1st Optimal vs DoctorAdam
An in-depth comparison of two leading GLP-1 Providers
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1st Optimal
Best for: coaching bundled into the price rather than sold separately
Visit 1st Optimal →
DoctorAdam
Best for: seeing what it charges before you answer any medical questions
Visit DoctorAdam →Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, DoctorAdam starts at $129/mo, and DoctorAdam finishes ahead, 7.2 to 3.9. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.
Pricing
1st Optimal
Pricing not publicly listed.
DoctorAdam
Injection form. Verbatim from /pages/semaglutide: 'From $129'. Page compares to Ozempic® & Wegovy®, confirming compounded. 'Includes physician evaluation, prescription, medication, and shipping.'
Injection form. Verbatim from /pages/tirzepatide-injection: 'From $229 | Get Treatment'. 'Your price includes physician evaluation, prescription, medication, and shipping.'
Oral tablet form. Verbatim from /pages/oral-semaglutide: 'From $129'. Doses 2mg–24mg; physician determines strength. 'Includes medication & prescription.'
Oral tablet form. Verbatim from /pages/tirzepatide-oral-tablet: 'From $199 | Get Treatment'. Doses 3–5–6–10–20 mg; '30 oral tablets for once-daily dosing as prescribed.'
What’s included
1st Optimal
Covered by the monthly price
Medication
Not stated
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
DoctorAdam
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
1st Optimal
3.9/10
DoctorAdam
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | DoctorAdam |
|---|---|---|
| Starting Price | — | $129/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 44 |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About 1st Optimal
Neither a monthly price nor a list of states is published. 1st Optimal operates out of Michigan across telehealth and functional medicine, writing the GLP-1s semaglutide and tirzepatide either as a weekly injection or as a daily oral tablet. Around the prescription it stacks at-home lab testing, interpretation of the blood work, coaching without limit and protocols built individually, all framed as long-term weight loss and longevity. Credentialed providers work virtually, treatment goes to the home, and nothing binds you to a long contract.
Read our full 1st Optimal review →About DoctorAdam
A Shopify-based telehealth storefront selling compounded semaglutide and tirzepatide as injections or oral tablets, at a flat all-in monthly price that covers the physician evaluation, the medication and free shipping. It names two pharmacy partners, Olympia Pharmaceuticals in Orlando, FL and Carie Boyd Pharmaceuticals in Irving, TX, and is LegitScript certified. By its own account it holds a 4.8/5 Trustpilot score across more than 5,400 reviews and has served 100K+ patients in 44 states.
Read our full DoctorAdam review →Pros & Cons
1st Optimal
What we like
- The monthly figure covers consult, shipping, coaching
- No FDA warning letter matched this operator when we searched our enforcement register
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
- Baseline bloodwork is required before a prescription
Watch-outs
- No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
- 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
DoctorAdam
What we like
- 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
- Coverage is published for 44 states
- No FDA warning letter matched this operator when we searched our enforcement register
Watch-outs
- 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
Our Verdict
DoctorAdam takes it, 7.2 against 3.9, and it is especially strong on seeing what it charges before you answer any medical questions. 1st Optimal is no weak second and may fit you better on coaching bundled into the price rather than sold separately.
Choose 1st Optimal if…
You want coaching bundled into the price rather than sold separately.
Choose DoctorAdam if…
You want seeing what it charges before you answer any medical questions and an opening price near $129 a month.
Ready to start? Vetted GLP-1 providers
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Gala
Moving between compounded and brand without changing seller
From $129/mo
Get started →Trimi Health
Knowing which pharmacy fills the vial — it names VialsRx
From $99/mo
Get started →Strut Health
Semaglutide at $99/month, 48% under the register median
From $99/mo
Get started →1st Optimal vs DoctorAdam: FAQ
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.