The TRT protocol: published pricing, no bundle math. See the whole number.
OPTN

Protocol 03 · GLP-1

GLP-1, with the boring parts kept in.

The mechanism is real and the trial data is strong. So is the part most clinics skip: protein, lifting, and a plan for coming off. A licensed provider runs the titration against your labs and keeps all of it on the table.

$229/mo · labs about $280 at cost · cancel anytime, no fee. Available state by state; the waitlist covers all 50 states. Important safety information · Care standards

A man portioning the week's meals into containers on his kitchen counter.

The signs

The number crept up. The playbook stopped working.

Fifteen pounds that arrived over five years and ignore what used to move them. An appetite that negotiates harder than it used to at 9pm. A fasting glucose that drifts a point or two higher each physical while everyone calls it fine. Not a crisis. A trend line.

The Readout

14.9% average body-weight change at 68 weeks.

Semaglutide 2.4mg weekly, in the STEP 1 trial (New England Journal of Medicine, 2021). The placebo group, who got the same lifestyle counseling, averaged 2.4%. The drug is doing real work. It is not doing all of it.

The same research program has a second, quieter finding: stop the drug and change nothing else, and most of the weight comes back. The protocol takes both findings seriously, which is why it is built around your labs and your lifting, not just a refill schedule.

What's included

Itemized, because you'd ask anyway.

Provider

A licensed provider in your state, on a real visit, who reads your labs with you, decides whether a GLP-1 fits, and manages the titration. Follow-ups included, not billed as extras.

Labs

A full panel to start, including the metabolic markers this protocol answers to, then the same markers again at 12 weeks. About $280 per draw, billed at cost.

Medication

Semaglutide or tirzepatide, prescribed by the provider and shipped to you. FDA-approved products where they fit; a compounded version from a 503A pharmacy only when the provider decides your case supports one. Compounded markup is capped and published, and every compounded batch carries a real certificate of analysis.

Adjustments

Dose steps come from how you respond, decided with the provider, including holding a dose or stepping down. The plan includes how you eventually come off, not just how you start.

No bundle math

Membership, labs, and medication are priced separately on purpose, so every number stays visible before you commit to anything.

How it works

Four steps. Dosing decisions happen at step three, with a provider.

  1. 01 Intake Six questions, about a minute. Free, no card. Puts you on your state's list.
  2. 02 Bloodwork Full panel including the metabolic markers, about $280, at a draw site near you.
  3. 03 Protocol Built with a licensed provider, against your labs. Titration on a schedule the provider sets, not a flat dose.
  4. 04 Retest Metabolic panel again at 12 weeks, plus a straight conversation about protein and lifting.
A clinician at her desk on a telehealth visit, a chart open beside her.

On the record

Trust, itemized.

The short version of the standards every protocol runs on. The full set is written down at care standards.

Licensed

Every prescription runs through a licensed provider in your state. Checked before a consult happens, not after. Nobody prescribes off a questionnaire alone.

Capped

Medication markup is capped and published, not negotiated per customer or buried inside a bundle price.

Verified

Every batch has a real certificate of analysis, not a stock PDF with your name pasted in.

Run in-house first

This exact path was run in-house before it opened: intake, full panel, a provider who explains the numbers instead of reading a verdict off a screen. If it isn't worth our own bloodwork, it isn't shipping to yours.

Pricing

The whole number, before you give us anything.

Opening soon Member+ $229 /mo

Where the peptide programs live. GLP-1, alone or stacked.

  • Licensed provider in your state
  • Full panel to start, metabolic markers rechecked at 12 weeks (about $280/draw, at cost)
  • The GLP-1 protocol, titrated with the provider
  • Room to stack a second protocol, TRT included
  • Capped, published medication markup
Start GLP-1 intake
Opening soon Member $149 /mo

One protocol at a time. Most men start here, with TRT.

  • Licensed provider in your state
  • Full panel to start, rechecked on a schedule
  • One protocol, run properly, start to finish
Start intake

Nothing charges until you choose to continue past intake. Cancel anytime, no fee. Medication is billed separately: branded, FDA-approved GLP-1s pass through at market price, and compounded versions carry a capped, published markup. Compounded drugs are not FDA-approved; a licensed provider decides with you whether one fits your case. Available state by state; the waitlist covers all 50 states and intake claims your spot. Important safety information. GLP-1 therapy has real risks, side effects, and monitoring requirements; a licensed provider reviews them with you before anything is prescribed.

Questions

The ones you'd actually ask.

Informational, not medical advice. A licensed provider makes the call once they've seen your labs.

What can I do today?

Start intake. Six questions, about a minute, no card. You get your starting point and a spot on your state's list. Labs and provider consults open state by state, and your intake is the first thing the provider sees when yours does.

Compounded or branded?

The branded, FDA-approved products (Wegovy, Zepbound, and the rest) are the reference point. They run over $1,000 a month at market rates, and we pass them through rather than marking them up. Compounded semaglutide and tirzepatide from 503A pharmacies cost a fraction of that, and here is the part most clinics skip: no compounded drug is FDA-approved or reviewed by the FDA for safety and effectiveness. Whether a compounded version fits your case is the provider's call, made with you, not a checkout default.

Do I gain it back when I stop?

If nothing else changes, mostly yes. In the extension of the big semaglutide trial, participants regained about two thirds of the lost weight within a year of stopping. That's why this protocol treats the drug as the appetite lever, not the plan, and why the retest visit spends as much time on protein and training as on the dose.

What about muscle loss?

The quiet failure mode of GLP-1s. Lose weight fast without resistance training and adequate protein, and a real share of what you lose is lean mass. The provider sets protein targets alongside the dose, and if you're not willing to lift or at least walk with intent, they'll say this protocol is a bad fit. Out loud.

What does it cost before I've committed to anything?

Intake is free. The only cost before a provider sees you is the bloodwork panel, about $280, billed at cost. Membership is $229 a month and starts only if you and the provider decide the protocol fits.

What if I change my mind?

Cancel anytime, no fee, no exit interview. Nothing charges until you choose to continue past intake.

Start

The appetite lever, not the whole plan.

Six questions now, bloodwork when your state opens, and a provider who keeps the protein-and-lifting half of the protocol on the table. Deeper reading lives in the peptides wiki if you want the mechanism first.

Start GLP-1 intake