Avoidance also may derive from the number of people with obesity being so largefar larger than the number with diabetesand therefore more costly to treat, the authors note
As of 2026, neither compound has FDA approval, limiting prescribing to research contexts or off-label use by physicians specializing in obesity medicine or endocrinology
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Nature 633 , 923931 (2024)

TRUE VALUE SCORE Good Based on a comprehensive hands-on evaluation How we tested Mochi Health: Placed a real order as a new patient at app.joinmochi.com/eligibility Completed the required video visit and ID verification Opened and photographed every item in the delivery Inspected the ice pack and vial condition on arrival Ran the clinics support team through phone, chat, and email tests Reverse-engineered the real monthly cost from checkout through a full billing cycle Pulled pharmacy, prescriber, LegitScript, and BBB records Compared patient feedback across Trustpilot, Reddit, and BBB True Value Score Good Based on a comprehensive hands-on evaluation How we tested Mochi Health: Placed a real order as a new patient at app.joinmochi.com/eligibility Completed the required video visit and ID verification Opened and photographed every item in the delivery Inspected the ice pack and vial condition on arrival Ran the clinics support team through phone, chat, and email tests Reverse-engineered the real monthly cost from checkout through a full billing cycle Pulled pharmacy, prescriber, LegitScript, and BBB records Compared patient feedback across Trustpilot, Reddit, and BBB LegitScript certified with a verifiable San Francisco address Compounded semaglutide injection at $99/mo for all doses Patient choice of two named pharmacies Widest GLP-1 menu we have tested, including orals and covered branded options Available in all 50 states One-button cancel in under 30 seconds inside the portal Phone support reaches a human 24/7 even for non-patients Lab work included with membership but not automatically required to start Monthly $79 membership fee on top of medication cost Prices of branded GLP-1 and microdoses hidden until formally requested Required video visit for intake, no async-only option BBB pattern-of-complaints alert for unfilled meds and slow support Slow, unreliable email support Poorly informed and trained phone agents Outer packaging not insulated, ice packs only Some medications offered without clear evidence-based disclaimers The term microdose is not a standardized medical dosing category for GLP-1 medications, and there is currently no data on its efficacy and safety

Maintaining an up-to-date list of all medications, including over-the-counter products like paracetamol, helps ensure safe and coordinated care across different healthcare settings