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.

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.
A low, steady dose for people who want a gentler start.
- Weight loss
- Appetite control
- Gentle start
The standard first three months.
- Weight loss
- Appetite control
For months four to six, if your clinician moves you up.
- Weight loss
- Appetite control
Holding steady at your working dose.
- Weight loss
- Staying on track
Dual-action GLP-1/GIP at a low starting dose.
- Weight loss
- Appetite control
- Gentle start
The standard first three months.
- Weight loss
- Appetite control
For months four to six, if your clinician moves you up.
- Weight loss
- Appetite control
Holding steady at the top dose.
- Weight loss
- Staying on track
No needles. A daily tablet that dissolves in your mouth.
- Weight loss
- Needle-free
No needles, at a steady dose.
- Weight loss
- Needle-free
No needles. A daily tablet that dissolves in your mouth.
- Weight loss
- Needle-free
No needles, at a steady dose.
- Weight loss
- Needle-free
A popular add-on alongside a weight loss plan.
- Energy
- Add-on
Images are for illustration. Your medication is prepared and shipped directly by a licensed US pharmacy, so vials, labels and packaging may look different.
Among the best-studied medications there are.
average body weight lost on semaglutide 2.4 mg over 68 weeks, vs 2.4% on placebo.
STEP 1 trial, NEJM 2021average body weight lost on tirzepatide 15 mg over 72 weeks, vs 3.1% on placebo.
SURMOUNT-1 trial, NEJM 2022Safety, 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.
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.
Start your weight loss route.
About ten minutes of questions. If you aren't approved, you pay nothing.