Best Gonadorelin Providers in 2026 — Ranked & 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.
7 providers compared
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7 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
bloodwork inside the $99/month rather than billed on top
From /moCheck pricingCoverage36 statesMedicationsBPC-157GHK-CuGlutathioneGonadorelinkpvMOTS-cnad-plusPT-141retatrutideSermorelinTB-500Tesamorelin semaglutide at $119/month, 37% under the register median
From /moCheck pricingCoverageCheck intakeMedicationsGonadorelinNAD+PT-141Sermorelinbloodwork inside the $149/month rather than billed on top
From /moCheck pricingCoverageCheck intakeMedicationsGlutathioneGonadorelinNAD+PT-141moving between compounded and brand without changing seller
From /moCheck pricingCoverageCheck intakeMedicationsNAD+SermorelinGonadorelina published state list — 28 of 50 — when most of the register publishes none
From /moCheck pricingCoverage28 statesMedicationsBPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneGonadorelinIpamorelinNAD+PT-141SermorelinTB-500Tesamorelinbloodwork inside the monthly price rather than billed on top
From /moCheck pricingCoverageCheck intakeMedicationsNAD+SermorelinGlutathioneGonadorelinPT-141compounded semaglutide at $289/month
From /moCheck pricingCoverageCheck intakeMedicationsGHK-CuGlutathioneGonadorelinNAD+PT-141Sermorelin
| Provider | Rating | From /mo | Medications | Coverage | |
|---|---|---|---|---|---|
★ Editor's Pick bloodwork inside the $99/month rather than billed on top | Check pricing | BPC-157GHK-CuGlutathioneGonadorelinkpvMOTS-cnad-plusPT-141retatrutideSermorelinTB-500Tesamorelin | 36 states | Visit → | |
 semaglutide at $119/month, 37% under the register median | Check pricing | GonadorelinNAD+PT-141Sermorelin | Check intake | Visit → | |
 bloodwork inside the $149/month rather than billed on top | Check pricing | GlutathioneGonadorelinNAD+PT-141 | Check intake | Visit → | |
 moving between compounded and brand without changing seller | Check pricing | NAD+SermorelinGonadorelin | Check intake | Visit → | |
 a published state list — 28 of 50 — when most of the register publishes none | Check pricing | BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneGonadorelinIpamorelinNAD+PT-141SermorelinTB-500Tesamorelin | 28 states | Visit → | |
 bloodwork inside the monthly price rather than billed on top | Check pricing | NAD+SermorelinGlutathioneGonadorelinPT-141 | Check intake | Visit → | |
 compounded semaglutide at $289/month | Check pricing | GHK-CuGlutathioneGonadorelinNAD+PT-141Sermorelin | Check intake | Visit → |
A seller that will not show a price before an intake loses points on Value and carries that note in its review. Withholding the number is itself a finding. 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.
Pepti
Best for: bloodwork inside the $99/month rather than billed on top
One flat charge holds regardless of dose: $99 a month for injectable semaglutide, $199 for tirzepatide, each figure covering shipping, refill management, baseline labs, physician review and the drug itself. Registered in Delaware, the platform reaches 36 states with doctor-prescribed compounded peptides and GLP-1s, and its catalog passes 120 products spanning skin, cognitive, recovery, TRT and hormone, and weight-loss categories, bloodwork at home included. Insurance is not billed. Pepti prescribes nothing itself; it is the platform.
Score Breakdown
Pros
- ✓Semaglutide at $99 a month, 48% below the $189 median for the same drug and form across this register
- ✓Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
- ✓The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
- ✓The monthly figure covers medication, consult, shipping, labs
- ✓No FDA warning letter matched this operator when we searched our enforcement register
Cons
- ✗Coverage is published for 36 states only, so this may not reach you
- ✗No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
- ✗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
Try Ageless
Best for: semaglutide at $119/month, 37% under the register median
Semaglutide by injection opens at $119/month, about as low an entry price as we track anywhere, and aggressive introductory pricing runs across all five products. Three delivery formats exist for the compounded semaglutide and tirzepatide sold here: injection, troche, and drops placed under the tongue. Nobody else in our directory spans that many. The platform frames itself around longevity and metabolic health, and holds LegitScript certification.
Score Breakdown
Pros
- ✓Semaglutide at $119 a month, 37% below the $189 median for the same drug and form across this register
- ✓Tirzepatide at $169 a month, 37% below the $267 median for the same drug and form across this register
- ✓Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
- ✓The monthly figure covers medication and shipping
- ✓No FDA warning letter matched this operator when we searched our enforcement register
- ✓Both oral and injectable options are on record, so the format is a choice rather than a condition
Cons
- ✗No state list is on record here, so whether it serves your state cannot be confirmed from this page
- ✗No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
- ✗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: bloodwork inside the $149/month rather than billed on top
Heva Health (hevahealth.com) starts weight loss pricing at $149/month. It is LegitScript-certified and sells compounded GLP-1s alongside a 91-biomarker comprehensive lab panel, hormone optimization (HRT/TRT) and concierge care. By its own account it operates across all 50 US states, with licensed-provider review handled asynchronously.
Score Breakdown
Pros
- ✓Semaglutide at $149 a month, within the normal band around this register's $189 median for the same drug and form
- ✓Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
- ✓The monthly figure covers medication, consult, shipping, labs
- ✓No FDA warning letter matched this operator when we searched our enforcement register
- ✓Baseline bloodwork is required before a prescription
Cons
- ✗No state list is on record here, so whether it serves your state cannot be confirmed from this page
- ✗No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
- ✗Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality
Luvo Health
Best for: moving between compounded and brand without changing seller
Compounded and brand GLP-1s from LUVO HEALTH, INC., sold beside microdosing, longevity peptides, skincare, HRT and testosterone. Billing is in 4-week blocks.
Score Breakdown
Pros
- ✓Semaglutide at $249 a month, within the normal band around this register's $189 median for the same drug and form
- ✓Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
- ✓The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
- ✓The monthly figure covers medication, consult, shipping
- ✓No FDA warning letter matched this operator when we searched our enforcement register
Cons
- ✗No state list is on record here, so whether it serves your state cannot be confirmed from this page
- ✗No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
- ✗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
RxPepsDirect
Best for: a published state list — 28 of 50 — when most of the register publishes none
Pricing is per vial: semaglutide/B12 from $25/vial and tirzepatide/B12 from $45/vial, after a $39 asynchronous online medical visit, with no subscription required. Optimal Balance Pharmacy, a 503A in Texas, dispenses. Licensed NP/PA prescribers supervised by Medical Director Dr. Jonathan Snipes, MD issue patient-specific compounded prescriptions under the 503A pathway. FedEx overnight delivery, syringes and a travel case are included. Peptide RX LLC operates in 28 states and DC.
Score Breakdown
Pros
- ✓The monthly figure covers medication, consult, shipping
- ✓No FDA warning letter matched this operator when we searched our enforcement register
Cons
- ✗No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
- ✗Billed separately from the monthly figure: labs, coaching
- ✗Coverage is published for 28 states only, so this may not reach you
- ✗No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
- ✗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 August 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 (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
- 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.