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Reviewed by a licensed provider

Prescription required

Weight care, guided by licensed providers.

Start with a short online assessment. If an independent licensed provider decides it's right for you, compounded semaglutide is prescribed and shipped to your door from a licensed U.S. pharmacy.

See if you qualify How it works

Prescription required. A provider decides whether treatment is appropriate; a prescription is not guaranteed. Compounded medications are not FDA-approved.

Our treatment

Prescription required

Compounded Semaglutide

Weekly injection · GLP-1 medication · From $199/mo

  • 1 month$249Renews monthly, cancel anytime
  • 3 months$657Billed every 3 months ($219/mo), cancel anytime
  • 6 months$1,194Billed every 6 months ($199/mo), cancel anytime

Prescription required. Your card is pre-authorized at checkout and only charged if a licensed provider prescribes treatment. If not, the hold is released and nothing is sent.

  • Dosing set and adjusted by your provider
  • Prepared and shipped by a licensed U.S. pharmacy
  • Ongoing access to your care team
Start your assessment Important Safety Information

Used together with a reduced-calorie diet and increased physical activity. Individual results vary.

How it works

Care, start to finish.

  1. Step 1

    Online assessment

    Answer a short medical questionnaire about your health history, goals and current medications. It takes about 10 minutes.

  2. Step 2

    Provider review

    An independent licensed provider reviews your answers and decides whether treatment is appropriate. Some states require a live video visit.

  3. Step 3

    Prescription & pharmacy

    If you are approved, your prescription is sent to a licensed U.S. pharmacy, which prepares and ships it to you.

  4. Step 4

    Ongoing support

    Message your care team with questions, and contact our support team about orders and billing.

Who is involved

Care you can check.

A clinician reviewing a patient assessment on a tablet

Licensed U.S. providers

Independent clinicians affiliated with ZiraMedical review every assessment and decide whether treatment is appropriate.

A pharmacist packing a prescription order for shipping

Licensed U.S. pharmacies

NABP-accredited, LegitScript-approved pharmacies prepare and ship each prescription.

Read our terms, telehealth consent and refund policy before you start.

Questions

Before you start.

Who is this for?

Adults 18 and older who want medical help with weight management. A licensed provider decides whether semaglutide is appropriate for you based on your health history. Treatment is not right for everyone.

Is compounded semaglutide FDA-approved?

No. Compounded medications are prepared by state-licensed pharmacies for individual patients and are not approved or reviewed by the FDA for safety, effectiveness or quality. They are not the same as brand-name products such as Ozempic® or Wegovy®.

Do I need a prescription?

Yes. Semaglutide is prescription-only. Completing the assessment does not guarantee a prescription.

What if a provider does not approve me?

Your payment method is pre-authorized at checkout and only charged if a licensed provider prescribes treatment. If a provider decides treatment is not appropriate, the hold is released, you are not charged and no medication is sent.

Where is Trumino available?

Patients in all 50 states and Washington, DC. Seven jurisdictions require a live consultation before treatment. See the full list below.

What are the side effects?

The most common are nausea, vomiting, diarrhea, constipation and stomach pain. Semaglutide also has serious risks, including a boxed warning about thyroid C-cell tumors. Read the Important Safety Information before starting.

Start with a short online assessment.

About 10 minutes. A licensed provider decides whether treatment is right for you.

See if you qualify

Important Safety Information

Semaglutide may cause thyroid C-cell tumors. In rodent studies, semaglutide caused thyroid C-cell tumors, including cancer; it is not known whether it causes these tumors, including medullary thyroid carcinoma (MTC), in people. Do not use semaglutide if you or a family member have had MTC, or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Serious side effects can include pancreatitis, gallbladder problems, low blood sugar, kidney problems, serious allergic reactions, vision changes and depression or suicidal thoughts. The most common side effects are nausea, vomiting, diarrhea, constipation and stomach pain.

Read the full Important Safety Information