Dr. Matthew Weiner & Zoe Schroeder discuss whether or not you cab still get compounded GLP-1 medications? Plus, microdosing Ozempic & the best diet for long-term success

The End of Compounded GLP-1 Medications

If you’ve been using compounded versions of semaglutide (Ozempic, Wegovy) or tirzepatide (Mounjaro, Zepbound), the changes that we’ve been discussing for the last year are final here. Due to patent enforcement by Eli Lilly and Novo Nordisk, compounded semaglutide is officially banned from 503A pharmacies as of April 22, 2024, and from 503B pharmacies by May 22, 2024. For tirzepatide, the ban has already taken effect—February 18, 2024, for 503A pharmacies and March 19, 2024, for 503B pharmacies.

Without compounded versions, patients now face increased costs and limited access. Some may turn to black-market sources, but this poses serious safety risks. These medications must be sourced from legitimate, regulated pharmacies to ensure they are effective and safe.

Microdosing Ozempic: A Growing Trend?

As the cost of GLP-1 medications continues to rise, some people are experimenting with microdosing Ozempic—taking doses well below the standard starting level. Instead of the typical 2.5 mg starting dose for Mounjaro/Zepbound, individuals are using as little as 0.5 mg or 1 mg.

Microdosing may help reduce food noise, control cravings, and maintain some benefits of GLP-1 medications at a fraction of the cost. It’s also being explored for its potential role in reducing alcohol consumption and even lowering the risk of dementia. While more research is needed, many people are finding that a small dose is enough to help them stay on track.

For patients struggling with access to full-dose GLP-1 medications, microdosing or low-dosing combined with a structured nutrition plan may be a viable alternative. However, you should always consult with your healthcare provider before making any changes to your medication regimen.

The Pound of Cure Platinum Program

To help you get access to expert weight loss care, and GLP-1 medications in the most cost-efficient way possible, we created the Pound of Cure Platinum Program.

Our program allows most patients to save at least 50% (and often more) off the cost of their GLP-1 medications. Our program allows you to use real GLP-1 medications (not compounded), and takes advantage of inefficiencies in our medication pricing system.

The Platinum Program allows you unlimited access to Dr. Weiner and Zoe to ensure that your medications are prescribed to maximize weight loss efficiency and minimize side effects. You can meet with Zoe as often as you’d like to ensure that you’re also making the important nutritional changes necessary for long term success and comfort.

The Pound of Cure team will be fully dedicated to your success and do everything possible to help you change your lifestyle and obtain any medications necessary in the safest and most affordable way.

The Pound of Cure Platinum Program Includes

Unlimited visits and portal messages with Dr. Weiner without additional copays or charges
Unlimited group and individual sessions with Zoe
Any prescriptions necessary and guidance on how to reduce your prescriptions costs
Access to our insurance concierge service for GLP-1 medication coverage if you want to use your insurance
Access to the Pound of Cure Weight Loss app that includes Sage, an AI dietitian trained to create meal plans and recipes based on your food preferences
Access to our unique caloratio food logging system

Pricing

It’s simple. Get started with a $75 consult. No surprises. No commitment if you decide not to continue.

Your Initial Consultation Includes:

Your visit with Dr. Weiner
Review of medical history
Personalized treatment plan
Credit towards your program fee if you choose to continue
No surprise bills

If You Choose To Move Forward:

$129/month for the first six months and then $59/month
Most patients are able to access GLP-1 medications for between $150-$300/month
$99 rejoin fee for past members
Cost does not include medication

Long-Term Effects of Ozempic & Other GLP-1 Medications

A recent study published in Scientific American found that most people stop Ozempic within two years. The main reason? Cost. Insurance coverage for GLP-1 medications has been unpredictable, with many plans tightening restrictions or removing coverage entirely. But what happens when people stop taking these medications? The data shows that some weight regain is inevitable, but it’s not always a complete reversal. Many patients maintain at least a small percentage of their weight loss, especially if they have built strong nutrition habits while on the medication. Another key takeaway is that GLP-1 medications are a treatment, not a cure. Just like blood pressure or diabetes medications, they work as long as you take them. Stopping them without a plan in place to manage food noise and metabolic changes will likely lead to weight regain. However, there is hope. Some patients find success with a lower maintenance dose instead of stopping completely. This strategy helps control hunger while reducing costs and potential side effects. The key is to work with your doctor to find the right approach for you.

The Best Diet for GLP-1 Medications

Whether you’re actively using a GLP-1 medication or transitioning off of it, your diet plays a crucial role in your success. The Metabolic Reset Diet is the best approach for those on these medications because it supports your body’s natural hunger and satiety signals. The focus is on high-volume, fiber-rich foods that fill you up without triggering a metabolic slowdown. Here’s what you should emphasize:

Vegetables: The foundation of your meals—leafy greens, cruciferous veggies, and other high-fiber options.
Fruits: Low-sugar options like berries and citrus.
Legumes & Beans: Great sources of plant-based protein and fiber.
Nuts & Seeds: Healthy fats that keep you full longer.
Lean Animal Proteins: Chicken, fish, turkey, and eggs.

By focusing on these foods, you create an environment where your body naturally regulates hunger, reducing the chance of weight regain if you stop the medication. It also prevents the trap of relying on portion control alone, which rarely works long term.

How We Can Help

If you’re navigating the changes in GLP-1 medication availability or looking for ways to maintain your weight loss, we have resources for you:

We offer strategies to reduce costs for legitimate GLP-1 medications—no compounded versions, just real, affordable options.
Our comprehensive nutrition program is designed for those on or off GLP-1 medications to help manage food noise and maintain weight loss.
We’re launching a new AI-powered app that provides meal plans, recipes, and tailored advice for your weight loss journey.

Want to learn more? Join our free webinar on March 24th, where we’ll dive deeper into these topics and answer your questions. Click here to register.

The Future of Weight Loss Medications – Can you still get Compounded GLP-1s?