The Aesthetic Concierge review

What it is

The Aesthetic Concierge is a medical weight loss and wellness practice based at 1901 The Plaza in Charlotte, North Carolina. It was co-founded by Evan Blum, MD, its medical director, who earned his MD at Indiana University School of Medicine and completed residency at Beaumont Hospital in Royal Oak, Michigan, and by Wes Turner, who runs operations and finance. The clinical team includes Meghan Horio, a board-certified physician associate trained at Duke, and a registered nurse. It offers virtual care in Alabama, Arizona, California, Colorado, Florida, Georgia, Maryland, New Jersey, New York, North Carolina, South Carolina, Tennessee, Texas and Virginia, and mobile visits in the Charlotte area. Alongside weight care it offers hormone therapy, longevity medicine, NAD⁺, hair restoration and vitamin injections. The site displays a LegitScript seal.

How it works

Every plan starts with a comprehensive virtual appointment that reviews your blood work, health history, lifestyle and goals; basic weight-wellness bloodwork is included in the kickoff price. Your plan is built from that visit, and the first five weeks of medication ship to your door with instructions and clear expectations for the early weeks. From there the team stays on call around the clock for side effects, dose questions, travel plans and plateaus, and uses its own progress tracker against set benchmarks: weight loss under way by weeks three to five, about 4.5% to 8% of your starting weight by week 12, and a steady 0.5% to 1% a week after that as you approach your goal. The practice puts emphasis on preserving muscle and bone and on finding the lowest dose that works. As you near your goal, it shifts to a maintenance plan with custom dosing. The microdosing plan uses doses under 0.2 mg and isn't built around weight loss.

Pricing transparency

The kickoff appointment is $579 for the Weight Wellness program or $399 for microdosing, and both include basic bloodwork and five weeks of injectable medication (or a month of oral medication). After that, plans renew every five weeks. The pricing page lists compounded semaglutide at $414 every five weeks (marked down from $479) and tirzepatide starting at $479, while the FAQ gives semaglutide at $479 for five injections and tirzepatide at $479 up to 4 mg, $559 up to 6.8 mg and $579 up to 13.6 mg, so ask which applies to you. Microdosing renewals are $299 (semaglutide) or $339 (tirzepatide) every five weeks. Oral semaglutide is listed at $219 for a month on a maintenance plan, and the FAQ gives higher renewal prices of $429 to $679 by dose. Maintenance injections get 15% off with a six-month commitment at a fixed dose. The GLP-1 Support Program, for patients whose brand-name drug comes from elsewhere, costs $200 per cycle. Discounts include 10% for families, 15% for patients using two or more TAC services and 20% for educators. No cancellation or refund policy is published, so ask before you pay.

Branded vs compounded

For its own programs, TAC prescribes compounded semaglutide and tirzepatide injections from a U.S. 503A compounding pharmacy, which it doesn't name, plus an oral semaglutide option; compounded drugs are not FDA-approved. Its GLP-1 Support Program works with brand-name Wegovy, Ozempic, Zepbound and Mounjaro that you get through Medicare, commercial insurance, LillyDirect, NovoCare or your own doctor, and the team handles dose changes, side effects and prior authorizations. Wegovy and Zepbound are FDA-approved for weight management, and Ozempic and Mounjaro for type 2 diabetes. Add-ons sold alongside the program include lipotropic and B12 injections, NAD⁺, CoQ10 and glutathione; these are optional and separate from the GLP-1 itself. The microdosing page cites possible heart, brain and inflammation benefits from low-dose GLP-1s, which remain under study and aren't approved uses. A search of the FDA warning-letter database under The Aesthetic Concierge and Evan Blum names returned no letters.

Pros and watch-outs

The evidence behind what The Aesthetic Concierge prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• “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.

• 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 The Aesthetic Concierge compares

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

• Found

  Compounded GLP-1 with the drug included, and insurance for the visits

  See Found →
• CoreAge Rx

  Flat pricing that does not climb as your dose titrates up

  See CoreAge Rx →
• Calibrate

  People with commercial insurance who want structured coaching and a curriculum around a brand-name GLP-1, and who will commit to at least three months

  See Calibrate →

More GLP-1 telehealth reviews: Synergy Rx · CareBareRX · He & She MD · Superior Remedies · Try Ageless · Novi