Semaglutide · Elixium telehealth
Semaglutide with actual medical care around it.
When prescribed, compounded semaglutide is paired with comprehensive labs, unlimited provider appointments, quarterly testing and ongoing treatment management.
Compounded GLP-1
From $28/month*
when prescribed
Elixium membership
$149/month
your care, billed separately
*Starting price at the lowest dose. Medication pricing varies by medication and dose. Treatment requires a provider evaluation and a prescription, and medication is prescribed only when clinically appropriate.
So what does the $149 membership pay for?
Elixium membership
$149/month
- 84+ marker annual CoreCheck+Your full baseline before anything is prescribed, then every year.
- Unlimited provider appointmentsDose questions, side effects, progress. No per-visit charge.
- Quarterly labsBuilt around what is being treated or retested.
- Provider messagingTypically answered within 24 hours on business days.
- Prescription managementStarted, reviewed and adjusted by your provider.
No contract · HSA/FSA accepted
Your medication, if prescribed
No markup on medications
You pay the pharmacy price, shipping included. Elixium takes no margin on medication.
Compounded GLP-1 (contains semaglutide)From $28/month*
Calculate your medication savingsCertain medications may be compounded. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality before marketing. Prescription medications are provided only when clinically appropriate following evaluation by a licensed healthcare provider.
Your membership pays for your care. We don’t need the prescription to be the profit center.
What semaglutide actually does
Semaglutide is a GLP-1 receptor agonist. It acts like GLP-1, a hormone your gut releases after you eat. Responses differ, which is why a provider prescribes and monitors it.
- 1AppetiteActs on appetite signaling in the brain.
- 2SatietyMay help you feel full sooner after eating.
- 3Gastric emptyingSlows how quickly the stomach empties.
- 4Glucose regulationSupports insulin release when blood sugar rises.
The prescription is the easy part.
What happens around it matters.
A 2026 JAMA secret-shopper study evaluated 49 websites offering GLP-1 medications.
- 91.8%
- issued a prescription.
- About 2 in 3
- required neither a video visit nor a phone call.
- Only 36.7%
- requested any patient-reported clinical value such as blood pressure, glucose, cholesterol or triglycerides.
Elixium is built differently.
Chetty AK, et al. JAMA. 2026;336(5):428-431. Secret-shopper study of 49 online GLP-1 websites.
Labs before and during treatment
The medication is only part of what we’re managing.
Not everyone needs the same intervention. Your provider simply has far more to go on than your weight.
| Before treatment84+ marker CoreCheck+ | During treatmentFirst quarterly labs | Every quarterReassessment | |
|---|---|---|---|
| Glucose / A1CGlucose, A1c | |||
| InsulinFasting insulin | |||
| LipidsApoB, triglycerides | |||
| ThyroidTSH, free T3 | |||
| Liver functionLiver enzymes | |||
| Kidney functioneGFR | |||
| Reproductive hormonesSex-specific | |||
| Nutrients / blood healthFerritin, vitamin D |
Illustrative. The full 84+ marker panel is annual. Quarterly follow-up labs are built around what is being treated or retested, and your provider decides what is measured.
Start with your 84+ marker CoreCheck+.
Body composition
The goal isn’t simply making the scale smaller.
Medical weight management should also consider what your body is made of and how it is working.
- Body composition
- Protein intake
- Resistance training
- Metabolic health
What treatment actually looks like.
- 1JoinA short intake to start your membership.
- 2Complete labs84+ markers, drawn at a Quest Diagnostics location.
- 3Meet your providerYour results and history, reviewed together.
- 4Treatment prescribed if appropriateOnly when it is clinically appropriate.
- 5Ongoing provider careAppointments and messaging as you need them.
- 6Quarterly labs + adjustmentsYour plan changes with your response.
Ready to take the first step?
A prescription doesn’t manage side effects, dosing or progress. Your provider does.
- Unlimited provider appointments
- Book as often as you need. No per-visit charge.
- Provider messaging
- Typically answered within 24 hours on business days.
- Ongoing treatment management
- One provider who knows your labs and how you’re responding.
Clinical care is delivered by Elixium Medical Physicians P.A.
Messages
Some nausea this week. Should I change anything?
That’s worth a quick appointment. Let’s talk it through before your next dose.
Representative view
Safety
Treatment requires a provider evaluation. It isn’t right for everyone.
This medication is not appropriate for everyone. Tell your provider if you or a family member has had medullary thyroid cancer or multiple endocrine neoplasia type 2, if you have had pancreatitis, or if you are pregnant, breastfeeding or planning a pregnancy.
Side effects, stated plainly.Most are digestive, most show up early, and your provider manages them with you.
Common, usually early
- Nausea
- Vomiting or diarrhea
- Constipation
- Feeling full sooner
Uncommon, tell us right away
- Severe or lasting stomach pain
- Signs of a gallbladder problem
- Dehydration that will not settle
- A lump or swelling in the neck
Most digestive effects settle as a dose is adjusted. That adjustment is a conversation with your provider, and it is included, with no charge per visit.
More than access to semaglutide.
- 84+ markers
- Unlimited appointments
- Quarterly labs
- Dedicated provider
- No medication markup
“They’ve been more than just a clinic selling a product. They’ve supported me through recovery and every step of achieving my health goals. They genuinely care about each patient and truly want to help.”
“The team has been amazing. They were always on top of things, responded quickly, and made the entire process easy. Grateful I found them.”
“The staff at Elixium are great. They take time to listen to my needs and tailor treatment to my goals. Alyssa is great, very knowledgeable and always learning so she has the most up to date information.”
Reviews are individual members’ own words as published on Google. Individual experiences and results vary; a review is not a promise of any particular outcome.
Join Elixium today.
Find care in your state
Telehealth membership is available in four states.
Available for telehealth
- Florida
- Illinois
- Montana
- Texas
Pennsylvania: waitlist only. No availability timeline.
Colorado: in-person care at our Arvada clinic, and telehealth for other areas of Colorado. Explore Colorado care options
Membership is available in Florida.
Continue to explore telehealth membership, or schedule a call with our team.
Membership is available in Illinois.
Continue to explore telehealth membership, or schedule a call with our team.
Membership is available in Montana.
Continue to explore telehealth membership, or schedule a call with our team.
Membership is available in Texas.
Continue to explore telehealth membership, or schedule a call with our team.
Pennsylvania is waitlist only.
Telehealth membership is not available in Pennsylvania. There is no availability timeline.
Online waitlist signup is unavailable. Schedule a Clarity Call to ask about the Pennsylvania waitlist. There is no availability timeline.
Colorado has its own care options.
In-person care is available at our Arvada clinic, and telehealth is available for people in other areas of Colorado.
Explore Colorado care optionsTelehealth is not available here.
Telehealth membership is available in Florida, Illinois, Montana and Texas.
View served statesQuestions, answered.
How much does compounded semaglutide cost?
If prescribed, Compounded GLP-1 (contains semaglutide) starts from $28/month at the lowest dose. Your price depends on your dose and is shown to you before anything is prescribed.
Is medication included in the $149 membership?
No. The membership covers your care. Medication, if prescribed, is purchased separately.
Why is the medication price separate?
They are two different things. The membership pays for testing and provider care. Medication is priced by the pharmacy, based on your dose.
What does no markup mean?
You pay the pharmacy price, shipping included. Elixium adds no margin on medication.
Do I have to use semaglutide if I join?
No. Your provider builds a plan from your labs and goals. Medication is one option, not a requirement.
What happens before it's prescribed?
You complete your 84+ marker CoreCheck+ and review the results and your history with your provider. Medication is prescribed only when clinically appropriate.
How often will I have labs?
Your full CoreCheck+ once a year, plus quarterly follow-up labs built around what is being treated or retested.
Can I meet with my provider if I have questions or side effects?
Yes. Appointments are unlimited with no per-visit charge, and you can message your provider. Replies typically come within 24 hours on business days.
Is compounded semaglutide FDA-approved?
No. Compounded medications are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before marketing.
Compounded Medication Disclaimer
Some medications discussed or prescribed through Elixium may be compounded medications. Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed.
Compounded medications may be prescribed when a licensed healthcare provider determines that a compounded preparation is appropriate for an individual patient's medical needs. The availability and appropriateness of any medication, including compounded medications, are determined by the treating provider and may vary based on the patient's medical history, clinical needs, and applicable state and federal requirements.
Information provided on this website is for general informational purposes and does not constitute medical advice or a guarantee that any particular medication will be prescribed. Prescription medications are prescribed only when clinically appropriate following evaluation by a licensed healthcare provider.
Semaglutide is the treatment. The membership is the care around it.
Compounded GLP-1
From $28/month*
when prescribed
Elixium membership
$149/month
your care, billed separately
84+ markers · Unlimited appointments · Quarterly labs · No medication markup
Calculate your medication savings*Starting price at the lowest dose. Medication pricing varies by medication and dose. Treatment requires a provider evaluation and a prescription, and medication is prescribed only when clinically appropriate.
Certain medications may be compounded. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality before marketing. Prescription medications are provided only when clinically appropriate following evaluation by a licensed healthcare provider.