Finally serious about weight loss?
Personalized care and provider-prescribed GLP-1 medication. 100% online, no insurance required, shipped to your door.
Weight loss plans starting at$299/month
- 100% online medical visit with a US-licensed provider.
- Prescription & telemed visits included. No insurance required.
- One monthly price covering your medication and your care.
- Free, discreet shipping.
Free 5-minute quiz · No commitment · See your price before you pay
- Cancel anytime from your account

State-licensed
US pharmacies
HIPAA
Private & secure
How it works
How you'll get started
No waiting rooms. No clinic runaround.
- 1
Take the quiz
Five minutes, a few quick questions.
- 2
Provider reviews you
A US-licensed provider reads your intake and writes your script if you qualify.
- 3
Pharmacy fills it
A state-licensed US pharmacy packs your medication in a plain, unmarked box.
- 4
Ships to your door
Free shipping on every order. Nobody but you knows what's inside.
- 5
We adjust as you go
Message your care team to fine-tune your dose as your body responds.
Free · No commitment · See your price before you pay

Find the confidence you deserve.
There’s no shame in using medical weight loss to support your health when traditional methods aren’t cutting it. Paired with a balanced diet and regular exercise, a weight loss treatment plan can help you overcome biological barriers, maintain healthy habits, and reach your goals.
See if I qualifyWhy we're better
The easier path to real results
Everything a weight-loss clinic offers, without the waiting rooms, markups, or insurance maze.
| Sustain | Traditional clinic | Diet & exercise alone | |
|---|---|---|---|
| Provider-prescribed GLP-1 medication | |||
| 100% online — no clinic visits | |||
| Free discreet shipping | |||
| One flat price — no insurance needed | |||
| Ongoing dose adjustments & coaching | |||
| Cancel anytime from your account |
Ongoing care
Expert care, on your schedule
Access to a licensed care team is included in every plan.
Messaging
Message a licensed provider through your account.
Real human support
Our care team is staffed by real people, not bots.
Talk to a person
Prefer the phone? Call our US-based care team at (302) 291-4863.
Simple pricing
Everything included. No surprises.
One transparent price covers your medication and your care. Cancel anytime from your account.
Your complete plan
Everything below is bundled into one monthly price:
- Provider-prescribed GLP-1 medication
- Telehealth visits with a licensed provider
- Ongoing dose adjustments & care coaching
- Free, discreet shipping on every order
- Support from our care team
Semaglutide plans start at $299/month. Tirzepatide plans start at $399/month.
Your plan renews each month, and every charge covers that period's medication and care — there's no separate membership fee. Cancel anytime from your account; changes take effect at the end of the current billing cycle.
See if I qualify →Free 5-minute quiz · No commitment · See your price before you pay
FAQ
Frequently asked questions
How does GLP-1 medication help with weight loss?
GLP-1 medications are prescribed to support weight management. Your provider will explain how the medication works and whether it's appropriate for you.
Do I need insurance to qualify?
No. Sustain is a cash-pay program billed as a monthly subscription. There are no insurance claims, and no need to involve your employer or primary care provider.
What does it cost?
A $35 consultation fee covers the licensed provider’s review of your assessment, and is waived if you are approved for treatment. Treatment plans start at $299 per month for semaglutide or $399 per month for tirzepatide, with quarterly and 6-month prepay options billed upfront at a lower effective monthly rate. All plans auto-renew, with no separate membership fee.
What happens after I complete the quiz?
A licensed provider reviews your information and decides whether treatment is appropriate. If you’re approved, your prescription is sent to a state-licensed pharmacy to be filled and shipped to you.
Who prescribes and dispenses the medication?
A US-licensed provider reviews your health history and decides whether treatment is appropriate. Prescriptions are filled by state-licensed pharmacies.
Can I cancel anytime?
Yes. There is no long-term contract, and cancelling is just as easy as signing up — no phone call, no retention hurdle. Cancel from your account dashboard before your renewal date to stop future billing. Cancelling does not retroactively refund a period that has already started, and medication already shipped generally cannot be returned or refunded.
Which states do you serve?
Services are available in all 50 states and Washington D.C. Medication and product availability varies based on clinical appropriateness, applicable federal and state laws, or other regulatory requirements. Not all therapies are available in all states. Availability is subject to change. You’ll confirm eligibility for your state at the start of the quiz before providing any payment information.
Still have questions? Start the quiz — it's free and there's no commitment.
Your last weight loss program.
Stop fighting your genetics. Start working with your body.
See if I qualify →- No insurance required
- Cancel anytime from your account
- Free shipping