How It Works

Five steps.
Most happen this week.

Q: What if I want a second opinion during physician review?

You can request one through your care team at any time and we'll route your case to a different physician in our network. There's no charge for second opinions. You also keep all your records and can share them with your primary care doctor whenever you'd like.

Q: What if my labs come back unusual?

Your physician will explain exactly what's flagged, whether it changes your protocol, and whether it warrants additional follow-up. Sometimes unusual labs mean we adjust your starting dose. Sometimes they mean we order additional tests before proceeding. Sometimes they mean we recommend you see a specialist before continuing.

Here's exactly what to expect from your free assessment to your first dose — with no surprises and nothing buried in fine print.

Estimated process time · 5 steps · About a week to first dose

Start Free Assessment

Takes about five minutes

Tell us about you,
not a checkbox.

Most weight-loss assessments are 40 questions designed to qualify you in or out of a prescription. Ours is shorter, more thoughtful, and built around understanding your actual life: your goals, your medical history, your relationship with food and your body, what you've tried before, and what's working now.

You won't be charged at this stage. If you're not a clinically appropriate candidate, a physician will explain why and may suggest alternatives. If you are, your program begins within 24 hours.

You won't be charged. A board-certified physician will explain why and may suggest alternatives — lifestyle interventions, different medications, or referral to a specialist. A minority of applicants aren't clinically appropriate for compounded GLP-1 therapy, most often due to medication interactions, family history, or pre-existing conditions that require in-person care. Your safety is the only metric that matters at this step.

A 40-question form asks you to qualify.
A good intake asks who you are.

Next: Physician review

Intake — Section 02

Question 4 of 12

What's your primary goal with weight loss?

Improve my energy and how I feel day to day

Long-term metabolic health

Specific weight target by a date

Manage a related condition

Within 24 hours

A board-certified physician
reads every word.

Your assessment isn't auto-approved by an algorithm. A board-certified physician at our affiliated medical group, Openloop Healthcare Partners, PC, reviews your full profile, your medications, your history, and your goals — and decides whether compounded GLP-1 therapy is clinically appropriate for you specifically. If it is, they prescribe a starting protocol calibrated to your response.

You'll receive a secure message with the physician's decision and their reasoning. If they have questions before deciding, they'll message you directly. If you're approved, your protocol begins within days.

You can request one through your care team at any time, and we'll route your case to a different physician in our network. There's no charge for second opinions. You also keep all your records and can share them with your primary care doctor whenever you'd like — we encourage it. Elara is part of your care team, not a replacement for it.

Next: Your included labs

Secure message

Your care team

Today, 2:14 PM

Approved. I've reviewed your assessment and you're clinically appropriate for compounded semaglutide.

Starting dose: 0.25mg weekly with planned titration based on your response. I want to see your CMP and lipid panel before we ship — lab order is in your portal.

Message the care team anytime if anything feels off.

— Board-certified physician, Elara care team

Days 2–3

Real labs.
Read by a real physician.

Most telehealth GLP-1 programs prescribe from a form. We prescribe based on your actual metabolic biology. A physician orders a comprehensive panel that goes to any Quest Diagnostics or Labcorp location near you. The visit takes about fifteen minutes. You don't pay extra. You don't fight with insurance.

When your results come back, a physician reviews them in context with your assessment and explains what they mean in plain language — fasting glucose, HbA1c, lipid profile, liver and kidney markers, thyroid status. Labs repeat quarterly so the trend is visible, not just the snapshot.

A physician will explain exactly what's flagged, whether it changes your protocol, and whether it warrants additional follow-up. Sometimes unusual labs mean we adjust your starting dose. Sometimes they mean we order additional tests before proceeding. Sometimes they mean we recommend you see a specialist before continuing. In every case, you'll get a clear explanation, not a confusing report to interpret alone.

The point of quarterly labs isn't to watch a number.
It's to notice the trend.

Next: Your medication arrives

Lab Report — Sample

Comprehensive Metabolic Panel

Reviewed · Elara care team

Fasting Glucose 94 mg/dL Normal

HbA1c 5.8% Borderline

Total Cholesterol 189 mg/dL Normal

HDL 52 mg/dL Normal

Triglycerides 142 mg/dL Normal

TSH 2.1 mIU/L Normal

Days 5–7

Your medication arrives.
Discreetly.

Your compounded medication is prepared by a state-licensed 503A compounding pharmacy operating under state pharmacy board oversight. It ships in unmarked, temperature-controlled packaging. The first shipment includes everything you need: vial or tablets, supplies, an instructional card, and a one-page protocol specific to your prescription.

If you chose oral semaglutide, you'll receive tablets and a daily protocol. If you chose tirzepatide, both injection and oral formats are priced the same. Refills ship automatically every 30 days. If you need to pause, switch formats, or adjust, you message your care team and it's done.

Oral semaglutide and oral tirzepatide are both available as daily tablets, so you have needle-free options if injections aren't a fit for you. Talk to your physician during intake about which format makes sense given your lifestyle, preferences, and clinical profile — the right choice depends on your specific situation, not a one-size-fits-all recommendation.

Next: Coaching that doesn't quit

Packing list — Shipment 01

From: State-licensed 503A pharmacy

To: You

Delivered

Compounded medication
Sterile syringes (injection format)
Alcohol prep wipes
Personal protocol card
Sharps disposal information

Every three weeks, ongoing

A certified coach.
Not a chatbot.

Two weeks after your first dose, a certified health coach reaches out. From then on, you meet every three weeks by secure video or phone. Your coach helps you build the habits that make the medication actually work: nutrition that complements appetite changes, movement you'll actually do, sleep, stress, and the small daily decisions that compound over time.

Coaches read the physician's notes before every session, so you never have to repeat yourself. Between sessions, you can message the care team anytime.

You can pause coaching sessions for up to 60 days at a time without affecting your medication subscription. Just message your care team. We don't lock you into a session schedule that doesn't fit your life, and the option to pause is always there when you need it. When you're ready to resume, your coach picks up where you left off — no re-explaining, no starting over.

Medication reshapes appetite.
Coaching reshapes the rest.

When you're ready

Coach schedule

Your coach

Certified health coach

Elara care team

Day 14 First session

Day 35 Second session

Day 56 Third session

Anytime Secure messaging

Who You're Working With

Real partners.
Real credentials.

Board-certified physicians

Every Elara physician is board-certified, licensed in your state, and experienced in telehealth prescribing. Physicians review your full profile and decide whether GLP-1 therapy is clinically appropriate before any medication is dispensed.

Verify

Four 503A pharmacy partners

Your medication is prepared by one of four state-licensed 503A compounding partners — RedRock, Health Warehouse, Precision Compounding, and Triad Rx — under state pharmacy board oversight, pursuant to a patient-specific prescription.

Verify

Quest & Labcorp labs

Your lab work is processed at Quest Diagnostics or Labcorp — the two largest clinical laboratory networks in the United States. Thousands of collection locations nationwide.

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HIPAA-compliant platform

Every message, every record, every payment is encrypted and HIPAA-compliant. Your data is yours — you can request a complete export at any time.

Verify

Important regulatory information. Compounded semaglutide and tirzepatide are prepared by state-licensed 503A compounding pharmacies under state pharmacy board oversight, pursuant to a patient-specific prescription issued by a board-certified physician following clinical evaluation. These medications are not FDA-approved as finished drug products.

Telehealth services are available in all 50 states and DC, subject to change based on state regulations. Elara Health and Wellness works with the following 503A partner pharmacies: RedRock Pharmacy (St. George, UT), Health Warehouse (Florence, KY), Precision Compounding Pharmacy (Bellmore, NY), and Triad Rx (Daphne, AL).

Wegovy®, Ozempic®, Rybelsus®, Mounjaro®, and Zepbound® are registered trademarks of their respective manufacturers and are not affiliated with Elara Health and Wellness.

Contraindications. GLP-1 medications are contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2). Discuss your full medical and family history with your physician before starting therapy. Individual results vary and are not guaranteed.

Where You Are Right Now