Perimenopause & menopause · Updated October 2026
The years around menopause are when weight, sleep and mood start pulling on each other. This board keeps only the GLP-1 providers that also treat that transition: menopause care named in what they offer, or estradiol, progesterone and other women's hormones on the same account as the weight medicine.
The short answer
24 of the 353 providers we score pass that rule; 20 name menopause care outright. Each row shows which signal qualified it. CoreAge Rx is a featured partner, and providers we work with may appear first. Scores are our own.
A GLP-1 will not fix hot flashes, and hormone therapy is not a weight drug. The case for this board is one clinician who sees both. If you are newer to the question, start with perimenopause, appetite and GLP-1s.
CoreAge Rx is a featured partner, and providers we work with may appear first. Scores are our own — the Editors’ Rating is printed on every row so you can check it.
A women's-condition clinic that happens to prescribe GLP-1s, rather than a weight-loss program wearing a women's-health skin — an OBGYN and a dietitian on every case, real labs, and an every-other-week check-in for a flat $149 with no commitment. The drug is not in that number, and Allara writes brand pens only.
The only program on this masthead that bills insurance, which changes the arithmetic more than any discount here. The visit is covered in network or costs $250 self-pay, and the medication is billed separately from $165.90 per four-week supply for injectable semaglutide and $210 for tirzepatide — both the visit fee and a full dose table published, which is what makes the model reviewable at all.
The one program on this masthead that treats menopause and the postpartum year as clinical facts rather than marketing, wrapped around brand-name pens and an insurance coordinator who makes the calls. Then it sells you a year you cannot leave.
Maven Clinic built its name on maternity, fertility and menopause care sold through employers, and its new self-pay GLP-1 program brings that women's-health depth to weight care. You pay a $150 monthly membership ($39 the first month) for unlimited clinician support, a nutrition coach and a strength coach, plus FDA-approved medication billed by the pharmacy — about $299 a month all-in for the Wegovy pill and $449 for starting-dose Zepbound. Every dose has a published price, which is rare, but the two-charge structure makes it one of the pricier ways to start.
Midlife-focused weight care with physician messaging and both compounded and FDA-approved brand options. Add the required $99 monthly care fee: compounded semaglutide starts at $169 all-in and tirzepatide at $199. These are starting figures, not a published maintenance-dose ladder. Compounds are unavailable in six states and DC.
For moms in Orange County, MD Total Wellness is a rare in-person option: a physician-owned clinic in Brea where David Oliak, MD, a surgeon with more than 3,000 bariatric operations behind him, and Allison Mollet, PA-C, see you each month, adjust your dose and track fat and muscle with a body-composition scan. Compounded semaglutide is $299 a month and tirzepatide $399, the same at every dose, after a cheaper first month at $199 or $299, with the medication included and no contract. You can often start the same day after a free consultation, and HSA and FSA cards are accepted. The limit is geography: there is no telehealth GLP-1 option, so it only works if you can get to Brea every month. The same office also handles menopause care and pelvic-floor treatment.
The women's-health platform a lot of mothers already have an account with, extended to weight management — and priced as care rather than medication. The $79-plus-$79 is honest and modest; the four-figure retail pen it does not include is not.
Weightstry is a telehealth practice built for women 38 to 55 whose weight shifted with perimenopause, and it has two doors. Fitstry, the GLP-1-only door, charges just for medication — compounded semaglutide or tirzepatide from $249 a month on a month-to-month plan, billed every four weeks — with visits, labs, coaching and shipping thrown in for a limited time. The full Weightstry membership adds a named clinician, twice-yearly labs, a dietitian, a weekly coach and hormone therapy for $150 a month on top of medication. It is licensed in 49 states, with Louisiana on a waitlist.
If you live in Oregon or Washington, Steady State Health is about as personal as GLP-1 care gets: one nurse practitioner, Josie Cowburn, DNP, FNP-C, who pairs compounded semaglutide or tirzepatide with attention to midlife hormones, muscle, sleep and nutrition. The program costs a $149 monthly membership plus medication ordered through her pharmacy at about $110 to $150 a month, so most members pay $259 to $300 a month all-in, and a one-time $190 lab panel is available if you don't bring recent labs. The membership includes visits at least monthly, weekly live Zoom sessions and support from her medical assistant. It is cash pay only, and outside those two states you cannot get a prescription here. The practice does not publish its cancellation terms, so ask before you join.
The one program on this masthead that will put a GLP-1 and hormone therapy on the same plan with one clinician holding both, in all fifty states, for one of the lowest membership fees we track. Then it prints the prepaid rate as the headline, publishes no cancellation policy at all, and will not say who its clinicians are.
GobyMeds sells individual orders without automatic renewal: single-month supplies start at $169 for semaglutide and $299 for tirzepatide. Twelve-week starter bundles total $299/$399, with higher-dose bundles costing more. Its safety page names pharmacy partners; clinical access and order cancellation depend on your location and processing stage.
Hone Health is a hormone and longevity clinic that treats weight as one piece of a bigger picture, and it starts where most online programs never go: a $65 panel of about 50 blood markers reviewed by a physician on video. Its only GLP-1 is compounded liraglutide, a daily injection at $160 a month plus a membership — it does not offer semaglutide or tirzepatide at all, and it never says whether that membership is the $25 Basic tier or the $155 Premium one.
Defy Medical is a Tampa hormone clinic that has run telehealth care for more than a decade, and it now prescribes semaglutide, tirzepatide and liraglutide everywhere except Mississippi. It works the old-fashioned way: a paid weight-management consult, a required metabolic lab panel, then medication ordered and paid for one order at a time, with no subscription. That suits a mother who wants real lab work and her hormones looked at alongside her weight, but it leaves her budgeting blind, because no current price for the medication appears anywhere on its site.
A women's practice that treats weight as a hormone problem — a genuinely different starting point — with a price ladder that rewards reading closely. Foundation is "GLP-1 Access": physician oversight, medication not included, $199 a month. Premium is the tier that includes the medication — $399 month to month, or $349 if you commit to three months. Concierge, at $599 ($549 on the commitment), adds hormone therapy for women whose weight and menopause symptoms need handling together. A named physician, Dr. Patel, runs it from a published Florida address.
A broader Alan Health platform offering both compounded and FDA-approved brand-name GLP-1s — compounded semaglutide standing at $315/mo (currently discounted to $158/mo under an active BOGO promotion) and tirzepatide at $325/mo on a 6-month plan — though state coverage isn't published, and in February 2026 the FDA issued it a warning letter over labeling that presented its compounded semaglutide and tirzepatide as Alan-made products.
Hormonally Balanced is a women-only hormone practice from Boston, staffed by an all-female team, that pairs menopause and perimenopause care with a 12-week semaglutide program — one injection a week, a program journal and regular check-in calls with the staff — and a tirzepatide option. It treats patients by telehealth in seven states: Massachusetts, California, Texas, Florida, New York, Rhode Island and New Hampshire. It is private pay and publishes no price at all, so the cost of the program, and of staying on medication after twelve weeks, comes up only at the consult.
A menopause clinic that treats GLP-1 weight care as a menopause problem, which almost nothing else on our list does. Four routes are published with prices attached: semaglutide injection at $199 a month, semaglutide dissolving tablets at $279, tirzepatide injection at $249 and tirzepatide sublingual drops at $229, flat at every dose, with anti-nausea support included free for the first two months. The catch is a real one and it is not hidden in the small print so much as split across two pages. The weight page promises no membership and one all-in price; the Terms you actually agree to describe membership plans, recurring charges, and medication billed separately on top. Get which one applies to you in writing before you subscribe.
Compounded semaglutide at $149 a month and tirzepatide at $279, flat across every dose the site lists, from a women's clinic that treats weight as one lane among hormones, perimenopause, gut and skin rather than the whole product. There is a genuine 2.5mg microdose tirzepatide line at $249, which is worth reading twice: it costs only $30 less than the full-dose plan. The prices are on open pages with no quiz in the way, and the BMI floor of 27 is stated up front. Two things to know before you commit. Its own semaglutide page describes the same plan as both month-to-month and four-week, so ask which one your card is on. And the cancellation page linked twice in the top navigation is completely blank.
RegenCen is a Michigan and Florida clinic group built around menopause and hormone care, and its weight-loss programs put semaglutide or tirzepatide alongside lab work, hormone testing and regular check-ins, in person or by video. The consult is free. The price is not: nothing is published, so you learn what a program costs only at that consult. Its packages also bundle NAD+ and vitamin 'metabolism' injections with the GLP-1, which can raise the bill for extras the medication does not need. Outside Michigan and Florida it cannot treat you.
The pelvic-floor brand that a lot of women already own a set of Kegel weights from, now offering compounded semaglutide and tirzepatide through a telehealth partner. Its public page promises plans 'as low as $169/MONTH' but shows no actual price for either medication — those appear only once you start the intake. And it carries an FDA warning letter from September 2025 about this drug line specifically, which it does not mention anywhere on its own site.
Ivim Health is one of the more hands-on GLP-1 programs we have looked at, with weekly app check-ins, dose changes from a board-certified provider, unlimited visits, functional health coaches and a women's hormone program, plus brand-name Wegovy or Zepbound through insurance. The price is lower than it first looks only if you commit. Compounded semaglutide works out to about $150 a month and tirzepatide about $208 on a six-month program, once the required $74.99 monthly program fee is added, and the shorter one-, two- and four-month programs cost more. There is no month-to-month option, and once a program starts it cannot be canceled. Ivim also carries a February 2026 FDA warning letter because labels on its site implied it compounded the medication itself. Compounded care is not offered in every state, and no list is published.
A same-day-provider-access platform offering compounded tirzepatide from $189/mo and brand-name Zepbound from $445/mo, with prices that step up by dose. Semaglutide is no longer on the menu in any form. It claims provider availability daily from 9am to 10pm EST, but its parallel women's-hormone menu runs alongside a GLP-1 program that never once mentions pregnancy, breastfeeding, postpartum care, or PCOS.
LegitScript-certified and available in all 50 states, with compounded semaglutide at $149 a month while your dose is built up and $199 a month at maintenance, and compounded tirzepatide at $249 then $299. Plan your budget around the maintenance figure, since that is the price you settle on. It also sells a needle-free liposomal semaglutide liquid at $299 a month and separate microdosing programs billed by the quarter — but it's a broad IV-therapy-and-hormone platform first.
Compounded semaglutide at $179 a month and tirzepatide at $255, the same price at every dose, or $149 and $215 a month if you pay every three months. It also lists a microdose line from $129 and a dissolving oral tablet from $169. The number to ignore is the one it leads with: 'Starting at $99/mo' runs across every page, and no GLP-1 on the site costs $99 — the $99 belongs to its NAD+ nasal spray. And it names no company anywhere — no LLC, no address, nothing in the terms or privacy policy.
We read the part of each record that describes what a provider offers and kept two kinds of match. The stronger one is menopause or perimenopause care named outright. The other is a woman's hormone named on the menu: estradiol, estrogen, progesterone, Biest, or hormone therapy described as being for women.
A plain “HRT” line did not count. Several wellness menus list it next to testosterone and other add-ons without saying whether it treats menopause, and we will not guess. The order runs partners first, then menopause care named, then the Editors' Rating.
Midi Health is staffed by menopause specialists and suits an insured woman. Evernow puts brand GLP-1s and a broad hormone formulary on one plan; read its billing terms before prepaying. Kina is a menopause clinic that publishes cash prices. Lower down are broader women's-health catalogs where hormones and weight share one account but menopause is one lane among several.
| # | Provider | From | States | Rating |
|---|---|---|---|---|
| 1 | Allara Health | See review | 45 states | 83 · B |
| 2 | Midi Health | $165.9/4 wk | All 50 states | 80 · B− |
| 3 | WeightWatchers Clinic | See review | See review | 78 · C |
| 4 | Maven Clinic | See review | See review | 74 · C |
| 5 | Alloy | $169/mo | See review | 73 · C |
| 6 | MD Total Wellness | $299/mo | See review | 70 · C |
| 7 | Nurx | See review | See review | 70 · C |
| 8 | Weightstry | $249/4 wk | 49 states | 68 · C |
| 9 | Steady State Health | $259/mo | See review | 67 · C |
| 10 | Evernow | See review | All 50 states | 64 · C |
| 11 | GobyMeds | See review | See review | 64 · C |
| 12 | Hone Health | See review | See review | 61 · C |
| 13 | Defy Medical | See review | See review | 60 · C |
| 14 | Gaya Wellness | $399/mo | See review | 58 · C |
| 15 | Alan Meds | $315/mo | See review | 55 · C |
| 16 | Hormonally Balanced | See review | See review | 53 · C |
| 17 | Kina | $199/mo | See review | 53 · C |
| 18 | NuBloom | See review | 49 states | 53 · C |
| 19 | RegenCen | See review | See review | 52 · C |
| 20 | Intimate Rose | See review | 49 states | 44 · C |
| 21 | Ivim Health | See review | See review | 59 · C |
| 22 | NavioMD | $189/mo | 48 states | 58 · C |
| 23 | Ivologist | $149/mo | All 50 states | 52 · C |
| 24 | Zera Health | $179/mo | See review | 46 · C |
Of the 353 providers we score, 24 offer menopause care or prescribe a woman's hormone such as estradiol or progesterone alongside the GLP-1, and 4 show both. CoreAge Rx is a featured partner, and providers we work with may appear first. Scores are our own. Within each group, providers that name menopause care come before those that list only a hormone, then the Editors' Rating decides.
Not directly. GLP-1s are weight medicines; they are not a treatment for hot flashes, night sweats or the sleep loss that comes with them. Hormone therapy is the treatment most often used for those symptoms. Some women want both, which is the case for a provider that can manage the weight and the hormones together rather than in two separate apps.
Many women do, and they are prescribed for different reasons. The practical questions are who is watching both, how doses are adjusted, and whether your clinician knows your history with clots, migraines or breast cancer, which matter for estrogen. A provider holding both prescriptions in one chart can answer those questions; two unconnected services cannot.
Several things stack up at once: muscle declines with age, body fat tends to shift toward the waist as estrogen falls, and poor sleep makes appetite harder to manage. None of that means a GLP-1 works less well, but it does mean protein, strength training and sleep deserve as much attention as the dose.
Some do. 12 of the providers on this board can prescribe FDA-approved brand medication, which some plans cover, while 11 publish a cash-pay price we can quote. Hormone therapy is often covered separately from the weight medicine, so ask about each one.
Read is it harder to lose weight on HRT? and muscle loss and the body underneath. If PCOS is part of your history, the PCOS board uses a different rule. Nothing here is medical advice, and hormone therapy is a decision for a clinician who knows your history.
Keep exploring
Each board answers a different mother's situation. CoreAge Rx is a featured partner, and providers we work with may appear first.