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+PT-141retatrutideSermorelinTB-500Tesamorelin semaglutide at $119/month, 37% below the typical price
From /moCheck pricingCoverageCheck intakeMedicationsGonadorelinNAD+PT-141Sermorelinbloodwork inside the $149/month rather than billed on top
From /moCheck pricingCoverageCheck intakeMedicationsGlutathioneGonadorelinNAD+PT-141
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moving between compounded and brand without changing seller
From /moCheck pricingCoverageCheck intakeMedicationsGonadorelinNAD+Sermorelina published list of the 28 states it serves, when most sellers publish none
From /moCheck pricingCoverage28 statesMedicationsBPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneGonadorelinIpamorelinNAD+PT-141SermorelinTB-500Tesamorelinbloodwork inside the monthly price rather than billed on top
From /moCheck pricingCoverageCheck intakeMedicationsGlutathioneGonadorelinNAD+PT-141Sermorelincompounded 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+PT-141retatrutideSermorelinTB-500Tesamorelin | 36 states | Visit → | |
 semaglutide at $119/month, 37% below the typical price | 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 | GonadorelinNAD+Sermorelin | Check intake | Visit → | |
 a published list of the 28 states it serves, when most sellers publish 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 | GlutathioneGonadorelinNAD+PT-141Sermorelin | Check intake | Visit → | |
 compounded semaglutide at $289/month | Check pricing | GHK-CuGlutathioneGonadorelinNAD+PT-141Sermorelin | Check intake | Visit → |
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.
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 costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $199 a month, 20% below the $250 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, shipping and lab work
- ✓We found no FDA warning letters issued to Pepti
Cons
- ✗Serves only 36 states, so check that yours is one of them
- ✗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
- ✗Its menu lists retatrutide, which FDA says cannot be used in compounding under federal law and has not been found safe and effective for any condition
Try Ageless
Best for: semaglutide at $119/month, 37% below the typical price
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 costs $119 a month, 36% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $169 a month, 32% below the $250 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
- ✓We found no FDA warning letters issued to Try Ageless
- ✓Offers both oral and injectable options, so the format is your choice
Cons
- ✗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 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
Score breakdown, pros and cons
Heva Health 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 costs $149 a month, 19% below the $185 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
- ✗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 semaglutide is compounded rather than FDA-approved, so it has 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
Score breakdown, pros and cons
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
- ✓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
- ✓We found no FDA warning letters issued to Luvo Health
Cons
- ✗Semaglutide costs $249 a month, 35% above the $185 median for compounded semaglutide across the sellers we compare
- ✗Tirzepatide costs $339 a month, 36% above the $250 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 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 list of the 28 states it serves, when most sellers publish none
Score breakdown, pros and cons
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 price includes the medication, clinician visits and shipping
- ✓We found no FDA warning letters issued to RxPepsDirect
Cons
- ✗You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- ✗Not included in the monthly price: lab work, coaching
- ✗Serves only 28 states, so check that yours is one of them
- ✗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 September 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.