1st Optimal vs Reset Solutions
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 →
Reset Solutions
Best for: coaching bundled into the price rather than sold separately
Visit Reset Solutions →Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, Reset Solutions starts at $169/mo, and Reset Solutions finishes ahead, 6.1 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.
Reset Solutions
Combined: $99/mo program + medication 'starting at $70 per month' = from $169/mo all-in; per-drug pricing not itemized publicly
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
Reset Solutions
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
Not stated
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
Reset Solutions
6.1/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Reset Solutions |
|---|---|---|
| Starting Price | — | $169/mo |
| Features | 8 features | 8 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 Reset Solutions
$99 monthly buys the program. Medication is a separate line, from $70 a month. Semaglutide or tirzepatide comes with coaching of a practical kind, an app for tracking progress, and 3D body-composition scans without a cap on how many. Physicians lead the clinic, which serves the area around The Woodlands, Texas; the opening step is a telehealth consult, followed by a kickoff in person at its Shenandoah, TX clinic.
Read our full Reset Solutions 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
Reset Solutions
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, coaching
- 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
- Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Reset Solutions takes it, 6.1 against 3.9, and it is especially strong on coaching bundled into the price rather than sold separately. 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 Reset Solutions if…
You want coaching bundled into the price rather than sold separately and an opening price near $169 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 Reset Solutions: 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
Related comparisons
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- 1st Optimal vs Embody
- 1st Optimal vs He & She MD
- Reset Solutions vs Lean Meds
- Reset Solutions vs NextMeds
- Reset Solutions vs bmiMD
Or see the full category ranking.
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