Steady State Health review
Midlife women, one clinician
A one-clinician virtual practice for women in perimenopause and menopause in Oregon and Washington: $149 a month for care, with compounded GLP-1 medication billed separately.
Our verdict
Steady State Health isn't a general weight loss service. It's a small practice for women in midlife, run by a doctorally prepared nurse practitioner who treats hormones, ADHD and metabolism together, and its GLP-1 program is built to sit inside that care. You get regular visits with the same clinician, a weekly live group session, a medical assistant between visits and a strong focus on protein, strength and keeping muscle. The membership price is clear at $149 a month; the medication is ordered through the practice's pharmacy and billed on top, at roughly $110 to $150 a month. It serves only Oregon and Washington, it's not designed for men, and the program page gives a couple of slightly different totals, so ask for an itemized quote.
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At a glance
- Category
- GLP-1 telehealth
- Access
- $149/mo membership + compounded medication billed separately (about $110–150/mo); $190 lab panel if needed
- Medications
- Compounded semaglutide · Compounded tirzepatide
- Insurance
- Cash-pay, no insurance
- Visit
- Video visit
- Availability
- Oregon and Washington
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
Steady State Health is a telehealth practice founded by Josie Cowburn, DNP, FNP-C, a family nurse practitioner with a doctorate in nursing practice from Frontier Nursing University and a member of The Menopause Society. She started the practice after her own perimenopause symptoms were dismissed and her ADHD went undiagnosed for years, and it focuses on perimenopause and menopause, ADHD in women and metabolic health. She provides licensed medical care, including prescriptions, only to patients located in Oregon and Washington. Besides the GLP-1 program, the practice offers a $499 evaluation called Steady Start, a 12-week care program called Steady Momentum, advanced genetic and hormone testing, and insurance-billed visits for Oregon and Washington residents. The site shows a LegitScript badge; you can confirm any certification in LegitScript's own directory.
How it works
You begin with a free 20-minute call to talk through whether the GLP-1 program, or another program, fits. If you go ahead, a comprehensive intake visit reviews your history, medications and risk factors, and you'll need current metabolic labs, either recent results from another provider or the practice's own panel for a one-time $190. Women with a personal or family history of medullary thyroid cancer, MEN2 or pancreatitis aren't candidates. Once you're enrolled, the program includes provider visits (most of the page says monthly, though one line says at least quarterly), weekly live Zoom sessions with a short talk and open Q&A, a medical assistant for questions between visits, personalized supplement lists with member discounts, and guidance on protein, fiber, resistance training and daily movement. Any dose change happens at a visit. The practice tracks waist size, blood sugar, A1C, lipids, energy and sleep rather than weight alone, and it plans an exit strategy so results hold whether you stay on the drug or taper.
Pricing transparency
The membership is $149 a month and covers your visits, the weekly Zooms, supplement lists and discounts, and access to the clinician and her medical assistant. Medication is not included: it's ordered separately through the practice's pharmacy, starting at $110 a month, and the program's FAQ puts it at about $110 to $150, so most members pay around $259 to $300 a month all in. Labs add $190 once unless you bring your own. The GLP-1 program is cash-pay and isn't billed to insurance; insurance-billed visits are a separate service, and the practice isn't taking new Medicare or Medicaid patients. Two details on the page don't line up: one answer quotes the standalone program at $249 a month, and another describes the medication as included in a $259 fee. Treat $149 plus medication as the working figure and confirm the exact monthly total before you start. No cancellation or refund terms for the membership are published.
Branded vs compounded
The program uses semaglutide and tirzepatide. The practice describes its medication as compounded and delivered to your home, and the clinician helps you choose between the two based on your history, past response and budget. Compounded semaglutide and tirzepatide are not FDA-approved. The dispensing pharmacy isn't named on the site, so ask which pharmacy fills your prescription and whether it's a 503A pharmacy or a 503B outsourcing facility. Medication is billed by that pharmacy rather than by the practice. The page doesn't list brand-name Wegovy or Zepbound as part of the GLP-1 program, though insurance-based visits include weight-related medication management, so a brand-name prescription through your own coverage is worth raising at the free call. A search of the FDA warning-letter database under the Steady State Health and Josie Cowburn names returned no letters.
Pros and watch-outs
What we like
- Care designed around perimenopause, menopause and midlife metabolism
- The same clinician at every visit, plus a medical assistant
- Weekly live group sessions with open questions and answers
- Clear $149 membership and a stated medication range
- Strong focus on keeping muscle and planning for maintenance
Watch-outs
- Only Oregon and Washington
- Medication is billed separately and the pharmacy isn't named
- The program page quotes slightly different monthly totals
- Designed for women; not a fit for men
- No published cancellation or refund terms
Best for
Women in Oregon or Washington in perimenopause or menopause who want GLP-1 treatment folded into hormone, ADHD and metabolic care from one clinician who has time to listen.
Who should look elsewhere
Men, anyone outside Oregon and Washington, or people who want a quick, low-touch prescription service with a single all-in monthly price.
The evidence behind what Steady State 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 Steady State Health compares
A few alternatives worth a look, depending on what you’re optimizing for.
Direct MedsStraightforward compounded GLP-1 without an insurance requirement
See Direct Meds →
Strut HealthA general telehealth that covers GLP-1 alongside other everyday care
See Strut Health →
Midi HealthWomen in perimenopause or menopause who want weight care, and possibly hormone therapy, from one clinician, with insurance paying for the visits
See Midi Health →
More GLP-1 telehealth reviews: BlivBlue Sky MDBodyLogicMDActinAlloyAlternate Health Club
Pharmacology & mechanisms
How we assessed this. This review reflects Aminoscope’s own read of Steady State 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 Steady State Health's GLP-1 program cost?
- Membership is $149 a month. Medication is billed separately by the practice's pharmacy, at about $110 to $150 a month, so most members pay roughly $259 to $300 in total. Labs are $190 once if you don't bring recent results.
- Who can join Steady State Health?
- Women located in Oregon or Washington. The practice focuses on perimenopause, menopause, ADHD and metabolic health, and it only prescribes to patients in those two states.
- Does Steady State Health take insurance for the GLP-1 program?
- No. The GLP-1 program is cash-pay. The practice offers separate insurance-billed visits in Oregon and Washington, but it isn't accepting new Medicare or Medicaid patients.
- Does Steady State Health prescribe compounded semaglutide?
- Yes. The program uses compounded semaglutide or tirzepatide, ordered through the practice's pharmacy and billed separately. Compounded drugs are not FDA-approved.
- How often will I see the provider?
- The program describes monthly visits with the clinician, plus weekly live Zoom sessions and support from her medical assistant between visits. Confirm the schedule on your free call, since one line on the page says at least quarterly.
- Is Steady State Health legit?
- Steady State Health is a GLP-1 telehealth service you reach through a video visit with a clinician. The medications it names are Compounded semaglutide and Compounded tirzepatide. Its stated availability: Oregon and Washington. What it publishes up front: $149/mo membership + compounded medication billed separately (about $110–150/mo); $190 lab panel if needed. 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.