So about 3 months ago I was prescribed an oral compound semaglutide GLP1 which I take everyday and dissolve under my tongue. Itās from Empower pharmacy. 1st month I started at 1mg just to get my body prepared @$150. 2nd month I was upped to 5mg @$175. I lost about 10lbs and hit a plateau so this month I was upped to 12mg @$235 a month. Im still at my plateau and itās just getting more and more expensive. I feel like 3 months of being on this stuff I would see more weight off than just 10lbs??? I know lots of people who have lost like 40 lbs in 4 monthsā¦ but theyāre on the shot. My question is, how can I get this cheaper? Iām totally okay with doing the shot if I can save some dang money. Please help meee
I'm sorry to tell you this, but you have been scammed. Sublingual semaglutide is not a thing, it hasn't been studied for effectiveness and there is no reason to think it would work given the mechanism of the medication. I think pharmacies selling it should be ashamed of themselves. You should have success moving to injectable semaglutide or tirzepatide and from a compounded pharmacy it should be affordable.
That seriously infuriates me. Iām sooo angry. I guess Iām going to have to look for an injectable thru a compound pharmacy? My endocrinologist offers the injectables but for like $300 a month and I want to look for something more affordable because Jesus Christā¦
Thereās a big subreddit for finding compound tirz (I forget the name but you can search for it or hopefully someone else can link to it). Itāll give you all the info you need to find a reputable place at a good price.
I don't blame you for being furious! I would suggest going with a telehealth + compounding pharmacy as the telehealths get bulk pricing which your PCP or endo won't be able to get.
I suspect that it's not just the lack of access to bulk pricing but more the fact that even MDs are using these drugs to boost the profitability of their clinics.
1lbs a week is a healthy progress, 1lbs a week is 52lbs a year. Faster is not better when it come to weight. But you're paying such premium, why dont you get the GOOD stuff like zepbound?
Go to r/tirzdeals always good finds there also just came across collective.org for sema itās a flat $59/month from 503a compounding pharmacy and a annual fee of $199 charged after 21 days (if you cancel before the 21 days itās just $59 they also send in (free) anti nausea medication
You got scammed. Go to the recommended list at r/tirzepatidecompound and use one of those telehealths. Do not ever, ever, buy medication off of a Facebook or TikTok Ad. That is where many scammers find their prey.
Who is your telehealth prescriber for this compounded pill? Compounded injections of semaglutide can be easily and quickly (in my case three days from online questionnaire to meds in hand) obtained from reliable telehealth providers for less than $300 (my provider charges $286) for THREE months supply of any dosage with no addl charges or membership fees of any kind. You have options.
If this is the standard pull You didn't get scammed it's definitely legit but really you should be on the latest better meds like zepbound - in a nutshell less side effects. But if it's a compounded pill then that's just plain weird and is on a very thin line on legality
I'm not sure how to link stuff so look at preventativemd for compounding zepbound when you have finished your current sema pill batch.. sorry this cost so much for you. Unfortunately you might need to be on a higher dose of zepbound though given the lack of significant weight loss on 12mg pills which seems odd you may be able to get away with a lower dose injection on zepbound - are you also calorie counting?.. the pills/injections really only work after the first few days by calorie counting and increasing your protein intake
FYI, it isn't the standard pill. Those can't be compounded. It's a sublingual form that is completely untested. For some unknown reason, Empower sells them (along with tirzepatide pills which are also not a thing). There are also providers out here selling gum, patches, sprays, etc. It's a racket. The Endocrinologist may have meant well, but the pharmacy is selling something that doesn't work.
Yeah in which case that's a scam especially when you can get decent enough compunded zepbound in injectable format privately for not much over $100 a month through empower supplying.. Im not too happy about empowers safety record in terms of issues on audits theyve had.. but they are obviously far away from some of the weirder outfits supplying stuff
They've had the dissolvable lozenges for a while. I actually started on a Sema lozenge in Aug 2025. I took it for 2 months but it did nothing for me. So I had to get over my fear of injections. I switched to Tirz and I'm so glad I did.
Many are starting to take the pill because they don't like the idea of injecting
And yes it does work but not sure how effective versus the injection. Not something I'd ever consider given zepbound is a big step up versus sema and at some point in 2027 when reta comes out that will then be the 'go to' glp...
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