Question 1

Am I eligible for GLP-1 treatment?

Accepted Answer

A licensed provider decides that after reviewing your online intake. Start the intake to find out. Do not submit health information through this marketing site.

Question 2

How does the whole process work?

Accepted Answer

You complete a short online intake on our patient platform. A licensed provider reviews it and decides whether a prescription is appropriate. If one is prescribed, a pharmacy fills it. Do not submit health information on this marketing site.

Question 3

Do I need to talk to a clinician on video?

Accepted Answer

Sometimes. Some states require a video or phone visit, and a provider may ask for one after reviewing your intake.

Question 4

How fast can I start?

Accepted Answer

You can start your online intake today. How long the provider's review and delivery take varies, and we do not publish a timeframe we cannot stand behind.

Question 5

What if I don't qualify?

Accepted Answer

A licensed provider decides whether a prescription is appropriate for you. What happens to your payment if you are not prescribed is set out in the patient platform's terms, shown before you pay.

Question 6

Is Leland available in my state?

Accepted Answer

Treatment availability has not been published for Leland's future patient journey. Leland will publish confirmed state availability with enrollment details.

Question 7

Can I use Leland if I'm already on a GLP-1 from another provider?

Accepted Answer

Do not submit medication or health information through this website. A future approved care journey will explain how treatment history is handled.

Question 8

Is this the same as Ozempic® or Wegovy®?

Accepted Answer

Our injectable semaglutide is a compounded medication — not the brand product, and not FDA-approved. Discuss whether compounded or brand-name treatment fits you better with a qualified clinician.

Question 9

What does "compounded" actually mean?

Accepted Answer

A compounded medication is prepared by a pharmacy under the applicable Section 503A or 503B framework of the federal FD&C Act. Compounded drugs are legal, but they are not FDA-approved and the FDA doesn't review them for safety, efficacy, or quality.

Question 10

What are the most common side effects?

Accepted Answer

Nausea, vomiting, diarrhea, constipation, stomach pain, fatigue, and headache can occur with GLP-1 medicines, especially when starting or increasing a dose. Discuss side effects with a qualified clinician.

Question 11

What are the serious risks I should know about?

Accepted Answer

GLP-1s carry a boxed warning for thyroid C-cell tumors seen in rodents, and risks including pancreatitis, gallbladder disease, kidney problems, and low blood sugar. Don't use them with a personal/family history of medullary thyroid carcinoma or MEN 2, or while pregnant. Discuss your medical history and these risks with a qualified clinician before starting.

Question 12

Who should NOT take these medications?

Accepted Answer

Anyone with a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome, anyone pregnant, planning pregnancy, or breastfeeding, people with a history of pancreatitis, type 1 diabetes, prior serious allergic reaction to these drugs, and anyone under 18.

Question 13

Will these interact with my other medications?

Accepted Answer

Possibly. GLP-1s slow stomach emptying, which can affect oral medications — insulin and sulfonylureas raise low-blood-sugar risk, and tirzepatide can reduce oral birth control effectiveness. Discuss your full medication list with a qualified clinician before starting or changing treatment.

Question 14

What's the difference between semaglutide and tirzepatide?

Accepted Answer

Semaglutide activates one hormone receptor (GLP-1); tirzepatide activates two (GLP-1 and GIP). For injectable plans, tirzepatide currently costs more. Tirzepatide is not right for everyone; discuss options with a qualified clinician.

Question 15

What about the oral tablets?

Accepted Answer

Oral compounded GLP-1 tablets may be an option for some people. Absorption differs from injections and published weight-loss data is more limited. Discuss available options and risks with a qualified clinician.

Question 16

How much weight will I lose?

Accepted Answer

Results vary widely from person to person. The published trial figures come from the FDA-approved versions of these medications; compounded versions have not been studied in those trials, so those numbers do not transfer directly. A qualified clinician can discuss what is realistic given your history and goals.

Question 17

How does dosing work?

Accepted Answer

You start at a low dose and increase gradually — typically every 4 weeks — to minimize side effects. A prescribing clinician sets the titration schedule and adjusts it based on how you respond. Never change your dose without checking with them first.

Question 18

When will I start seeing results?

Accepted Answer

That varies, and the published timelines come from trials of the FDA-approved versions rather than compounded ones. A qualified clinician can tell you what to watch for, and when to check back in if nothing is changing.

Question 19

Do I have to inject myself? Does it hurt?

Accepted Answer

Injections are once weekly, subcutaneous (belly, thigh, or upper arm) with a very fine needle most patients describe as a small pinch. Ask the prescribing clinician or the dispensing pharmacist to walk you through the first one.

Question 20

What happens if I miss a dose?

Accepted Answer

It depends on which medication you were prescribed — the missed-dose window differs between semaglutide and tirzepatide, so follow the instructions on your medication label. If you are inside that window, take the dose and resume your normal schedule; if more time has passed, skip it and never double up. When you are unsure, contact your prescribing clinician before injecting.

Question 21

What happens when I stop taking it?

Accepted Answer

Appetite typically returns, and studies show most patients regain some weight after stopping — these medications treat a chronic condition, not a 30-day fix. A qualified clinician will discuss maintenance dosing, tapering, or lifestyle-only plans when you're ready.

Question 22

Will I need to change how I eat?

Accepted Answer

Adequate protein (to protect muscle), hydration, and regular movement are generally recommended alongside GLP-1 treatment. Ask a qualified clinician what dietary support is appropriate for you.

Question 23

How much does it cost?

Accepted Answer

Compounded semaglutide injections are $179 per 4 weeks, tirzepatide $249 per 4 weeks, and oral semaglutide tablets $199 per 4 weeks. Each is a starting price, billed every 4 weeks. Plans renew automatically until you cancel. You can cancel at any time up to 72 hours before your next billing date. What each price covers will be published once the care and fulfillment terms are confirmed.

Question 24

Are there hidden fees?

Accepted Answer

The listed price is for the plan shown. Exactly what a plan does and does not cover — visits, supplies, shipping, and cancellation terms — is shown on the patient platform before you pay.

Question 25

Does insurance cover this?

Accepted Answer

These are cash prices; Leland does not bill insurance, which is how the prices stay predictable. Brand-name GLP-1s through insurance can be cheaper if you have coverage — many insurers still exclude weight-loss medication entirely, so it is worth checking your plan.

Question 26

Can I use HSA/FSA funds?

Accepted Answer

GLP-1 treatment prescribed for a medical condition is generally an eligible HSA/FSA expense, though rules vary and your plan administrator is the one who confirms it. Whether Leland can accept those funds at checkout will be published once the payment details are confirmed.

Question 27

Why is this so much cheaper than Wegovy® or Zepbound®?

Accepted Answer

Compounded medications and brand-name products are priced on different bases, and the prices published here are the ones this site charges. The trade-off is that compounded drugs are not FDA-approved — we're upfront about that.

Question 28

Is there a money-back guarantee?

Accepted Answer

Refund and cancellation terms are shown on the patient platform before you pay. Prescription medication that has shipped generally cannot be returned by law.

Question 29

Will my price go up over time?

Accepted Answer

Medication pricing can depend on your dose, since higher doses use more medication. The prices listed here are the current published prices; any dose-based schedule will be published alongside enrollment details.

Question 30

Where does my medication come from?

Accepted Answer

Compounded medication is prepared by pharmacies licensed by the state they operate in, under the applicable 503A or 503B framework. The dispensing pharmacy's name and lot information appear on the medication label. Which pharmacies fill Leland prescriptions, and their testing practices, will be published once those partnerships are confirmed.

Question 31

How is it shipped? Does it need refrigeration?

Accepted Answer

Storage requirements depend on the exact product you are prescribed, so follow the storage instructions on your medication label and ask the dispensing pharmacist if anything is unclear — most injectable GLP-1s require refrigeration and most tablets do not. Packaging, carrier and delivery details will be published once the fulfillment terms are confirmed.

Question 32

How long does delivery take?

Accepted Answer

Delivery windows, tracking, and refill scheduling will be published once the fulfillment terms are confirmed.

Question 33

What if my package is lost, delayed, or arrives warm?

Accepted Answer

Don't use medication you suspect was heat-damaged, and contact the dispensing pharmacy right away — medication integrity comes first. Replacement terms will be published with the fulfillment details.

Question 34

Is the packaging discreet?

Accepted Answer

Packaging details will be published once the fulfillment terms are confirmed.

Question 35

Can I pick it up at a local pharmacy instead?

Accepted Answer

Compounded medication is prepared for one patient by the pharmacy that fills the prescription, so it is not something a local pharmacy stocks. How Leland prescriptions are dispensed and delivered will be published once the pharmacy and fulfillment terms are confirmed. A brand-name prescription, if one is written instead, can go to a local pharmacy.

Question 36

How do refills work?

Accepted Answer

Refill scheduling, check-ins before each refill, and how you change or pause a plan will be published once the care workflow is confirmed.

Question 37

How do I pause or cancel?

Accepted Answer

Plans renew automatically until you cancel. You can cancel at any time up to 72 hours before your next billing date. Pause terms, and how you exercise them, will be published with the rest of the plan terms.

Question 38

Can I change medications or doses mid-plan?

Accepted Answer

Dose adjustments and switching between medications are decisions your prescribing clinician makes with you. What those changes cost, and what is included in a plan, will be published once the plan terms are confirmed.

Question 39

What happens to my refills if I cancel?

Accepted Answer

What happens to scheduled refills after a cancellation, and what restarting later involves, will be published with the plan terms.

Question 40

Can I get a refund?

Accepted Answer

Prescription medication that has been dispensed and shipped cannot be returned to pharmacy stock or resold, so it cannot come back as a return. Leland's refund policy — including billing errors and failed shipments — will be published with the rest of the plan terms.

Question 41

How do I update payment, address, or personal info?

Accepted Answer

How you update payment, shipping and personal details will be published once the account tools are live. A name or date-of-birth correction touches your prescription record wherever you are treated, so it is always handled by a person rather than a form.

Question 42

Who are the medical providers?

Accepted Answer

Prescriptions are written by licensed clinicians — physicians and nurse practitioners — licensed in the state where you are located. They practise through an independent telehealth practice, not through Leland Health, and use their own professional judgment.

Question 43

Is my health information private?

Accepted Answer

This site is marketing information and does not collect health information. Your health information is collected on the patient platform, under the privacy policy and Notice of Privacy Practices presented there.

Question 44

Will this show up on my insurance or medical record?

Accepted Answer

Leland is cash-pay and does not bill insurance, so nothing is submitted to an insurer. How you access and share a copy of your treatment records will be published once the account tools are live — sharing them with your own clinician is something we encourage.

Question 45

Can I message my provider between refills?

Accepted Answer

For a medical emergency, call 911. What ongoing messaging with your care team includes, and how quickly you can expect a reply, will be published once the plan terms are confirmed.

Question 46

How do I get my medical records?

Accepted Answer

Under HIPAA, a patient has the right to a copy of their records from a covered health-care provider, and to have them sent to another provider — generally within 30 days of the request, with one 30-day extension permitted. How you make that request of Leland, and who holds which records, will be published with the Notice of Privacy Practices.

Question 47

Can my regular clinician be involved?

Accepted Answer

Please do involve them — clinicians generally want to know what else a patient is being treated with. How Leland shares a treatment summary with an outside provider, and how you authorize it, will be published with the privacy documents.

Questions, answered honestly.

Have questions before you start?

Ready to get started?

Questions, answered honestly.

Am I eligible for GLP-1 treatment?▾

How does the whole process work?▾

Do I need to talk to a clinician on video?▾

How fast can I start?▾

What if I don't qualify?▾

Is Leland available in my state?▾

Can I use Leland if I'm already on a GLP-1 from another provider?▾

Have questions before you start?

Ready to get started?