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
Optimize your
weight.hormones.energy.longevity.
Medical weight loss, hormone therapy, longevity protocols and lab testing — prescribed by licensed clinicians, delivered to your door. No waiting rooms, no insurance runaround.
10,000+ patients served on our clinical platformLicensed in all 50 states
Care team online
7 days a week
7 days a week
48States — licensed nationwide
19%Avg. body weight lost on tirzepatide*
95+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. They never capture your full biology — so they can’t 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. Then we test, build the plan around your numbers, and stay with you through the whole journey.
What we treat
Three places we go deep.
Not a catalog of everything. Three areas we run properly — each one backed by labs, a real clinician and dose adjustments over time.
01
Hormones & sexual health
Testosterone, fertility, desire and intimacy — for men and women, dosed off bloodwork rather than a symptom quiz.
Explore hormones
02
Longevity & peptide therapy
Cellular energy, recovery, sleep and cognition — protocols you re-test, not supplements you hope about.
Explore longevity
03
Weight & metabolic health
GLP-1 and dual-agonist therapy, titrated to you, with muscle protection and metabolic labs built in.
Explore weight loss
01 · 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
Testosterone ReplacementInjectable & topical TRTfrom $299/mo
EnclomipheneRaise T, preserve fertilityfrom $199/mo
PDE5 InhibitorsSildenafil & tadalafilfrom $129/mo
Triple Action Performance BlendBlood flow, desire and connection in one tabletfrom $159/mo
Male Fertility TestAt-home semen analysis$299 once
02 · Longevity & peptide therapy
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
Every protocol paired with before-and-after labs
NAD+ InjectionCellular energy, weeklyfrom $199/mo
NAD+ Nasal SprayNeedle-free daily dosingfrom $199/mo
SermorelinSleep, repair, compositionfrom $199/mo
Methylene BlueFocus and mitochondriafrom $125/mo
GlutathioneMaster antioxidantfrom $199/mo
B12 InjectionEnergy and methylationfrom $125/mo
RapamycinmTOR, monitored dosingfrom $199/mo
PropranololSteady hands when it countsfrom $149/mo
4-in-1 Hair RestorationTopical solution, nightlyfrom $149/mo
03 · 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 labs, protein targets and check-ins instead of shipping a pen and disappearing.
Baseline metabolic panel 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 $349/mo
SemaglutideWeekly GLP-1 injectionfrom $299/mo
Oral GLP-1Daily tablet, needle-freefrom $299/mo
MetforminInsulin sensitivity supportfrom $159/mo
Weight Loss Programme MembershipAlready have a brand-name GLP-1?from $75/mo
Continuous Glucose MonitoringSee your glucose in real timefrom $249/mo
Free tool
See what medical weight loss could look like for you.
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.
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.
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 covers0 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.
“Lost 27 lbs in 12 weeks. I’ve struggled with food noise my entire life, but for the first time, I feel in control. This was the missing piece of the puzzle for my health journey.”
“I’ve gained 8 lbs of lean mass and dropped my body fat by 5% in just four months. I feel stronger, more motivated, and more like myself again.”
Testimonials from real NovaraMD patients. Individual results vary and are not typical or guaranteed. Keep signed consent on file for every published testimonial.
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 a review of your bloodwork, and dispensed by a licensed pharmacy. 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.
Your evaluation is free. Start there.
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.