The dual GLP-1/GIP activation suppresses hunger signals, slows digestion, and creates powerful satiety
Fasting is associated with elevated ghrelin mRNA expression and high plasma ghrelin concentration 2,3,4,5
Monitoring or supplementation adjustments may be advised during treatment
Sleep disruptions Some people on GLP-1 medications report changes in sleep patterns, especially when first starting treatment
Monitoring : Tracking your nutrient levels through blood tests can help you and your doctor better understand what supplements you need

Pros and Cons Pros One of the lowest per-month rates on this list at the annual plan ($150/mo) Lab work, dietitian, and mental health counseling all included in the monthly price Unlimited provider visits at every plan tier $0 membership and no separate platform fee 4.5-star Trustpilot average across a meaningful number of reviews Publicly discloses 503A/503B certification status of partner pharmacies Direct disclosure that compounded medications are not FDA-approved Both semaglutide and tirzepatide available Cons Does not publicly name its specific compounding pharmacy partners, the biggest gap on a pharmacy-focused page Specific medical directors and clinician NPIs not published Annual-plan savings require a 12-month commitment paid up front Trustpilot reviews report inconsistent shipping speed in some regions Limited mobile experience based on customer reports Care is largely asynchronous Bottom Line Fridays earns 8.4/10 and lands at #5 on this list