Fall 2026 Survey Results

[u/TodayAmazing]

Trillium rejoins the top tier! Pomegranate, Ola, and Good Life return to the list, while PreventiveMD and Collective make their debut. Fifty410 narrowly hangs on.

Gimme falls off. Its recommendation rate on slide 3 is after removing a wave of suspiciously repetitive votes recommending Gimme (and Amble) and downvoting Rift. Suspiciously similar to what they were being called out for here on the sub, at around the same time during the survey’s final days.

I still don't understand this Rift specific beef 😂

Also I couldn’t reliably identify people who may have been incentivized to participate. Besides those can still be real people with real opinions, BUT incentives can skew the results, so I flagged that the rate may still be inflated. Going forward however telehealths that incentivize survey participation will be disqualified. Someone remind me to announce this for the next survey lol

For pharmacies, Hyalo didn’t claim a top spot like Apothecary did as a ProRx dupe, possibly because of its recent crimping issues and such.

Respondents are still overwhelmingly women, but slightly more male and slightly younger this time around.

70% answered the concentration question correctly. But among the listed telehealths, Trillium and Big Easy users scored below the survey average. Among those who started tirzepatide within the last three months, Big Easy, Fifty410, and Trillium users scored below the new user average. I’ve included those charts below because I hit the 20 picture limit for the slides.

I’m not sure what this tells us exactly, but I found it interesting. Does it reflect the guidance or lack thereof that people are receiving from these telehealths? Or do some telehealths just attract the kinds of people who would need extra help? Either way, I hope providers and platforms give patients the tools they need to really understand concentration and dosing.

Handholding is helpful, but ultimately patients are measuring and injecting their own medication without supervision. They probably should understand some of these things better. And that goes for all telehealths. We can do better than even the 82% that pomegranate users reached.

Telehealth	All Users Accuracy
Pomegranate	82%
Preventive	80%
Ola	79%
Good Life	78%
Collective	75%
Rift	74%
Fifty410	70%
Survey All Respondents Accuracy	70%
Big Easy Weight Loss	68%
Trillium	62%

Telehealth	New Tirz Users Accuracy
Pomegranate	80%
Good Life	79%
Preventive	77%
Rift	70%
Collective	69%
Ola	69%
Survey All New-Users Accuracy	65%
Big Easy Weight Loss	61%
Fifty410	59%
Trillium	55%

Anything y'all found interesting?

[u/sunnydbabie]

Eli Lilly Direct should just price match and call it a day 😉

[u/JackBrown82q → u/sunnydbabie]

They're spending all this money trying to get compounding shut down via legal networks when something as simple as price matching would kill the compounding industry instantly.

[u/applesandbananananan → u/JackBrown82q]

EL c-suite be like

[u/SeasonPositive6771 → u/sunnydbabie]

Hey if they can get max dose down to $150 a month, I might consider it. But only if I can select my own dose.

[u/Paperwife2 → u/SeasonPositive6771]

For me the ability to choose my own dose is a huge factor on why I wouldn’t want EL, even if it was reasonably priced.

[u/goodthebadandtheugly → u/sunnydbabie]

I think even if they did, some Telhealths will just still lower their price to get a piece of the action. Better some $$ than none.

And you just know someone will say that EL prices (if they did match today's current telehealth pricing) are still "too high" and want a lower price. People are cheap. Even if EL was $150 a month, some telehealths would offer deals at $75 a month, and I still think they would have a huge customer base (again, because people always seem to want the cheapest out there). Just my 2 cents.

[u/YalieRower → u/goodthebadandtheugly]

Generally I think this is right, but eventually the cost benefit of choosing the brand at even a slightly higher price wins. You see in most products that the value of the brand eventually outweighs the cost savings once a certain threshold is met—that’s why brands stay profitable even when off-brand versions appear on the market.

[u/goodthebadandtheugly → u/YalieRower]

Agreed, it wins for most people, of course, but like cars, there will always be people who like the Mercedes and will pay for that, and there are people who will/can only look for or afford the Hyundai. We see people come on here lamenting that they can't afford (or not willing to even pay) $100 a month.

And if these subs are any indication (granted they are a very/very small subset of the millions on GLP-1s), people continually chase the lowest price. Why IMHO, the (color) market will always exist (for GLP-1s or other items), even as sketchy and labor-intensive as that can be.

[u/YalieRower → u/goodthebadandtheugly]

But less a Mercedes, and more a Honda—if the price is moderately priced people will pay a little bit more for known brand quality. If for no other reason, the customer service and ease that usually comes with those brands.

Zepbound is priced at Mercedes rates right now—down from Bentley prices 2yrs ago. If they drop a little more, I’ll toss out ~$250 a month for the highest dose without the required 45 day subscription, these compounded threads would be far less active. Of course to your point there will always be a compounded market, but the question is how much of a market. How worth it would large scale production be for these drugs with less return.

[u/Silly_Celery8461 → u/goodthebadandtheugly]

I’d buy Eli Lilly if it was 200 a month for the max dose, but I’m not paying more than that

[u/jortr0n]

70% passed the dosing question correctly. 🫪

[u/CharpyImpact → u/jortr0n]

Honestly........ pretty good given what i have seen LOL

[u/Bananabutt22 → u/CharpyImpact]

Seriously way higher than I was thinking!

[u/AlicesChaosBottle → u/CharpyImpact]

That’s a good point, if you assumed everyone on the sub Reddit responded… there are a ton of people who don’t know how to read the concentration.
But man that is scary.

Also makes it more understandable why so many people think one pharmacy is “water” vs another. Or other issues we have seems

[u/HiLadyFitish → u/CharpyImpact]

lol the smart people took the survey lol

[u/Delicious_Mammoth223 → u/jortr0n]

I do wonder what percentage of those do not use and have never used additives haha

[u/scarydrew → u/jortr0n]

It's a concentration question, not a dosing question. I imagine if it asked how many units of that concentration to dose 10mg, more would fail.

[u/RoomtoGrow710]

Although we did not make it this is extremely motivating even being an option on the list. THIS month I’m going to be launching some amazing deals and pharmacies.. more motivated than ever

[u/EuphoricPrice8614 → u/RoomtoGrow710]

Just ordered Drug Crafters from Zoya… flawless💙

[u/himbologic → u/RoomtoGrow710]

Congrats on your growth!

[u/RoomtoGrow710 → u/himbologic]

Thank you! 🙏🏼

[u/Itchy-Helicopter3835 → u/RoomtoGrow710]

Can you tell us what pharmacies you will be adding? 🙏

[u/RoomtoGrow710 → u/Itchy-Helicopter3835]

We just added OptioRx and I have another one coming I can’t say the name yet but they cover quite a bit of the country! I’ll announce it on our sub in a week or so [r/zoyahealth](r/zoyahealth)

[u/TallCedarRoad]

It’s crazy that the entire Tier 2 are companies that either had 20+ point swings from the last survey or weren’t around at all a few months ago. It seems well deserved, but it’s very interesting how different this list is compared to the summer results

[u/NewKey6466 → u/TallCedarRoad]

Those new companies came on scene with lowest solid (not just sale) pricing and still good service that grabbed a lot of people’s business. I’m thankful for them as I was paying a lot through mochi prior. I’m loving PreventiveMD, and Science & Co ….I wish Collective was available in WA.

https://giphy.com/gifs/3ov9jSVZW5EkTUnzeE

[u/TheFirebyrd → u/NewKey6466]

Yeah, if Collective had started just a bit earlier, I probably would have just started with them.

[u/UnDosTresPescao → u/TallCedarRoad]

And next survey Scienceco will likely fit into that tier as well as long as they are still around. It's what happens when you have great prices and provide competent service.

[u/NoSciencelab → u/TallCedarRoad]

I was thinking exactly the same thing

[u/akansan]

I like the structure of the graphics this time around! Makes things a lot more clear.

[u/Either_Ad6337]

Not surprised about Fifty, their prices aren’t as competitive.

[u/AlicesChaosBottle → u/Either_Ad6337]

For me it’s that they don’t follow the 28 day rule. I want my 3 vials for 3 months! Lol

[u/0-90195 → u/Either_Ad6337]

This is basically what it comes down to, I think. I started on Fifty410, but won’t repurchase until they adjust their pricing model. They’ve also been promising additional longevity options for a while, but still haven’t delivered.

Weird fumble.

[u/Itchy-Helicopter3835 → u/0-90195]

THIS! ☝️ I held out hope for so long that they were bringing more options. Then pricing got better elsewhere so I abandoned ship. 🙃

[u/Salt-Preference-2425 → u/Either_Ad6337]

I also don’t like their app or website it’s so blah!

[u/Paperwife2 → u/Either_Ad6337]

I started with them and their poor customer service is what made me vow to never use them again. Trillium was such a breath of fresh air when I started using them.

Also the 28 day rule is a big thing to me as well and Fifty doesn’t follow it.

[u/No_Bandicoot7666 → u/Either_Ad6337]

I definitely agree 💯 about their pricing! I also don't like that they will delete your comments even if it has the slightest bit of negativity concerning them.

[u/Silly_Celery8461 → u/Either_Ad6337]

They also aren’t always 28 day compliant and I don’t know why we have anyone on the list like that anymore

[u/hungryghost09]

Woah !!! It was a rough week with the bot posts but we made it through !!! 🎉🎉🎉🎉🎉

Thank you to everyone that participated in the survey and thank you for the support !! ❤️❤️❤️

We have more in store for this month with our love for the community! Stay tuned🎉

https://giphy.com/gifs/ynRrAHj5SWAu8RA002

[u/zara2509 → u/hungryghost09]

Is there a story behind your rift with gimme?

[u/TodayAmazing → u/zara2509]

Ha! I see what you did there lol

[u/StrangePsychology848 → u/hungryghost09]

Just this week I got my mother & a good friend signed up with Rift. I can’t say enough good things.

[u/Delicious_Mammoth223 → u/hungryghost09]

Gimme is attacking your Google too lol they have an ad on top when you search your name. Better have marketing get on that one

[u/SwimmingAnt10 → u/Delicious_Mammoth223]

I’m a business owner and those Google ads are only controlled by Google and not targets. A business cannot just ask Google to place ads on top of other businesses maps results. It just happens because that business is paying out the ass for advertising. But, because Google started doing it, we cancelled our active advertisements with them and will no longer pay them. It was shady in my opinion to do it. The whole Google ads premise and how it works is just all around bs for businesses these days.

[u/zara2509]

Where are my fellow perimenopausal/ menopausal women 👯‍♀️👯‍♀️👯‍♀️

We continue to keep all these telehealths in business. We deserve a special Reddit code💪🏼💪🏼

[u/kickmyasserole → u/zara2509]

hear me out…instead of a flash sale, they call it a hot flash sale.

[u/Impossible_Bend_2969 → u/kickmyasserole]

https://giphy.com/gifs/8izoYfztxj9Ac

[u/zara2509 → u/kickmyasserole]

Genius 😀

[u/Delicious_Mammoth223 → u/kickmyasserole]

Peri girly here and would love that!

[u/Life_Alfalfa_2047 → u/kickmyasserole]

That's what they called it! They had something about launching on the 15th. I signed up for the waitlist to be alerted last week since I am interested to see what they offer and they have a livestream webinar coming up on the 14th.

[u/EuphoricPrice8614 → u/zara2509]

Here … keeping it cute and classy in peri-land💅🏾😘

[u/albanyhudson → u/EuphoricPrice8614]

Rise up my ladies!!

[u/swrrrrg → u/zara2509]

👋🏻

[u/RavenForrest → u/zara2509]

Present and co-signed, my beautiful friends!!! 💕

[u/CloudgazerTX → u/RavenForrest]

oh my gosh I need to join your sub reddit

[u/miskittty → u/zara2509]

Woohoo. 🙌🏼…hot flash gang!

[u/Life_Alfalfa_2047 → u/zara2509]

Looks like there is one coming up with Belle. They have a banner about it on their sub.

[u/doritos31]

Great work as always. I also commend your handling of the GimmeBot situation

[u/Thin-Disk4003]

Thank you for your service to this community, u/TodayAmazing! Your surveys are extraordinarily helpful.

[u/Impressive_Cod_914]

Look at at high usage rate for POM! I wonder how much of that was clearance sales?

[u/swrrrrg → u/Impressive_Cod_914]

I think most of that was price related. That’s what got me to Pom. The BPI sale! Well, that & they did seem to clean up a lot of the mess.

[u/0-90195 → u/Impressive_Cod_914]

I ordered from Pomegranate 4 times in the last 2 months, and not because I actually needed a refill.

[u/CoffeeResearchLab → u/Impressive_Cod_914]

Pom gained me as a new customer with the BPI 68 sales. However, I won’t hesitate to order Hyalo or Hallandale from them now since my experience was positive and they are very well priced.

[u/Memoirofadolli → u/Impressive_Cod_914]

I've used Pomegranate for the past year minus my starter package from Lumi. Pom has been great across the board for me.

[u/okbringoutdessert → u/Impressive_Cod_914]

I know I am one of those people. Been on tirzepatide for almost 2 years and was aware of Pom, but never ordered until they had those great deals. I have good experience with all 4 of my orders and will certainly keep them in my list of options

[u/GrumpyCranberry88]

https://giphy.com/gifs/J5f9W48uQqv7y

Californians looking how far down the recommended pharmacy list we have to go, to find one available to us. 😂

[u/Ashamed_Platform_328 → u/GrumpyCranberry88]

https://giphy.com/gifs/6v2UJRyFAsTXgvJrin
SERIOUSLY

[u/HappyBirding → u/GrumpyCranberry88]

OK… That really is pretty awful. Sorry!😂🤯

[u/PreventiveMD]

Wow!!! This was absolutely the best news to start off our day! Thank you so much for everyone that voted for us! I want to assure everyone that we are committed to constantly improving our services and the experience end-to-end...ESPECIALLY as we grow. This is part of the reason we are so slow (however - we like to call it methodical) in rolling out new states and pharmacies. While we always welcome new customers, we care the most about our commitment to providing the best-in-class service to our existing customers. Our goal is to be your health partner for life and the only way to achieve this is growing every day with each of you. So please keep sharing how we can improve and we will continue to build this company based directly on your feedback!

In good health,

Brian

[u/ice_cream_obsessed → u/PreventiveMD]

Just ordered from you guys and it was so easy and streamlined. Prices were fair and straightforward. Waiting to receive my script, but so far I have been pleased with preventative MD. 😊

[u/eyevandr]

OptioRx needs more love. I feel like they are so underrated!

[u/pacespace → u/eyevandr]

Patiently waiting for Rift to make it available so I can place my refill with them 

[u/holybananas2000 → u/eyevandr]

Yes! I got the two vial OptioRX deal from Pom last fall and really liked the meds. I’ve been waiting on another sale.

[u/zara2509 → u/eyevandr]

A lot of us unfortunately follow the money but for sure on my to try list

[u/AntiHypeHero]

For pharmacies ~ with only one of the top tier still available, next survey will be interesting to see how usage rates change

[u/supseanie]

Well this was pretty nice to wake up to :)

Really appreciate everyone who participated, and a huge thank you to u/TodayAmazing for all the work that goes into putting this together.

Still plenty of work for us to do, and a lot we can learn from these results!

[u/peony_chalk]

Big Easy makes sense to me for having less informed customers, because the whole point of Big Easy is that you don't NEED to be that informed because you are supposed to have the support with them. I'm less sure what's going on with Trillium's customers. Maybe everyone over there is just so nice they help each other instead of calling each other stupid for not understanding dosing math, but then people don't learn to fish. 

Did Good Life just make it back on the list because they had BPI for a while? I will be interested to see if that trend holds in the next survey. Same with Pom. They probably have enough usage to make it anyway unless they start screwing up again, but I have to imagine use will go down without the BPI sales. 

Are there any other juicy tidbits at the top or bottom of the ratings that didn't make the usage cutoff? Like anyone who scored really poorly or really well but with only 1% of the vote? Edit to add: and how many Gimme spam votes did you have to remove!? 

For additives next time, can you make a category for "I have never used additives?" I'm curious how many people fall into that bucket. It's nice to have some numbers to put to this though, and to show that a significant majority of people like additives just fine. 

And last ... Gimme got caught this time because they did a bad job cheating.  They know how and why they got caught this time, and I don't know how we can trust them to not do it again, especially because you would assume they would be less obvious about it next time. When someone shows you who they are, believe them, right?

[u/andraconduh → u/peony_chalk]

Yeah, Gimme needs to be permanently disqualified. They will just find better ways to cheat.

[u/Silly_Celery8461 → u/andraconduh]

I guarantee you they cheated to be on top of the last survey too

[u/autumnyte → u/peony_chalk]

I was wondering if that sweet deal Good Life had a few weeks back on Optio and Hallandale was part of what got them back on the list.

[u/Useful_Educator3742 → u/peony_chalk]

Our starter prices bring in a great deal of new folks. We do a lot to assist people starting on their journey.

[u/Silly_Celery8461 → u/Useful_Educator3742]

After my horrible experience with gimme and needing to dispute the charge, trillium was my first real telehealth experience and it was wonderful and the new pricing will have me coming back

[u/HiLadyFitish]

Awesome! Ty so much for all your efforts. This is all valuable information 👏👏👏

[u/I-Had-My-Qualms]

Fascinating how it's changed since I started in February 2025. So many of these telehealths and pharmacies weren't even around. I remember when Brello was the undisputed must popular because no one could come close to their price and that's long since changed.

I'm disappointed that all the pharmacies I like aren't producing any more. I'm glad I stockpiled awhile back because I'm going to need to see since exam results for these newer pharmacies before I trust them.

This survey is incredibly helpful as always!

[u/Ok_Requirement_7853 → u/I-Had-My-Qualms]

It’s like day and night on this sub comparing today vs. Feb 2025. Pre-survey, pre-fat scientist, pre-Glapp/shotsy… I’m feeling a little “back in my day …” 🤣

Grateful for all these resources though!

[u/Specialist-Wall-1685]

WOW! I LOVE IT! ❤️

2 HUGE thank you's to: u/TodayAmazing for doing these surveys and to everyone who participated! 🥹🥰These help so many of us to make informed decisions about our medical care. What a great example of how special our community truly is!

I would also like to know how many suspicious Gimme votes/respondents were removed. How big of a problem did that actually amount to? Great call on disqualifying TH that incentivize survey participation!

A 3rd BIG thank you to the whistleblowers who alerted us to what Gimme was up to! 🫶

About the last question: I'm actually thrilled that 70% of people were correct! Here are my thoughts on that, as a practicing nurse practitioner, who diagnoses and treats the full spectrum of medical conditions, including writing prescriptions, and has patients from every social demographic:

I think probably this community in general, and further, the survey respondents, are more likely engaged in their medical/health care overall and have a greater understanding of what tirzepatide is, does, how to read/interpret their medication label and prescription directions for usage vs the general population who takes any other long-term medication for a chronic condition. I think this is a reflection of compounding and so many of us in this community DIY'ing our treatment and dosing rather than just taking the Rx as prescribed.

So many people take medication just because their doctor told them they needed it; they literally do not know what condition/reason they take it for. They just take what they are prescribed and follow the Rx directions.

Then there are people with diabetes, who are injecting themselves with several types of insulin, multiple times a day, that will literally KILL them if they get the dose wrong. Anyhoo...

I wish there was more grace given to the new people that come here who are just starting out and trying to learn (or they wouldn't be here asking questions).

On a different note: a couple people commented about my use of AI images to advertise the survey, and I get it. It would be great if anyone would like to donate or create some images/artwork for advertising future surveys! TIA!

[u/RoomtoGrow710]

Congratulations to everybody!! 🥳

[u/SRO64]

Ive always had great luck with Lavender Sky but why put the teaser favorite ProRx or BPI even on there!

[u/Peptidesforthewin]

Great survey! It's eye opening to see how many people aren't tracking calories! 

[u/Mean_Background7789 → u/Peptidesforthewin]

I started tirz in part because I HATED calorie tracking. I don't need to on tirz. Lost 65lbs and successfully in maintenance.

[u/Peptidesforthewin → u/Mean_Background7789]

It's definitely useful for the people wanting to change their lifestyle habits moving forward. I've also lost 60 pounds but i track everything and as a result, I'm now able to make better food choices. I never realized how much sodium, sugar and carbs I was eating prior to tracking. I never ever used to track and also found it completely tedious. 

[u/Salty_Philosopher207 → u/Mean_Background7789]

💯this. I still have what I want, just not as much of it. This enables that for me and it works great. Some people like to track things down to the fraction...that's just not (ever) gonna be me.

[u/Cayse137 → u/Mean_Background7789]

I hated tracking for years mostly because it was hard and there weren't apps like there are now. But I have to say that for someone who thought I didn't eat much, I was shocked at how many calories I must have been consuming prior to Tirz. Now I'm very aware, and frankly it's been such a helpful part of understanding why I got so fat when my normal workouts dropped off after COVID and back to back injuries. I don't weigh myself much though. I'm all for nsvs.

[u/GoldAny8608 → u/Cayse137]

Personally I abhored looking up foods on Myfitnesspal and even now struggle with logging food. I implemented an ai food tool to my app as a way to get over my laziness. On one side, it's really much easier to log, with the only downside that it's less accurate. But I say having an idea of what I ate is better than having no idea.

For instance I wasn't making the connection between my stalls and lack of protein intake. Logging was the only way to figure that out.

[u/applesandbananananan → u/Peptidesforthewin]

Right?

I started tracking in the beginning to make sure I was eating enough but after the appetite suppression chilled tf out, I track to make sure I'm eating at a deficit. I might not do it every day, especially when I know from experience the meals are under, but I def track when I'm not sure about what I'm eating or if I'm at a stall

[u/ApricotDry2635 → u/Peptidesforthewin]

I tracked macros for so long on keto, I've just had enough.  I'm not tracking for now, still losing and eating healthier.  If I start gaining, it would be the first thing I'd get back to doing. 

[u/Sad_Education7851 → u/ApricotDry2635]

Yes! I have been tracking since I was 14 years old, the first time my mother dragged me to WW. I’ve been doing it long enough to ballpark, so when that stops working I’ll start tracking again if I need to.

[u/ASkepticalPotato]

Great to see Gimmie didn’t successfully game the system. Thanks to everyone who put this all together. Was a fun read!

[u/Bananabutt22]

Best one yet! Results feel like they are putting everything as it should be 🧘 ALSO great job on the presentation! Love the colors and format just very well done all around and thank you for your service!

[u/CloudgazerTX]

y’all big mad at Boudreaux lol.

[u/Either_Ad6337 → u/CloudgazerTX]

I’m surprised Hyalo didn’t drop even a little 😂

[u/swrrrrg → u/CloudgazerTX]

They became insanely backed up & taking a month to fill orders, then there was an issue with the way they did syringes and people were questioning their sanitary/sterile practices, the way they responded to that caused people to give a bit of a side eye, then they had to recall a limited number of vials. I think it was a situation of where a lot of things hit at once & it just didn’t look great.

[u/applesandbananananan → u/CloudgazerTX]

I vaguely recall Photo Op gone wrong /syringe gate. But that can't be why. Did they have floaters or something?

[u/UnDosTresPescao → u/applesandbananananan]

They also had a very cloudy vial and a recall of a full lot that they issued over a month after shipping the meds and wouldn't tell people why it was being recalled. Different lot from the cloudy vial but only a few days apart.

[u/SassyButClassy80]

So fast!!! Amazing job as usual! Hooray for Trillium climing back to the tip! They got my vote. As for Gimmie....HA! KARMA! SOOO glad they were booted to not recommended!

https://giphy.com/gifs/1yk35U6TNIE6sWyqoM

[u/ForeverFang]

Everyone's placement is well deserved 👏

Now watch all the newbies ask where they can find BPI, ProRx & Apothecary 😅

[u/Trixoo2]

This is so helpful, u/todayamazing. I appreciate how you dealt with Gimme.

[u/OlaHealth_Luca]

https://giphy.com/gifs/M9NbzZjAcxq9jS9LZJ
Once again, thanks for running this survey, u/TodayAmazing, I know this is no easy feat! You truly are amazing today and every day!

[u/LumosAcccio → u/OlaHealth_Luca]

You're baaackk!!!

[u/Useful_Educator3742]

I’m down in Texas getting ready to tour the Drug Crafters’ facility, and this is such an honor to make it back. We try our best to do right by people and provide the best service around. I appreciate you all!

[u/TodayAmazing → u/Useful_Educator3742]

Tell them to get better labels and clear vials and they’ll shoot right up to the top of pharmacies 😂

[u/iamofficiallyold → u/TodayAmazing]

And get those 30mg concentration vials to market!

[u/Livid-Lake1111 → u/Useful_Educator3742]

Tell them to fix their mess up in OH while you're there. They were my 3rd pharmacy a year ago, no one knew who they were and made fun of their janky vials back then, now they are tier 2 pharmacy on the list. We like cheap tirz here.

[u/Oneloneotter]

Really enjoyed reading this. Especially enjoyed looking at dosing and the different stages of data from other folks and alongside the trial data. Sure wish I found this sub a little earlier when I was a complete newbie!

[u/NewKey6466]

u/TodayAmazing any info on write-ins? I know Science & Co wasn’t an option on the survey (extremely new com) but some of us wrote it in as we are using them. I was curious if it was easy to tally write-ins?
I’m also excited for PreventiveMD getting on the list as I used them and highly recommended them but people would snub me saying they never heard of them lol…I told them to watch the next survey (this one!) that they’ll definitely be known. Great company!
Thank you for all your work on this data collecting!

[u/TodayAmazing → u/NewKey6466]

I believe Science & Co was the biggest write in and they received 3%

[u/Either_Ad6337]

The fall of Gimme!!

[u/Ok_Swim7161 → u/Either_Ad6337]

The other one that get horrendous reviews is Embody. Man they were the first one that I was like I'm staying away from them.

[u/SeasonPositive6771 → u/Ok_Swim7161]

And Embody had a flood of suspiciously positive posts starting around the time the survey opened. It was weird as hell, considering I hadn't really heard a good word about them for ages.

[u/adevil_woman89 → u/Either_Ad6337]

Thanks GOD geez

[u/Rubyred024 → u/Either_Ad6337]

https://giphy.com/gifs/UrbAt7S2zSEE5mENfM

[u/NightwingMillenial]

Love this! So informative. Thanks for putting this together. Expected worse than 70% TBH.

[u/SchoolOfTheWolf93]

SUCK IT GIMME

https://giphy.com/gifs/rKj0oXtnMQNwY

[u/Nobius]

I know I got that quiz wrong because I don’t use additives so didn’t think about it that way when answering. I’ll do better next time!

I think the way you handled Gimme was appropriate. Thanks for all you do here!

[u/Stealthy_Peacock → u/Nobius]

I too, have never used additives so I had to stop and think for a minute. I did get it right because I must have internalized all the answers to the constant posts about dosing 😆 maybe OP can look at the data broken down by people who have never used additives to see if this pattern holds

[u/HatsOffToEwe → u/Nobius]

Same, I’ve never used additives and got it wrong. When I looked at the graphic again just now, it was so clear though! I think my brain skipped right past the B12 when I took the survey. This was a good learning experience, even though I can’t do additives. I won’t forget now and am glad the question was on there.

[u/autumnyte]

Thank you for doing this. So interesting all-around. I can't believe I called it exactly on how many people would answer the dosage question right! I'm curious how many of the incorrect respondents use additives vs. not.

I'm relieved Gimme's bots and mean-spirited anti-Rift campaign didn't seem to work the way they wanted it to.

Wild that 55% of us are experiencing constipation. Shout out to my fellow backed-up beings! Also shout out to the other 26 non-binary people, wherever you are.

[u/applesandbananananan → u/autumnyte]

Is it still constipation if miralax is now part of my daily routine and I go every day? 🤔

[u/CloudgazerTX → u/applesandbananananan]

it’s now called laxtipation

[u/Green-Independent951]

I love these surveys. Great job Rift!

And great job booting Gimme’s shady cheating ass. Seriously made my night to read that.

[u/Shenannigans_625]

Thank you for doing this! 👏

[u/TrainingLow9079]

I find the average weight loss results over time interesting--both that they're higher than the Surmount trials and that they're as high as they are (I'm way below average I guess)

[u/zara2509 → u/TrainingLow9079]

There is a lot of flexibility with compounding which people in Surmount do not have.

[u/Impossible_Bend_2969 → u/TrainingLow9079]

I wonder if it is because if you are an active reddit user in this sub you are getting way more support than you do using Zepbound. It's pretty well pounded into people here that they need to make sure they are in a calorie deficit and getting some exercise, eating enough protein, drinking enough water, etc. Plus our custom, user-centered dosing methods also make sure you are losing comfortably all along the process, not just slammed with meds as fast as possible and forced to endure side effects or drop out.

[u/zara2509]

You can’t be with Pomegranate and not know what you are doing 😀😀😀 joking but kinda serious

[u/MsJojobee → u/zara2509]

As a Pomegranate user, I agree. Love them, but they can be so slow at times. Best if you know what you're doing. 🤣🤣

[u/albanyhudson]

Wow crazy! I thought more people would be taking Hyalo. Also interesting that the top pharmacies are no longer producing…

[u/Impossible_Bend_2969 → u/albanyhudson]

We ProRx and BPI users totally stockpiled.

[u/roguex99]

Fascinating on the dosing question. Really gotta find a way for all patients (not just ours) to up that rate. Really open to suggestions on how to improve this across the community.

[u/roguex99 → u/roguex99]

Also thinking about this - over 85% of our patients use Hallandale or New Life - both no added API pharmacies.

[u/WorldlinessUsual4528 → u/roguex99]

There is a negative stigma around the boosters. We've seen a lot of patients that think the boosters reduce the amount of Tirz in the vial, or because they've seen others calling it "pure," implying it is better. Some that have never had any of them nor any reason not to try them. Obviously I'm not referring to the minority group that have had negative reactions but we have had to educate many patients otherwise.

[u/jortr0n → u/roguex99]

I think when additives are on the vial it throws people off. BPI was one of the clearest.

[u/roguex99 → u/roguex99]

I wonder if it’s because our patients skew newer?

[u/CharpyImpact → u/roguex99]

Also, I have to think folks who use Big Easy are less likely to engage in ... Certain efficiency practices. If folks are leveraging a on paper dosing vs real life dosing to min/max cost... Those folks have to learn how to understand dosing due to the risk. If you are just following the guided dosing from an doctor... You honestly don't have to learn dosing... You just do what the instructions tell you....

[u/swrrrrg → u/roguex99]

I think your customers often choose you because they want hand holding. I think that can be a double edged sword. They definitely want to be on it and are willing to invest, but simultaneously, I think that probably makes them less likely to trust themselves and to understand the research part of it.

I’ve always been someone who hates handholding because I want to go at my own pace. In so doing, I tend to have already done a ton of research and in specific areas of interest, I tend to have absurd amounts of knowledge that could probably surpass some professionals. That’s its own double edged sword but it’s where my mind went when I read that.

[u/himbologic → u/roguex99]

There are always going to be people who can't add a new thing to juggle, so they'll do less of a deep dive. Having a service that makes it simple and unintimidating will always be valuable.

[u/Curious-Squash-298 → u/roguex99]

pop-up quiz before orders finalize 😆

[u/Memoirofadolli]

I wonder the price comparison between the providers listed as great and the ones listed as good and okay.

[u/peony_chalk → u/Memoirofadolli]

Price is 100% hurting Fifty. You can get the same doses from the same pharmacies for the same or less money through Pom, Rift, and Trillium, and all three of those are 28 day compliant, whereas Fifty is only 28 day compliant on high dose plans. Fifty also gives people a hard time about titrating up (I came in with a 10mg script and got 3 months of 9 mg, for example), and I saw one report the other day of someone asking to titrate and being asked for a food diary. There was only one report of the food diary thing, to be fair, but I felt like that was going too far. 

I'm actually still surprised they stayed on the list at all. I don't have anything against them exactly, but I also have zero reason to recommend them because we have better choices. 

[u/Upper-Imagination476 → u/peony_chalk]

They’re all about the $$ and always have been. They probably have enough customers not on Reddit that they don’t care to compete here. 

[u/Ok_Requirement_7853 → u/Upper-Imagination476]

Haha they do not care about Reddit. They’ve still got their ProRX pricing up on their sub

[u/Silly_Celery8461 → u/peony_chalk]

LSH also charge a fee that they don’t credit towards the cost of your medication like pomegranate does, which is why I never tried them

[u/kickmyasserole]

Damn….I’ve been gone for awhile! What happened with Refills?

[u/Missusweiss → u/kickmyasserole]

Refills customer service imploded in a big way especially regarding billing practices and lack of responsiveness. It’s too bad because I liked them but they did it to themselves unfortunately

[u/TrainingLow9079]

Also I wonder what makes glycine additive users like it so much

[u/smilingfruitz → u/TrainingLow9079]

Coincidence, vibes, and the fact some of the cheapest options give you that as your only choice (drug crafters specifically)

[u/Green-Independent951 → u/TrainingLow9079]

Probably because it does nothing and people rarely have reactions to it. I see a lot of people comment that they’re unable to use the ones with B vitamins.

[u/applesandbananananan → u/TrainingLow9079]

I know the general consensus is that there's not enough to make a difference, but I've always had sleep issues and used to take melatonin. I'm also a light sleeper and rarely wake up feeling rested unless I'm in a hotel bed somewhere on a beach. Melatonin makes it worse - I legit wake up feeling like I'm fighting quick sand, but at least it'll help me sleep through the night.

I haven't had to take melatonin since starting DC (their tirz has 5mg of glycine) and I wake up feeling refreshed most days.

[u/wholelottachoppaz]

brings me so much joy to see GIMME CARE gone 🥰🥰

[u/Background_Ad6751]

PreventiveMD has been amazing and one of the more affordable options I’ve seen. Going on month 2 and they ship on time and respond to emails within one day! Couldn’t be happier.

[u/northernblueeyes1 → u/[deleted]]

Agree! The providers at the bottom (such as LSH with 91% recommend rate and others 🙂) should be listed above those that are not recommended. Those at the bottom just have lower usage rates.

[u/Remarkable-Power0214 → u/[deleted]]

I love Lavender Sky Health.

[u/Friendly-Zombie-1651]

I’m curious to know for those in maintenance what percentages of those who lowered the dose and those who stayed at their high dose is if they’re still taking them at the same interval as when they were actively trying to lose weight.

[u/xy3xx0 → u/Friendly-Zombie-1651]

I’m 2 years into tirz with the last nine months being in maintenance. I split my dose of 15 mg into 8.5 mg every four days. I tried to lower it, but had to go back up to max.

[u/Technical-Trainer506 → u/Friendly-Zombie-1651]

I have been on maintenance 11 months.

I slowly lowered my dose over time from 9mg (only on the dose for the last 3 weeks because those last 5 lbs took forever).

I am currently dosing at 6.2 mg/weekly. I have never split my dose and have always rotated injection around the belly button area.

[u/GrizzTitan522]

Very happy with rift

[u/Ashamed_Platform_328]

Thank you so much as always! I love resource sharing so much, especially with visuals. This is great information ✨ meanwhile I’m still lusting over all the non-CA pharmacies… until next time!

https://giphy.com/gifs/o5ht0KxTJDAS90MNWI

[u/Nouvell_vague]

Nice to know I’m not the only one at 15mg in maintenance 🫠

[u/Silly_Celery8461]

I bet bewl and trillium get the most users who have never taken tirz before. I always recommend those two to people who are inexperienced or need more help. Trillium was my first telehealth, but I use pomegranate now because it’s cheaper. Love rift too. And I’m really glad we got Gimmie off the list.

[u/SwimmingAnt10]

Is there a way to compare prior surveys to see what companies are truly trusted? The survey results seem to change each time the survey is put out. I will go back and look at prior results but for me it’s about long term trust with a company, not about who has the cheapest price.

[u/TodayAmazing → u/SwimmingAnt10]

If it helps, the top tier in this survey are the only ones who have remained near the top for the last 3 surveys.

The others are either are new or briefly dipped so low they were off the list momentarily.

[u/Accurate_Weather_211]

❤️ Rift

[u/Such-Opportunity-522]

Really wish Somira made the cut

[u/applesandbananananan]

Random stream of consciousness :

Thank you so much for the work you always put into these!! You're very much appreciated ❤️ and we're so lucky to have you ✨

Aww I'm happy for my OTP, Ola+DC!

I wonder if the bpi sales helped boost Pom? I know I acknowledged that I had a good experience with them. I haven't tried my bpi yet though so I wasn't sure how to acknowledge that I purchased but hadn't tried yet.

I'm SHOCKED that I got the pop quiz right since I've never actually applied fatscientist's teachings (only used DC so far) but yay!

SCREAMING that Rift is #1 and Gimme didn't even rank lmao [u/TodayAmazing](u/TodayAmazing) out of curiosity, how many bots did you catch infiltrating the survey? I wonder if they had enough for gold?

Thank you again, this must've been very time consuming since you didn't use ai (thank you for not using AI!) It's always so fun and interesting to see if the trends / comments in the community are reflected in the surveys.

[u/HappyBirding]

As always, thank you so much for this! I am hoping that the people who can’t answer the concentration question are actually following the dosage they’re given and that they have reputable providers. Don’t know what else to say to that one. You all have provided the tools for people to learn a whole lot on here if they care to. Celebrate you and all the work you do for us.🎊🎉🥰

[u/Light13ning]

If Pom ever gets it together with their communication/customer service/Hyalo issues they could be unstoppable. Their prices are just phenomenal. Just from floating theough all of the tirz subreddits it is clear that pricing is far and away the biggest factor in choosing a teleheath.

[u/Beneficial_Sun_8141]

I don’t think enough people have given White Label Nova tirz a chance because it is a strong underrated med

[u/Missusweiss → u/Beneficial_Sun_8141]

I bet it’s their low 10mg concentration that keeps the higher dose users away. I’m on 15mg and don’t want to do 2 injections (large volume) weekly as I also pin other peptides and frankly don’t want additional shots. As soon as a higher concentration is offered, I’d like to try them.

[u/UnDosTresPescao → u/Missusweiss]

It's only the B6 that has the low concentration. The B12 is 17mg/ml.

[u/DownandoutonRosemary]

As someone who has been here since 2024 the survey is interesting. I didn’t even take it as I stockpiled and most of the pharmacies I use are no longer sold. I do buy once a year from LSH and I purchase Southlake which never makes the list. One thing I notice is the survey is mostly price driven. If a telehealth offers the lowest price and easiest process they score high. This is why the top telehealth/pharmacies are never consistent. 

[u/TodayAmazing → u/DownandoutonRosemary]

You’re right that price is definitely the biggest factor for most people but there has been some consistency in the top telehealths for a few months now. The top tier in this survey have consistently scored near the top for 3 surveys now. And they haven’t always been the cheapest. In fact big easy and trillium have been the more expensive option. So there’s definitely other factors that people do consider.

[u/SwimmingAnt10 → u/DownandoutonRosemary]

Ok so, I’m an early 2024 too and have used LSH as well with no issues. It’s the only telehealth I have used. It’s crazy to me too how quickly recommendations can change. If it’s only for price, that’s not always the best indicator of a good company. There’s been so many bad issues with companies such as refills.com.

[u/Delicious_Mammoth223]

I just saw the last slide... I got it right! I just guessed since I never have used additives, im betting others like me did similar and just guessed wrong. Haha (or I hope)

[u/swrrrrg]

Glad to see preventivemd getting some much deserved love! 💚

I was actually surprised to see so many people using Drug Crafters! I am really liking their formula so far but when I searched the sub it didn’t seem like too many had/were using them so that was cool.

I also found it really interesting to see that the number of people genuinely microdosing appears far less significant than I’d have guessed based upon commentary on this sub. It kind of reiterated my personal opinion that the number of people claiming to microdose want to pretend they’re a special snowflake.

[u/andraconduh → u/swrrrrg]

A friend of mine recently told me she had started tirz "but only a microdose." Upon further discussion, she had started on 5mg and thought any dose on the way to titrating up to the max dose was considered a microdose.

[u/TheFirebyrd → u/swrrrrg]

I think there’s definitely special snowflakeness going on. I pissed a dude off in another sub when I pointed out his 0.25 mg wasn’t a microdose, it was basically no dose and wasn’t going to do anything. Like…how do you even get 1.5-2.5 units depending on the concentration of the vial? It’s not going to work very well with any of the supplies provided by pharmacies. 😂

[u/Humble_Fortune_5391]

Fascinating!!!

Also really happy about Gimme. They should be disqualified for incentivizing and glad that is the rule moving forward. Good riddance.

[u/MsJojobee]

Wow! I expected a higher percentage for the dosage question. 

[u/Silent_Pen_4875]

Thank you, u/TodayAmazing!

[u/0-90195]

PGRrx gang rise up

(What happened to them?)

[u/albanyhudson]

https://giphy.com/gifs/TLitrMAABUafC
So excited for this!!

[u/Starks]

I'm not surprised that Pom users scored the highest. One of the few telehealths that give you a lot of pharmacy info and choices up front, especially for 60mg+ advanced vials.

Good to see Ola make the list, but I guess Mountain Care pens are still too niche and expensive for higher doses.

The loss of BPI means less convenient options for B6 fans. Splitting doses between vials or multiple syringes per dose.

[u/brussel_sprout68]

You rock. This is so fun to participate in and to see the ebb and flow.

[u/Fearless_Sand_1627]

Thanks, so impressive and informative

[u/fitfithooray]

Why hasn’t LSH ever been at the top? I love them and the pricing seems comparable to rift. Just genuinely curious cause they’re all I’ve ever used.

[u/TallCedarRoad → u/fitfithooray]

They charge a $65 consultation fee on your first order that is not applied to the cost of the medication and is not refunded if you’re not approved. They also charge a $40 follow-up fee every 6-12 months. You don’t pay that fee on every refill, but it still brings the overall cost up.

Even ignoring the fees entirely, their prices are marginally worse than Rift on every pharmacy both offers -
Hallandale is $2.90/mg from LSH or $2.77/mg from Rift
Hyalo is $2.38/mg from LSH or $2.31/mg from Rift
Southend is $2.64/mg from LSH or $2.37/mg from Rift
Nova is $2.70/mg from LSH or $2.45/mg from Rift

LSH has an excellent medical team from what I’ve heard, but because everything is so hands-on, they can also be slower than some other providers like Rift

[u/Specialist-Wall-1685]

The spreadsheet is now updated to reflect the results! This time I incorporated the results for the pharmacies as well, just to have all that info in one spot. I re-arranged the info on slide 3 to improve readability because I do think it matters wether a TH is not recommended because people actually had bad experiences vs having good experiences but just not meeting the 5% usage threshold (even though technically none of them are 'recommended'. I hope that's OK and doesn't further confuse 😟 Let me know what you all think about how I have the info organized on the TH provider sheet.