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Hormonally Balanced vs 1st Optimal

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Hormonally Balanced

Provider comparison

Women in one of its seven states who want a concierge, hormone-specialist-led practice and don't mind calling for a price quote.

Semaglutide / month
Not disclosed
Tirzepatide / month
Not disclosed
Index 45/100 · Grade CChecked October 2026

1st Optimal

Provider comparison

Patients who want a named founding physician and a broader functional-medicine/hormone workup alongside GLP-1s.

Semaglutide / month
Not disclosed
Tirzepatide / month
Not disclosed
Index 44/100 · Grade CChecked October 2026

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Hormonally Balanced has the higher Cost-Efficiency Index: 45/100 versus 44/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Hormonally Balanced
7 states (MA, CA, TX, FL, NY, RI, NH)
1st Optimal
Coverage not published

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Hormonally Balanced

1st Optimal

Semaglutide / month
Hormonally Balanced: Not disclosed
1st Optimal: Not disclosed
Tirzepatide / month
Hormonally Balanced: Not disclosed
1st Optimal: Not disclosed
Semaglutide / year (modeled)
Hormonally Balanced: —
1st Optimal: —
Tirzepatide / year (modeled)
Hormonally Balanced: —
1st Optimal: —
State availability
Hormonally Balanced: 7 states (MA, CA, TX, FL, NY, RI, NH)
1st Optimal: Coverage not published
Oral / sublingual option listed
Hormonally Balanced: Not listed
1st Optimal: Yes
Brand-name access listed
Hormonally Balanced: Not confirmed
1st Optimal: Not confirmed
Provider facts checked
Hormonally Balanced: October 2026
1st Optimal: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Hormonally Balanced

Women in one of its seven states who want a concierge, hormone-specialist-led practice and don't mind calling for a price quote.

Reasons to consider it

  • Names Dr. Andrew Lenhardt as chief medical officer
  • Names co-lead physician assistants Rachel Venable and Mary Stratos
  • Lists seven specific states despite broader nationwide marketing

What to weigh up

  • No public price for the weight-loss program; request a full quote
  • Private-pay care does not accept insurance
  • No dispensing pharmacy is named

1st Optimal

Patients who want a named founding physician and a broader functional-medicine/hormone workup alongside GLP-1s.

Reasons to consider it

  • Named founder and clinical lead: Dr. Amber Miller, a functional medicine physician
  • LegitScript verification badge displayed
  • No credit card required to start the intake quiz

What to weigh up

  • The membership is not the medication price; request a dose-specific drug quote and any lab charges
  • The public plan page now starts with a $39 Optimal Health membership rather than a separate published $99 Weight Loss Care plan
  • The dispensing pharmacy and treatment-specific state list are not published

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Hormonally Balanced1st Optimal
Normalized Cost/Month
Hormonally Balanced:
45/100
1st Optimal:
45/100
Price Transparency
Hormonally Balanced:
20/100
1st Optimal:
20/100
Nationwide Access
Hormonally Balanced:
42/100
1st Optimal:
24/100
Formulation Options
Hormonally Balanced:
40/100
1st Optimal:
51/100
Clinical Oversight
Hormonally Balanced:
85/100
1st Optimal:
84/100
Contract Flexibility
Hormonally Balanced:
55/100
1st Optimal:
61/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.