For weight and metabolism
Tirzepatide injections
From $129/mo $159 month to month
Compounded · Rx only · Important safety information


Weight loss
Tirzepatide injectionsWeight loss, perimenopause and menopause care, NAD+, and sermorelin, prescribed online by licensed clinicians.
Explore treatmentsFor weight and metabolism
From $129/mo $159 month to month
Compounded · Rx only · Important safety information

For hot flashes and night sweats
From $124.12/mo Estradiol patch or gel
Rx only · For women · Important safety information

Ask a clinician about
From $170/mo Injection or nasal spray
Compounded · Rx only · Important safety information

Ask a clinician about
From $85.98/mo Injection, troche, or tablet
Compounded · Rx only · Important safety information

Answer questions about your health, your symptoms, and your goals. It takes a few minutes.
A licensed clinician reads every answer and decides whether treatment is right for you.
If you are prescribed, a licensed pharmacy ships it free, typically in 2 days, with a tracking email.
You see the full price before you pay, and it stays the same at every dose. Weight care is $159 a month, or as low as $129 a month on a 12-month plan. $0 unless a clinician prescribes.
Tirzepatide plans are shown. Menopause care starts at $124.12 a month, NAD+ at $170 a month, and sermorelin at $85.98 a month. Your price depends on what your clinician prescribes.
Start weight careEleven things you can count on, from your first visit on.
How each promise worksYour first check-in call is set for day 3. Reply here with any questions before then.
Video visit when you need one
An example of the patient portal. Check-in calls are part of weight care.
Same salad. Same steps. Two sizes up.
A clinician may consider tirzepatide injectionThat’s me I'm hot, I'm up at 3 a.m., and I forgot why I walked in here.

A clinician may consider estradiol patch or gel plus progesteroneThat’s me I can resist anything except the pantry at 9 p.m.
A clinician may consider tirzepatide injectionThat’s me My libido left the chat, and I'd like it back.

A clinician may consider vaginal estradiol cream plus estradiol patch or gelThat’s me Example statements, not patient reviews. Prescription only. Compounded tirzepatide is not FDA approved.
Your price depends on the treatment and how long a plan you choose, and it stays the same at every dose. You see the full price before you pay. You pay $0 unless a clinician prescribes.
Most care is available in all 50 states and D.C. The intake checks your location before any medical questions.
The online visit takes a few minutes. A licensed clinician then reviews it, and if you are prescribed, your medication ships from a licensed pharmacy straight to you. Some treatments need labs or a video visit first.
Your clinician reviews how it is going, and your dose changes only when you and your clinician agree. For weight care, there are three check-in calls in your first month, around day 3, day 14 and day 28: we help with your first dose, ask how it is going, and pass any medical question to your clinician. Go to all three and take your medicine as prescribed, and what you paid for your first month becomes credit toward your next phase. On a weight care plan of 3 months or longer, a lab panel at month 2 is included at no extra cost.
It is part of weight care. Go to your three check-in calls in your first month and take your medicine as prescribed. What you paid for your first month becomes credit toward your next phase. It is credit, not cash. The full terms are on our refund policy page.
Yes. Cancel before your next renewal in your patient portal or by emailing care@directwellness.co. It is never harder to cancel than to sign up.
You can tell us what you prefer, including whether you would rather avoid needles. A licensed clinician reviews your health history and decides which treatment, if any, is safe and appropriate for you. You can ask about a different option at any time.
Yes. A licensed clinician reviews every intake. Many plans start with a secure online review, and a video visit is scheduled whenever your treatment or your state requires one, or whenever you ask for one.
It depends on your treatment. Your clinician orders labs when your plan needs them, and you go to a Quest location near you. On a weight care plan of 3 months or longer, a lab panel at month 2 is included at no extra cost.
No. Compounded drugs are not FDA approved, and FDA does not review their safety, effectiveness, or quality before marketing. A clinician prescribes a compounded medication only when they determine a patient specific need.
No. Weight care, NAD+, and sermorelin are for adults of any gender. Perimenopause and menopause care is for women.
Care is provided by independent licensed clinicians. See Our Medical Team page for details.
Compounded drugs are not FDA approved. FDA does not verify their safety, effectiveness, or quality before marketing. A clinician prescribes one only for a patient specific need and should discuss risks and alternatives with you. Review safety information

Start online in a few minutes. You pay $0 unless a clinician prescribes.
See all treatments