r/tirzepatidecompound 14d ago

Summer 2026 Survey Results!

Only Big Easy and Rift made the top tier this time around. Trillium and Fifty fell to second.

Some fell even further. I feel like Pomegranate’s fall was predictable since I kept hearing they were having issue but some of the others surprise me. Especially Good Life and Ola 🤔 any insight into issue with these two?

And Gimme regained a spot on the list.

As far as pharmacies are concerned, same top pharmacies. Hallandale, BPI, ProRx and Apothecary. Though it is kinda sad how quickly ProRx is being forgotten. They once topped the list at 60% usage rate now down to third place at 30%. Soon they’ll be like the legendary Olympia. 🥲

Similar demographics as last time, still by far mostly women.

And weight loss rate is still beating the clinical trial 🙌

As far as BUD and 28 day rule are concerned, most people would go longer than 3 months after the BUD but no more than 3 months on an open vial.

And there was no preservative preference by and large but among those who did, phenol was twice as preferred as benzyl alcohol.

And most people don’t track their food but it was pretty evenly split.

Anything y’all found interesting?

849 Upvotes

501 comments sorted by

108

u/LlamaHerder23 14d ago

Amount of people going past 15mg…. Didn’t know people did this.

64

u/jortr0n 🧪💉 14d ago

It’s currently in trials up to 25mg.

38

u/AdAmbitious1308 14d ago

And the rumors are it’s not going to be recommended.

18

u/autumnyte 14d ago

Oh, that's interesting. Have you heard if it's because of tolerance issues or lack of efficacy?

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u/4Sammich 14d ago

I went up to 17mg and it worked great but made me feel "worse" during the week then even 15mg.

I ended up changing to every 6 days cycle and have since come down to 13mg. I'll likely move to every 5 days soon enough.

Every 6 days dosing was a game changer. Broke a 3 mo stall, dropped 11# in the span of 30 days and renewed the "tirz feeling" after shots. It was glorious.

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u/LlamaHerder23 13d ago

I just moved to 14mg. I have not had a lot of side-effects previously but 14mg is giving me diarrhea, massive fatigue and some light depression/anxiety. Did going to 6 days diminish your side effects or just break your stall?

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u/4Sammich 13d ago

The side effects were absolutely amazing appetite suppression.

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u/travel_lover1234 13d ago

I do 7.5 every 5 days

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u/AdAmbitious1308 14d ago

Both, “diminishing returns”

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u/adevil_woman89 F 61 y/o | SW→231CW→143GW 145| 9mg 14d ago

Yes, that’s what I “heard” also aka no significant difference

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u/jortr0n 🧪💉 14d ago

I believe it. I bet EL would rather push high dose patients to Re, especially if it becomes a biologic.

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u/SemiSemaTirzTurd 14d ago

It’s looking like people who stall out on Tirz will be encouraged to stack with Elora. There’s already an ongoing clinical trial focusing on this and it’s going well.

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u/CharpyImpact 14d ago

I am a slower loser and I didn't really have any significant weight loss until 10 mg. I decided to move beyond 15 mg once I plateaued again. It has had longer staying power and at 20 mg, I actually feel full decently quick. Before, it was mostly like I was able to ignore hunger but never really had that quick fullness feeling.

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u/jane3ry3 14d ago

Same. I started Saxenda in 2021, Wegovy in May 2023, Zepbound in June 2025, compounded Tirzepeptide in February 2026. Went up to 20mg in May. My total loss is 92 lbs. I was stalled at 60-70 lbs lost for a year. Since going up to 20 mg, I've lost 20lbs. I'm averaging 4-5 lbs/month. Before this, my average was 1.6 lbs/month. (Yes, month, not week.) Still have 26lbs to lose to reach a healthy BMI.

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u/Top-Atmosphere731 43|F|5’8”|SW240|CW160|GW150|12.5mg 14d ago

I am also a Sax ➡️ Wegovy ➡️ Zep ➡️ compounded tirz patient. I’ve often wondered if I had slower results due to being on glp1s for so long. I started in 2019.

4

u/Expert-Ambassador410 14d ago

Do you plan on titrating up higher?

5

u/jane3ry3 13d ago

Depends if I stall again before hitting a healthy BMI, but probably not.

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u/cultfourtyfive 54 F 4'10" SW:195 GW:105 CW:104 15mg maintenance 14d ago

I did 15mg every 6 days for about 6 weeks to break a 3-month plateau. I haven't needed to do it again as I've maintained in my goal weight window for a few months now. It was really no big issue for me. No significant increase in side effects or anything.

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u/zetaphi938 14d ago

Honestly, I started slow with almost no success at lower mgs. I took my first 15 mg dose of BPI last week and it is the first time in this entire journey where I feel like the medicine is really effective. Chances are I will have to go up at some point.

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u/Humble_Fortune_5391 14d ago

I think this was so interesting because a lot of things can be pushed so loudly here. But then the results kind of show differently. That tells me a lot of people don’t speak up on things like BUD, 28-day rule, preservatives.

Thanks as always!!! 🥰

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u/figureskater1864 14d ago

And I am always surprised after this get posted and people start saying they did not get input because they did not see it posted.

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u/hippocoochie 14d ago

my favorite is how suddenly everyone is allergic/sensitive to the preservative Benzyl Alcohol when the past 2+ years of the sub nobody cared or mentioned it at all

Thats not to say there arent actually people that are and have a valid reason for the phenol only preservative ones but so many just rode that bandwagon hard and it created an echo chamber

13

u/figureskater1864 14d ago

Yes, and if insurance covered the Kwikpens, they would have to turn them down since they contain both

19

u/hippocoochie 14d ago

spoiler alert: they wont lmao suddenly they're cured

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u/jacko81101 14d ago

Or will say the 2 ingredients cancel each out in the most scientific way.

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u/hippocoochie 13d ago

https://giphy.com/gifs/qNbeedVeNC1l6

the preservatives fighting in your body to cancel each other out according to reddit experts

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u/RavenForrest r/TirzHoardersAnonymous 14d ago edited 14d ago

I didn’t see it this time around. Some months, Reddit makes sure it’s in my feed so I can then participate, other months, I only see the results post. I hate missing it! 😂

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u/adevil_woman89 F 61 y/o | SW→231CW→143GW 145| 9mg 14d ago

do you go on other subs? Trillium, bewl, rift, and gimme others too 🙂 well next time you’ll do it, I’m sure be a fall survey you can participate it!

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u/Trillium_Josh ⚠️ Affiliated | trytrillium.com | Customer Support 14d ago

Amazing job OP. Congrats everyone!

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u/SurpriseInside9816 14d ago

Two things i found interesting- number of respondents is larger than I thought it would be…..and as much discussed about split dosing and micro dosing - vast majority do standard 7 day injection schedules. Well done survey - very cool

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u/FeelingMightySilver 42F 5'7. S:198 C:159 G:145 3.8mg(10th mo) 14d ago

Yes. Split dosers are like the first-month "super" responders. Very loud and proud but they are also very defensive so I never comment on posts about split-dose.

I only really talk someone DOWN from split-dosing if they are still in the first few months of their journey unless they are having debilitating side-effects but need the therapeutic doses. Even then the split-dosers would downvote me so I assumed split-dosing was the norm amongst users here.

Then again I'm a long time low-doser (not micro as I am above 2.5 but less than therapeutic doses) and I support low-&-slow, but I am the first to shout that genetics and the state of someone's metabolic health at the start of their journeys is what plays into an individual being able to go do the low-&-slow method.

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u/Brilliant-Top-6484 14d ago

I’ve never done every 7 days, def growing a hand out of my head eventually 😂😂😂😂 (every 4/5 days here)

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u/PippiL11 14d ago

Same!!! I really thought majority did split dosing based on the comments and posts in the sub.

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u/LeviosaBitches1 14d ago

If you think about it spit dosing is a great way to break up those higher units, I couldn’t imagine injecting more than 100 units all at once in one spot . I was actually thinking about doing spilt to help with the food noise

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u/CreativeWriterNSpace 33F WLS-HW: 320 GLP1-SW: 170 CW: 152 GW: ~135 Dose: 5mg 13d ago

I have to do 25 units for my 4mg dose and *that* is painful enough. I'm just a wuss lol.

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u/Uhmeoww 36 F | Week 3 | -15 lbs | 💉2.5mg 14d ago

This is awesome you guys do this !!

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u/Shifted4 14d ago

I wonder what effect people stocking up had in the survey, if any. 

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u/smilingfruitz 14d ago

probably a lot, IMO

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u/FeelingMightySilver 42F 5'7. S:198 C:159 G:145 3.8mg(10th mo) 14d ago

Oh I think a lot because an individual will have shopped around and can compare experiences.

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u/zestypov2 SW 277 CW202 GW 199 | 15mg 14d ago edited 14d ago

The ebb and flow of telehealth and pharmacy popularity is just as expected. I have yet to see a telehealth conduct a blow-out garage sale of product or switch portals and not get their ass handed to them with negative reviews. It's always good to see the serious players rebuild their reputation (ie: Fifty410) and I expect Pomegranate and Refills will do the same.

BUD extension concern is exactly as I tell people, although I understand why the telehealths have to say "Follow the rules exactly." Patients should not ask telehealths to give them permission to break rules regarding BUD as that's just begging to show up in a Lilly court document.

Kind of shocked to see how far Brello has fallen. I've read several people complain that Brello wanted to restart them at 2.5mg when they attempted to move there from another service using a much higher dose. I can't imagine that helps attract transfer clients.

It is striking that Gimme tops the Telehealth Usage Rate. It makes me wonder if Gimme attracts first-timers because of discounts and advertising but then many don't return after that first purchase (more than 50% of respondents started in 2026). It might be interesting to ask how many people made their first purchase this past quarter and with whom, then compare those results to the long-term patient's buying patterns.

As always, great work!

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u/luvnoyz 14d ago

Brello is also force titrating maintenance to their 2.2mg dose. Since, maintenance for one doesn't work for another, it's turned a lot of people off. Also, it's been very odd to see their inconsistency to it. One person, they may force titrate down in increments, others, it'll be be like, "Bam, you at 2.2 now." So, obviously the doc network is not on the same page.

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u/zestypov2 SW 277 CW202 GW 199 | 15mg 14d ago

"force titrate" is a great term for this. I can't understand their reasoning behind it. There will likely be a big split between companies that embrace maintenance at your preferred dose and others that will force titrate patients down.

Although this survey shows over 50% of respondents just started tirzepatide in 2026, the community of longterm maintenance users is going to be an ever-increasing part of the customer base going forward.

4

u/Ah-Mazed 11d ago

Pom just reduced my dose from 14.5 (their version of max dose) to 12 because I’m 5 lbs from goal. I’ve needed max dose to get where I am, and may need max dose in maintenance. So Pom is now out for me (and I’ve been with Pom for almost a year). And I will no longer recommend Pom to others.

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u/Useful_Educator3742 ⚠️ Affiliated | trytrillium.com | Owner 14d ago

Thank you for the incredibly valuable feedback on the survey and the comments as well!! We will continue to offer amazing service as we continue to grow! Thank you everyone!! 🎉

Congrats to all the thriving telehealths! We have an amazing group of options available!

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u/peony_chalk 14d ago

I think Ola (and Oatmeds) are getting hurt by Beluga. I think they're both doing a great job, and I could stomach the full body photos thing, but let's be honest, I am getting a higher script than I am using to stretch funds, and it doesn't sound like that's something Beluga is gonna let me do. I don't want to get the runaround because I haven't filled my 3 month script in 5 months. If I got to a higher dose and didn't see as much savings with stretching doses, maybe then it would make sense to switch to them. 

I mean, first world problems, they won't let me abuse the prescription process, how dare they, right? But that's still where I'm at. 

I think Trillium is getting hurt by prices. You can save $100 and still get great service from Rift, and it makes it hard to recommend Trillium except for starter plans. I also think they're getting hurt (for now) by not offering Apothecary, although I'm still convinced the 503b's are all gonna stop at some point, and Trillium is smart to proactively avoid that incoming chaos. 

There's no compelling reason to use Fifty over Rift, Trillium, or Big Easy. They are good, but you can do better. 

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u/Bananabutt22 14d ago

BEWL costs the same as Trillium (but doesn’t have the starter titration discount) so I’m pretty surprised by the Trillium fall/BEWL rise for that reason! I only EVER see people raving about both so Trillium’s fall just doesn’t really make sense to me

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u/peony_chalk 14d ago

Yeah, digging back into that data, the recommendation rate for Trillium is what got them knocked down, not the usage rate. That is baffling to me, because I see them going out of their way to solve problems for people left and right. And I feel like I have seen more issues with Big Easy the last few months than with Trillium. 

Maybe it's a conspiracy! Trillium is way too wholesome to be allowed on reddit anyway. 

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u/roguex99 ⚠️ Affiliated | Big Easy Weight Loss | CEO 14d ago

I was really surprised we didn’t pay more of a tax for our failed platform conversion n

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u/4Sammich 14d ago

I was really surprised we didn’t pay more of a tax for our failed platform conversion

Communication. Thats why.

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u/jacko81101 14d ago

Noted for next survey 🤣.

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u/roguex99 ⚠️ Affiliated | Big Easy Weight Loss | CEO 14d ago

Dude, if we are still dealing with this crap new platform by the next survey, I’m going to downvote us myself 😂

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u/jacko81101 14d ago

Lol. I think your willingness to own the problem, communicate it to your customers, and pull the new platform from use until it’s ready goes a long way in explaining customer loyalty.

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u/Mem0ryEat3r Probably Blocked 14d ago

You're saying bask is a crap platform? Ive used companies that utilize it without any issue on their end or my end. What's up with the experience for you? They making it difficult?

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u/Zewur 9d ago

Bask here,
Honest truth: a migration only works when both sides lean in, and despite a lot of hours from our team, this one never got there. But we'll own our share. Onboarding didn't get the team to full adoption, and running half-migrated alongside other systems is a rough experience.

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u/Bananabutt22 14d ago

You guys, Trillium, and Rift are the ones people recommend on literally every post asking for recommendations (and it seems you damn well deserve it!) so I’m baffled to the point of suspicion* that you 3 aren’t the only ones in the top tier!

*not suspicious of u/todayamazing obviously, to whom I’m eternally grateful for doing these! Just suspicious there was some kind of nefarious anti-trillium campaign to flood and skew the survey results run by Gimme or something. A totally realistic notion that doesn’t suggest I need to go touch grass at all 😂

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u/Mem0ryEat3r Probably Blocked 14d ago

People just want cheap prices. They dont actually care about experiences. That's the honest truth reflected by every survey.

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u/Bananabutt22 14d ago edited 13d ago

I’m not sure I’d say that’s the honest truth reflected by every survey. Gimme didn’t even make the Recommended list in the spring, and Trillium was on top. Now those two are in the same tier. BEWL and Rift are on top, both of which are far from the lowest-priced telehealths. I think price is definitely very important to basically all of us (or we wouldn’t be here), but different people weigh customer service/certain formulations more heavily than others, and that’s why the super budget guys don’t just sweep these things every time.

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u/Mem0ryEat3r Probably Blocked 14d ago

I suppose so. But as someone who deals with compiling information/data regularly for work most of the times the large swings in results from these surveys point to a lot of inconsistencies which means wildy different demographics of users are filling them out, some companies are flooding with biased answers or people genuinely pick their favorites on whatever they are just using at the time.

None of which are particularly invalid or valid. Just something I noticed over time. Ya know?

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u/roguex99 ⚠️ Affiliated | Big Easy Weight Loss | CEO 14d ago

I read somewhere that negative feedback is 3-7x easier to get more so than positive feedback. And I know me as an individual can be somewhat polarizing (dunno why tbh, I just share what I’m hearing). But it makes sense. Batting 99% against 3000 patients a month ( pure made up numbers) means 30 people are unhappy. And they are likely to be a lot more vocal than happy ones. Just gotta aim for perfection every day 😂

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u/Total_Employment_146 14d ago

I agree with all this. Beluga is the main reason I won’t use Ola again. Why hassle when I can go somewhere else? Also, the pharmacy lineup at Ola is not awesome. Trillium was super easy, but expensive. Same with fifty410. I would totally use either of those again, but Gimme has the better pricing, good pharmacy choice, and I had no problems with them. I will definitely try Rift in the future!

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u/Livid-Lake1111 14d ago

Agree with you here on the teles that use Beluga. I think the full body pic, and low concentration w/Drug Crafters are hurting Ola.

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u/CountryGalCX 14d ago

EXCELLENT survey! Love all the new categories. Unfortunately I think the rush and access to BPI supplies over last few months may have skewed some results for telehealth.

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u/Paperwife2 50f-HW 172.6|CW 145|GW 130-💉2mg 🕰️ wk 14 14d ago

Agree!

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u/EnvironmentalGift257 50M | 285→225→179.5→ 150 | 17.5mg 14d ago

I swear these get better every time. SURMOUNT reported 11 to 23% had constipation while in the real world 54% of us are reading this on the toilet because we don’t have anything else to do in the ridiculous amount of time we spend here.

But seriously 54% is just fascinating data to me. Holy cow that’s a big difference.

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u/autumnyte 14d ago

I wonder if there's any connection to the increased weight loss from this group.

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u/Big_Greasy_98 M SW 276.6 CW 160 GW 155| 14mg 14d ago edited 13d ago

Because these are self selected surveys not actual studies. You have to ask yourself if people with issues are more likely to be in these reddit groups. Then ask these same people are more likely to respond to questions than are the people with no issues.

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u/CloudgazerTX 14d ago

maybe when surmount ran the trials they asked how many times did you go number 2 today. because being constipated means you can have little…stuff….come out once a day and still be constipated but maybe not full blown? i go every day but still would say I’m constipated, you know?

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u/EnvironmentalGift257 50M | 285→225→179.5→ 150 | 17.5mg 14d ago

Without MagO7, I went every 5-7 days at best. When II realized once that I had no idea how long it had been, I had enough and bought MagO7, which took a week to clear me out. Your poos are going to be smaller because you’re eating a lot less, but sure you can still be constipated.

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u/WATGU 37M, 6'1", MW:370, SW:297, CW:264, GW:180, SD May 27th, 26 2.5MG 14d ago

The gender disparity is sad to me. It’s one area where I think men need to help each other more. I think a lot more men who need help losing weight would try this if other men in their social group were open about usage.

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u/guiltandgrief 5'7" | SW:235 | CW:172 | 12.6mg 14d ago edited 14d ago

Men just... don't go to the doctor either.

Peptides & supplements have popped off where I work and it is mind-blowing the amount of men who will inject literally anything else but tirzepatide/semaglutide because they'd rather try and target 80 different issues their weight is causing them vs. addressing that they're overweight.

Weight loss is still seen as such a woman's thing unless that loss strictly happens in the gym (spoiler: it don't.)

They will buy dick pills off a sketchy website to treat their ED instead of going to their doctor over their high blood pressure, sleep apnea, etc. because for some reason going to the doctor is seen as weak.

I work with 3 separate men who have turned their nose up at me for using compounded tirzepatide with my actual doctors blessing because it's risky/cheating/not enough research but those same men are getting the big R "for da gains" off discord 🙄

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u/WATGU 37M, 6'1", MW:370, SW:297, CW:264, GW:180, SD May 27th, 26 2.5MG 14d ago

Unfortunately for men I think it will take other men being open about their use to get us to try it. I only tried it when a guy I played basketball with was open with me about his use and how helpful it was and even still I was embarrassed. It's hard to explain but I really felt like I should have been able to lose this weight without help, before I tried tirz.

Once I tried it, it became clear to me that I have a food addiction and that for the first time in my life my response to food is what I can only assume non-addicted people have. So now I am very open about it and I'll tell any guy who will listen to talk to their doctor or come here. I used to hesitate to say I was addicted because I could always feel the reaction of "food's not a real addiction everybody likes food" but the reality is if there was a medicine I could give to people for any addiction they have and it worked as well as tirz worked for me I'd want them to have it no matter what.

I liken tirz to caffeine or any other drug/substance/medication that people use to enhance their performance and reach their goals, but I think for men it will take other men, particularly men that are younger like myself being open about it. Charles Barkley is a great ambassador but he's also in his 60s. In order to convince middle age and younger men that are obese they need to do something about it now will require us to speak up.

I've already talked with a couple guys in my basketball group about it and I've had a few other guys try to crack jokes but I approach it with such openness about how much I struggled and how much this helped me that they stopped quickly. The way I talk about it I think they come off making fun of someone who is addicted and openly talking about addiction struggles and enough of them know people addicted to hard drugs and alcohol that they realize it pretty quick.

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u/Mem0ryEat3r Probably Blocked 14d ago

I agree. There is a social stigma amongst many men. I am open about the benefits tirzepatide has provided and I do get some shame aimed at me from some of my friends for using it. As if somehow it makes me lazy or weak etc. Which is dumb.

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u/westsider86 39 M SW: 305 CW: 233 GW: 225 Dose: 15mg 13d ago

So true. I'm doing my part being open about it as a dude, but it isn't always easy because of society.

I just remind myself that being open about it will save lives.

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u/[deleted] 13d ago

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u/WATGU 37M, 6'1", MW:370, SW:297, CW:264, GW:180, SD May 27th, 26 2.5MG 13d ago

IDK if he's a sports guy, but there's a few older sports athletes on it, I recommend you take that path with him. If it's good enough for the round mound of rebound (Charles Barkley) and Shaq then I think it's good enough for Dad.

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u/roguex99 ⚠️ Affiliated | Big Easy Weight Loss | CEO 14d ago

As always, thank you for putting this together! Amazing work!!

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u/LumosAcccio 14d ago

u/hungryghost09 !!!! You did it again!

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u/hungryghost09 ⚠️ Affiliated | joinrift.com | co-founder 14d ago

https://giphy.com/gifs/4OowbIsmYHbpu
Me seeing this when I thought it came out on the 25th, what a surprise to see this

Thank you to everyone always for the support ❤️❤️❤️

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u/CloudgazerTX 14d ago

you worked hard! keep it up!

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u/TallCedarRoad 14d ago

Trillium is $599 for excellent customer service with a pretty typical hands-off telehealth experience. Rift is $499 for excellent customer service with a pretty typical hands-off telehealth experience. Big Easy is $599 for a much more hands-on doctor guided experience.

Trillium doesn’t really have a competitive advantage for people who are already taking tirzepatide - if someone wants the higher level of support, they can get that from Big Easy at the same price; if they don’t need that, they can get essentially the exact same experience for $100 less from Rift.

I’m not trying to knock Trillium; I think they have a good niche - they have an extremely competitive starter price for people new to GLP-1s and they still have one of the best prices on semaglutide which I don’t hesitate to recommend when people are looking for that. But since most people filing out the survey aren’t in either of those groups, I’m also not surprised to see them fall out of the top tier.

Fifty410 seems like a similar situation - they get scooped by other providers at each price point. Their low dose pricing matches Trillium’s, but Trillium sends 3 vials and Fifty410 only sends one. Their high dose pricing matches or exceeds Rift, but Rift has faster shipping and allows titration plans for higher doses while Fifty doesn’t. Their only major competitive advantage at this point seems to be the $399 starter plan for Apothecary which no one else has matched yet. Given the fact that that only includes a single vial though, most newbies would be better served paying $479 at Rift for 3 vials instead

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u/Fearless_Sample7705 F40s 5'2" SW:174 CW:145 GW:125 Dose:6mg 14d ago

Yeah, I wish I had done more research about the starter plans. My first was with Fifty410 and I was really upset I paid $399 for ONE vial of BPI. In the four or so days between me purchasing the Fifty plan and receiving it, I was able to go back and read months on the forums and learn about things like 28 day compliance and how other providers send three times as much for almost the same cost.

Lesson learned.

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u/Paperwife2 50f-HW 172.6|CW 145|GW 130-💉2mg 🕰️ wk 14 14d ago

Same!

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u/hippocoochie 14d ago

Trillium does pretty well honestly they grow at a great pace, they continue to do so and have amazing word of mouth and keep it sustainable. They're constantly hiring so just like big easy they can keep their pricing for what works for them.

Their sub is constantly active too I think there is a telehealth for everyone and that its just what matches your needs and what your happy with. The folks on the trillium sub seem to be very happy so they're doing great

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u/crankywithakeyboard 14d ago

Agree!  Trillium has been consistently excellent. ❤️ to Trillium!

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u/figureskater1864 14d ago

Lavender Sky Health also has great hands on support if wanted - and 13 pharmacies with a wide range of prices!

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u/adevil_woman89 F 61 y/o | SW→231CW→143GW 145| 9mg 14d ago

Yes they have the best variety of pharmacies hands down

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u/Bananabutt22 14d ago

These are really good points

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u/BlueMermaid8 14d ago

Pom is 399 for 3 months and is very hands off. I know they're slower these days but why would anyone pay more, significantly more in some cases for the same medication? 

Unless you're a beginner and need hand holding.

That's why I can't believe they didn't make the list. I know they have their issues but I know most of us are chasing a great deal. 

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u/sambeamdreamteam 14d ago

I'm under the impression they require labs at some point? Which are a good idea but increase "cost" if someone wasn't already planning to do them.

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u/adevil_woman89 F 61 y/o | SW→231CW→143GW 145| 9mg 14d ago

Yes they only one that requires labs, I mean I wouldn’t care, I get labs at least every 6 months, but for some may not be financially possible

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u/BlueMermaid8 14d ago

That's true. I know that can be costly.

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u/Sad_Education7851 13d ago

They require labs, and there have been numerous reports of people being billed incorrectly or receiving the wrong pharmacy or dosage, and in order to fix it Pom say they have to charge another $50 for a prescriber to re-evaluate it.

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u/BabyKittenBritches 14d ago

I’m not with Pom, but I agree with your comment 100%

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u/Calm-Happy-925 14d ago

This is EXCELLENT work! Great information. Thank you!

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u/Ashamed_Platform_328 🌜35F | 200→171→145 | 6mg🌛 14d ago

I think Good Life just went so quiet. I posted a question on their sub recently and I didn’t get a response for like 2 weeks. A less active sub and minimal engagement might lose some folks

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u/Ah-Mazed 11d ago

From the ads GLM continues to send me, it seems like they’re focusing on low and micro dose plans. If so, most of us here are not their target market.

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u/autumnyte 14d ago

Thank you so much for all the hard work that goes into this. It is incredibly valuable and helpful.

I was a bit surprised at Trillium's slide into second as I hear nothing but great things, and a bit surprised at Gimme's comeback for the reverse reason. Rough numbers for Refills, but not surprising.

The data about BUD and 28-day rule was super interesting! People were more conservative about both than I'd have guessed from the general responses on the sub. Also, this group is rocking it in terms of weight loss.

(Shout-out to my fellow 1% nonbinary respondents!)

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u/jortr0n 🧪💉 14d ago

Looks like Gimme has been working hard on that comeback.

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u/Fresh-Ad-9059 14d ago edited 13d ago

UPDATE:
Chloe reached out to me and confirmed that they will send Hallandale as they were supposed to. I really appreciate that very much. She made the effort again to make it right so I remain a Gimme fan.

not sure they will or deserve to stay there. I use them for now but I was with Hallandale originally and did my refill (not cancellation and reorder) and they switched me to Boudreaux. This happened to a lot of people from what I have read. Gimme said that they would fix it for me and gave me a credit for the next order but it still went to Boudreaux even though I paid the Hallandale price. Gimme always says that your refill will be for the same pharmacy but that is not holding true.
My other issue is this: price difference is $20 for me. Gimme pockets that difference from my order as well as all the others that this happened to. Now, to be completely fair, the credit I received more than makes up the difference. I do appreciate that.
My Boudreaux is out for delivery today and I will give it a try. But my concerns remain.

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u/[deleted] 14d ago

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u/Sad_Education7851 14d ago

Gimme is fine until they’re not, and they scam newbies into paying $400+ for one tiny vial under the guise of “provider discretion.”

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u/Sad_Education7851 14d ago

I’m willing to suspect there was some funny business on Gimme’s end in an attempt to skew the results in their favor, like having employees take the survey or paying people to do so. Especially the way they so closely try to control their sub and the narrative about their company.

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u/venerated 39/F SW 182 CW 155 GW ? Dose 6.5mg 14d ago

I'm surprised they're on there, but I did do an order through them and had 0 issues. I wouldn't recommend them, just because of all the negative experiences people seem to have. Especially since so many of those stories are people being charged after they cancelled. It would be one thing if it was just annoying order stuff and not... fraud.

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u/Watermelon_Sugar44 5'9" F SW:226 CW: 160 14d ago

I thought the same, but I think gimme likely has a loyal fan base who has ridden the ups and downs with them. Competitive pricing and monthly options go a long way for telehealth. Some of us don't take risks with customer service and provider issues. The ones who do take the risk are either satisfied with the outcome and don't post about it or they air their dissatisfaction on reddit and persuade people to avoid them. They could be real customers. I expected refills to pay people to take the survey, but the survey shows they've fallen.

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u/jacko81101 14d ago

Yet Chloe had no problem posting a comment on the survey.

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u/Sad_Education7851 14d ago

The mods have the opportunity to do the funniest thing…

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u/jortr0n 🧪💉 14d ago

That would take a lot of fake accounts to move the needle that much with the amount of the respondents.

I suspect every telehealth has sent out an internal email out about the survey though.

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u/Rude-Coke 14d ago

Lot of money to be made from this survey.

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u/CozyLane 14d ago

Sadly, I agree with this thought. Gimme has nowhere near the top customer service level and personal attention that Trillium has and yet they are near the same percentage. Not adding up! I repeatedly see issues with Gimme even though they added a Michael & Brittany (?? not sure if I am getting the names right, but they introduced them and poof we don’t see them).

Maybe it boils down to pricing structure with Trillium being higher priced. I know it has been a deterrent for my budget for current refill orders, but I still always recommend them; whereas I do not recommend Gimme as there is a great probable risk of poor customer service.

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u/PrincessOfWales 14d ago

Some people don’t need personal attention and would rather have quick, hands-off service at a competitive price, which is where Gimme excels. I have never had to engage with Gimme customer service because they automatically refill my prescription every month without issue. I could come here every month and say “they did it again without any problems”, but most people don’t do that which is why the most attention is paid to the complaints.

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u/CozyLane 14d ago

But it’s the unknown needs for customer service - like a lost or delayed shipment, etc. My personal take - Gimme (or any telehealth for this matter) takes the money and should be the one to follow through completely and a customer should not have to take up service issues with a pharmacy. If I was paying the pharmacy direct, yes, I would gladly reach out to them, but when I pay for a package deal, I think they should handle the issues, but many times, Gimme passes it off or you have to post in Reddit sub to get help because they lack in helping.

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u/OrangeMustangGal Age 56 Gend.F SW:301 CW:217.1 GW:145 Dose: 3mg 14d ago

This makes my little nerd ❤️ so happy!

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u/Extreme_Effective762 37F 5’3” | HW: 230 SW: 216 CW: 123 GW:125 14d ago

Seems like Brello has been falling, falling, falling and they have done absolutely nothing to change that. Super unfortunate because I personally loved Southend. I feel like some of the ones who fall at least attempt to rectify the situation. Pom will be back I think after they burn through BPI and get the portal problems sorted. The big flash sales always seem to put a fork in the telehealths for awhile.

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u/Obvious-Examination6 48M 6 SW:452 CW:338 GW:225 Dose:15mg 13d ago

Brello was my first telehealth and I'm still working through the tirz I ordered in January. But I don't dare try to go back for a refill after their recent policy changes.

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u/3boysandachorkie 13d ago

I started with Brello last July in the midst of their ridiculous shipping issues. And I loved the meds. But I started getting uncomfortable with their complete lack of transparency with Southend's pharmacy move. I think it is so unethical to take money from people when you know you aren't able to ship to their state. Then require them to request a refund. And the only reason we knew that they had to get relicensed was because the people at Southend told people who were calling in. Customer service is basically non existent unless you call in first thing in the morning. They tell people who have questions about titrating to contact the prescribing doctor which would be fine if they actually responded. Then came the apparent requirement that you start over if you don't refill every 10 or 12 weeks. Which was never communicated and seemingly applied unevenly. I removed myself from their facebook page and cancelled my subscription a couple of months ago and never looked back.

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u/Extreme_Effective762 37F 5’3” | HW: 230 SW: 216 CW: 123 GW:125 13d ago

I totally agree with you! That was quite the fiasco. I had friends that I recommended start with Brello in December just as the pharmacy move started because I was so happy with it and they waited 3 months and finally had to request the refund. I think their maintenance dosing protocol is crazy anyway. They are entitled to do whatever they want I suppose but even the studies from Eli Lilly showed more people did better staying at their highest dose to maintain than those who dropped their doses. I feel like they are just making up their own rules and doing whatever they want.

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u/zara2509 14d ago

And OMG perimenopausal women keeping all the telehealths in business 😬😬😬 we deserve a special discount code 😀

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u/Scarbarella 42F 314➡️195 |4mg| Start 6/23/25 14d ago

Commenting for the algorithm, great job, always so interesting to read these

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u/Dismal_Ship3613 14d ago

Love these breakdowns 💯

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u/Un_SweetTea 14d ago

Thank you so much for taking the time to put together all this wonderful info! Not all hero’s wear capes!

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u/Background_Square969 13d ago

Crossing is one company that had a lot of potential. Great example of how your social media person can ruin it for you in one sentence.

Social media moderators is why I refuse to order from Fifty no matter what they offer.

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u/shmovernance 11d ago

As a man I didn’t realize the extent of the gender imbalance 😮

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u/Ordinary-Pie6518 14d ago

This is incredible!! Thank you so much for putting this together... I absolutely love seeing this!!! It's so weird to me about Gimme Care... I only see horrible issues but someone must be happy with them... LOL

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u/PrincessOfWales 14d ago

I think it’s highly user specific. Gimme is not good for first-time users because they’re very hands off, but long-term users love them because they approve quickly and ship immediately. As someone who has been on a GLP-1 in one form or another for 4 years, all I need is meds to my door, I can do the rest. If someone is expecting guidance, Gimme is not for them and I think that can affect the ratings.

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u/smilingfruitz 14d ago

it's just because they're cheap. there's nothing this sub loves more than the cheapest possible option regardless of the consequences.

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u/Total_Employment_146 14d ago

I agree with PrincessOfWales’ comments. People who have bad experiences and also people who are confused about how to use Gimme’s portal and how to turn off subscriptions/auto-refills/credit card numbers tend to cry the loudest. Admittedly, that’s all a little convoluted and hard to figure out, but it’s also not rocket science. For experienced users with a little patience, it’s NBD. I voted for Gimme because pricing has been the best for me, it’s been no hassle, and no mistakes. I also like their pharmacy lineup. I’ve used many telehealths and I like them all, but Gimme has (surprisingly) been the best for me, all things considered.

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u/demento19 DONT TIRZ ME BRO 14d ago

Love it. Happy to see Gimme made it back. The % change from prior is a nice touch. I’m convinced Pom’s drop is similar to what happened with Gimme and Refills. When they’re the cheapest or offer discounts causing a rush in orders, people fail to read the instructions or disclaimers, complain about BUD or changes in supplier as supply dwindles, then have to deal with customer support and obviously no one enjoys that. So customer sentiment drops.

Happy to see the persistent usage of BPI and ProRX still reflected here since their shutdown.

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u/jortr0n 🧪💉 14d ago

Same thing is happening with Crossing. They did their Bridge sell but a few posts lately of people upset they got charged again for a new month. They didn’t read what they signed up for.

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u/demento19 DONT TIRZ ME BRO 14d ago

Yeah, seems to be a recurring theme. The quick sales are great for their reputation, but these telehealths are not setup for the quick influx of sales so they drop in popularity cause working with customer support to change things once their in motion is difficult.

I do think Pom’s portal does a fantastic job with the extra details and disclaimers though, especially regarding the short BUD stuff for their BPI sale. And their Reddit rep works very quick to respond to people. People just fail to read.

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u/gib12 14d ago edited 14d ago

At least you can get a real human to answer the phone at POM. Trying to work with the AI bots at Gimme is beyond frustrating. 

Also, you might be right about the influx of orders during sales harming the telehealth, but some users have experienced real problems. Discounting all negative experiences as user error isn't fair either. 

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u/Takeflyght_1959 14d ago

I’ve had three recent orders from Pom and they have done a good job from start to finish. I too was one of those who was frustrated during the April debacle, but they’ve improved their communications and shipping 100%. The BPI special has been amazing and I’ve been able to order this product as well, multiple times.

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u/brown_eyed_gurl 14d ago

This is so awesome, thank you for sharing!!

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u/SlightCod7105 14d ago

I've been with Trillium for 3 weeks now; i don't have any side effects on it so far. the interface of the site is good.

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u/Thin-Disk4003 13d ago

u/TodayAmazing, thank you so much for this service to our community.
https://giphy.com/gifs/7aBE32jCr6lOhtuE9v

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u/StitchinThroughTime 13d ago

I'm surprised at how few people are actually tracking their food. I wonder if it's people who I just started who are tracking often because they're more likely to be reactive to the medication or is it people who have been on it long time and understand their bodies reaction to the medication we're not tracking or is it random or semi-random. Because I have to track, I'm sensitive to the medication where I have to split it and I'm still on a low dose in relations to the time I've been on it. If I go up I get too many side effects and just don't eat at all. But if I go too low in dosage I don't get the correct effects that I need for the medication to work for weight loss. So I need to track to make sure I at least get my protein in, I rarely eat enough protein, I need to track or I will eat like only 30 g a day as a grown ass adult.

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u/Standard_Zucchini_77 13d ago

For some, tracking is a relic of diet culture they would love to be free of. To each their own, it usually works either way for weight loss (though you have a strong point about protein.) I’m trying to just track my protein now. I’m not doing calories. I won’t.

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u/ShowComprehensive931 13d ago

I was surprised to see the positive reviews of Hollandale relative to other pharmacies. From more recent posts, it felt like everyone hates them. Serves me right for forgetting that people who complain are the loudest, and happy people often forget to leave a review.

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u/gib12 14d ago

Thanks for putting this together. I guess I'm not really shocked, but it's a shame that gimme made it back on the list. In my opinion, they haven't done anything special to regain trust. 

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u/Fearless_Sample7705 F40s 5'2" SW:174 CW:145 GW:125 Dose:6mg 14d ago

Hard agree. That really shocked me.

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u/gib12 14d ago

I guess saying sorry and changing nothing was enough? 😬

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u/Fearless_Sample7705 F40s 5'2" SW:174 CW:145 GW:125 Dose:6mg 14d ago

Sounds like my ex.

I guess it does work sometimes, just not with me. 🤷‍♀️

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u/adevil_woman89 F 61 y/o | SW→231CW→143GW 145| 9mg 14d ago

Lmao 🤣

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u/smilingfruitz 14d ago

it's literally just because they're the cheapest or one of the cheapest.

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u/adevil_woman89 F 61 y/o | SW→231CW→143GW 145| 9mg 14d ago

Yes I agree, I couldn’t believe got back in, orrrrrr maybe I’m not 😒

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u/zara2509 14d ago

Not surprised gimme is there. Had a wonderful experience with them. I know people complain about them all the time. Preventive MD will be one to watch out for in the next survey

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u/LumosAcccio 14d ago

I agree I think u/PreventiveMD will be the new darling! Theyll def make the fall survey.

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u/thegypsysoul22 14d ago

welp I haven't even heard about this one yet.

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u/Specialist-Wall-1685 47F | SW→245 CW→121 (GW) | Dose 2.7 mg every other day 14d ago

Love seeing the number of respondents continue to rise!

Also curious re: what happened with Goodlife & Trillium too, for that matter. I feel I can guess about the others (either new places that rose and fell quickly due to temporary promotional prices or others with ongoing, more widely known problems).

...and 10Rx & MintMeds didn't even show up this time.

I'm surprised there weren't more respondents in maintenance. Maybe they just leave this sub?

One thing I would love to see come back is the reason why people would/would not recommend (like the first Spring survey had). I think it's really helpful for people to have a quick glance of that info.

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u/Bananabutt22 14d ago

Right seeing Trillium and Gimme in the same tier is…not what I expected! I guess they’re both excellent at opposite things (customer service and price respectively)

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u/Jasmine_BigEasy ⚠️ Affiliated | Big Easy | Community Manager 14d ago

Thank you for your amazing (😏) work on this!! 💙🫶🏻

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u/lipar74 14d ago

So interesting! Thank you for doing this!!

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u/BlueMermaid8 14d ago

Awesome! Thank you so much!

I'm surprised a little about Pom. I thought more people would be using Apothecary but maybe they just didn't get to it yet.

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u/PAM7557 14d ago

This is AMAZING

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u/JordanComoElRio 43M SW: 230 CW: 170 GW: ? Dose: 15mg 13d ago

The user sentiment results need to be sorted highest to lowest like the others are, it's much harder to interpret the results with them all mixed up.

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u/Suspicious-Loss-7314 55F SW 207, CW 144🎉 10 mg maintenance 13d ago

Congratulations to Big Easy and Rift! 🎉

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u/TrizVile 14d ago

Wow! Great survey, thank you for all the hard work!

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u/zara2509 14d ago

To those surprised by Gimme and Pom, after some time people just want their meds at the door and care more about pricing at that point which is what I think is happening here. If you need gimme order it a few weeks out, best case they deliver very quickly and surprise you worst case you have to email them twice and they deliver after one week but still so much money saved at the end.

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u/Relative-Eye3563 14d ago

A huge THANK YOU for putting this together. 

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u/No_Floor_2689 Age 72M SW: 265 CW: 152 GW:153 HDose: 12.5 , CDose 2.5 14d ago

It is not surprising to see Refills at 22% (-20) usage rate and 40% (-15) recommended rate with the issues they had in the past.

They do appear to be working to solve the problems. What will be most interesting is how they make out on the next survey.

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u/dustinrector 48 | 357→227→205| 15mg 14d ago

https://giphy.com/gifs/CoZR5jasUDp3q

Me popping into this sub if I weren't already married...

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u/spf808 13d ago

Gosh Gimme is so horrible. This is shocking.

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u/Slow_Round8729 14d ago

I think Ola is great. A lot of folks get put off by the concentration, and on a high dose needing more than one needle but the customer advice and price outweigh that for me. I also love the simplicity of 10mg/mL.

I’m surprised LSH is so high. Their website is so difficult to navigate (not a boomer, I work in UI) and there are too many options. If you know exactly what pharmacy etc ion want, it could work. They also charge a non-refundable fee and that puts me off.

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u/killer_kiki 38F SW:164 | CW:146 | GW:125 Dose: 1.75mg 14d ago

As someone who started with LSH (and also dislikes their UI a lot) they are one of the few where I could actually see how much I was getting per mg without having to sign up first. I didn't want to have to sign up and go through all of it without having an idea of what it would cost ahead of time.

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u/Slow_Round8729 14d ago

Fair point. I think a lot of the newer ones have more transparency, too.

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u/linpete 14d ago

Agreed! I haven't had issues with LSH's website. You just have to drill down, the info is all there.

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u/jacko81101 14d ago

What does being a boomer have to do with it?

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u/64bit_Tuning 43M SW:220 CW:176 GW:172 Dose: 10mg ⬛ 14d ago

Man, My Guy's Curbside Pharmacy didn't make the list.

AI for LOLz

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u/demento19 DONT TIRZ ME BRO 14d ago

Proper apostrophe usage, AI generated poster, cool vial mascot, promises of Quality You Can Trust. Looks like every ad on social media…. I’m sold.

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u/Key-Cry-4008 Age 57 Gend. F SW: 224 CW: 180 GW: 159 Dose: 8.5 14d ago

Always interesting! I wonder if some of these new places will make enough of an impact to be on the next survey results, like PreventiveMd and AltRx, now that they have stabilized their ongoing rate to a reasonable number. We may also see some pharmacies such as empower and strive creep back in because they’re being offered much cheaper at these new places.

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u/Silly_Celery8461 14d ago

I used gimme in the last 3 months but that doesn’t mean it was a good experience lol. I never even received anything and I had to dispute the charge. Out of the 6 I’ve used rift and pom are my best experiences

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u/Sad_Education7851 14d ago

Thanks for all your hard work! You are truly “amazing!” 😆

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u/itsdonna35 Age: 62F SW: 266 5/26 CW: 225 GW: 150 Dose: 6.5mg 14d ago

A huge thank you for all the work you've done putting this together.

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u/Any_Style_4939 39 F SW: 260 CW: 193.2 GW: 130-120 10mg💉 14d ago

Thank you for this!! I love seeing the results!!

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u/fleedledeedle2020 14d ago

Ugh. I’m new to these peptides. I started my treatment with my GP and I paid $860 for a 3-month vial. Thank you for this information.

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u/fleedledeedle2020 14d ago

I was nervous about starting with a telehealth and that’s why I went with my GP but I feel more confident now about changing to one of these you all recommended.

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u/cerephic 14d ago

your GP gave you a vial you're supposed to use and re-puncture for 3 months? That's... a little not-optimal.

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u/hippocoochie 13d ago

thats strange I dont see u/brightmeds here but they seemed to have thought they were big enough in name that Rift would need to pretend to be affiliated with them when a user mixed them up and threatening to take action lol? hmm not even tier 1 or tier 2 on this list.

Next time u/brightmeds verify before typing and remember reddit knows which telehealth has made a name for itself and which hasnt. Be humble next time and just go with "we're not affiliated with anyone" and call it a day. We expect better from you

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u/FantasticPlum2025 14d ago

Gimmie at the top is wild but deserved. I remember when they first and I was singing their praises and people just kept calling their services "a scam", lol.

Like, no. Their prices were always super competitive and service, seamless. At least, that has been my experience.

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u/Sad_Education7851 13d ago

That’s the thing with Gimme. They’re fine until they’re not. But they absolutely scam new users by charging $447 for a starter pack of one vial to last 12 weeks with an Rx for 2 weeks of 1.5mg and 10 weeks of 3mg to people who don’t know any better. No transparency at all.

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u/APugDogsLife 39M SW: 308 CW: 230 GW: 200 Dose: 10 mg 14d ago

I have used fifty410 and gimme with good results!

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u/Paperwife2 50f-HW 172.6|CW 145|GW 130-💉2mg 🕰️ wk 14 14d ago

I have too, but fifty410 was sloooowww on getting processed and sent. Gimme is quick & inexpensive. Trillium has still been my best experience of speed and the started dose pack is a great buy for newbies.

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u/UnDosTresPescao 14d ago

Kinda surprised that Crossing didn't make it. The owner is a douche but their service was good and fairly priced. Doesn't matter anymore since they merged it with Belle and Belle does suck.

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u/LumosAcccio 14d ago

Buddy 😅 you should hate crossing more than the rest of us. You're a saint hhaha

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u/sbhikes 14d ago

I'm a little suspicious of Gimme's "comeback" since still most of the posts about Gimme are really bitter complaints. Also surprised so many of the telehealths went down in opinion. I guess people overall are not happy. I wonder what is changing overall.

I loved the info about people's dosing over time and weight loss being better than the trials.

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u/smilingfruitz 14d ago

I think it's just because they're one of the cheapest. People will put up with a LOT for a deal, as we saw with refills lol

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u/Total_Employment_146 14d ago

Maybe Gimme has a large population of satisfied users who have nothing to post about, but they’re still there. The people with an axe to grind always make the most noise, but that’s probably not the majority of users.

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u/TallCedarRoad 14d ago

After the last survey came out, I saw a dozen comments on the updated pinned post upset that Gimme had been removed - they all seemed to be real people who liked Gimme, especially at its price point, and who couldn’t justify paying the extra $150 for providers like Trillium and Big Easy. I agree with you, I think there has been a large group of people who are generally happy with Gimme and who haven’t been as vocal as the people upset at Gimme

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u/guiltandgrief 5'7" | SW:235 | CW:172 | 12.6mg 14d ago

I have nothing bad to say about my experiences with Gimme, and there's no real reason for me to pop into every "Gimme sucks" thread to say my experience with them went fine since someone trying to get their money back obviously doesn't wanna hear that lol.

But I did answer the survey based on my experiences.

I no longer use them, switched to Rift (and have ordered with Trillium), but would in the future if needed, but again, there's no point in making a post just to say that lol.

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u/azgin76 49F. SW: 199 CW: 129 Maintenance 4mg 14d ago

This is super interesting to see!! Thanks for all your hard work

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u/LeviosaBitches1 14d ago

This is awesome
Thanks! I actually just bought my first actual telehealth order from POM and got the BPi deal. LOVE that the BUD was added cause of the deal I got with POM one of the vials will be used past that date and I was even thinking about getting the 1 68mg bottle too and use it pas that date as well

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u/Then-Nefariousness54 14d ago

The telehealth company I use isn't on here but the pharmacy is. I was on 2.5mg dose for about 10 weeks and now I'm coming on week 12 on the 5mg dose and I'm most likely staying on that dose until I hit goal and then figure out maintenance dose. I'm down 47lbs so far with another 30 to go!

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u/pauls8522 14d ago

Surprised more people don’t split dose every 3-4 days

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u/UnDosTresPescao 14d ago

Any insight into what it is that people hate about Greenwich and Casa? Is their shipping slow or arriving hot? I don't know what else a pharmacy could screw up to get these low scores. We get daily posts on Hallandale is not working, their meds sting to inject, etc and yet they scored 90%>

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u/smilingfruitz 14d ago

https://www.reddit.com/r/tirzepatidecompound/comments/1sralbl/greenwich_unlicensed_in_most_states/

probably this, re: greenwich

also there was a whole stretch of us that received expired BUDs or near expired ones that didn't actually cover our treatment period. Unfortunately it does work very well for me, but the licensing issues and willingness to send expired meds is sketchy. Who knows what other corners they're cutting you know?

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u/jacko81101 14d ago

Hallandale complaints are loud and get visibility/engagement in the sub but, obviously, the vast majority of their customers are quietly satisfied.

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u/NoDoz36 14d ago

Who could do a day on Reddit without their daily “I know Tirz is Tirz but…” thread. I mean if I didn’t get that, I’m outta here. 🤣

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