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Compounded semaglutide online prescription for weight loss

Book with a top-rated provider of your choice through Sesame's weight loss program to see if compounded semaglutide is right for you.

Not available in AL, CA, LA or MS

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  • Compounded semaglutide prescriptions available, if appropriate
  • Medication delivery to your doorstep + free shipping
  • Initial video consult, labs and unlimited messaging
  • 4.5 on Trustpilot
Sesame’s weight loss program is a month-to-month subscription for individuals who are looking to lose or manage their weight. It includes:
  • Medical history review and lifestyle assessment
  • Initial video consult
  • Ongoing care for weight loss and management
  • Unlimited messaging with provider
  • Prescription, if recommended
  • Order for lab(s) relevant to weight loss treatment/diagnoses (excludes NJ, NY, and RI)
  • Cost of lab(s) relevant to weight loss treatment/diagnoses (excludes NJ, NY, and RI)
Not included in this subscription:
  • Controlled substance prescription

Affordable weight loss starts here.

Choose your own provider

Find the right fit by selecting a board-certified Sesame provider who speaks to you.

Medications with no price markup

High-quality, pre-measured compounded semaglutide offered at cost for eligible patients nationwide.

Support from actual humans

Close clinical supervision focused on sustainable, long-term changes to:

Access compounded semaglutide or another weight loss medication, with or without insurance.

Pick a Sesame provider who’s right for you.

Here's how Success by Sesame works:

1
Tell us about your weight loss history & goals

Answer a few questions to help us personalize your weight loss program, then choose your Sesame provider.

2
Meet with your Sesame provider

Talk to your provider about your medical history and weight loss goals in a video consult. They'll tailor a treatment plan and order a lab test if metabolic data is needed.

3
Begin treatment

Your provider will prescribe a weight loss medication that's right for you (if appropriate). Sesame will send the medication to your door or preferred pharmacy.

4
Ongoing support

Achieve your weight loss goals with unlimited messaging with your chosen provider and follow up visits as needed to monitor progress and adjust treatment.

Let's get started
Product Overview

Compounded Semaglutide

  • What is compounded semaglutide?
    Compounded semaglutide is a prescription medication recommended by healthcare professionals to assist individuals dealing with obesity or excess weight in conjunction with a reduced-calorie diet and exercise regimen. It may also be used to manage blood sugar levels in patients with type 2 diabetes.

  • What are the most common side effects of compounded semaglutide?
    Semaglutide has been shown to cause adverse side effects in some patients. Common side effects include nausea, diarrhea, and constipation.

    If these reactions become severe or do not go away after a day or two, seek medical attention right away.

Your provider will help you stay on track.

In 3 monthsMaterial Arrow Forward Icon
Lose 5%of your body weight
In 6 monthsMaterial Arrow Forward Icon
Lose 10%of your body weight
In 12 monthsMaterial Arrow Forward Icon
Lose 15%of your body weight

Results may vary. Milestones are based on semaglutide clinical trial averages.

See how much weight you can lose

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Last updated on August 13, 2024

Frequently asked questions about compounded semaglutide

Medically reviewed by:Jessica Swirble, PharmD

Compounded semaglutide is a prescription drug prescribed by healthcare providers, along with a reduced calorie diet and exercise, to help patients with obesity or overweight patients manage their weight. It is also prescribed to help patients with type 2 diabetes manage their blood sugar levels.

Compounded semaglutide is a customized pharmaceutical formulation of the medication semaglutide prepared by a compounding pharmacy. Semaglutide is a medication that belongs to a class of drugs known as glucagon-like peptide-1 (GLP-1) receptor agonists and works by mimicking the action of the natural hormone GLP-1, which helps regulate blood sugar levels, increase insulin secretion, and decrease appetite.

Compounded semaglutide may be prescribed for patients in the case of a medication shortage. In the case of a drug shortage, the federal government allows providers to prescribe compounded versions of that drug. As of May 2023, Ozempic is listed on the FDA’s drug shortage list, allowing the use of compounded semaglutide.

Compounded semaglutide is prescribed by healthcare providers to help patients manage their weight.

Compounded semaglutide may be prescribed to adults with obesity (with a BMI of 30 kg/m2 or greater) or overweight adults (with a BMI of 27 kg/m2 or greater) who also have weight-related medical problems such as type 2 diabetes, high blood pressure, obstructive sleep apnea, or cardiovascular disease.

In addition, compounded semaglutide may be prescribed to help manage blood sugar levels in patients with type 2 diabetes.

Sesame’s compounded semaglutide is sourced from reputable, state-licensed 503B pharmacies with stringent quality control standards. Additionally, all batches of compounded semaglutide undergo microbiological testing and analysis from an accredited third-party testing laboratory in order to assess quality and safety.

Compounded semaglutide works similarly to GLP-1 receptor agonists. GLP-1 receptor agonists work by mimicking the action of GLP-1, a hormone that naturally regulates blood sugar and appetite. When GLP-1 receptor agonists are administered, they increase feelings of fullness, slow down gastric emptying, and reduce food intake, leading to decreased calorie consumption.

They may also help stabilize blood sugar levels and may prevent overeating driven by blood sugar fluctuations.

Yes, compounded semaglutide is available through Sesame in all 50 U.S. states and Washington, D.C. for eligible patients if deemed appropriate by a licensed clinician.

Eligible patients in Alabama (AL) and California (CA) who receive a prescription for compounded semaglutide will receive vial-based compounded semaglutide from Sesame's partner compounding pharmacy due to licensure.

Eligible patients in all other states who receive a prescription for compounded semaglutide will receive pre-filled syringes of compounded semaglutide.

Potential common side effects of compounded semaglutide use include:

  • Nausea
  • Stomach pain
  • Diarrhea
  • Constipation
  • Headache
  • Fatigue
  • Vomiting
  • Dizziness
  • Gas
  • Runny nose
  • Heartburn
  • Injection site reactions

If you experience an unexplained rash, swelling, stomach pain, difficulty breathing, decreased urination, changes in vision, or itchy skin while taking compounded semaglutide, seek medical attention immediately. These are early signs of a potentially severe adverse reaction to the medication.

Talk to your healthcare provider about any medication you are currently taking or any medical conditions you have been previously diagnosed with before starting treatment with any form of semaglutide medication.

There are FDA and state regulations for compounding pharmacies. Compounding pharmacies undergo FDA inspection to ensure quality production practices at the time of inspection. When complying with federal law, compounded semaglutide made by FDA-regulated pharmacies is not subject to FDA approval and does not have to undergo review for safety, effectiveness, or quality.

If you have been prescribed compounded semaglutide, you should use a state-licensed pharmacy or an outsourcing facility registered by the FDA to obtain your medication.

Avoid the use of semaglutide salts because they have not been shown to be safe or effective.

Because side effects may vary from patient to patient, it’s important to tell your provider if you start to notice adverse reactions to compounded semaglutide.

In addition to the precautions unique to compounded drugs, it is crucial to discuss your medical history, allergies, and any other medications you are taking with your healthcare provider. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with compounded semaglutide.

Do not use compounded semaglutide if you have a history of:

  • Medullary thyroid carcinoma (MTC)
  • Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
  • Allergic reactions to semaglutide

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using compounded semaglutide to assess potential risks and benefits.

Compounded semaglutide is typically administered as a once-weekly injection. Your healthcare provider may adjust this dosage regimen based on your age, condition, and reaction to the medication.

Do not discontinue or change your compounded semaglutide dosage without consulting your healthcare provider.

Take the medication exactly as prescribed, and inform your doctor if you experience any side effects or have concerns while taking the medication.

Compounded semaglutide should be stored and administered as directed by your healthcare provider.
Compounded semaglutide is only available via prescription. You will need a written prescription from a licensed healthcare provider to obtain this medication.

Compounded semaglutide can be prescribed online and through telehealth. Here at Sesame, these prescriptions are entirely at the discretion of the healthcare provider.

Note that an online appointment with a provider does not guarantee a prescription for any form of semaglutide.

Compounded semaglutide is only available in some states. Consult your healthcare provider to determine whether or not compounded semaglutide can be purchased in your area.

Sesame's weight loss program subscription pricing starts at just $89 per month for patients who do not require medication or will purchase their own medication from their preferred pharmacy. This is a good option for eligible Sesame patients who have insurance coverage for name-brand GLP-1 medications, such as Wegovy, Zepbound or Saxenda.

It's important to note that brand-name GLP-1 medications like Wegovy, Zepbound or Saxenda can be expensive without insurance coverage, typically ranging between $950 to $1,600 per month out-of-pocket. If you are insured, your provider can assist with insurance pre-authorization paperwork to help reduce the cost of your medication.

Sesame also offers a weight loss program subscription that includes medication for just $249 per month. This option includes the price of pre-measured, high-quality injectable compounded semaglutide at cost for those who are prescribed it, along with free home delivery.

Note that providers on Sesame set their own prices, which means that some providers may offer the service at a higher price.

Certain GLP-1 therapies such as semaglutide (the active ingredient in Ozempic, Rybelsus, and Wegovy), liraglutide (the active ingredient in Saxenda and Victoza), and tirzepatide (the active ingredient in Mounjaro and Zepbound) may increase the likelihood of developing thyroid gland tumors, including MTC, a type of thyroid cancer. This conclusion is based on studies where laboratory animals given semaglutide, liraglutide, tirzepatide and other GLP-1 medications developed tumors. However, it is not yet confirmed if these medications pose the same risk to humans. You can find additional information about the risks of FDA-approved medications that contain semaglutide here.

It’s important to inform your doctor if you or any family member has ever had MTC or MEN. If this is the case, your doctor will likely advise against taking GLP-1 medications.

If you are prescribed a GLP-1 medication and exhibit any of the following symptoms, you should contact your provider immediately:

  • A lump or swelling in the neck
  • Hoarseness
  • Difficulty swallowing
  • Shortness of breath
  • Severe abdominal pain

Before taking GLP-1 medications, you should also discuss the following with your provider:

Allergies: Inform your doctor and pharmacist of any allergies you have to semaglutide (including under brand names Ozempic, Rybelsus, Wegovy) or similar medications such as tirzepatide (Mounjaro, Zepbound), dulaglutide (Trulicity), exenatide (Bydureon BCise, Byetta), liraglutide (Saxenda, Victoza, or in Xultophy) and lixisenatide (Adlyxin, or in Soliqua).

Personal and family medical history: Be sure to disclose if you have a history of medical conditions like pancreatitis, diabetic retinopathy, gallbladder disease or kidney disease. Inform your doctor about recent episodes of diarrhea, nausea, vomiting or any inability to consume liquids, which could lead to dehydration.

Current medications and supplements: Provide a comprehensive list of all medicines and supplements you are currently taking, including prescription and nonprescription medicines, vitamins, nutritional supplements, and herbal products. This is crucial as GLP-1 medications can alter how your body absorbs oral medications.

Pregnancy and breastfeeding: Inform your doctor if you are pregnant, breastfeeding, or planning to become pregnant soon.

Surgical procedures: In the event of surgery, including dental procedures, inform the medical or dental professional that you are on GLP-1 medication.

It's essential to thoroughly discuss these risks with your healthcare provider and consider your personal and family medical history when deciding whether to use these medications. Your doctor can provide guidance on the best course of action based on your specific health situation.

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