Balanced Hormone Health review
Family-run, priced per vial
A family-owned Iowa telehealth practice, rooted in hormone therapy, that sells compounded semaglutide and tirzepatide by the vial with video visits included.
Our verdict
Balanced Hormone Health is a family-run practice that began with hormone replacement therapy and added GLP-1 weight loss, and it has the feel of a small business: real names, phone and text lines, free consultations and video visits with nurse practitioners. Its pricing is the unusual part. It sells medication by the vial, not by the month, so what you pay per month depends on your dose. That can be good value at low doses, but it makes comparison hard, and one patient review on its own site says vials ran out sooner than expected. Some of its claims need a skeptical eye, starting with a results figure that comes with no explanation, and all sales are final. Ask exactly how long your vial should last at your planned dose, and compare that with a monthly plan elsewhere.
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At a glance
- Category
- GLP-1 telehealth
- Access
- Priced per vial, not per month: compounded semaglutide from $197 (5 mg), tirzepatide from $499 (60 mg, about 12 weeks); visit and shipping included
- Medications
- Compounded semaglutide · Compounded tirzepatide · Branded
- Insurance
- Cash-pay, no insurance
- Visit
- Video visit
- Availability
- Contiguous U.S. except California
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
Balanced Hormone Health is run by Balanced Hormone Health and Wellness, LLC, with a mailing address in Granger, Iowa. It was founded by Jill Petry, a former physical therapist assistant, with her husband Derek Petry, PhD, as chief operating officer. Prescribing is done by nurse practitioners, including Angela Wicks, Nadia Clark Sharp, Brooke Knop, Ashlee Morman and Megan Sprecher, with K. Paul Gerstenberg, D.O., as medical advisor. Besides GLP-1s it offers injectable hormone replacement for women and men, enclomiphene and a fat-loss injection line it calls BioBoost. It serves the contiguous United States except California, though each pharmacy partner excludes some states for weight-loss medication. It says it is LegitScript-certified but doesn't display a verifiable seal.
How it works
You complete an intake form online, and the team texts you within 24 hours on weekdays to set up a free virtual consultation. Visits happen by secure video link. Lab work isn't required for the weight program, unlike its hormone program, and there's no minimum BMI; the practitioner considers your history, health and goals. If you're switching from another company, you can start at your current dose, and maintenance and microdosing are available on request. Medication is made and shipped by a partner pharmacy, usually arriving four to 10 days after your appointment, with GLP-1s sent overnight on ice. Between visits, you can message the team, use free wellness coaching and join a patient support group.
Pricing transparency
Pricing is per vial, by total milligrams, and the practice says plainly that it doesn't sell by length of time. Compounded semaglutide comes in five pharmacy packages; the starter is a 5 mg vial with vitamin B6, listed at $197 (marked down from $247) on the semaglutide page but at $297 on its other pages, so confirm it. A 10 mg vial runs about $297 to $360, and a 20 mg vial $425 to $600 depending on the pharmacy. Compounded tirzepatide starts at $499 for 60 mg, which it estimates lasts about 12 weeks from a low starting dose, with 75 mg at $540 and 120 mg at $849. The price includes the practitioner visit, syringes, support and shipping, with no membership or contract. For brand-name Zepbound, the first visit is $139 and each monthly refill visit $80, and you buy the drug from LillyDirect. It accepts cards, HSA, FSA, Afterpay, Klarna and CareCredit, but not insurance. All sales are final.
Branded vs compounded
The practice prescribes compounded semaglutide and tirzepatide, mixed with sterile water, vitamin B6, B12, B3 or glycine depending on the package, and writes prescriptions for brand-name Zepbound filled through LillyDirect. Its FAQ names two compounding pharmacies, Tailormade Compounding in Kentucky and Hallandale Pharmacy in Florida, and says it uses both 503A and 503B pharmacies. Some of its statements go further than the evidence. It says 86.4% of its patients have achieved 15 to 20% body weight loss, without saying how that was measured. It also says its GLP-1 medication is safe and effective at room temperature and above, while noting that it must be refrigerated on delivery; follow the pharmacy's storage label instead. Compounded drugs aren't FDA-approved. A search of the FDA warning-letter database under its name and domain returned no letters.
Pros and watch-outs
What we like
- Free video consultations with named nurse practitioners
- No membership, contract or visit fee on compounded plans
- Per-vial pricing that can stretch further at low doses
- Names its compounding pharmacies
- Brand-name Zepbound route through LillyDirect
Watch-outs
- Per-vial pricing makes the monthly cost hard to judge
- Starter semaglutide price shown as both $197 and $297
- Unexplained 86.4% weight-loss claim
- All sales are final, with no refunds
- Not available in California, Alaska or Hawaii
Best for
People who want video visits with a nurse practitioner, no membership fee and pricing they can stretch at lower doses.
Who should look elsewhere
Buyers who want a fixed monthly price, a refund policy or care in California, Alaska or Hawaii.
The evidence behind what Balanced Hormone Health prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- What the semaglutide weight-loss trials actually showed
STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.
- Tirzepatide vs semaglutide for weight loss: what the trials actually support
Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.
- Compounded vs branded GLP-1: regulatory status, sourcing and the evidence
Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.
How Balanced Hormone Health compares
A few alternatives worth a look, depending on what you’re optimizing for.
Peter MDGLP-1 from a men's-health provider that also covers TRT and longevity
See Peter MD →
MadeMedGLP-1 paired with NAD⁺ and sermorelin under one account
See MadeMed →
Henry MedsSimple flat-fee compounded access without insurance
See Henry Meds →
More GLP-1 telehealth reviews: EffectyElara Health and WellnessEnara HealthEOS HealthEverSlimFella Health
Peptides & longevity
How we assessed this. This review reflects Aminoscope’s own read of Balanced Hormone Health’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much does Balanced Hormone Health cost?
- It prices by the vial. Compounded semaglutide starts at $197 or $297 for a 5 mg vial (its pages differ), and compounded tirzepatide at $499 for 60 mg, which it estimates lasts about 12 weeks at starting doses. The visit and shipping are included.
- Is there a membership or contract?
- No. You pay for each vial, with no membership fee or contract. For brand-name Zepbound, you pay $139 for the first visit and $80 for each monthly refill visit.
- Which states does Balanced Hormone Health serve?
- The contiguous United States except California, subject to pharmacy availability. Each of its partner pharmacies excludes some states for weight-loss medication, so check yours during the consultation.
- Which pharmacies does Balanced Hormone Health use?
- Its FAQ names Tailormade Compounding in Nicholasville, Kentucky, and Hallandale Pharmacy in Fort Lauderdale, Florida. The pharmacy's details are printed on your medication's label.
- Can I get a refund?
- No. Its policy says all sales are final. If the pharmacy sends the wrong medication or dose, you must report it within 48 hours with photos to be considered for a replacement.
- Do I need lab work for Balanced Hormone Health's weight program?
- No. Labs are required for its hormone replacement program but not for GLP-1 weight loss. The nurse practitioner reviews your medical history, overall health and goals at the video consultation instead, and there's no minimum BMI.
- Is Balanced Hormone Health legit?
- Balanced Hormone Health is a GLP-1 telehealth service you reach through a video visit with a clinician. The medications it names are Compounded semaglutide, Compounded tirzepatide and branded medication. Its stated availability: Contiguous U.S. except California. What it publishes up front: Priced per vial, not per month: compounded semaglutide from $197 (5 mg), tirzepatide from $499 (60 mg, about 12 weeks); visit and shipping included. It is cash-pay and states it does not bill insurance. Before you pay, ask in writing about a single monthly price you can check before an intake.