About 10 minutes, online.
A US-licensed physician decides.
Ships discreetly from a US-licensed pharmacy.
Compounded Oral Semaglutide
Prescribed by a US physician · Compounded by a licensed US pharmacy
A compounded semaglutide troche (with vitamin B12 and pyridoxine) that dissolves in the mouth, for people who prefer to avoid injections. Prescribed by a licensed physician if appropriate, and dispensed by a licensed compounding pharmacy. Your physician sets your dose and adjusts it over time. Billed monthly. Includ...
A compounded semaglutide troche (with vitamin B12 and pyridoxine) that dissolves in the mouth, for people who prefer to avoid injections. Prescribed by a licensed physician if appropriate, and dispensed by a licensed compounding pharmacy.
- Your physician sets your dose and adjusts it over time.
- Billed monthly. Includes your physician care, medication and shipping.
Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness or quality. Prescription required. A licensed physician decides if it's right for you.
Prescription only. A licensed physician decides eligibility from your medical intake. Individual results vary.
HOW IT WORKS
What happens after you start?
You won't be charged unless a licensed physician approves you.
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Today
Start your protocol
Pick your strength and check out. Your medical intake opens right after.
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About 10 minutes
Complete your intake
Answer the medical questions online. No appointment, no waiting room.
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Typically within a few days
Physician review
A US-licensed physician reviews your intake and decides whether this protocol is appropriate for you. If it isn't, the hold on your card is released and you're not charged.
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Ongoing
Fulfilled & delivered
If approved, a US-licensed pharmacy fulfills your prescription and ships it to your door on your plan's schedule.
Read: Is getting a prescription online safe?
One price
Everything in the price.
- US-licensed physician review. Visits elsewhere run $49–79.
- Your medication. From a US-licensed pharmacy.
- Free discreet shipping.
- Unlimited physician messaging during treatment.
- Price lock. Your price never goes up.
Plus
- A routine card in the box
- A 90-day physician check-in
THE SCIENCE
How does Compounded Oral Semaglutide work, and what does it cost?
Semaglutide is a GLP-1 receptor agonist that curbs appetite and slows stomach emptying so you eat less and feel full longer, here in a needle-free troche that dissolves under the tongue. Expect the same GLP-1 GI effects (nausea, and possibly vomiting, diarrhea, or constipation), which usually settle over time. Compounded and not FDA-approved.
FACT SHEET
WHAT TO EXPECT
What should you expect, month by month?
- Week 1
Your protocol arrives. Start as directed and note how you feel.
- Month 1
Your body adjusts. Early changes, if any, are usually subtle; mild side effects often ease in this window.
- Month 3
Many patients begin to notice change. Your physician checks in and adjusts the dose if needed.
- Month 6+
Progress is reassessed with your physician, who decides whether to continue, adjust or taper.
Timelines vary by person, dose and condition. Your physician sets the pace and adjusts as you go.
FAQ
Common questions about Compounded Oral Semaglutide
Still deciding between strengths, or between this and another protocol?
Take the 60-second quiz
Am I eligible?
Eligibility is a clinical decision. After you check out, you'll complete a medical intake; a US-licensed physician reviews it and determines whether this protocol is appropriate for you. If it isn't, the hold on your card is released and you're not charged.
Is this FDA-approved?
No. This is compounded semaglutide in a troche, prepared by a US-licensed pharmacy. Compounded medications are not FDA-approved, and this is not a brand-name product or a generic of one. Your physician decides whether a compounded option is appropriate for you.
How do I take it?
The troche dissolves in your mouth, so there is no needle. Take it exactly as your pharmacy label and physician direct.
What side effects should I expect?
Nausea, vomiting, diarrhea and constipation are common early and usually ease over time. Serious risks include pancreatitis and gallbladder problems. It is not for anyone with a personal or family history of medullary thyroid cancer or MEN 2, or who is pregnant or planning a pregnancy.
How is it shipped?
Discreetly, in unbranded packaging, straight from a US-licensed pharmacy. Store it as your pharmacy label directs.
What if I'm not approved?
You're not charged. Checkout places a temporary hold on your card, and it's released if a physician doesn't approve your protocol. Where possible, your physician may suggest an alternative that fits your case.
What's included, and what's billed separately?
Your price covers your physician review, your prescription, messaging with your care team and, for most protocols, your medication and shipping from a US-licensed pharmacy. Brand-name GLP-1 care is the exception: you buy the medication from the manufacturer's own pharmacy. For isotretinoin, the required lab work (blood tests, and monthly pregnancy tests if you can become pregnant) is billed separately by the lab.
How quickly will it arrive?
Once a physician approves your protocol, the pharmacy prepares your prescription and ships it to you. Your dashboard shows the status and tracking at every step.
Can I cancel or pause?
Yes, there's no lock-in. You can pause or cancel your protocol anytime from your dashboard before your next fulfilment.
COMPOUNDED ORAL SEMAGLUTIDE · $449 / MONTH
Ready when you are.
Start your protocolCharged only if a physician approves you.