Free overnight shipping in all 50 states
HealthRx
Foundation · No. 01

Compounded Semaglutide

a once-weekly GLP-1 receptor agonist

0.25 MG → 2.4 MG · 4-week vial supply

First month
$179.99
$6.00 / day
Brand-name Wegovy cash
$1,349
$45 / day
Begin consultationCommon questions
A modern medical injector pen, Compounded Semaglutide
Fig. 01 · Compounded SemaglutideLOT 50087439

Semaglutide is the first GLP-1 weight-management compound to enter wide clinical use. It is the active molecule in branded Wegovy® and Ozempic®. The HealthRX preparation is compounded by Manifest Pharmacy under Section 503A on a valid, patient-specific prescription.

Mechanism · 02

How it works in the body

Semaglutide is a long-acting synthetic analog of human GLP-1, the gut hormone released after a meal. By binding to the GLP-1 receptor, it slows gastric emptying, amplifies the body's satiety signaling in the hypothalamus, and improves glucose-dependent insulin secretion. The result is reduced appetite, quieter food noise, and gradual sustained weight loss.

Titration · 03

The dose ladder.

WeekDoseNote
Weeks 01–040.25 mg / weekInitiation. Lowest dose, designed to acclimate the gut.
Weeks 05–080.5 mg / weekFirst dose escalation. Most appetite changes start here.
Weeks 09–121.0 mg / weekProvider check-in. Re-evaluate tolerance and response.
Weeks 13–161.7 mg / weekTherapeutic dose for many patients.
Weeks 17+2.4 mg / weekMaintenance dose, only if tolerated and clinically appropriate.
Documented · 04

What the trials show.

14.9%
average body-weight loss at 68 weeks
STEP-1, NEJM 2021
86%
of participants lost ≥5% body weight
STEP-1, NEJM 2021
32%
reduction in major adverse cardiovascular events (SELECT)
SELECT, NEJM 2023
Risks · 05

Side effects, honestly.

Common

  • · Nausea (most common during titration)
  • · Diarrhea or constipation
  • · Decreased appetite (the therapeutic effect)
  • · Mild headache, fatigue
  • · Burping, indigestion

Serious

  • · Pancreatitis (rare)
  • · Gallbladder disease
  • · Hypoglycemia (especially with other diabetes medications)
  • · Possible thyroid C-cell tumors (animal studies in rats; relevance to humans unknown)
Fit · 06

Who it's for. Who it isn't.

Suitable for

  • · Adults with BMI ≥ 30, or BMI ≥ 27 with a weight-related condition
  • · Patients new to GLP-1 therapy
  • · Patients seeking the most studied compound in the category

Not suitable for

  • · Personal or family history of medullary thyroid carcinoma
  • · Multiple Endocrine Neoplasia syndrome type 2 (MEN-2)
  • · History of severe pancreatitis
  • · Pregnant or breastfeeding
  • · Severe gastrointestinal disease
Citations · 07

The published evidence.

  1. 01Wilding et al. — Once-weekly semaglutide in adults with overweight or obesity (STEP-1) — NEJM 2021
  2. 02Davies et al. — STEP-2: semaglutide in adults with type 2 diabetes — Lancet 2021
  3. 03Lincoff et al. — SELECT trial: semaglutide and cardiovascular outcomes in obesity — NEJM 2023
  4. 04FDA Prescribing Information — Wegovy / Ozempic (semaglutide)
Begin consultation