Best Gonadorelin Providers in 2026: Ranked and Reviewed
The hypothalamic hormone GnRH is what gonadorelin is a synthetic version of. Diagnostic and fertility indications make up its FDA-approved history, but the use growing fastest today is off-label, compounded and given together with testosterone replacement therapy (TRT), where the pulsatile stimulation it provides may help preserve testicular size and fertility during exogenous testosterone use. A prescription is required. Each clinic below writes through a licensed provider, and all are scored on our standard dimensions.
10 providers compared
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10 gonadorelin providers compared · independently scored against our six-factor methodology.
Compare the top providers at a glance
Every row carries a logo, our editorial rating, price, the medications prescribed, and where the seller ships. Scan down a column and the list shortens fast.
- ★ Editor's Pick
compounded semaglutide from $99/month, by injection or under the tongue
From /moCheck pricingCoverageCheck intakeMedicationsGonadorelinNAD+PT-141Sermorelin - Nationwide Coverage
moving between compounded and brand without changing seller
From /moCheck pricingCoverage50 states + DCMedicationsGonadorelinNAD+Sermorelin seeing the price at every dose before you start
From /moCheck pricingCoverage50 statesMedicationsBPC-157EpitalonGHK-CuGlutathioneGonadorelinKPVMOTS-cNAD+PT-141SemaxSermorelinTB-500Tesamorelin
Show 5 moreShow fewer
compounded GLP-1s with any needed labs folded into the monthly price
From /moCheck pricingCoverageCheck intakeMedicationsGlutathioneGonadorelinNAD+PT-141sublingual GLP-1 drops with a price shown before you start
From /moCheck pricingCoverage50 statesMedicationsGlutathioneGonadorelinNAD+PT-141Sermorelinpeople who want a compounded GLP-1 alongside a wide peptide menu and accept less clarity about who runs it
From /moCheck pricingCoverage50 statesMedications5-Amino-1MQBPC-157CJC-1295CJC-1295 / IpamorelinDSIPEpitalonGHK-CuGlutathioneGonadorelinIpamorelinKPVMK-677MOTS-cNAD+PT-141SelankSemaxSermorelinTB-500TesamorelinThymosin Alpha-1a published list of the 28 states it serves, when most sellers publish none
From /moCheck pricingCoverage27 states + DCMedicationsBPC-157CJC-1295 / IpamorelinEpitalonGHK-CuGlutathioneGonadorelinIpamorelinKPVMOTS-cNAD+PT-141SemaxSermorelinTB-500Tesamorelincompounded semaglutide at $289/month
From /moCheck pricingCoverageCheck intakeMedicationsGHK-CuGlutathioneGonadorelinNAD+PT-141Sermorelin
| Provider | Rating | From /mo | Medications | Coverage | |
|---|---|---|---|---|---|
★ Editor's Pick compounded semaglutide from $99/month, by injection or under the tongue | Check pricing | GonadorelinNAD+PT-141Sermorelin | Check intake | Visit → | |
Nationwide Coverage moving between compounded and brand without changing seller | Check pricing | GonadorelinNAD+Sermorelin | 50 states + DC | Visit → | |
 seeing the price at every dose before you start | Check pricing | BPC-157EpitalonGHK-CuGlutathioneGonadorelinKPVMOTS-cNAD+PT-141SemaxSermorelinTB-500Tesamorelin | 50 states | Visit → | |
 compounded GLP-1s with any needed labs folded into the monthly price | Check pricing | GlutathioneGonadorelinNAD+PT-141 | Check intake | Visit → | |
 sublingual GLP-1 drops with a price shown before you start | Check pricing | GlutathioneGonadorelinNAD+PT-141Sermorelin | 50 states | Visit → | |
 people who want a compounded GLP-1 alongside a wide peptide menu and accept less clarity about who runs it | Check pricing | 5-Amino-1MQBPC-157CJC-1295CJC-1295 / IpamorelinDSIPEpitalonGHK-CuGlutathioneGonadorelinIpamorelinKPVMK-677MOTS-cNAD+PT-141SelankSemaxSermorelinTB-500TesamorelinThymosin Alpha-1 | 50 states | Visit → | |
 a published list of the 28 states it serves, when most sellers publish none | Check pricing | BPC-157CJC-1295 / IpamorelinEpitalonGHK-CuGlutathioneGonadorelinIpamorelinKPVMOTS-cNAD+PT-141SemaxSermorelinTB-500Tesamorelin | 27 states + DC | Visit → | |
 compounded semaglutide at $289/month | Check pricing | GHK-CuGlutathioneGonadorelinNAD+PT-141Sermorelin | Check intake | Visit → |
All 10 providers on this board, in the order this board shows them
The comparison above shows the first 8. This is the full list the filter counts refer to, in the order this board shows them; each name opens that provider’s review.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
Detailed Reviews
About the prices below: every dollar figure inside these provider summaries belongs to that clinic’s GLP‑1 weight-loss program. None is a Gonadorelin price. For Gonadorelin itself, read the figure next to each clinic in the comparison table above, taken from the clinic’s own product page. A reading of “Check pricing” means the clinic does prescribe Gonadorelin and publishes nothing for it, so you are quoted after your consultation.
Try Ageless
Best for: compounded semaglutide from $99/month, by injection or under the tongue
Try Ageless sells compounded semaglutide and tirzepatide in four formats: weekly injection, sublingual drops, troche and a dissolving tablet. Semaglutide injection starts at $99 a month and rises with the dose to $229; a $50 coupon applies to the first order. The platform frames itself around longevity and metabolic health and holds LegitScript certification.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 50% below the $199 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $169 a month, 37% below the $269 median for compounded tirzepatide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price includes the medication and shipping
- ✓Names Pharmacy Hub as the pharmacy that fills its prescriptions, which most sellers do not
- ✓We found no FDA warning letters issued to Try Ageless
Cons
- ✗Confirm it serves your state before you start the intake
- ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Luvo Health
Verified partnerBest for: moving between compounded and brand without changing seller
Compounded and brand GLP-1s from Luvo Health, Inc., sold beside a microdosing program and longevity peptides; skincare, HRT and testosterone are listed as coming soon. Billing is in 4-week blocks. Compounded semaglutide injections cost $209 per 4 weeks after a half-price first cycle, and microdose plans cost $179.
Score Breakdown
Pros
- ✓Semaglutide costs $209 a month, close to the $199 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $249 a month, 7% below the $269 median for compounded tirzepatide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price stays the same as your dose goes up
- ✓The monthly price includes the medication, clinician visits and shipping
- ✓Serves all 50 states and DC
- ✓We found no FDA warning letters issued to Luvo Health
Cons
- ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
- ✗Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Pepti
Best for: seeing the price at every dose before you start
Score breakdown, pros and cons
Pepti is a Delaware peptide platform that sells compounded semaglutide and tirzepatide injections at an all-in monthly price that rises with the dose: semaglutide runs $99 to $199 and tirzepatide $159 to $319. Physician review, medication and shipping are in the price. It now says it serves all 50 states, sells about 60 other peptides, and does not bill insurance.
Score Breakdown
Pros
- ✓Semaglutide costs $199 a month, exactly the $199 median for compounded semaglutide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price includes the medication, clinician visits and shipping
- ✓Serves all 50 states
- ✓We found no FDA warning letters issued to Pepti
Cons
- ✗Tirzepatide costs $319 a month, 19% above the $269 median for compounded tirzepatide across the sellers we compare
- ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
- ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Heva Health
Best for: compounded GLP-1s with any needed labs folded into the monthly price
Score breakdown, pros and cons
Heva Health sells compounded semaglutide at $199 a month and tirzepatide at $399 month to month, or $174 and $299 a month on a 6-month commitment billed monthly. Leaving a 3- or 6-month plan early can cost a fee or the rest of the term. Weight loss plans include the drug, any needed labs, provider dose changes and free 2-day shipping. Wegovy, Zepbound and Foundayo carry a $99 monthly care fee, with the drug billed separately.
Score Breakdown
Pros
- ✓Semaglutide costs $199 a month, exactly the $199 median for compounded semaglutide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price includes the medication, clinician visits, shipping and lab work
- ✓We found no FDA warning letters issued to Heva Health
- ✓Baseline bloodwork is required before a prescription
Cons
- ✗Tirzepatide costs $399 a month, 48% above the $269 median for compounded tirzepatide across the sellers we compare
- ✗Confirm it serves your state before you start the intake
- ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
- ✗Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Lumora
Best for: sublingual GLP-1 drops with a price shown before you start
Score breakdown, pros and cons
Lumora MD, run by Blue Skies MD LLC, offers compounded semaglutide and tirzepatide, injected or as sublingual drops, plus peptide therapies, through a provider who reviews each assessment. It was founded by Drs. Sean and Shannon Arora of Arora Health & Aesthetics. Only the drops are priced in public: $295 for semaglutide and $345 for tirzepatide at checkout. Injection prices are shown only after the assessment.
Score Breakdown
Pros
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓Serves all 50 states
- ✓We found no FDA warning letters issued to Lumora
Cons
- ✗Semaglutide costs $295 a month, 48% above the $199 median for compounded semaglutide across the sellers we compare
- ✗Tirzepatide costs $345 a month, 28% above the $269 median for compounded tirzepatide across the sellers we compare
- ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
- ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
How we rank, and what counts as “legit”
Scoring for every provider on this page runs against our published six-factor rubric[1]: value, effectiveness, user experience, trust & safety, accessibility and support.
Each of Wegovy, Zepbound, Ozempic and Mounjaro holds its own separate FDA approval under its own NDA number[4][5]. Published Phase 3 efficacy for semaglutide at 2.4 mg (~14.9% mean weight loss across 68 weeks) comes from STEP 1[6]; those for tirzepatide (~20.9% at the 15 mg dose over 72 weeks) come from SURMOUNT-1[7]. In 2025 the SURMOUNT-5 head-to-head set the two against each other[8].
How much of an anti-obesity medication is covered varies widely between state Medicaid programs and between commercial plans[9][10]. Under IRS Publication 502, compounded GLP-1s and brand-name ones alike are generally FSA/HSA eligible where a prescription exists[11].
Frequently Asked Questions
Sources & methodology — as of November 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
- 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 10.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.
- 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.