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Treatment Comparison

Available Supply Options

& Microdose vs Standard GLP-1

Understand the key differences between your provider-guided GLP-1 options.
 Your prescribing provider makes the final decision based on your clinical evaluation.

RECEPTOR PATHWAYS

Semaglutide vs Tirzepatide

Both are provider-guided compounded GLP-1 options.
The key difference is how many metabolic pathways they act on.

Reform MD Rx Semaglutide product

GLP-1 receptor agonist

Semaglutide

Mimics the body’s natural GLP-1 hormone to support appetite regulation and metabolic health.

From $218.99

Reform MD Rx branded tirzepatide vial on a plain background

Dual GIP & GLP-1 receptor agonist

Tirzepatide

Acts on two metabolic pathways (GIP and GLP-1) to support appetite regulation and glucose metabolism.

From $262.99

Feature

Semaglutide

Tirzepatide

Receptor pathway

GLP-1 only

GIP + GLP-1 (dual)

Mechanism

Mimics natural GLP-1 hormone

Activates two metabolic pathways

Supply options

4-Week & 12-Week

4-Week & 12-Week

Starting price (4-week)

$218.99

$262.99

Pharmacy

Nova Specialty Pharmacy

Nova Specialty Pharmacy

Excluded states

AL, CA, MS

AL, CA, MS

Prescription guaranteed?

No — provider decides

No — provider decides

DOSE APPROACH

Microdose vs Standard GLP-1

Microdosing is an individualized lower-dose approach — not a different medication. It uses the same active ingredient
at a provider-selected lower dose based on your health history and tolerability.

Standard Dose

Follows an established titration schedule with 4-week and 12-week supply options. The provider selects the appropriate dose from the listed options based on your clinical evaluation.

Microdose

An individualized lower-dose approach selected with a provider based on your health history, treatment response, and tolerability. Available as a 4-week supply only. Evidence for microdosing is limited, and lower doses can still cause side effects.

Feature

Standard

Microdose

Dose approach

Standard titration schedule

Individualized lower dose

Receptor pathway

Same as standard (GLP-1 or dual)

Same pathway, lower dose

Supply

4-Week & 12-Week

4-Week only

Who decides the dose

Prescribing provider

Prescribing provider

Evidence base

Established titration protocols

Limited evidence; side effects still possible

Weight loss guaranteed?

No — results vary

No — results vary

FREQUENTLY ASKED QUESTIONS

GLP-1 comparison questions

Semaglutide is a GLP-1 receptor agonist, acting on a single metabolic pathway. Tirzepatide is a dual GIP and GLP-1 receptor agonist that acts on two metabolic pathways. Your provider determines which is appropriate based on your clinical evaluation, health history, and treatment goals.

Microdosing is an individualized lower-dose approach selected with a provider based on health history, treatment response, and tolerability. Standard options follow established titration schedules. Evidence for microdosing is limited, and lower doses can still cause side effects. Weight loss may occur but is not guaranteed.

No. The appropriate medication is determined by a licensed provider following your medical evaluation. You can express preferences, but the clinical decision rests with your prescriber based on safety, eligibility, and individual health factors.

Both Semaglutide and Tirzepatide offer 4-week and 12-week supply options, but pricing differs. Semaglutide starts at $218.99 for a 4-week supply; Tirzepatide starts at $262.99. Microdosing options are 4-week only. See each product page for full dose and pricing details.

These are compounded medications prepared by licensed compounding pharmacies pursuant to individualized prescriptions. Compounded medications are not FDA-approved or evaluated by the FDA for safety, effectiveness, or quality. Prescriptions are not guaranteed.

Important to know

Not sure which is right for you?

That’s exactly what your provider helps determine during your evaluation.

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