1st Optimal vs Gaya Wellness
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 →
Gaya Wellness
Best for: bloodwork inside the $349/month rather than billed on top
Visit Gaya Wellness →Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, Gaya Wellness starts at $349/mo, and Gaya Wellness finishes ahead, 5.6 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.
Gaya Wellness
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
Gaya Wellness
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
In the price
Coaching
In the price
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
Gaya Wellness
5.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Gaya Wellness |
|---|---|---|
| Starting Price | — | $349/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 5 |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| 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 Gaya Wellness
Gaya Wellness runs three tiers and only the upper two include drugs: $149/mo buys GLP-1 access with no medication attached, $349/mo adds the compounded medication, and $549/mo puts GLP-1 together with HRT. Board-certified physicians write compounded semaglutide or tirzepatide, backed by a lab panel of 50+ biomarkers, weekly asynchronous check-ins and payment that qualifies for HSA/FSA. The practice is virtual and OB/GYN-led, aimed at women 40+. You must be 18-64 with a BMI of 30+, or 27+ carrying a metabolic condition. Licenses cover FL, NC, VA, IN and TN.
Read our full Gaya Wellness 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
Gaya Wellness
What we like
- The monthly figure covers medication, consult, labs, 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
- Semaglutide at $349 a month, 85% above the $189 register median for the same drug and form
- No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
- Coverage is published for 5 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
Our Verdict
Gaya Wellness takes it, 5.6 against 3.9, and it is especially strong on bloodwork inside the $349/month rather than billed on top. 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 Gaya Wellness if…
You want bloodwork inside the $349/month rather than billed on top and an opening price near $349 a month.
Ready to start? Vetted GLP-1 providers
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Telos Rx
Starting below a standard dose, with microdose tiers
From $49/mo
Get started →MyDrHank
An oral route if you will not self-inject
From $25/mo
Get started →SkinnyRx
Starting below a standard dose, with microdose tiers
From $149.25/mo
Get started →1st Optimal vs Gaya Wellness: 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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