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1st Optimal vs Potere Health MD

An in-depth comparison of two leading GLP-1 Providers

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
1st Optimal logo

1st Optimal

3.9
★★☆☆☆2/5

Best for: coaching bundled into the price rather than sold separately

Visit 1st Optimal
VS
Potere Health MD logo

Potere Health MD

5.4
★★☆☆2.7/5

Best for: a published state list — 1 of 50 — when most of the register publishes none

Visit Potere Health MD

Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, Potere Health MD starts at $80/mo, and Potere Health MD finishes ahead, 5.4 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.

Potere Health MD

Starting planCompounded
$80/mo
semaglutide
Starting planCompounded
$135/mo
tirzepatide

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

Potere Health 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

Overall

Potere Health MD

5.4/10

Value25%

3.0A
vs
B
3.0

Effectiveness25%

5.0A
vs
B
10.0

User Experience15%

2.0A
vs
B
3.0

Trust & Safety15%

4.0A
vs
B
6.0

Accessibility10%

5.0A
vs
B
2.2

Support10%

5.0A
vs
B
5.5

Features & Coverage

Feature1st OptimalPotere Health MD
Starting Price$80/mo
Features8 features8 features
States AvailableNot disclosed1
Compounded✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

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 Potere Health MD

Potere Health MD runs no subscription, and its entry price sits around $80 to $135/month. Dr. Joshua Silva, MD leads the Utah clinic, writing semaglutide and tirzepatide in FDA-approved and compounded forms alike, seen either by telehealth or in person at Cedar City, Salt Lake City and St. George. Appointments come same or next day, and you either collect or take delivery anywhere in the state. The clinic points to third-party Certificate of Analysis checks and a LegitScript-certified pharmacy. Compounded drugs hold no FDA approval.

Read our full Potere Health 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

Potere Health 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

  • No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
  • 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
  • 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

Winner: Potere Health MD

Potere Health MD takes it, 5.4 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 Potere Health MD if…

You want a published state list — 1 of 50 — when most of the register publishes none and an opening price near $80 a month.

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1st Optimal vs Potere Health MD: FAQ

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