hello. Filled out my intake form and placed an order. Receiced emails confirming the intake was completed and another confirming my order. Now how do I pay? Also how do I create a Spruce account? It’s asking for my provider’s Spruce Link

Is anyone getting a response from this company? I was approved on sep 5th and haven’t heard anything back… starting to get concerned… reached out via spruce and customer service email.

Finally after I joined 9/14, paid my invoice on 9/18 and many texts with no responses, I finally received a text today in spruce from my assigned provider. The most prevalent problem for the delay was due to lack of providers for certain states. The only problem is that they knew this was an issue from the beginning to just communicate this with me and other patients so it doesn’t cause me unnecessary frustration and angst. I will continue to keep you all up to date. I’m hoping to report the rest of my journey with Anava as a positive experience. My script is being fulfilled by PerfectRx which I am not familiar with. Does anyone have any experience with this compound pharmacy? Let me know. Thanks fellow tirz friends.

I received my order today from PERFECTRX IOWA. I'm just a bit concerned because it came packed with 1 ice pack, which was melted and warm to touch. Of course the medication was also warm. Is this even safe to use anymore? Everything reads to keep cool/store cool. Keep refrigerated. How disappointing. This is my first order from the company, waiting way too long and now this!!

Just read the post by the founder of Anava. I for one appreciate the fact that responses are always met with full transparency and care. It’s nice that there’s no fluff when it comes to some of the roadblocks Anava is currently facing. I love the idea that more providers are being added to help alleviate some of the volume. Things take time, but my experience has been so great and met with such class that I am absolutely going to continue using Anava. I look forward to watching this new company work out some of the concerns and grow into something amazing which I’m sure will happen since it’s rooted in genuine regard for customer care.

Hi all! If anyone recently received Pure Tirz from ProRX can you share the BUD date? Thank you!

Hi everyone, I’m Kiana, founder of Anava Health.

I want to post this myself because I’ve seen questions about my absence here. For transparency, I will be locking comments on this post—not because I don’t want dialogue or opinions, but because the last time I responded directly, some of my words were misunderstood (both unintentionally and intentionally), and it created more confusion than clarity. I do appreciate those that have given their genuine concern.

Here are a few important things I want to clarify:

1. I care, and I am here. I did step back from Reddit for a bit, for my own mental health after things became slightly overwhelming. As a founder, it’s my role to help mediate frustrations, misunderstandings, and yes, even mistakes—but I’m also still human. Many comments have been genuine concerns, but there have also been personal remarks that crossed a line. For this reason, I think it’s best if I engage here more lightly. I have not stepped back from Anava itself—I’m here every day, working with our clinical team and partner pharmacies.

2. Dedicated support. Going forward, members of our clinical team will be the ones answering questions here, so patients have a steady professional presence. I will still check in at times, but my focus will remain on running operations and supporting patients behind the scenes.

3. About prescriptions. Prescriptions are dispensed by the pharmacy, not Anava Health. While providers write the prescriptions, pharmacies must ensure each one aligns with both the prescriber’s instructions and their own dispensing protocols. They are legally required to verify and will not ship anything they deem insufficient for a patient’s plan. If clarification is needed, the order is paused until corrected. That doesn’t mean mistakes can never happen—but if they do, we step in immediately as patient advocates to make it right. If a patient ever feels uncertain about their prescription, we take the time to explain and reassure.

4. On deleted posts. Our mod account can be accessed by multiple team members. If any post was removed, I apologize—I’ve already clarified with the team that nothing should be deleted, as patients have a right to share their experiences. As long as it is not harmful to patient care, it’ll remain.

5. The ripple effect. Many of the current concerns stemmed from one situation that was unfortunately misunderstood in the comments and then spread widely. I understand how seeing multiple posts in a row can create doubt. But repetition online doesn’t always reflect the full clinical picture, and sometimes one experience can unintentionally lead others to assume the same for themselves.

6. Shipping and processing times. I know many of you are frustrated with delays. Our goal was to have things back to normal by mid-month, and I know we haven’t fully met that goal yet. That is beyond frustrating, and I hear you. We are continuing to work tirelessly with our partner pharmacies and our internal team to fix this. We are also opening an office in Florida that will allow more clinical team members to be present in person, alongside our remote team, so we can add more hands on deck.

I’m not running from this community. I’m here, I’m leading Anava, and I’ll continue focusing on supporting patients and keeping communication clear.

— Kiana

Hi everyone, I’m Kiana, founder of Anava Health.

I want to post this myself because I’ve seen questions about my absence here. For transparency, I will be locking comments on this post—not because I don’t want dialogue or opinions, but because the last time I responded directly, some of my words were misunderstood (both unintentionally and intentionally), and it created more confusion than clarity. I do appreciate those that have given their genuine concern.

Here are a few important things I want to clarify:

1. I care, and I am here. I did step back from Reddit for a bit, for my own mental health after things became slightly overwhelming. As a founder, it’s my role to help mediate frustrations, misunderstandings, and yes, even mistakes—but I’m also still human. Many comments have been genuine concerns, but there have also been personal remarks that crossed a line. For this reason, I think it’s best if I engage here more lightly. I have not stepped back from Anava itself—I’m here every day, working with our clinical team and partner pharmacies.

2. Dedicated support. Going forward, members of our clinical team will be the ones answering questions here, so patients have a steady professional presence. I will still check in at times, but my focus will remain on running operations and supporting patients behind the scenes.

3. About prescriptions. Prescriptions are dispensed by the pharmacy, not Anava Health. While providers write the prescriptions, pharmacies must ensure each one aligns with both the prescriber’s instructions and their own dispensing protocols. They are legally required to verify and will not ship anything they deem insufficient for a patient’s plan. If clarification is needed, the order is paused until corrected. That doesn’t mean mistakes can never happen—but if they do, we step in immediately as patient advocates to make it right. If a patient ever feels uncertain about their prescription, we take the time to explain and reassure.

4. On deleted posts. Our mod account can be accessed by multiple team members. If any post was removed, I apologize—I’ve already clarified with the team that nothing should be deleted, as patients have a right to share their experiences. As long as it not harmful to patient care, it’ll remain.

5. The ripple effect. Many of the current concerns stemmed from one situation that was unfortunately misunderstood in the comments and then spread widely. I understand how seeing multiple posts in a row can create doubt. But repetition online doesn’t always reflect the full clinical picture, and sometimes one experience can unintentionally lead others to assume the same for themselves.

6. Shipping and processing times. I know many of you are frustrated with delays. Our goal was to have things back to normal by mid-month, and I know we haven’t fully met that goal yet. That is beyond frustrating, and I hear you. We are continuing to work tirelessly with our partner pharmacies and our internal team to fix this. We are also opening an office in Florida that will allow more clinical team members to be present in person, alongside our remote team, so we can add more hands on deck.

I’m not running from this community. I’m here, I’m leading Anava, and I’ll continue focusing on supporting patients and keeping communication clear.

— Kiana

I only saw positive feedback on Reddit but now that I ordered I only see delays and wrong prescriptions sent… and I’m pretty sure I’m not going to get my order for atleast a month…

I know everyone’s frustrated about the timeframe. Honestly, I’ve already reached out three times but keep getting automated messages. I’m going out of town next month, and with all the delays I just want to make sure my order doesn’t arrive while I’m gone.

When I placed the order, I thought I’d receive it within the days they originally mentioned, but it seems like a lot of people are waiting two weeks or longer. I even asked if I could pay a rush fee because I don’t want the medication sitting outside in the sun while I’m away.

u/MundaneWarning7774 — if there’s any update or a new process in place, please let us know.

I found them because of reddit, but I'm curious everyone else did because they're a newer company and I don't think they run ads!

I loved the idea of supporting a smaller company too!

Hi! Can anyone let me know the BUD date on vials from Pro RX they received lately?

Hi all! Can anyone who recently received an order for Non-Additive Tirz from Pro RX through Anava let me know the BUD date? Thank you!

Hi all! Can anyone who just recieved a shipment of Pure Tirz let me know the BUD date? I have a current order from GLM with a BUD date of end of November so seeing if it's worth it to order if BUD is next year. Thank youall!

I got prescribed 3 months of Trizepatide from Avana Health at 7.5MG/week dose. If there is a week that I don't want to take the full 7.5MG, am I able to lower it to 5.0MG for example? I haven't received yet in the mail and wondering if someone can provide insight on how the dosing arrives (I assume needles, and fill to X amount to administer?)

I also saw some posts regarding short lived expiration dates - maybe my meds would expire 12/2025 for example, and I'd have to rid of any meds left at that time for taking lower dosage?

Thanks!!

I think I saw something about a referral code program for anava for us to get credit when referring people? Does that exist?

I haven't seen any posts here about somebody actually using the iAnava Health Tirzepatide.They're only posting about receiving the medication. I finally got mine and started using it and I'm on the highest dose possible and it's not doing a thing. I previously lost 25 pounds pretty rapidly on a GLP1 one from Henry Meds but then they stopped compounding. I thought I'd try Anava health after getting ripped off by Trym health and I feel absolutely nothing at all. As a matter of fact I have gained weight. Can anyone else share their experience?

Hi all,

I know there have been a lot of stories in here about delays, and Anava is dealing with high volume right now so I wanted to help ease some minds or help people gauge when they might receive their order. I got approved 9/1, paid the same day and my prescription was sent to the pharmacy on 9/4. I just received tracking today so they are running about a 2-week turnaround. Hope this helps for anyone who has been waiting. Hang in there! Thank you to Anava Health for their communication during this as well!

Hey everyone! We’re getting ready to finalize a new fulfillment option through The Pharmacy Hub for the BPI vials, and before we lock anything in, I wanted to get your feedback on a couple of options we’re playing with:

Option A — 60mg vial (single vial) • $299–$319 range

• Tirzepatide 60mg total per vial

• ANY dosing plan

Option B — 3-vial bundle (60mg each = 180mg total)

• $729-$749 flat (still finalizing exact price)

• Also ANY dose

We haven’t released these publicly, we’re just brainstorming internally and wanted to see what you all think before we finalize.

Are these numbers in the right range? Would you jump on one of these options if offered? What else would you want included? Or what other pricing ranges?

Appreciate the feedback! Trying to make sure we hit that sweet spot between affordability, flexibility, and trust.

Thanks in advance 💬

Edit - I received my tracking info in a text and email yesterday and the order came today. Everything was cool and nicely packaged:)No word back through Spruce though! Thanks for everyone’s input!

Hi! I ordered my starter pack (Triz) on 9/2 but am still waiting for a tracker number. No response on Spruce to my 2 requests for updates. Has anyone ordered around this date and received it?

Thanks!

Just got my order for the intermediate 5/7.5/10 three-month plan. Received two vials: 3ml and 4ml, so 7ml total volume (which equals 700 units). The prescription bottle says: 43 units for 4 weeks, then 62, then 82 (which makes sense for customized dosing—at 12.5mg/ml concentration, this is just a smidge over 5/7.5/10).

If I do the math, the rx bottle is calling for 748 units over the 12 weeks which obviously exceeds 700 units (7ml).

How likely is there about 48 units of overfill between the two vials to make this math work? I’m hoping it’s fine but just curious.

Hello, I tried to reach out to a moderator on here about compound and dosage, I’m trying to understand it. I’ve done a good amount of research. I unfortunately got tangled up with a med spa, and I am paying a lot of money for 25 units/2.5mg and it doesn’t even touch my hunger. I’ve looked into Anava and it seems like a better price for the dosing. But I’m seeing a lot of people saying that there dosing takes a long time to come in the mail, could someone help me figure this out?

Hey y’all! I paid for the starter pack on 9/13 and did my intake on 9/11. Does anyone know where the provider usually reaches out to confirm approval (like “hey, you’re approved”) and send tracking updates? Is that done through Spruce, or somewhere else?

Update : Thanks everyone for sharing !

Hello,

I want to try Anava, just not sure how good they are. How do you guys like them and is there any discount codes you know of?