Big Easy Weight Loss review
Live physician, 12-week packages
A New Orleans-area clinic selling compounded semaglutide from $495 and tirzepatide from $599 per 12 weeks, after a live visit with a physician, with a named choice of pharmacies.
Our verdict
Big Easy Weight Loss is one of the more personal compounded GLP-1 services: every patient has a live 30-minute phone or video appointment with a physician, not a nurse practitioner, and it names the pharmacies it works with and lets you choose. Prices are sold as 8- to 12-week packages, $495 for 12 weeks of semaglutide and $599 for tirzepatide at any dose, which works out to roughly $165 to $200 a month and can be paid in monthly installments. You cannot buy a single month, and its own pages disagree slightly on prices and on which states it serves. For a buyer who values a real doctor and a transparent supply chain, it is a strong option to consider.
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At a glance
- Category
- GLP-1 telehealth
- Access
- Semaglutide from $495 and tirzepatide from $599 per 12 weeks at any dose, payable monthly; $75 consult credited
- Medications
- Semaglutide · Tirzepatide
- Insurance
- Cash-pay, no insurance
- Visit
- Video visit
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
A telehealth clinic based in Metairie, Louisiana, just outside New Orleans, which soft-launched in April 2024 and opened officially on May 4, 2024. It describes itself as a technology platform that contracts with independent physicians; its FAQ says it is owned by physicians and non-physicians, has no common ownership with any pharmacy, and does not pay physicians by the prescription. The site lists its leadership, a chief medical officer and more than a dozen contracted physicians by name. Beyond semaglutide and tirzepatide, it sells sermorelin and NAD⁺ as standalone or combined packages. The homepage says it serves all 50 states, while its new-patient guide says every state except Arkansas and its product pages say 49 states. It links to LegitScript in its footer but does not display a certification seal.
How it works
You book a consultation online and complete intake forms, then have a live 30-minute initial appointment with a physician by phone or video. Big Easy deliberately does not use asynchronous, form-only prescribing for new patients. After that you can message your physician through the patient portal for the length of your care, and a live 15-minute follow-up is included once a quarter. Labs are at the physician's discretion; recent results help. If you are already on a GLP-1, the physician will usually try to continue your current dose. Prescriptions go to the pharmacy you and your physician choose, and refrigerated orders ship overnight. The site lists current pharmacy turnaround times, which ranged from two to ten days depending on the pharmacy and page. Refill visits should be booked a week before your last dose.
Pricing transparency
Packages include the consultation, medication, supplies and shipping, and the price does not change with your dose. The pricing page lists compounded semaglutide from $495 for 12 weeks and compounded tirzepatide from $599 for 12 weeks; the new-patient guide gives semaglutide as $499 for 12 weeks, tirzepatide as $499 for 10 weeks through one pharmacy or $599 for 12 weeks through several others, and one premium pharmacy at $867 for 12 weeks. First-time GLP-1 patients get $80 to $100 off starter doses. You can pay a package in equal monthly installments over its length, so a 12-week package is three payments; Klarna and Affirm carry a 3% surcharge. Before your visit you pay a $75 consultation fee, which is credited toward treatment or refunded if the physician decides you are not a good fit, and the FAQ adds that you can request a membership refund if you are not prescribed. You are charged for medication when the prescription is sent to the pharmacy, usually the evening of your appointment. There is no membership fee and no insurance billing, but HSA and FSA cards, CareCredit, letters of medical necessity and superbills are available.
Branded vs compounded
Compounded semaglutide and compounded tirzepatide, by weekly injection, with standard dosing or a lower-dose microdosing approach. The pharmacy page names 503B outsourcing facilities (Apothecary Pharma and BPI Labs) and 503A pharmacies (OptioRx, Hallandale, Miller's and Boudreaux's New Drug Store), with each one's shipping restrictions, and the guide adds Seven Cells and ProRx. Its FAQ explains the difference plainly: 503B facilities follow drug-manufacturing standards and are inspected by the FDA, while 503A pharmacies are regulated by state boards and vary more. Either way, compounded GLP-1s are not FDA-approved, and the 15% to 20% average weight loss figures on the site come from trials of the branded drugs.
Pros and watch-outs
What we like
- Every new patient has a live 30-minute appointment with a physician
- Names its 503A and 503B pharmacies and lets you choose among them
- Same price at every dose, with starter discounts and monthly installments
- $75 consultation fee credited or refunded if you are not a good fit
- Accepts HSA/FSA and CareCredit and provides letters of medical necessity
Watch-outs
- No single-month option; treatment is sold in 8- to 12-week packages
- Its own pages give slightly different prices for the same package
- State coverage is described three different ways across the site
- No LegitScript certification seal is displayed
- Klarna and Affirm payments carry a 3% surcharge
Best for
Buyers who want a real conversation with a physician, a named pharmacy, and are comfortable committing to about three months at a time.
Who should look elsewhere
Anyone who wants to try a single month, prefers a quick form-only prescription, or wants to use insurance.
The evidence behind what Big Easy Weight Loss 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.
- “Microdosing” GLP-1 drugs: a trend, not a protocol — what the evidence says
Sub-therapeutic semaglutide and tirzepatide is spreading fast. The pharmacology is clear, the honest part is clearer: efficacy is dose-related, and no trial has tested intentional microdosing.
How Big Easy Weight Loss compares
A few alternatives worth a look, depending on what you’re optimizing for.
Trimi HealthLow-cost compounded GLP-1 with thorough dosing guidance
See Trimi Health →
CollectiveA low all-in GLP-1 cost, if you will actually keep the annual membership
See Collective →
GobyMedsBuyers who want a single month at a flat price with no subscription
See GobyMeds →
More GLP-1 telehealth reviews: Rx.comNo BS RXIdgie HealthRenlo HealthPrime Doctor RXEdessa
Access & cost
How we assessed this. This review reflects Aminoscope’s own read of Big Easy Weight Loss’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 Big Easy Weight Loss cost?
- Its pricing page lists compounded semaglutide from $495 and compounded tirzepatide from $599 for a 12-week package, the same at any dose, with $80 to $100 off for first-time GLP-1 patients. Packages can be paid in monthly installments. A $75 consultation fee is credited toward treatment.
- Do I talk to a real doctor at Big Easy?
- Yes. The first appointment is a live 30-minute phone or video visit with a physician, not a nurse practitioner or physician assistant. You can message your physician through the portal, and a 15-minute follow-up is included each quarter.
- Which pharmacies does Big Easy use?
- It names Apothecary Pharma and BPI Labs (503B outsourcing facilities) and OptioRx, Hallandale, Miller's and Boudreaux's New Drug Store (503A pharmacies), plus Seven Cells and ProRx in its new-patient guide. Some cannot ship to every state, and you can choose with your physician.
- What if I am not prescribed?
- The $75 consultation fee is refunded if the physician decides you are not a good fit, and the FAQ says to contact the clinic for a refund if you are not prescribed medication for any reason.
- Does Big Easy serve my state?
- Its homepage says it serves all 50 states, while its new-patient guide says every state except Arkansas, and its product pages say 49 states. Check with the clinic before booking if you live in Arkansas.
- Is Big Easy Weight Loss legit?
- It publishes its address, leadership and physicians by name, names its pharmacies, and explains how it pays physicians. It does not display a LegitScript seal. The FDA's warning-letter database lists no letter under the Big Easy name or its website.