Fella is the rare provider where the clinical wrapper is the product and the medication is the component, rather than the other way round.
Lab work is free, drawn locally or at home where needed, with existing results from the past 24 months accepted. NBHWC-certified health coaches hold one-to-one video calls every two weeks, with text and email between. Sleep, nutrition and exercise programming runs alongside.
Against a market where OrderlyMeds requires no bloodwork at all and CoreAge Rx publishes no lab requirement, a provider that pays for your labs and then actually reviews them with you every fortnight is operating a different model.
The price nobody will state
'Less than $10 per day for everything' is the most specific published figure. That implies something under about $300 a month, which would put Fella in the same band as Eden's effective $298 and Measured's $268 — but implication is not disclosure, and the range beneath $300 is wide.
What else is published
Men only. It participates in no public or private insurance including Medicare and Medicaid and carries a prominent 'NOT HEALTH INSURANCE' disclosure, but accepts HSA and FSA funds with superbills provided — some plans requiring a letter of medical necessity — and supports splitting payment across multiple cards.
Either party may terminate at any time on thirty days' written notice, and memberships auto-renew each term. Membership fees are non-refundable outside the guarantee. It also runs a branded Zepbound route fulfilled through LillyDirect at the manufacturer's own prices, and a microdose tier it labels honestly as not for weight loss.
Your muscle-protection numbers
Weight lost on a GLP-1 is not all fat. Protein intake and resistance training are the two levers with the best evidence behind them. Set your weight to see the targets.
Daily protein target
120–200 g
Roughly 30 g at each of four eating occasions gets you to the bottom of that range.
Resistance training
2–3 ×/week
Full-body sessions covering legs, push and pull. Loaded movement is the signal that tells your body to keep the muscle.
General nutrition and activity information, not medical advice. Protein targets can be inappropriate in kidney disease and some other conditions — check with your clinician before changing your intake.
What compounded tirzepatide actually is
Tirzepatide is the active ingredient in Mounjaro and Zepbound, both FDA-approved products from Eli Lilly. Unlike semaglutide, it acts on two receptors — GLP-1 and GIP — which is the basis for the larger average weight reductions seen in its trials. A compounded version is prepared by a pharmacy and is not FDA-approved or FDA-evaluated.
Compounded tirzepatide is consistently more expensive than compounded semaglutide, typically by $50 to $100 a month. That gap is real and reflects the raw material, so a provider pricing them identically is worth a question rather than a celebration.
Dosing usually starts at 2.5 mg weekly and escalates in 2.5 mg steps. As with semaglutide, dose-flat pricing is worth substantially more than a low starting price, because the starting dose is not the dose most people end up on.
Side effects mirror semaglutide's — predominantly gastrointestinal, worst after dose increases — though some patients report tirzepatide is better tolerated at equivalent efficacy. That is an individual matter and not something a telehealth intake form can predict for you.
Before you buy from anyone
- Get the total monthly cost in writing — medication plus any membership, not the headline figure.
- Ask whether the price changes as your dose increases. This is where most of the money is lost.
- Ask which pharmacy compounds it, and whether it is a 503A or 503B facility.
- Confirm what happens if you stop after one month, and whether there is an auto-rebill.
- Ask whether a refund is available if a provider declines to prescribe.
- Tell the prescriber every medication and supplement you take, including anything bought online.