One price.
Every dose.
No asterisk.
No membership. No hidden fees. No intro pricing. The same number on every invoice.
at every dose
at every dose
Three steps. No surprises.
From intake to first dose. Exactly what happens and what to expect.
Complete your intake
Current medication, dose, and history. Prior prescriptions if available.
Your clinician reviews
Your clinician reviews your history. Current dose maintained when appropriate. Any changes explained before prescribing.
First order ships
Ships from a licensed compounding pharmacy. Supplies included. $285 semaglutide. $360 tirzepatide. Same price on every refill.
Your clinician reviews your progress before each refill. Same process. Same price. Shipped on your schedule.
01.
Your dose changes. Your invoice doesn't.
02.
Up to $1,840 more somewhere else.
Your dose goes up.
Your bill doesn't.
The price doesn't change when your dose does.
At any dose. Every month.
Clinician-reviewed. Every intake.
Every refill. Not rubber-stamped.
Direct messaging with your care team.
Not a chatbot. Not a ticket system.
History-based.
Not restarted from scratch.
You hear from us
before it affects you.
Compounded.
Not branded.
No surprises.
We're not the cheapest month one.
We're likely the cheapest month six.
Compounded. Not branded.
Async review. Not live calls.
No membership. No asterisk.
Can't guarantee compounding forever. We guarantee you'll know first.
Small team. Consistent provider.
Full breakdown.
06.
Same price at every milligram.
See what everyone
else charges.
Upper range of standard ongoing pricing. Includes mandatory membership fees where applicable. Not promotional or intro rates.
Most programs don't include everything in their price. Membership fees, consultation charges, and shipping add up. Always ask what's actually included. All figures from public pricing pages, March 2026.
07.
Real patients. Real prices.
08.
Month six. Same bill.
04.
This page was
built for you if:
The spec sheet. Everything you'd otherwise ask on Reddit.
Semaglutide Formulation
Semaglutide 2.5mg/mL. Bacteriostatic water.
Every dose is the same price. Tap any node to explore. If your current dose is not listed, your clinician can discuss options during intake.
You begin at the lowest dose for your medication. Your clinician builds a titration plan based on your intake responses and health history.
Before prescribing anything, your clinician reads your full intake. If you have any contraindications or clinical questions, they contact you before your prescription is sent.
Once your prescription is confirmed, your first order ships from a licensed compounding pharmacy. Supplies included. Price: $285 semaglutide / $360 tirzepatide.
You are not automatically restarted at the lowest dose. Your clinician reviews your documented history and, if your current protocol is clinically appropriate, maintains it.
During intake, you’ll be asked your current medication, current dose, and how long you’ve been on it. Upload supporting documentation if available.
Switchers receive a dedicated history-based review. If your current dose is clinically appropriate, it is maintained. If an adjustment is recommended, you are told why before anything changes.
Most switchers with documented history begin at or near their current dose. No mandatory restart. No explanation required from you beyond your intake responses.
Edge case
Your current dose falls between standard compounding strengths. Compounded medications are available in specific dose increments. If your current dose does not align with a standard compounding strength, your clinician will discuss the closest clinically appropriate option with you before prescribing.
Clinician assignment
You are assigned one clinician. The same provider reviews your intake, manages your ongoing care, and responds to your messages. Not a pool. Not whoever is available.
History-first review
Your clinician reads your full health history, current medications, contraindications, and intake responses before prescribing. If anything raises a clinical question, they contact you first.
Direct messaging
Your messages go directly to your clinician, not a general support queue. Response within 1 hour during business hours. Clinical concerns are prioritized with the same response commitment.
Credentials
Every IVUSE+ protocol is overseen by board-certified clinicians, with 114+ years of combined experience in weight loss and metabolic health behind every decision.
Nausea is the most commonly reported side effect, especially during the first few weeks or after a dose increase. It's a sign your body is adjusting to the medication, and for most people, it fades as treatment continues.
How to manage it:
- Take your injection the evening before or the morning of a day when you'll be eating your largest meal. Having food in your system helps.
- Eat smaller, more frequent meals rather than two or three large ones. Bland, low-fat foods tend to sit best during the adjustment period.
- Stay hydrated. Sip water throughout the day rather than drinking large amounts at once.
- Avoid lying down immediately after eating.
If nausea persists beyond the first two weeks, message your clinician through your patient portal. They may recommend a temporary hold at your current dose before increasing, or adjust your dosing schedule. You never need to push through it on your own. Dose modifications are part of the process, not a setback.
GLP-1 medications slow gastric emptying, which is part of how they reduce appetite. That change in digestion can show up as constipation or, less commonly, diarrhea. Both are typically mild and tend to resolve within the first few weeks.
For constipation:
- Increase your water intake. Aim for at least 64 oz per day, more if you're active.
- Add fiber gradually through whole foods (fruits, vegetables, legumes) or a gentle fiber supplement.
- Light movement like walking after meals supports digestion.
- A magnesium citrate supplement can help if dietary adjustments alone aren't enough.
For diarrhea:
- Reduce greasy, fried, or high-fat foods, which can make it worse.
- Stay on top of hydration and electrolytes. Broth, coconut water, or an electrolyte mix can help.
- Avoid sugar alcohols and artificial sweeteners, which are common triggers.
When to message your clinician: If constipation or diarrhea lasts longer than a week, is severe enough to disrupt your daily routine, or is accompanied by sharp abdominal pain, reach out through your patient portal. Mild, intermittent GI changes during the first few weeks are expected. Anything persistent or painful is worth a message.
Minor redness, mild swelling, or a small bump at the injection site is normal and usually resolves within a few hours to a day. These reactions are more common in the first few weeks and tend to decrease over time.
Best practices:
- Rotate your injection site each week. Alternate between your abdomen, upper thigh, and upper arm. Avoid injecting into the same spot two weeks in a row.
- Apply an ice pack to the area for 2 to 3 minutes before injecting. This numbs the skin and can reduce irritation.
- Let the medication reach room temperature before injecting. Cold solution is more likely to cause discomfort.
- Inject slowly and steadily. Rushing the injection can increase soreness.
- Do not inject into skin that is bruised, scarred, or irritated.
What's normal: Slight redness, a small bump, or mild tenderness that fades within 24 hours.
What warrants a message: Redness that spreads or worsens over 24 to 48 hours, significant swelling, warmth at the site, or any sign of infection. Message your clinician through your patient portal if you notice any of these.
Most side effects are mild, temporary, and part of your body adjusting to the medication. That said, certain symptoms deserve clinical attention sooner rather than later.
Message your clinician if you experience:
- Nausea that persists beyond 2 weeks or prevents you from keeping food or fluids down
- Vomiting more than once in a 24-hour period
- Severe or persistent diarrhea or constipation lasting more than 7 days
- Sharp or worsening abdominal pain
- Any symptom that prevents normal eating, drinking, or daily activity
- Injection site redness that spreads, worsens, or shows signs of infection
- Dizziness, fainting, or signs of dehydration (dark urine, dry mouth, rapid heart rate)
- Any symptom that feels unusual or concerns you, even if it's not listed here
You don't need to diagnose anything yourself. If something feels off, send a message. Your clinician would rather hear from you early than late. That's what they're there for.
09.
Your clinician. Your protocol.
Your treatment plan shouldn't have an expiration date.
05.
Licensed
compounding
pharmacy.
11.
Still here? Good.
Frequently
Asked
Questions
No. This is one of the more meaningful differences between IVUSE+ and most other providers.
Most telehealth platforms use dose-tier pricing. As you titrate up, your monthly cost increases. At IVUSE+, $285 is $285 at 0.25mg and at 2.4mg. $360 is $360 at 2.5mg tirzepatide and at 15mg. The number on your invoice does not change because your dose changed.
Semaglutide: 0.5mg, 0.75mg, 1mg, 1.5mg, 1.7mg, 2mg, 2.4mg
Tirzepatide: 2mg, 4mg, 7mg, 9mg, 12mg, 14mg
Your clinician reviews your medication history, current dose, and duration during intake. If your current protocol is clinically appropriate, it is maintained. You are not automatically restarted at the lowest titration dose.
If a dose adjustment is recommended, your clinician explains the clinical reasoning before any change is made.
Review is asynchronous — you complete an intake, your clinician reviews it and responds. You are assigned a dedicated clinician: the same provider reviews your intake, manages your ongoing care, and responds to your messages. Not a rotating pool.
We won't promise compounding will always be available. Nobody can. IVUSE+ does not prescribe branded GLP-1 medications directly. If compounding access changes, we will notify you in advance and help facilitate a transition to a branded prescriber.
What we will guarantee: you will hear from us before a regulatory change affects your treatment.
IVUSE+ works with both 503A and 503B licensed compounding pharmacies. 503A pharmacies compound medications for specific patients with a valid prescription. 503B facilities operate under additional FDA oversight and can distribute without a patient-specific prescription. Both are legal, both are regulated, and both are used depending on your medication, dosage, and location. We verify the compliance standing of every pharmacy we work with. Your clinician can confirm which pharmacy is fulfilling your specific order during intake.
Clinician review: ~24 hours. Pharmacy processing and shipping: 2–4 business days. Total from intake to delivery: approximately 2–4 business days after clinician approval.
No membership fee. No platform fee.
Orders are not auto-renewed. You initiate each refill when you are ready. There is no automatic billing cycle. Your prescription expires after 3 months of inactivity, at which point a new intake is required.
Semaglutide: 2.5mg/mL, bacteriostatic water, single-use vial.
Tirzepatide: 10mg/mL, bacteriostatic water, single-use vial.
TZP+ (available on request): Tirzepatide 10mg/mL + B12 500mcg/mL + Glycine 5mg/mL.
Three steps. Log into your account, complete the refill intake form, and place your order. Your clinician reviews before each refill ships. Same pharmacy, same price. If you do not reorder within 3 months, your prescription expires and a new intake is required.
Who IVUSE+ is not for.
We would rather tell you now than have you find out after intake.
We compound. Compounded semaglutide is not FDA-approved. If your clinician requires branded medication, we cannot prescribe it.
Clinician review takes approximately 24 hours. We do not skip the review to move faster.
Our price is not $49 your first month. It is $285 your first month and every month after it.
A real clinician reads your intake. If something is off, they will reach out. That takes slightly longer and costs slightly more than platforms that do not do this.
If none of the above describes you, you are probably in the right place.
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