LeanDose review

What it is

LeanDose, also written Lean Dose, runs eight weight-loss clinics in Texas, in Houston, Pasadena, San Antonio, Laredo, McAllen, Harlingen and Brownsville, and sells compounded GLP-1 treatment online to adults in 17 states: Alaska, Alabama, Colorado, Florida, Georgia, Illinois, Louisiana, Michigan, Minnesota, Mississippi, Nevada, North Carolina, Oklahoma, Tennessee, Texas, Virginia and Washington. Its terms describe it as a company that coordinates access to weight-management care rather than practicing medicine or dispensing drugs: independent licensed clinicians make every prescribing decision, and independent licensed pharmacies fill the prescriptions. Its FAQ names Striker Pharmacy in Katy, Texas, with the pharmacy's phone number and email. The site and quiz run in English and Spanish. Support is by phone on weekdays from 9 a.m. to 7 p.m. and Saturday mornings, or by email. The site shows a LegitScript certification number, but the number doesn't resolve to a seal on LegitScript's own server, so check its status there.

How it works

Online care starts with a quiz of about 60 to 90 seconds that asks your state first, then a fuller medical intake of about three minutes. A licensed provider in your state reviews it, most within 6 to 24 hours, and decides whether a GLP-1 is appropriate and which one. If you're approved, the medication ships free in discreet, temperature-controlled packaging, usually within three to five days. After that, a care team handles dose, refill and side-effect questions by phone and email, and your provider can adjust or pause treatment. The site doesn't describe a scheduled follow-up visit, labs or a video visit as part of the online program. Texans have a second route: a separate quiz books you into one of the eight clinics for in-person care, and the Google reviews it shows come from those clinics. Anyone who wants a structured program with coaching or regular visits will find this one lighter, built mainly around the prescription and the refill.

Pricing transparency

The sign-up page lists compounded semaglutide at $199 a month and compounded tirzepatide at $299 a month, says the price is the same at every dose, and promises no insurance, no hidden fees and the option to cancel any time. Medication, provider review, care-team support, refill management and shipping are included, with no membership fee. The main site advertises a first month of $159 for semaglutide and $279 for tirzepatide, but doesn't say what follows, so treat $199 and $299 as the ongoing price and confirm it on the checkout screen, which its terms say shows the plan length, total and billing schedule before you authorize payment. A 12-week plan is also offered, and the quiz advertises a free supplement bundle with it. No card is charged until a provider approves treatment; if you're declined, the hold is released. Recurring plans can be canceled by email or phone before the next renewal. Once the pharmacy starts preparing an order, it can't be refunded unless it arrives damaged or wrong, and canceling a prepaid plan doesn't refund the months already paid.

Branded vs compounded

LeanDose offers compounded semaglutide and compounded tirzepatide, which it calls Tirz GLP-1/GIP, as weekly injections. Its pages and terms state plainly that compounded medications are not FDA-approved and that the FDA doesn't review them for safety, effectiveness or quality before they're sold. Brand-name Wegovy, Ozempic, Zepbound and Mounjaro aren't offered, and there's no oral option. The quiz shows a projected 12-week weight-loss range based on trial averages, which is a forecast rather than a promise, and the site says results vary. Its filling pharmacy, Striker Pharmacy in Katy, Texas, is named in the FAQ, which lets you check the pharmacy's license yourself. A search of the FDA warning-letter database under LeanDose and Lean Dose found no letter to the company; the only matches were unrelated supplement sellers.

Pros and watch-outs

The evidence behind what LeanDose 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 LeanDose compares

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

• Strut Health

  A general telehealth that covers GLP-1 alongside other everyday care

  See Strut Health →
• CoreAge Rx

  Flat pricing that does not climb as your dose titrates up

  See CoreAge Rx →
• KIN Health

  Cash buyers who want a low monthly compounded GLP-1 with named pharmacies and a monthly check-in, and may add NAD⁺ or sermorelin later

  See KIN Health →

More GLP-1 telehealth reviews: EverSlim · Fella Health · FitRx · Fitish · FMmeds · Gaya Wellness