Fitish review

What it is

Fitish is a Fort Worth, Texas company, Fitish, LLC, founded by Jenna Owens as a line of clean, sweat-friendly skincare. It has since added a telehealth arm, Fitish RX, that prescribes GLP-1 programs alongside sermorelin, NAD⁺ (injection and nasal spray), B12 and GHK-Cu, while the store keeps selling face, body and hair products. Its telehealth consent says the platform is owned and operated by Fitish, LLC and that consultations are done through DrTelx, with care from licensed physicians, physician assistants and nurse practitioners. Prescriptions ship from a state-licensed sterile compounding pharmacy that the site doesn't name. Fitish doesn't publish a list of the states it serves. The site links to LegitScript's lookup tool but doesn't display a seal, so check there yourself if certification matters to you. Payment can be split into five installments through Sezzle.

How it works

You complete a short online intake about your health and goals. A provider is assigned and makes a decision within one to two business days; if approved, the prescription goes to the pharmacy, you're charged for the medication, and it typically arrives within five to seven business days by FedEx or UPS overnight, with refrigerated items shipped Monday to Thursday. Doses are set by your provider and titrated over time, and the plan is documented in your patient portal, where you can message the care team at no extra cost. Eligibility for the full-dose program depends on your BMI and medical history. If your BMI falls below the threshold, Fitish may offer its microdose program instead, which it describes as a gentler, cosmetic option rather than a weight-loss treatment. The clinic's FAQ includes plain instructions for giving yourself a subcutaneous injection and storing the medication in the refrigerator.

Pricing transparency

Each price is for a monthly supply and includes the provider consult, the medication if you're approved and shipping, with no separate consult or membership fee: compounded semaglutide with B6 is $219, compounded tirzepatide $339 and oral tirzepatide tablets $339 for four weeks. The microdose plans are $179 for semaglutide and $269 for tirzepatide per 28-day supply, at a fixed dose that doesn't step up, and they can't be combined with other discounts. Fitish doesn't accept health insurance. HSA and FSA cards sometimes work and sometimes get declined, which the company says is largely outside its control, so it suggests checking with your plan and seeking reimbursement if needed. The refund policy is strict: all sales are final, and refunds are given only for the company's own errors, such as a wrong product or a package shipped to the wrong address, requested within 10 days with photos. A prescription canceled before it's filled can be refunded under its cancellation policy.

Branded vs compounded

Compounded semaglutide with vitamin B6 and compounded tirzepatide by weekly injection, a compounded oral tirzepatide tablet taken daily (the clinic FAQ describes it as dissolving under the tongue), and microdose versions of the two injectables. None of these is FDA-approved, and Fitish says so on each product page while noting that FDA-approved semaglutide (Ozempic, Wegovy, Rybelsus) and tirzepatide (Mounjaro, Zepbound) exist. It also states that there's no FDA-approved tirzepatide pill and that oral absorption can be less predictable than injections. In June 2026 the FDA sent Fitish a warning letter after reviewing its website in March. The agency said product images labeled "FITISH" suggested Fitish was the compounder when it is not, and that statements describing semaglutide as the active ingredient in Ozempic and tirzepatide as the active ingredient in Mounjaro and Zepbound implied FDA approval. The letter is disclosed and linked on this page.

Pros and watch-outs

The evidence behind what Fitish 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.

• Oral tirzepatide: the honest status of a pill that does not exist yet

  There is no FDA-approved oral tirzepatide. Here is why an oral peptide is hard, what the 'oral tirzepatide' sold online really is, and the oral incretins that actually exist.

• “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.

• 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 Fitish compares

A few alternatives worth a look, depending on what you’re optimizing for.

• yourEra

  A low-cost entry point into compounded GLP-1 treatment

  See yourEra →
• Bodybuilding Health+

  GLP-1 alongside NAD⁺ and sermorelin from a fitness brand

  See Bodybuilding Health+ →
• Amble

  Buyers who want one flat price at every dose and can plan around a 15-day cancellation window

  See Amble →

More GLP-1 telehealth reviews: Basal · Belle · Enhance MD · HealthRX · Found · Gala Health