1st Optimal vs Florida Weight Loss MD
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 →Florida Weight Loss MD
Best for: a published state list — 1 of 50 — when most of the register publishes none
Visit Florida Weight Loss MD →Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, Florida Weight Loss MD starts at $179/mo, and Florida Weight Loss MD finishes ahead, 4.3 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.
Florida Weight Loss MD
Published as "Monthly Program: From $179.00", alongside "Weekly Shots: From $69.00" and "3-Month Supply: From $399.00". No molecule is tied to the figure, so no drug is assigned.
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
Florida Weight Loss MD
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
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
Florida Weight Loss MD
4.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Florida Weight Loss MD |
|---|---|---|
| Starting Price | — | $179/mo |
| Features | ✓8 features | 6 features |
| States Available | Not disclosed | 1 |
| 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 Florida Weight Loss MD
Consultations open at $99, and $49 of that comes back as credit toward the program. Statewide across Florida, the clinic is led by Dr. Sergey Terushkin, MD, FACS under the Florida Surgery & Weight Loss Center name, writing compounded tirzepatide and semaglutide under physician supervision and turning to Zepbound, Mounjaro, Ozempic or Wegovy where the medicine calls for it. Virtual visits can happen the same day. Self-pay works, as does most insurance.
Read our full Florida Weight Loss MD 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
Florida Weight Loss MD
What we like
- The monthly figure covers medication and consult
- No FDA warning letter matched this operator when we searched our enforcement register
Watch-outs
- Coverage is published for 1 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
Our Verdict
Florida Weight Loss MD takes it, 4.3 against 3.9, and it is especially strong on a published state list — 1 of 50 — when most of the register publishes none. 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 Florida Weight Loss MD if…
You want a published state list — 1 of 50 — when most of the register publishes none and an opening price near $179 a month.
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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 →Oak
Semaglutide at $119/month, 37% under the register median
From $119/mo
Get started →1st Optimal vs Florida Weight Loss MD: 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.