Route 01 · 13 treatments▲ 2,400 m

Lose the weight. Keep the muscle, the energy and the progress.

Compounded semaglutide and tirzepatide, prescribed by a licensed clinician when they're right for you, with doses that step up at a pace your body can handle. Start with a microdose if you want to go gently.

Begin your visit →From $119/moPlus a $50 visit fee, only if you're approved
Vial of semaglutide with a Vitascend label
Images are for illustration. Your medication is prepared and shipped directly by a licensed US pharmacy, so vials, labels and packaging may look different.
Treatments

Every option, priced in full.

Your clinician recommends the right one for your history and goals. Prices include medication, shipping and your clinician's reviews.

Semaglutide microdose, product photo
Semaglutide microdose

A low, steady dose for people who want a gentler start.

Weekly injection0.25 mg a week for 3 months
Popular for
  • Weight loss
  • Appetite control
  • Gentle start
$119/mo3-month plan · $149 monthly
Semaglutide starter, product photo
Semaglutide starter

The standard first three months.

Weekly injectionSteps 0.25 → 0.5 → 1 mg
Popular for
  • Weight loss
  • Appetite control
$139/mo3-month plan · $179 monthly
Semaglutide continuation, product photo
Semaglutide continuation

For months four to six, if your clinician moves you up.

Weekly injectionSteps 1 → 1.7 → 2.5 mg
Popular for
  • Weight loss
  • Appetite control
$159/mo3-month plan · $199 monthly
Semaglutide maintenance, product photo
Semaglutide maintenance

Holding steady at your working dose.

Weekly injection2.5 mg a week
Popular for
  • Weight loss
  • Staying on track
$169/mo3-month plan · $209 monthly
Tirzepatide microdose, product photo
Tirzepatide microdose

Dual-action GLP-1/GIP at a low starting dose.

Weekly injection2.5 mg a week for 3 months
Popular for
  • Weight loss
  • Appetite control
  • Gentle start
$169/mo3-month plan · $209 monthly
Tirzepatide starter, product photo
Tirzepatide starter

The standard first three months.

Weekly injectionSteps 2.5 → 5 → 7.5 mg
Popular for
  • Weight loss
  • Appetite control
$199/mo3-month plan · $249 monthly
Tirzepatide continuation, product photo
Tirzepatide continuation

For months four to six, if your clinician moves you up.

Weekly injectionSteps 10 → 12.5 → 15 mg
Popular for
  • Weight loss
  • Appetite control
$259/mo3-month plan · $319 monthly
Tirzepatide maintenance, product photo
Tirzepatide maintenance

Holding steady at the top dose.

Weekly injection15 mg a week
Popular for
  • Weight loss
  • Staying on track
$279/mo3-month plan · $339 monthly
Semaglutide tablets, starter, product photo
Semaglutide tablets, starter

No needles. A daily tablet that dissolves in your mouth.

Daily dissolving tabletSteps 1 → 4 → 8 mg a day
Popular for
  • Weight loss
  • Needle-free
$189/mo3-month plan · $229 monthly
Semaglutide tablets, continuation, product photo
Semaglutide tablets, continuation

No needles, at a steady dose.

Daily dissolving tablet8 mg a day
Popular for
  • Weight loss
  • Needle-free
$209/mo3-month plan · $259 monthly
Tirzepatide tablets, starter, product photo
Tirzepatide tablets, starter

No needles. A daily tablet that dissolves in your mouth.

Daily dissolving tabletSteps 3 → 5 → 8 mg a day
Popular for
  • Weight loss
  • Needle-free
$219/mo3-month plan · $269 monthly
Tirzepatide tablets, continuation, product photo
Tirzepatide tablets, continuation

No needles, at a steady dose.

Daily dissolving tablet8 mg a day
Popular for
  • Weight loss
  • Needle-free
$249/mo3-month plan · $299 monthly
MIC-B12, product photo
MIC-B12

A popular add-on alongside a weight loss plan.

InjectionMethionine, inositol, choline + B12, 3 × 10 mL vials
Popular for
  • Energy
  • Add-on
$129/mo3-month plan · $159 monthly

Images are for illustration. Your medication is prepared and shipped directly by a licensed US pharmacy, so vials, labels and packaging may look different.

What the trials found

Among the best-studied medications there are.

14.9%

average body weight lost on semaglutide 2.4 mg over 68 weeks, vs 2.4% on placebo.

STEP 1 trial, NEJM 2021
20.9%

average body weight lost on tirzepatide 15 mg over 72 weeks, vs 3.1% on placebo.

SURMOUNT-1 trial, NEJM 2022
Know before you go

Safety, in plain words.

  • These trials studied FDA-approved Wegovy and Zepbound. Compounded semaglutide and tirzepatide contain the same active ingredients but are not FDA-approved and were not tested in those trials.
  • Not for anyone with a personal or family history of medullary thyroid cancer or MEN 2, or who is pregnant or trying to be.
  • Nausea and stomach upset are common early on, which is why doses step up slowly.
Questions

Before you set out.

What if the clinician doesn't approve me?

Then you pay nothing. When you finish your health questions we place a $50 hold on your card, not a charge. It becomes a charge only if a clinician prescribes treatment. If they don't, the hold is released.

Is Vitascend a pharmacy or a medical practice?

Neither. Vitascend is the company you sign up and pay with. Your care comes from independent, licensed clinicians who make every prescribing decision, and your medication is prepared by a licensed US compounding pharmacy.

What does "compounded" mean, and is it safe?

A compounded medication is prepared by a licensed pharmacy for an individual patient's prescription. Compounded medications are not FDA-approved, which means the FDA doesn't review them for safety, effectiveness or quality before they're dispensed. Licensed pharmacies are regulated and inspected by their state boards, and your clinician will talk you through the risks.

What's included in the price?

Your medication, shipping (cold-packed when it needs to be) and your clinician's reviews for as long as you're on the plan. The one extra is the $50 visit fee on your first order, and only if you're approved. There's nothing to pay for renewals beyond the plan price.

How does the 3-month plan work?

You pay for three months at a time at a lower monthly price. Around day 75 we check in on how you're doing; your clinician reviews it and your next three months ship before you run out. Nothing renews without that check-in.

Trailhead · Start here

Start your weight loss route.

About ten minutes of questions. If you aren't approved, you pay nothing.

Online visits open soon.Leave your email and we'll tell you the day they do.
Just your email, used only for this. No health questions here.