PVital PoleMedical
GLP-1 therapy · Doctor-prescribed

Lose the weight.Keep yourlife.

Doctor-prescribed semaglutide or tirzepatide, plus coaching that fits your week. See if you qualify in 3 minutes — no card needed.Trial data: avg 15–21% body-weight loss at 68–72 weeks (STEP-1, SURMOUNT-1).

See if I qualifyCompare medications
US-licensed clinicians
·Same price at every dose·
HSA/FSA eligible
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As featured in
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How we work

Care designed by physicians,
not algorithms

People across the US working with their care teams on Vital Pole

Community

Care designed by physicians,
not algorithms.

“The whole process is designed to feel seamless — short intake, fast clinician review, and a real care team you can message instead of a chatbot.”

Care designed for adults living busy lives

Illustrative · Texas

“GLP-1 therapy is paired with coaching and dose adjustments — not just a shipped vial. The goal is sustainable progress, monitored by the same clinician each month.”

Same care team every month

Illustrative · Illinois

“No insurance headaches, no waiting rooms. A licensed clinician reviews your intake, usually within 24 hours, and the pharmacy ships in plain packaging.”

Most prescriptions reviewed within 24 hours

Illustrative · Florida

Illustrative examples describing the Vital Pole experience. Real, verifiable testimonials with FTC-compliant disclosure will replace these as we collect member consent.

The Process

From assessment to refill
in clear steps

Backed by science

Proven molecules,
peer-reviewed trials

Weight loss · GLP-1

−22.5%avg body weightTirzepatide 15 mg · 72 wk
86%lost ≥ 5% body weightvs 32% on placebo

Sexual wellness

~70%ED response ratePDE5 inhibitors · RCTs
6–8×time-to-ejaculationTopical lidocaine vs placebo
01
1

Complete your health assessment

Tell us about your medical history, BMI, and goals. A US-licensed clinician reviews everything — most intakes are reviewed within 24 hours.

⚡ Takes ~3 minutes
02
2

Get your personalized prescription

If appropriate, your clinician prescribes a GLP-1 (semaglutide or tirzepatide) and the pharmacy ships in plain packaging.

⚡ Ships in 5–7 days
03
3

Adjust and stay supported

Free clinician messaging, dose adjustments, and coaching — so you're not just shipped a vial. Trial data: avg 15–21% body weight reduction at 68–72 weeks.

⚡ Ongoing care

Medications

GLP-1 medications
that actually work

Our physicians prescribe the right medication for your biology — not a one-size-fits-all approach.

Most prescribed

Semaglutide

Wegovy · Ozempic

−15%avg body weight

The gold standard in GLP-1 therapy. Proven in the landmark STEP trials with consistent, sustained weight loss for most patients.

FDA approved 2021
Learn more
Highest efficacy

Tirzepatide

Zepbound · Mounjaro

−22%avg body weight

Dual-action mechanism for superior results. Clinically shown to outperform semaglutide in head-to-head trials.

Dual GLP-1/GIP agonist
Learn more
No injections

Oral Semaglutide

Wegovy pill

−10%avg body weight

Same semaglutide molecule — now in pill form. Ideal for injection-averse patients.

First oral GLP-1
Learn more
Included free

Insurance Concierge

Handled for you

We handle prior authorization, appeals, and insurance coordination so you can focus on results.

All major insurers
Learn more

Our GLP-1 formulary

Every medication we prescribe, fully explained

Information paraphrased from MedlinePlus (NIH/NLM), FDA labels, and Cleveland Clinic. Always confirm with your clinician.

Semaglutide

aka Wegovy®, Ozempic®

Once-weekly GLP-1 that helps curb appetite and slow gastric emptying.

From $199/month

See if Semaglutide fits you

How it works

Semaglutide is an incretin mimetic that activates GLP-1 receptors. It signals the pancreas to release insulin when blood sugar rises, slows how quickly the stomach empties, and reduces appetite — which together support gradual weight loss.

Onset

Appetite changes in 1–2 weeks; meaningful weight loss over 3–6 months.

Duration

Once-weekly subcutaneous injection; rotate sites (abdomen, thigh, upper arm).

Typical titration

Typical plan: start at 0.25 mg weekly × 4 weeks, then step up every 4 weeks (0.5 → 1.0 → 1.7 → 2.4 mg) as tolerated.

Common side effects

  • Nausea, vomiting, diarrhea
  • Constipation
  • Stomach pain, heartburn, burping
  • Headache or fatigue

Don't use if…

  • Personal or family history of medullary thyroid carcinoma (MTC)
  • Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • Pregnancy or active plans to become pregnant (stop ≥2 months before)
  • Prior severe allergic reaction to semaglutide

Tell your provider about…

  • History of pancreatitis
  • Severe gastroparesis or GI motility disorders
  • Gallbladder disease
  • Kidney disease
  • Depression or prior suicidal ideation

Seek urgent care if you notice

Persistent upper-abdominal pain radiating to the back (possible pancreatitis)
Gallbladder problems — fever, jaundice, clay-colored stools
Severe allergic reaction: rash, swelling, trouble breathing
New or worsening depression or suicidal thoughts
Kidney problems from dehydration due to vomiting/diarrhea
Vision changes in people with diabetic retinopathy

FDA boxed warning

FDA boxed warning: in rodent studies, semaglutide caused thyroid C-cell tumors. Human relevance is unknown. Patients with a personal or family history of MTC or MEN 2 should not use it.

Source: MedlinePlus — Semaglutide Injection

Tirzepatide

aka Zepbound®, Mounjaro®

Dual GIP + GLP-1 receptor agonist with the largest average weight loss in trials.

From $249/month

See if Tirzepatide fits you

How it works

Tirzepatide is the first-in-class dual agonist that activates both GIP and GLP-1 receptors. The combined signal improves glucose control, delays gastric emptying, and lowers food intake more strongly than GLP-1 alone.

Onset

Appetite changes in 1–2 weeks; substantial weight loss over 6–18 months.

Duration

Once-weekly subcutaneous injection.

Typical titration

Typical plan: start 2.5 mg weekly × 4 weeks, then step up every 4 weeks (5 → 7.5 → 10 → 12.5 → 15 mg) as tolerated.

Common side effects

  • Nausea, vomiting, diarrhea
  • Decreased appetite
  • Constipation
  • Injection-site reactions

Don't use if…

  • Personal or family history of medullary thyroid carcinoma (MTC)
  • Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • Pregnancy
  • Prior serious allergic reaction to tirzepatide

Tell your provider about…

  • Type 2 diabetes with other glucose-lowering drugs
  • History of pancreatitis or gallstones
  • Severe GI disease
  • Kidney disease

Seek urgent care if you notice

Pancreatitis (severe persistent abdominal pain)
Gallbladder disease
Severe hypoglycemia (especially with sulfonylureas or insulin)
Severe allergic reaction
Kidney injury from dehydration

FDA boxed warning

FDA boxed warning shared with GLP-1 class: rodent thyroid C-cell tumors. Avoid in MTC/MEN 2.

Source: FDA — Zepbound/Mounjaro prescribing info (SURMOUNT-1 data)

Oral semaglutide

aka Rybelsus®

Same GLP-1 molecule in a once-daily tablet — no needles required.

From $169/month

See if Oral fits you

How it works

Oral semaglutide is the same GLP-1 receptor agonist as the injectable, formulated with an absorption enhancer (SNAC) so enough can cross the stomach lining. It curbs appetite, slows gastric emptying, and improves blood-sugar control.

Onset

Appetite changes within 1–2 weeks; meaningful weight loss over 3–6 months.

Duration

Once daily, first thing in the morning with ≤4 oz of water, then nothing by mouth for 30 minutes.

Typical titration

Typical plan: start 3 mg daily × 30 days, step up to 7 mg × 30 days, then 14 mg daily as tolerated.

Common side effects

  • Nausea, vomiting, diarrhea
  • Abdominal pain and decreased appetite
  • Constipation
  • Fatigue, headache

Don't use if…

  • Personal or family history of medullary thyroid carcinoma (MTC)
  • Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • Pregnancy or planning pregnancy (stop ≥2 months before)
  • Prior serious allergic reaction to semaglutide

Tell your provider about…

  • Conditions affecting oral absorption (severe gastroparesis, prior bariatric surgery)
  • History of pancreatitis or gallstones
  • Kidney disease
  • Medications needing careful stomach timing (e.g., levothyroxine)

Seek urgent care if you notice

Pancreatitis — persistent severe upper-abdominal pain
Gallbladder disease
Severe allergic reaction
Kidney problems from dehydration
Vision changes in people with diabetic retinopathy

FDA boxed warning

FDA boxed warning shared with the GLP-1 class: rodent thyroid C-cell tumors. Avoid in MTC/MEN 2.

Source: MedlinePlus — Semaglutide Oral

Liraglutide

aka Saxenda®, Victoza®

Once-daily GLP-1 injection — a flexible option for people who prefer daily titration.

From $229/month

See if Liraglutide fits you

How it works

Liraglutide is a GLP-1 receptor agonist that slows gastric emptying, increases satiety signals in the brain, and improves post-meal glucose control. It's dosed daily, which can help some patients manage GI side effects more gradually.

Onset

Reduced appetite within 1–2 weeks; clinically meaningful weight loss over 3–6 months.

Duration

Once-daily subcutaneous injection at any time of day; rotate sites each injection.

Typical titration

Typical plan: start 0.6 mg daily × 1 week, then step up by 0.6 mg each week (1.2 → 1.8 → 2.4 → 3.0 mg) as tolerated.

Common side effects

  • Nausea, vomiting, diarrhea, or constipation
  • Decreased appetite
  • Injection-site reactions
  • Headache or fatigue
  • Low blood sugar when combined with insulin or sulfonylureas

Don't use if…

  • Personal or family history of medullary thyroid carcinoma (MTC)
  • Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • Pregnancy
  • Prior serious allergic reaction to liraglutide

Tell your provider about…

  • History of pancreatitis or gallstones
  • Severe GI disease or gastroparesis
  • Kidney disease
  • Other glucose-lowering medications
  • Depression or prior suicidal ideation

Seek urgent care if you notice

Pancreatitis — severe persistent abdominal pain
Gallbladder disease (stones, inflammation)
Kidney injury from dehydration
Severe allergic reaction
Suicidal thoughts or new depression (rare — report immediately)

FDA boxed warning

FDA boxed warning shared with the GLP-1 class: rodent thyroid C-cell tumors. Avoid in MTC/MEN 2.

Source: MedlinePlus — Liraglutide Injection

Real Results

Numbers that speak
for themselves

0%Report life-changing results
0%Average body weight lost over 3 years
0 lbsAverage lost per week
0%Report reduced food cravings
MG

Maria G.

Austin, TX

I had tried everything for 10 years. Within 3 months on tirzepatide I stopped thinking about food constantly. It's like a switch flipped in my brain.

41 lbs

in 5 months

Tirzepatide

Medication used

JT

James T.

Chicago, IL

The coaching made all the difference. My doctor explained every side effect before it happened — I never felt alone in this process.

28 lbs

in 4 months

Semaglutide

Medication used

SR

Sandra R.

Miami, FL

No injections was the dealbreaker for me. The pill form works perfectly and the app tracking kept me accountable every single week.

19 lbs

in 3 months

Oral Semaglutide

Medication used

DK

David K.

Seattle, WA

Down 53 pounds. My A1C went from pre-diabetic to normal. My doctor said I reversed my prediabetes. I wish I had started sooner.

53 lbs

in 8 months

Tirzepatide

Medication used

Our Medical Team

Board-certified clinicians.
Named, with credentials.

MD

Medical Director

Internal Medicine · Obesity Medicine

RP

Lead Pharmacist

Compounding & dispensing oversight

CC

Lead Care Coach

Behavioral support · GLP-1 protocol

HIPAA Compliant

Your data is protected

Why Vital Pole

Medical care you can
actually trust

  • US-licensed clinicians
  • Most prescriptions reviewed within 24 hours
  • FDA-approved medications only, dispensed by partner pharmacies
  • HIPAA-secure intake & messaging
  • Unlimited clinician messaging
  • Same price at every dose — no surprise fees
  • HSA/FSA eligible program
  • Cancel in one click — no phone tree, no retention scripts
HIPAA Compliant
256-bit Encryption
FDA-Approved Meds Only
Board-Certified Physicians

Pricing

Pricing that doesn't
move on you

One membership. Medication priced at cost-plus. Same price at every dose. Cancel in one click — no calls, no scripts.

Weight Loss

GLP-1 therapy + care team

$99first month

Then $179/mo · semaglutide

Tirzepatide from $199 first / $329 ongoing · Same price at every dose

Start weight loss
  • Compounded semaglutide or tirzepatide
  • Clinician review within 24 hours
  • Unlimited clinician messaging
  • Dose adjustments at no extra cost
  • Free shipping in plain packaging
  • HSA/FSA eligible
BUNDLE

Together

Both tracks · same care team

Save 10%on the second subscription

One intake · one billing line

Apply your discount to whichever subscription is smaller

Start both
  • Both GLP-1 + sexual-wellness coverage
  • One shared intake; one care team
  • Single monthly statement
  • All medications priced individually
  • Cancel either track independently
  • HSA/FSA eligible

Sexual Wellness

ED · PE · women's libido

From $2per sildenafil dose

Tadalafil daily from $32/mo

PE from $25/mo · Women's wellness from $26/mo

Start sexual wellness
  • Sildenafil, tadalafil, or chewable combo
  • Off-label SSRI for PE (sertraline, paroxetine)
  • Lidocaine spray or wipes for PE
  • Flibanserin (Addyi) for HSDD in women
  • Discreet packaging, no name on label
  • HSA/FSA eligible

What's included

No surprise fees.
Ever.

We don't charge for messages, dose changes, switches, or shipping. If you see a charge that wasn't itemized at checkout, message us — we refund it.

  • Clinician messaging (unlimited)
  • Dose adjustments at any time
  • Free shipping in plain packaging
  • Switching between medications
  • Coaching for GLP-1 patients
  • Account-deletion + chart export anytime

Medication prices

Same price at every dose

No tier upcharges as your clinician titrates upward — the price you see is the price you pay.

MedicationPrice
Compounded semaglutide
First month $99 · same price at every dose
$179/mo
Compounded tirzepatide
First month $199 · same price at every dose
$329/mo
Sildenafil
Or $24/mo for 12 doses
$2/dose
Tadalafil daily
Continuous 24/7 readiness
$32/mo
Tadalafil on-demand
Effect up to ~24–36 hours
$3/dose
Chewable combo
Onset ~20–40 min
$5.50/use
Sertraline (off-label for PE)
FDA-approved for depression; off-label PE
$25/mo
Lidocaine topical spray
$24 on quarterly subscription
$29/mo
Flibanserin (Addyi)
Cash; lower with insurance
$129/mo

HSA / FSA eligible

Use your health-spending card at checkout — same price.

No insurance required

We're cash-pay so pricing stays predictable. Insurance docs available on request.

Refund within 2 business days

If you're charged after cancellation, we auto-refund. No follow-up needed.

How cancellation works

Cancel anytime from your dashboard.
No phone calls. No retention scripts.

The FTC's Click-to-Cancel rule requires that ending a subscription be as easy as signing up. We treat that as the floor, not the ceiling: one button in your dashboard ends your subscription at the close of your current billing cycle. Anything you've already paid for is yours to keep.

You will not be redirected to a chat. You will not be offered a "pause" you didn't ask for. You will not be told a clinician needs to review your decision.

FAQ

Real answers to real questions.

You complete a short health intake (about 3 minutes), a US-licensed clinician reviews everything you submit, and — if therapy is appropriate — a prescription is sent to a partner pharmacy that ships in plain packaging. You then message your care team anytime for dose adjustments, side-effect questions, or coaching. Cancel from your dashboard in one click.

Still have questions? Message our care team →

Now accepting new members

Get started in 3 minutes.
No card needed.

Physician-led care for metabolic weight loss and sexual wellness — same care team, one platform.

See if I qualify

~3 minutes · No card needed · HSA/FSA eligible · Cancel anytime

FDA-approved

Medications only

US-licensed

Clinicians + pharmacies

1-click

Cancel anytime