCAB-accredited, state-licensed 503A compounding pharmacy operating under the same federal and state regulations that govern every licensed compounding pharmacy in the US. The active pharmaceutical ingredients are the same as those used in brand-name formulations. Every prescription is reviewed by a licensed physician before dispensing, and your physician stays available throughout your program for dose adjustments and any side effects that come up.
The assessment is free. If after reviewing your intake a physician decides a GLP-1 program isn't clinically appropriate for you, you're not charged and no medication is sent. This happens for specific medical reasons — certain medication interactions, underlying conditions, or situations where a different approach is better. If it happens, your physician will explain why and what we'd recommend instead.
The most common side effects of GLP-1 medications are gastrointestinal — nausea, constipation, occasional diarrhea, reduced appetite. Most are mild and occur during the first 2–4 weeks or immediately after a dose increase. They typically settle as your body adjusts. Your care team will walk you through what to expect, what's normal, and when to reach out. Side effect management is part of what's included in the program.
That's a decision you and your physician make together based on your progress. Some patients reach their weight goals and begin tapering after a year. Others stay on a maintenance dose longer. The health coaching included in your program is specifically designed to support the behavior changes that make it possible to come off the medication successfully when the time is right.
Yes. Elara is available in all 50 states. Our physician network is licensed nationwide and our pharmacy partner ships compounded medications across the country. Start your assessment and we'll confirm eligibility based on your state and clinical profile.
No. Elara is a direct-pay program. You pay the monthly subscription price, and everything listed — medication, labs, physician visits, coaching — is included. We don't bill insurance, which is how we keep the price predictable.
Yes. Subscriptions can be canceled from your account at any time, no phone calls required. The annual plan offers savings in exchange for a 12-month commitment. Monthly and quarterly plans are month-to-month with no long-term commitment.
Elara patient, final moment

Ready when
you are.

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