Frequently Asked Questions

Everything to know about NexLife's compounded GLP-1 weight loss program.

Pricing, eligibility, safety, side effects, shipping, and ongoing care — answered by the team behind NexLife's physician-led, LegitScript-certified telehealth platform serving members across the United States.

Medically reviewed by Adam Kennah, M.D. LegitScript-certified telehealth Last updated May 2026
Call (949) 818-8000

01 — About NexLife

Who NexLife is and how it works

NexLife is a physician-led telehealth platform offering compounded GLP-1 weight management, sexual health, and longevity care across all 50 U.S. states.

Yes. NexLife is a LegitScript-certified, physician-led telehealth platform operating across all 50 U.S. states through affiliated, physician-owned medical groups. NexLife works exclusively with U.S.-licensed compounding pharmacies that hold LegitScript certification, NABP accreditation, and NCPA membership.

All patient care is supervised by board-certified, state-licensed physicians under the medical direction of Adam Kennah, M.D. Members receive ongoing oversight through NexLife's Care 360 system, which combines provider review, behavioral support, and metabolic health tracking.

Care 360 is NexLife's integrated care model providing ongoing provider oversight, clinical follow-up, behavioral support, patient education, metabolic health tracking, and continuous care coordination throughout the GLP-1 treatment journey.

Members can optionally connect supported health data from Apple Health, Apple Watch, Google Health Connect, and Google Fit, allowing the care team to review activity, weight trends, heart rate, and nutrition logs alongside provider visits. Device data supports personalized care but is not a substitute for medical evaluation.

NexLife services are available across all 50 U.S. states where affiliated providers are licensed and where compounded GLP-1 pharmacy fulfillment is legally permitted. Service availability, medication access, and consultation requirements may vary by state based on regulatory and operational factors.

02 — Eligibility & getting started

Who qualifies and what to expect

Most adults with a BMI of 27 or higher may qualify. The NexLife process is 100% online, from initial intake through ongoing care.

Most adults with a BMI of 27 or higher may qualify for NexLife's compounded semaglutide or tirzepatide program. Eligibility is determined by a U.S.-licensed provider after reviewing your health history and goals through a short online medical intake. No in-person visit is required.

To check if you qualify, complete the eligibility quiz — it takes about 3 minutes.

No. The entire NexLife process is 100% online — from initial medical consultation to prescription, delivery, and ongoing care. A U.S.-licensed provider reviews your health information, determines if treatment is appropriate, and monitors your progress remotely. Medication ships free in 1–2 business days.

After you complete the NexLife online medical intake, a U.S.-licensed provider reviews your responses and health history. If treatment is approved, your care team coordinates medication fulfillment through a U.S.-licensed compounding pharmacy. Your prescription is shipped directly to your home with free expedited delivery, typically within 1–2 business days.

  • Step 1. Submit your application and meet with a doctor (online intake).
  • Step 2. Get your medication delivered to your door.
  • Step 3. Receive 24/7 support and ongoing care via Care 360.

03 — Pricing & payment

What it costs and how to pay

Flat pricing at every dose. No memberships, no contracts, no price increases as you titrate up. FSA, HSA, Klarna, and Affirm accepted.

NexLife offers compounded semaglutide starting at $165 per month with no hidden fees and no price increase as you titrate up. Multi-month plans further reduce the cost:

PlanPer monthSavings
Monthly$165
3-month$149Save $48
6-month$147Save $108
12-month$145Save $240

All plans include free expedited shipping, provider consultations, a personalized nutrition plan, and a 1:1 fitness coaching call. View all compounded semaglutide plans →

NexLife offers compounded tirzepatide starting at $215 per month with no hidden fees and no price increase as you titrate up. Multi-month plans reduce the cost further:

PlanPer monthSavings
Monthly$215
3-month$195Save $60
6-month$190Save $150
12-month$186Save $348

All plans include free expedited shipping, provider consultations, nutrition planning, and a 1:1 fitness coaching call. View all compounded tirzepatide plans →

No. NexLife uses flat pricing at every dose — the price you start at is the price you pay even as your provider titrates you up. There are no membership fees, no contracts, and no surprise charges. Shipping is always free and expedited.

Yes. NexLife accepts FSA and HSA payments for compounded semaglutide and compounded tirzepatide programs. NexLife also offers financing through Klarna and Affirm for members who prefer to spread payments out over time.

Yes. NexLife offers a Money-Back Warranty: follow the plan and lose up to 10% of your body weight in 6 months, or get your money back. See NexLife's Terms of Service for additional details and eligibility requirements.

04 — The medications

Compounded semaglutide vs. tirzepatide

Both are GLP-1-based therapies used for medical weight management. Tirzepatide also activates GIP, a second hormone pathway.

Compounded semaglutide is a GLP-1 receptor agonist prepared by U.S.-licensed 503A compounding pharmacies under federal and state regulations and USP <797> sterile compounding standards. NexLife may offer compounded semaglutide when a licensed healthcare provider determines it is clinically appropriate after individual evaluation.

Every batch undergoes independent third-party testing for potency, sterility, pH, and endotoxin levels. See all compounded semaglutide plans and pricing →

Compounded tirzepatide is a dual GLP-1/GIP receptor agonist prepared by U.S.-licensed 503A compounding pharmacies in accordance with federal and state regulations. NexLife may offer compounded tirzepatide when a licensed provider determines it is clinically appropriate after individual evaluation. Every batch undergoes independent third-party testing for potency, sterility, pH, and endotoxin levels.

See all compounded tirzepatide plans and pricing →

Semaglutide is a GLP-1 receptor agonist that targets one hormone pathway. Tirzepatide is a dual GLP-1/GIP receptor agonist that acts on two hormone pathways involved in appetite and metabolism. In clinical trials, tirzepatide produced average weight loss of up to 24.3% of body weight (SURMOUNT-1, 72 weeks), compared to approximately 15% with semaglutide.

Compounded Semaglutide

GLP-1 only · From $165/mo · ~15% avg weight loss in trials

Compounded Tirzepatide

GLP-1 + GIP · From $215/mo · Up to 24.3% avg weight loss in trials

NexLife offers both. A licensed provider helps determine which option is most appropriate based on your clinical profile, history, and goals.

Semaglutide is a GLP-1 receptor agonist that mimics a naturally occurring gut hormone. It reduces appetite, slows gastric emptying so you feel full longer, regulates blood sugar, and helps reset the body's weight set point. In clinical trials combining semaglutide with diet and exercise, individuals lost an average of 15% of body weight over 68 weeks.

Tirzepatide is a dual GLP-1 and GIP receptor agonist that targets two hormone pathways involved in appetite regulation, gastric emptying, and blood sugar control. This dual mechanism may produce greater clinical outcomes than single-pathway GLP-1 medications. In the SURMOUNT-1 clinical trial, participants using tirzepatide lost an average of up to 24.3% of body weight over 72 weeks.

No. Compounded semaglutide is not the same as Ozempic or Wegovy, which are FDA-approved branded products manufactured by Novo Nordisk. NexLife is not affiliated with Novo Nordisk. Compounded medications are prepared by U.S.-licensed compounding pharmacies under federal and state regulations and are not FDA-approved or evaluated by the FDA for safety, effectiveness, or quality.

No. Compounded tirzepatide is not the same as Mounjaro or Zepbound, which are FDA-approved branded products manufactured by Eli Lilly. NexLife is not affiliated with Eli Lilly. Compounded medications are prepared by U.S.-licensed compounding pharmacies and are not FDA-approved or evaluated by the FDA for safety, effectiveness, or quality.

05 — Safety & quality

How NexLife verifies what's in your vial

Every batch is third-party tested for potency, sterility, pH, and endotoxin levels. Every pharmacy is LegitScript-certified and NABP-accredited.

All NexLife treatment is prescribed by licensed healthcare providers and prepared by U.S.-licensed 503A compounding pharmacies that follow federal and state regulations and USP <797> sterile compounding standards. Every batch undergoes independent third-party testing for potency, sterility, pH, and endotoxin levels.

NexLife is a LegitScript-certified telehealth platform and works exclusively with compounding pharmacies that hold:

  • LegitScript certification
  • NABP accreditation (National Association of Boards of Pharmacy)
  • NCPA membership (National Community Pharmacists Association)

All patient care is supervised by licensed physicians, and members receive ongoing medical oversight through the Care 360 support system.

NexLife works with U.S.-licensed compounding pharmacies operating under state board oversight and applicable sterile compounding standards, including USP <797>. Certain formulations are sourced from FDA-registered 503B outsourcing facilities operating under current good manufacturing practices (cGMP), while others may be fulfilled by licensed 503A pharmacies based on provider direction, pharmacy availability, patient location, and applicable law.

NexLife's prescriptions are written by U.S.-licensed physicians who are credentialed in your state and operate under affiliated, physician-owned medical groups. NexLife's medical direction is led by Adam Kennah, M.D. All providers exercise independent medical judgment and may prescribe, adjust, pause, or decline treatment based on clinical appropriateness, patient history, and applicable state laws.

06 — Results & side effects

What members experience

Most members notice reduced appetite within 1–2 weeks. Average self-reported weight loss is 29 lbs in the first 6 months when combined with diet and exercise.

Many NexLife members report noticing reduced appetite within the first 1–2 weeks. Visible weight loss typically begins within 4–6 weeks. Based on self-reported data from 518 NexLife members, the average weight loss in the first six months is 29 lbs when combining GLP-1 injections with diet and exercise. Individual results vary.

The most common side effects of GLP-1 medications include nausea, constipation, diarrhea, and fatigue, especially during the first few weeks as your body adjusts. NexLife providers start patients on a lower dose and gradually titrate up to minimize side effects. Your care team can adjust your plan or pause titration at any time if needed.

NexLife includes $377 in added value at no extra cost with every plan:

  • Personalized GLP-1-focused nutrition plan ($99 value)
  • 1:1 fitness coaching call with a certified wellness coach ($79 value)
  • Provider review with medical guidance ($199 value)

NexLife also offers a money-back warranty — follow the plan and lose up to 10% of your body weight in 6 months, or get your money back. The same price applies at every dose with no price increases as you titrate up. NexLife is LegitScript-certified and works only with LegitScript-certified, NABP-accredited compounding pharmacies.

07 — Shipping & ongoing care

How medication and support arrive

Free expedited shipping in 1–2 business days. Discreet packaging. 24/7 support through Care 360.

Once your provider approves treatment, your medication is prepared by a U.S.-licensed partner pharmacy and shipped directly to your home with free expedited delivery. Most NexLife orders arrive within 1–2 business days. All shipments are discreetly packaged.

Every NexLife member receives access to:

  • Licensed provider oversight
  • A personalized nutrition plan
  • A 1:1 fitness coaching call with a certified wellness coach
  • 24/7 support through the Care 360 system

The care team includes board-certified physicians, registered dietitians, and dedicated care coordinators who specialize in metabolic health and long-term weight management. Treatment is reviewed, adjusted, and monitored — never automated.

08 — Account & cancellation

Flexibility you control

Cancel any time. Adjust your dose with your provider. Manage everything from your account dashboard.

Yes. NexLife plans are offered as a subscription and may be canceled at any time through your account dashboard or by contacting your care team. Your provider can also adjust your dosing or treatment plan based on your progress and clinical response.

You can reach NexLife by phone at (949) 818-8000 or through your member dashboard. The Care 360 system provides 24/7 support to all members.

Ready to find out if you qualify?

It takes about 3 minutes. A U.S.-licensed provider reviews your intake, and if approved, your medication ships free in 1–2 business days. Backed by NexLife's money-back warranty.

See semaglutide plans See tirzepatide plans

Important Safety Information & Disclosures

NexLife is a LegitScript-certified, physician-led telehealth platform serving eligible patients across the United States through affiliated, physician-owned medical groups. Compounded medications are not FDA-approved and have not been evaluated by the U.S. Food and Drug Administration for safety, effectiveness, or quality. Compounded semaglutide is not the same as Ozempic or Wegovy. Compounded tirzepatide is not the same as Mounjaro or Zepbound. NexLife is not affiliated with Novo Nordisk or Eli Lilly.

Individual results vary. NexLife does not guarantee weight loss, treatment success, clinical outcomes, or medication eligibility. By using NexLife's services, you agree to our Terms & Conditions, Privacy Policy, and Refund Policy.

NexLife Inc. is a patient management platform that works with independent licensed providers. This website advertises telehealth services, not any specific medication. Medications are only available if prescribed after an online consultation. Providers may prescribe compounded medications when appropriate; these are not reviewed or approved by the FDA for safety or effectiveness.