Licensed providers in all 50 states

Weight Loss

GLP-1 weight loss at one honest price.

Compounded tirzepatide, compounded semaglutide, and oral GLP-1, all provider-reviewed to match your eligibility and lifestyle. One price that holds as your dose climbs, with no hidden fees and the freedom to cancel anytime.

Over 1,500 patients treated across our platforms
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  • Same price at every dose
  • No charge if not eligible
  • Provider-guided care
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  • Licensed providers in all 50 states
  • Licensed compounding pharmacies
  • Ongoing provider check-ins
  • Cancel anytime
  • Secure, encrypted platform
  • Discreet delivery

Medications Offered

Two molecules, four ways to start

Every option is one flat monthly price with the medication, provider review, and shipping included — and that price is the same at every dose. Start your assessment and a licensed provider recommends what fits; there is nothing to pay if you are not a candidate.

Trial figures refer to the branded medications studied at specific doses — semaglutide 2.4 mg over 68 weeks and tirzepatide 15 mg over 72 weeks, each alongside lifestyle changes. Compounded medications are not FDA-approved and were not studied in these trials. Oral dissolving tablets were not studied in either trial. Individual results vary, and treatment is not appropriate for everyone. Sources: Wilding JPH, et al. N Engl J Med. 2021 and Jastreboff AM, et al. N Engl J Med. 2022 .

A person outdoors with arms open, feeling well

One Price, Everything Included

No add-ons, no upcharges, the same price at every dose

No consultation fees. No dose upcharges. One flat monthly price that holds as your dose climbs.

  • Your medication, shipped free
  • Licensed provider review
  • Provider-guided dosing
  • Ongoing check-ins & support
  • Refills handled for you
  • No hidden fees, cancel anytime
Check My Eligibility

How GLP-1 Works

GLP-1 explained, simply

GLP-1 is a hormone your body already produces after meals. These medications mimic and extend its effects.

Compounded tirzepatide vial Dual GLP-1 + GIP Once-weekly Appetite support
  • Signals fullness

    You feel satisfied earlier in a meal.

  • Slows digestion

    Food leaves your stomach more gradually.

  • Steadies blood sugar

    Supports a healthy insulin response.

  • Quiets cravings

    Constant food noise eases up.

What the Research Shows

GLP-1 medicine is well-studied

In large clinical trials of the branded GLP-1 medications, adults saw meaningful weight loss over about a year, paired with lifestyle changes.

~15% average body-weight reduction

Semaglutide 2.4 mg vs. placebo over 68 weeks, alongside lifestyle changes.

STEP 1 trial, NEJM 2021
up to ~21% average body-weight reduction

Tirzepatide (highest dose) vs. placebo over 72 weeks, alongside lifestyle changes.

SURMOUNT-1 trial, NEJM 2022

These results are from clinical trials of the FDA-approved branded medications. Compounded versions are not FDA-approved and have not been studied the same way. Individual results vary and depend on your dose, adherence, and the habits you build alongside treatment.

What to Expect

Your GLP-1 journey, step by step

Everyone responds differently, so timelines vary. Here is the general arc most people can expect with a provider guiding each step.

  1. A person opening their medication delivery at home
    1 Week 1–2

    Getting started

    You begin at a low starting dose so your body can adjust. Some people notice appetite changes early; mild digestive side effects can happen and usually ease.

  2. A patient on a telehealth video call with a provider
    2 Week 3–8

    Finding your dose

    Your provider raises your dose gradually and checks in. Appetite control tends to build, and cravings often feel less constant.

  3. A person feeling energized during a workout at the gym
    3 Month 2–4

    Building momentum

    For many people, weight change becomes more noticeable as the dose reaches its target and new habits settle in.

  4. A licensed clinician reviewing a patient plan on a tablet
    4 Month 4+

    Ongoing support

    Treatment continues with provider check-ins and refill coordination. The medication works best as one tool alongside lasting habit change.

Testimonials

Real stories from real patients

Real experiences from people on their GLP-1 journey with our providers.

  • Healthiest I’ve felt in years

    This is the healthiest I’ve felt in years. It’s not just the medication — it’s the support behind it.

    Amanda T. Lost 56 lbs

    Typical for semaglutide: ~15% of body weight over 68 weeks in trials of the branded medication, alongside lifestyle changes. This patient’s result is above that average.

  • Small steps added up

    Small steps added up faster than I thought. I stayed consistent and my provider kept me accountable.

    Michael L. Lost 38 lbs

    Typical for tirzepatide: up to ~21% of body weight over 72 weeks in trials of the branded medication, alongside lifestyle changes. This patient’s result is above that average.

  • In control again

    I finally feel in control again. My provider adjusted my dose gradually, and the progress just kept coming.

    Jessica R. Lost 42 lbs

    Typical for semaglutide: ~15% of body weight over 68 weeks in trials of the branded medication, alongside lifestyle changes. This patient’s result is above that average.

  • Easy from day one

    Fast communication and quick shipping made it easy… my food noise is gone, and I only eat when I’m hungry.

    Elizabeth B. Responsive support
  • Confident every step of the way

    I was hesitant to try tirzepatide through a telehealth provider, but Raeliva exceeded my expectations. The biggest difference is how I feel around food — healthy choices finally feel natural and easy.

    Claudia L. On tirzepatide
  • Feeling like myself again

    The doctor I was paired with was helpful and responsive, and I got a plan that really fit my needs. Thanks for helping me feel like myself again and quiet the food noise.

    Ali C. Personalized plan

Reviews reflect each patient’s own experience and are published with their permission. Individual results vary with medication, dose, duration, and the habits built alongside treatment. Compounded medications are not FDA-approved and have not been studied the same way as the branded products these trial figures come from.

How Raeliva Works, from eligibility to ongoing care

A simple process with clear expectations, plus support if anything feels confusing.

Answer a few questions

Share your goals and health history so a licensed provider can review them properly.

Get a Clinician Review

A licensed provider evaluates your eligibility and recommends a plan only if treatment is right for you. If it is not, there is nothing to pay.

Start your plan

If prescribed, your medication ships to your door, with follow-ups and refills coordinated for you.

See if a GLP-1 program is right for you

Answer a few questions. A licensed provider reviews your intake — and if treatment isn’t right for you, there’s nothing to pay. If it is, you pay the same price at every dose.

Check My Eligibility

Quality and care
you can trust

High standards, clear sourcing, and safety-first care.

Smiling clinician in a white coat on a telehealth video visit at a laptop

Provider oversight and eligibility screening

Woman at home reading a medication information leaflet

Clear education on dosing and side effects

Woman organizing her medication into a weekly pill organizer at home

Storage guidance and refill timing clarity

Pharmacist in a white coat compounding medication at a pharmacy

Transparent information about compounded medications when used

Woman relaxing on a sofa reading on her laptop in a bright, sunlit room

Access to safety information and references for deeper reading

FAQ

Frequently asked questions

How is compounded GLP-1 different from brand-name (Wegovy, Ozempic, Zepbound)?
Compounded medications are prepared by an appropriately licensed pharmacy or outsourcing facility, based on a prescription from a licensed provider. Compounded medications are not FDA-approved and are not the same as brand-name products. The FDA does not review or approve any compounded medication for safety or effectiveness. Brand-name medications like Wegovy, Ozempic, and Zepbound are FDA-approved products made by pharmaceutical manufacturers, and they are not what Raeliva provides. Every GLP-1 medication in a Raeliva program is compounded, and we label it that way, so you always know exactly what you are getting. A licensed provider reviews your health history to decide whether a compounded GLP-1 is appropriate for you.
Tirzepatide vs. semaglutide: what is the difference?
The main difference is how they work. Semaglutide acts on one appetite-regulating pathway, the GLP-1 receptor. Tirzepatide acts on two, GLP-1 and GIP. Both are taken as a once-weekly injection, and both may support appetite control and weight loss as part of a provider-guided program. Semaglutide may be a lower-cost starting point depending on the formulation, program, and prescription pathway. Some people respond better to one than the other, which is why a licensed provider reviews your health history and goals before recommending either.
What about oral GLP-1?
Oral GLP-1 may be an option for people who prefer to avoid injections, depending on the specific medication available through the program. Oral and injectable options can differ in formulation, dosing, absorption, cost, and expected results. A licensed provider reviews your intake to confirm whether a daily oral option or a weekly injection makes more sense for your health history and goals.
Who is eligible?
Eligibility is determined by a licensed provider based on your health history, weight, and goals. GLP-1 weight loss programs are typically appropriate for adults with a BMI of 30 or higher, or 27 or higher with a weight-related health condition, though your provider makes the final determination. Some medical histories make GLP-1 medications unsafe, which is exactly what the intake screening checks for. If treatment is not right for you, there is nothing to pay.
What side effects should I expect?
Most people tolerate GLP-1 medications well; some do not, and we say so. The most common side effects are nausea, constipation, and digestive discomfort, especially in the early weeks and after dose increases, and they often ease as your body adjusts. Your provider starts you at a low dose and increases it gradually, partly to keep side effects manageable. If side effects concern you at any point, message your care team. Serious side effects are uncommon but possible, and your provider will review the full picture with you before you start.
How fast will I see results?
It varies, and anyone who promises a number by a date is overselling. Many people notice appetite changes within the first few weeks. Meaningful weight change typically builds gradually over months, as your provider raises your dose to its target level, and in clinical studies of GLP-1 medications, weight loss accumulated over a year or more. Results depend on the medication, your dose, and the habits you build alongside it. Your check-ins exist to track what is actually happening and adjust.
Is this covered by insurance?
Raeliva is a cash-pay service, which is what keeps the pricing flat and transparent. Insurance plans generally do not cover compounded medications, and every GLP-1 medication in a Raeliva program is compounded. If an insurance-covered brand-name product is what you want, that is a separate path through a provider who prescribes it. We can send you an itemized receipt to submit for reimbursement, though whether your plan accepts it is your plan administrator’s decision.
How much does it cost?
One clear monthly price includes medication, provider review, refill coordination, and ongoing support. Your price does not increase solely because your prescribed dose changes. There are no hidden fees or long-term contracts, and you can cancel anytime. If a licensed provider determines treatment is not appropriate after reviewing your intake, there is nothing to pay.
How does Raeliva approach compounded GLP-1 safety?
Compounded GLP-1 medications are not FDA-approved and are not the same as brand-name products. When compounded medication is prescribed, it should come through a licensed provider and an appropriately licensed pharmacy or outsourcing facility, with clear labeling and patient-specific oversight. Every GLP-1 medication in a Raeliva program is compounded, and we label it that way, so you always know what you are receiving. Every plan starts with provider screening before treatment and includes check-ins while you are on treatment.
What happens if I stop taking it?
Appetite may increase again when the medication stops, and research shows weight regain is common without ongoing treatment and lasting habit changes. We tell you that up front because it is true. It is also why Raeliva's plans include ongoing check-ins and education rather than just a prescription, and why we frame these medications as a tool within a broader effort, not a cure. If you are considering stopping, talk with your provider first about how to do it thoughtfully.
I am already on semaglutide or tirzepatide with another provider. Can I switch to Raeliva?
Yes, and it is one of the most common ways people start with us. Complete the assessment and be specific about your current medication, your current dose, and how long you have been on it — a licensed provider reviews that history as part of deciding what to prescribe. Bring your most recent dose information and any documentation from your current provider if you have it. What you are prescribed is the provider’s clinical decision rather than something you select, so do not stop or change your current medication before you have heard from them.
I am on brand-name Wegovy or Zepbound. Can I switch to a compounded version?
Many people do, usually because of cost. Note the brand-name medication and dose you are on in your assessment so the provider can take it into account. Be clear on what is changing though: compounded medications are not FDA-approved and are not the same product as the brand-name version, even where the active ingredient is the same. Your provider will tell you what they consider appropriate for you.
Are the multi-month plans billed monthly or upfront?
Upfront, as a single charge. The monthly figure we show for a multi-month plan is the effective rate — what the total works out to per month — not a monthly payment. For example, the semaglutide injection 6-month plan is $900 billed once, which is $150 a month. If you would rather pay month to month, the monthly plan is available at a slightly higher rate.
Does my price go up after my first order?
No. The price you start on is the price you keep — it does not rise after your first bundle, after a promotional period, or because your prescribed dose increases. The one thing that does not carry forward is a promo code: those are valid for a single use, so if your first order used one, later orders bill at your plan’s standard rate.
Can I start monthly and switch to a longer plan later?
Yes, and you can do it at any time. Plenty of people start month to month to make sure the medication agrees with them, then move to a longer plan for the better rate once they know it does. Message your care team or request the change in your patient portal at care.raeliva.com/login. Switching to a longer plan lowers your effective monthly cost; the longer plan is billed upfront.
How do I cancel?
Two ways, both of which work: email support@raeliva.com, or message your care team directly by text or email. You will get written confirmation, and no further charges occur once your cancellation is confirmed. There are no long-term contracts and no cancellation fee. If you have emailed and not heard back, email again and say it is a second request — we would rather field a duplicate than leave a cancellation sitting.
See all frequently asked questions

Ready to see if treatment is right for you?

Raeliva is built for people who want structure, transparency, and ongoing support. If you’re ready, check your eligibility to explore options.

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  • No charge if not eligible
  • Provider-guided care

Disclaimer

Only available if prescribed after an online consultation with a licensed healthcare provider. Information provided is based on third-party studies. Plans are offered as a subscription service, which can be canceled at any time. Actual product packaging may appear differently than shown. Providers may prescribe compounded medications as needed to meet patient requirements. The FDA does not review or approve compounded medications for safety or effectiveness. Compounded medications are not FDA-approved and are not the same as brand-name products. The statements on this page have not been evaluated by the FDA. Results may vary. If you notice any side effects while using this treatment, contact your licensed healthcare provider. For severe or urgent symptoms, seek medical care right away. If you are experiencing a medical emergency, call 911.

Patient volume reflects the cumulative number of patients treated across Pacific Shores Research Group telehealth platforms, including onlinesemaglutide.org, as of August 2026. It is not a count of Raeliva patients alone, and it is not a representation of typical results.