Your first 90 days on a GLP-1
Week by week: what the starter dose actually feels like, when appetite changes show up, when your provider will titrate, and the three weeks most people find hardest.
Licensed providers · 100% online
Optimization,
made personal.
Most telehealth scores a questionnaire and ships you a box. Here you actually talk to a clinician. Weight loss, hormones, longevity and sexual health, with the lab panels to show you where you stand before you start. The first visit is free.
Built on a clinical platform serving 10,000+ patients nationwideLicensed in all 50 states
Care team online
7 days a week
7 days a week
- Licensed
physicians - HIPAA
compliant - US-licensed
pharmacies - Discreet
delivery - Evidence
based
50States, licensed nationwide
20%Avg. weight lost in trials of branded Zepbound® (tirzepatide), not compounded*
100+Biomarkers testable
7 daysCare team availability
Why NovaraMD
Most telehealth guesses.
We measure.
Almost every online clinic hands you a questionnaire, matches you to one drug and ships it. Nobody looks at your biology, so nobody can know what will actually work for you.
We start the other way around. Your first step is a one-on-one visit with a member of our clinical team to talk through what you’re trying to change. Bloodwork is required before hormone therapy and available with every other treatment, and when we test, the plan gets built around your numbers. Either way we stay with you through the whole journey.
What we treat
Pick where you want to start.
Not a catalog of everything. Three areas we run properly, each one with a real clinician, dose adjustments over time and labs where they change the plan.
01
Weight & metabolic health
GLP-1 and dual-agonist therapy, titrated to you, with muscle protection and metabolic labs whenever you want them.
Explore weight loss
02
Peptide therapy & longevity
Cellular energy, recovery, sleep and cognition, protocols you re-test, not supplements you hope about.
Explore longevity
03
Hormones & sexual health
Testosterone, fertility, desire and intimacy, for men and women, dosed off bloodwork rather than a symptom quiz.
Explore hormones01 · Weight & metabolic health
The scale is one data point.
We treat the metabolism underneath it, appetite signalling, insulin sensitivity, sleep and muscle retention. That’s why the program pairs medication with protein targets, regular check-ins and bloodwork whenever you want it, instead of shipping a pen and disappearing.
Baseline metabolic panel available before your first dose
Provider-led titration, not a fixed 4-week ladder
A maintenance plan for when you come off
TirzepatideGLP-1 / GIP dual agonistfrom $249/mo
SemaglutideWeekly GLP-1 injectionfrom $199/mo
Oral GLP-1Daily tablet, needle-freefrom $199/mo
MetforminInsulin sensitivity supportfrom $99/mo
Weight Loss Program MembershipAlready have a brand-name GLP-1?from $69/mo
Continuous Glucose MonitoringSee your glucose in real timefrom $249/mo
Branded or compounded, your provider decides. NovaraMD offers both FDA-approved branded medications and compounded alternatives. Which is right for you is determined by your provider during your consultation, based on medical necessity, availability, and your preference. Pricing shown is a starting point and varies by the medication prescribed. Clinical trial results shown apply only to the FDA-approved branded product named and do not apply to compounded medications, which are prepared by a licensed pharmacy and are not FDA-approved.
Free · no signup
Run your numbers. See what is realistic.
Move the sliders for an estimate based on published clinical-trial averages. Not a diagnosis, not a prescription, a starting point for a conversation.
Under 18.5HealthyOverweightObese 30+
Estimated at 72 weeks
160 lb
Could lose40 lb
Of body weight20%
New BMI23.6
Estimates use average total body-weight reduction reported in published GLP-1 trials (SURMOUNT-1, STEP-1) and typical lifestyle-intervention results. Individual results vary widely and depend on dose, adherence, diet, activity and medical history. This tool is not medical advice and does not guarantee any outcome. Eligibility is determined by a licensed provider after a full evaluation.
GLP-1 therapy is generally not indicated here.
Based on the height and weight entered, GLP-1 therapy is generally not indicated. FDA-approved GLP-1 medications for weight management are indicated at a BMI of 30 or above, or 27 or above with at least one weight-related condition. Please speak with a clinician about what is appropriate for you.
Projected trajectory, tirzepatide
Hover the curve for any weekCurve shape follows the mean weight-loss trajectory reported in the pivotal trials (SURMOUNT-1 for tirzepatide, STEP-1 for semaglutide) applied to your starting weight, with the early plateau during dose titration. Trial averages, not a prediction for you. Your provider sets the dose and the pace.
02 · Peptide therapy & longevity
Protocols you re-test.
The longevity space is full of things people take on faith. We only run protocols with a plausible mechanism and a marker we can actually follow, and we tell you plainly where the evidence is thin.
Cellular energy and recovery, NAD+, B12, glutathione
Sleep, repair and body composition, sermorelin
Focus and mitochondrial support, methylene blue
Before-and-after labs available with every protocol
NAD+ InjectionCellular energy, weeklyfrom $149/mo
NAD+ Nasal SprayNeedle-free daily dosingfrom $149/mo
SermorelinSleep, repair, compositionfrom $199/mo
Methylene BlueFocus and mitochondriafrom $125/mo
GlutathioneMaster antioxidantfrom $149/mo
B12 InjectionEnergy and methylationfrom $125/mo
RapamycinmTOR, monitored dosingfrom $99/mo
4-in-1 Hair RestorationTopical solution, nightlyfrom $149/mo
03 · Hormones & sexual health
Dosed off bloodwork, not a symptom quiz.
Low energy, low drive and stalled progress all have overlapping causes. We run the full panel first, total and free testosterone, estradiol, SHBG, LH/FSH, thyroid, prolactin, then treat what the numbers and your symptoms agree on, and re-test at six to eight weeks.
Consultations are 100% private, and every plan is reviewed by a clinician licensed in your state.
For men
Bloodwork & diagnostics
Stop guessing. Measure it.
Optimization without data is just expensive guessing. Establish your baseline, then track what actually moves, hormones, metabolic markers, inflammation, fertility.
Up to 100+ biomarkers in a single draw
Full hormone panels including DUTCH testing
At-home collection kits, no lab visit required
Gut, methylation, fertility and multi-cancer screening
A provider-written action plan, not a PDF of numbers
What a comprehensive panel actually covers104 markers
Metabolic, lipids, organ function, CBC
Full hormone panel
How it works
Three steps. No waiting room.
Meet your clinician, one to one
A real conversation, about twenty minutes by video or phone, about your goals, your history and what you’ve already tried. Free, and no obligation.
A clinician builds your plan
A licensed provider reviews everything, screens for contraindications, and prescribes only if it’s appropriate for you.
It arrives, and we stay with you
Shipped free from a licensed pharmacy in discreet packaging. Message your care team any day; doses adjust as you progress.
Resources
Know what you’re doing before you do it.
Plain-English guides on GLP-1 therapy, nutrition, hormones and recovery, written for patients, not for search engines.
Patient stories
What treatment actually changed.
“I am in the best shape of my life.”
“I am in my 30s and have never looked and felt this good.”
Testimonials from real NovaraMD patients. Individual results vary and are not typical or guaranteed.
FAQ
Questions people actually ask.
Yes. Every plan is reviewed and prescribed by a clinician licensed in your state, and all medication is dispensed by state-licensed pharmacies. You can message your care team seven days a week.
Every program is a flat monthly amount that includes your provider visits, dose adjustments and ongoing check-ins, no insurance billing and no per-visit fees. Prices differ by treatment; each treatment page lists its own, and your clinician confirms the exact figure on your consult before anything is charged.
No. NovaraMD operates on transparent cash pricing. Many programs are HSA/FSA eligible — confirm with your plan administrator.
Every prescription is written by a licensed provider after a live visit and dispensed by a licensed pharmacy. Bloodwork is required before hormone therapy and available with any treatment. Nothing is shipped without a provider deciding it is right for you.
It depends entirely on the program and on you. Weight-loss patients on GLP-1 therapy typically notice appetite changes within the first few weeks, with meaningful weight change over months. Hormone therapy is usually assessed at six to eight weeks with repeat labs.
Yes, any time, with no penalty. Talk to your care team first if you are mid-titration so they can taper you safely.
Availability varies by treatment, because prescribing rules differ from state to state, a medication we can prescribe in one state may not be available in another. Enter your state at the start of your free evaluation and we will tell you immediately what we can and cannot offer you there.
In the pivotal trials, people on branded tirzepatide (Zepbound®) lost about 20% of their body weight over 72 weeks on average, and about 15% on branded semaglutide (Wegovy®) over 68 weeks. Those are averages from trials of the FDA-approved branded medications, not compounded versions, and they ran alongside structured diet and activity support. Individual results vary widely, and some people lose considerably less. Your provider will tell you what is realistic for you before you spend anything.
They are not right for everyone. GLP-1s are generally avoided if you or a close family member has had medullary thyroid cancer or multiple endocrine neoplasia type 2, if you have had pancreatitis, if you are pregnant, trying to conceive or breastfeeding, or if you have reacted badly to one before. Several other situations need a closer look first, gastroparesis, gallbladder disease, type 1 diabetes. Your clinician screens for all of it on your free visit, and will tell you plainly if the answer is no.
Find out where you actually stand.
Your evaluation is free. Answer a few questions and a licensed provider will tell you what’s appropriate for you, including when the honest answer is that treatment isn’t.