Gentle Health

Compounded medications are not FDA-approved — but compounding is expressly permitted under federal law (Section 503A of the Federal Food, Drug, and Cosmetic Act) when a licensed pharmacy fills a prescription for an individual patient. A compounded formulation may differ from a commercially manufactured product, so we only prescribe one when there is a clinical reason a commercial product is not the right fit.

The base — the same form of the molecule as in the FDA-approved products, not a sodium or acetate salt. The active ingredient is pharmacy-grade, verified by certificate of analysis.

Yes. The pharmacies that make our injections test them for sterility and bacterial endotoxins, and some test potency too. We'll send you their lab results if you ask.

You may be a fit if you're 18 or older and don't have any of the conditions that make GLP-1 therapy unsafe. Our intake form will tell you in a couple of minutes. Final eligibility is determined by a licensed doctor after your visit.

No. The standard schedules are a starting map, not a rule — your doctor adjusts your dose up or down based on your results and tolerability, including a very low maintenance dose if that's what works for you.

Microdosing — taking doses lower than those studied in clinical trials — is a popular idea, but we don't yet have evidence that it works. What we do know is that many people respond well to lower studied doses. Your doctor will help you find the lowest dose that works for you.

Yes. If treatment is working, your doctor can continue you on a low maintenance dose to help keep the weight off — staying on, adjusting down, or stopping is a decision you make together.

There is a two-month minimum commitment when you start. You're billed for your first month when you start and again one month later, because we send two months or more (depending on your dose) of medication at a time to save on refrigerated overnight shipping costs. After each refill, you can cancel 30 days after you request it. No additional medication is sent unless you request another refill, and monthly billing continues until you cancel. Cancellation stops future charges and shipments, but charges already made, including the current month's, are not prorated or refunded. Brand-name care has no minimum commitment: you can cancel any time.