Skip to main contentWeight loss medication · From $125/month on the 12-month plan. See if you qualify.

Weight Loss Medication

Compounded tirzepatide care that starts with an online assessment.

5 stars on Google

Wilfred Fernandez, MDMedically reviewed by Wilfred Fernandez, MD · Internal Medicine · NPI 1598886426

Choose your billing schedule

1-month plan

Save 49%

Monthly equivalent $149/month

Regular monthly rate $297 /month

$149 billed every month. Renews until canceled.

Save 49% · $148 vs. the regular monthly rate

See if you qualify
  • Secure
    assessment
  • Licensed
    providers
  • U.S.-licensed
    pharmacies
  • 48 contiguous
    states
★★★★★ Google review
“I appreciate having support and guidance without feeling judged or rushed.” Daniela Romero
  • Reviewed by an independent licensed provider
  • Medication, supplies and instructions, if prescribed
  • Typically arrives 1–2 days after shipping

Eligibility, prescription, and final pricing are confirmed during your assessment. Important information

Google reviews

What patients wrote on Google.

Words from the Balance community, in their own words.

  • 5★Rated on Google
  • $125Per month on the 12-month plan, billed upfront
  • 48Contiguous states
  • 1–2 daysTypical arrival after shipping

Excerpts from Google reviews of Balance Health. Individual experiences vary and are not typical.

The science

A deeper look inside tirzepatide.

Wilfred Fernandez, MDMedically reviewed by Wilfred Fernandez, MD · Internal Medicine · NPI 1598886426

What is tirzepatide?

Tirzepatide is a dual GLP-1/GIP receptor agonist. It acts on two hormone pathways involved in hunger, fullness, and blood-sugar regulation.

Medical care can be one part of a broader plan that includes nutrition, movement, and everyday habits. Your provider helps you explore what is appropriate for your health and goals.

Balance connects you with an independent licensed provider for an online assessment. Treatment is prescribed only when clinically appropriate.

Side-by-side photo Yvette Blanco shared with her Google review. One person’s experience, not a typical result, and not a medication outcome.
Yvette Blanco’s photo, shared with her Google review.

Two pathways, working together

Meet the signals
behind hunger & fullness.

Tirzepatide acts on GIP and GLP-1 receptors. These pathways are involved in how your body responds to food, regulates blood sugar, and affects how quickly the stomach empties.

How tirzepatide acts on two hormone pathwaysTirzepatide activates GIP and GLP-1 receptors. These pathways are involved in appetite and fullness, blood sugar regulation, and digestion pace.TirzepatideGIP receptorGLP-1 receptorAppetite & fullnessBlood sugar regulationDigestion pace

More than a prescription. A more informed next step.

Acts on appetite signals

Tirzepatide acts on GLP-1 and GIP receptors, which are involved in appetite and blood-sugar regulation.

Personalized medical decisions

Your medical history matters. A licensed provider assesses whether treatment is right for you.

A conversation, not a quick fix

Ask questions, share how you feel, and discuss your progress with your care team.

What a clinical trial of FDA-approved tirzepatide found

The 72-week randomized SURMOUNT-1 trial included 2,539 adults with a BMI of 30 or more, or 27 or more with at least one weight-related condition, excluding diabetes. They received once-weekly subcutaneous tirzepatide or placebo, plus diet and physical-activity counseling. The trial was funded by Eli Lilly. These figures are for that FDA-approved product, not for compounded tirzepatide.

Mean percent change in body weight at week 72

5 mg
−15.0%
10 mg
−19.5%
15 mg
−20.9%
Placebo
−3.1%

The 5 mg, 10 mg, and 15 mg figures are trial doses of FDA-approved tirzepatide. Individual results vary.

At your pace. With real support.

Find out whether treatment could be right for you.

See if you qualify

What’s included in your plan

Medication, practical guidance, and care built around you.

  • Tirzepatide medication

    Compounded tirzepatide, if prescribed for you following an independent medical evaluation.

  • Syringes and supplies

    Injection supplies and instructions to help you follow your prescription with confidence.

  • Licensed provider review

    Your health history, your goals, and a medical decision made by a licensed provider.

  • Patient portal and messaging

    Message your provider and manage your plan, refill date, and billing in your patient portal.

  • Discreet pharmacy delivery

    Your approved prescription is fulfilled by the pharmacy and delivered directly to your door.

See where you may fit.

BMI is one factor a provider may consider, alongside your health history and clinical needs. Your numbers stay in your browser.

Height 4 ft 0 in to 7 ft 6 in. Weight 70 to 700 lb. For a whole number of feet, enter 0 inches.

Enter your height and weight to see your BMI.

See if you qualify

Not medical advice or a diagnosis. Only a licensed provider can determine eligibility.

Illustrative Balance delivery box with forest-green interior, tirzepatide vial, and sealed supplies

Our mission

Make medical weight care simpler, more personal, and easier to understand.

How it works

4 steps to personalized care.

From your first question to your next refill, keep your care connected.

See if you qualify

Tell us about your goals, health history, and any medication you’re taking. Start online, at your own pace.

Your care. Your pace.

Simple pricing, built
around your pace.

Start monthly or settle into a longer plan. Multi-month prices are paid upfront, not in monthly installments. Plans renew until canceled.

1-month plan

Monthly equivalent $149/month

Regular monthly rate $297 /month

Save 49% · $148 vs. the regular monthly rate

$149 billed every month

  • Medication, if prescribed
  • Injection supplies & instructions
  • Licensed provider review
  • Patient portal & messaging
See if you qualify

3-month plan

Monthly equivalent $144/month

Regular monthly rate $297 /month

Save 51% · $459 vs. the regular monthly rate

$432 billed upfront every 12 weeks

  • Medication, if prescribed
  • Injection supplies & instructions
  • Licensed provider review
  • Patient portal & messaging
See if you qualify

6-month plan

Monthly equivalent $130/month

Regular monthly rate $297 /month

Save 56% · $1,002 vs. the regular monthly rate

$780 billed upfront every 24 weeks

  • Medication, if prescribed
  • Injection supplies & instructions
  • Licensed provider review
  • Patient portal & messaging
See if you qualify

12-month plan

Monthly equivalent $125/month

Regular monthly rate $297 /month

Save 57% · $2,064 vs. the regular monthly rate

$1,500 billed upfront every 52 weeks

  • Medication, if prescribed
  • Injection supplies & instructions
  • Licensed provider review
  • Patient portal & messaging
See if you qualify

Frequently asked questions

It’s okay to have questions. Start with the ones that matter most.

What does the price cover? Will my price change?

The currently displayed tirzepatide options are $149 billed monthly, $432 every 12 weeks, $780 every 24 weeks, or $1,500 every 52 weeks. The 3-month, 6-month, and 12-month plans are billed upfront for the displayed term; these are different billing schedules, not installment payments. Your exact prescription, eligible plan, total charge, and renewal terms appear in the assessment and checkout before you purchase. If your treatment or dose changes, confirm the price with your care team before agreeing to the change.

What happens after I start my assessment?

First, complete the online health assessment. Then choose your plan and check out; your total charge and renewal terms are shown before you pay. After checkout, an independent licensed provider reviews your assessment and decides whether treatment is appropriate; a prescription is not automatic. If you are medically disqualified, your payment is refunded and your subscription is canceled. If prescribed, a pharmacy in Balance’s network prepares your medication for delivery.

Is a real medical provider reviewing my assessment?

Yes. An independent licensed medical provider reviews your health history and decides whether treatment is appropriate. You can ask for your provider’s full name and license information, then verify them with your state licensing board and the public NPI Registry. Completing an assessment does not guarantee a prescription.

Is compounded tirzepatide the same as Zepbound® or Mounjaro®?

No. Tirzepatide is the active ingredient in Zepbound® and Mounjaro®, but a compounded preparation is not an FDA-approved generic or an FDA-approved version of either brand. Compounded medicines are not reviewed by the FDA for safety, effectiveness, or quality. Your provider and pharmacist can explain your specific formulation and whether it is appropriate for your medical needs.

What if I have nausea, fatigue, or other side effects?

Nausea, vomiting, diarrhea, constipation, abdominal discomfort, and fatigue can occur with tirzepatide. Tell your provider about symptoms, especially if they persist, affect eating or drinking, or interfere with daily life. Do not change your dose on your own. Severe or persistent abdominal pain, repeated vomiting or dehydration, and signs of an allergic reaction need prompt medical attention; call 911 for a medical emergency.

Can I cancel? What happens if I’m medically disqualified?

You can cancel without a cancellation fee through your Balance account, by calling (888) 280-2025, or by emailing support@trybalancerx.com. Cancel before your order is sent to the pharmacy, or at least 2 days before your next billing date to stop the next renewal; billing dates are shown in your account. Shipments may be processed up to 2 days early. If you are medically disqualified, your payment is refunded and the subscription is canceled. Once your order has been sent to the pharmacy, that charge is non-refundable, and canceling stops future renewals only. Renewal, cancellation, and refund terms are shown again at checkout before you purchase.

More about treatment & ongoing care
Can I switch from another GLP-1 provider?

Include the medication name, concentration, dose in milligrams, date of your last dose, and any side effects in your assessment. Your provider will review your history before recommending a plan. Milligrams and syringe units are not interchangeable across concentrations, and semaglutide and tirzepatide are not dose-equivalent. Never copy a previous provider’s syringe instructions onto a new prescription.

Who can be considered for treatment?

Eligibility depends on your age, residence in one of the 48 contiguous states, health history, current medications, and clinical needs. A provider licensed in your state confirms whether treatment is appropriate. Tell your provider if you are pregnant, breastfeeding, or planning pregnancy, or have a personal or family history of medullary thyroid carcinoma or MEN 2, a serious reaction to tirzepatide, or significant digestive problems. Your provider will review risks and alternatives; the assessment is a starting point, not a diagnosis.

What is “food noise”?

“Food noise” is an informal term for persistent thoughts about food. Tirzepatide acts on GLP-1 and GIP receptors involved in appetite and blood-sugar regulation. Some people notice changes in hunger or fullness, but responses vary. There is no guarantee that food thoughts will disappear, and ongoing or distressing symptoms deserve a conversation with your care team.

Is there a timeline for noticing a change?

There is no single timeline. Your response depends on your prescribed treatment, dose, health, and daily routines. Starting doses may be used to assess tolerability, and your provider determines any changes. A slow start or a plateau is a reason to check in, not to take extra medication. Photos and reviews describe individual experiences and cannot predict yours.

Does the medication contain B6, B12, or other additives?

Do not assume a formulation from a product photo or another company’s offer. Ask your provider or pharmacist for the exact active ingredients, concentration, and any additives in your prescription. An added vitamin does not make a compounded medicine FDA-approved or automatically safer or more effective. Follow the label supplied by the dispensing pharmacy.

Will I need treatment forever? What happens if I stop?

Treatment duration is an individual medical decision. Appetite can change after stopping, and weight regain can occur. Discuss your goals, tolerability, costs, and a maintenance plan with your provider before stopping or changing treatment. No program can promise permanent weight loss or that you will never need ongoing care.

How should I look after nutrition and muscle during treatment?

Ask your clinician about a balanced eating plan, adequate protein, hydration, and activity that fits your health and abilities. Resistance exercise may be part of that plan. Appetite reduction should not mean ignoring nutrition. Let your care team know about weakness, persistent fatigue, or difficulty eating; no medication plan guarantees preservation of muscle.

Which states do you serve?

Balance serves patients in the 48 contiguous states, not Alaska or Hawaii. Your state of residence and a provider licensed in your state are confirmed during your assessment, and availability is subject to provider review.

Can I use my HSA or FSA?

Eligibility depends on your plan and tax circumstances. Confirm coverage and required documentation with your HSA/FSA administrator before relying on reimbursement.

Which pharmacy prepares my medication?

Compounded medication is prepared for the individual patient from a prescription by a pharmacy in Balance’s network of U.S.-licensed 503A pharmacies. The pharmacy name appears on your medication label and in your patient portal when it ships.

How is medication shipped, and what if there is a problem?

Orders ship after provider approval and pharmacy preparation, and typically arrive 1–2 days after shipping. Medication is sent in temperature-controlled packaging with injection supplies. Timing can vary by carrier and location. Follow the pharmacy’s storage and refrigeration instructions. If a shipment is delayed, damaged, or arrives with a temperature concern, contact support and the dispensing pharmacy before using it. Never double a dose to make up for a shipping delay.

Still have a question? (888) 280-2025 · Email our team

Ready when you are

Start your weight loss medication assessment.

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A little support. A new start.

Start your journey with Balance.

Your goals. Your questions. A care plan that starts with you.

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