Your dose goes up.
Your bill doesn’t.
Medical weight loss with pharmaceutical-grade semaglutide and tirzepatide. Flat rate from $249/mo, labs, NP visits, and AI monitoring all included.
John McIntosh, NP
Online now, replies in minutes
The Flat-Rate Promise
We don’t name competitors. The math does.
Typical telehealth charges $50-150 every time your dose goes up. Add shipping, per-visit fees, and lab upcharges, and a “$299/mo” program quietly becomes $450+. We built LiveRounded so your bill looks exactly the same in month twelve as it did in month one.
Transparent pricing
One price. Every dose. Forever.
Whether you're on a starting dose or the maximum, your monthly subscription never changes. Cancel anytime, no retention department, no fees.
Essentials
Compounded semaglutide with full clinical support.
- Compounded semaglutide (all doses, one price)
- NP consultations and unlimited messaging
- Intake labs + 6-month follow-up panel
- AI care team for daily support
- Temperature-controlled monthly shipping
- No dose-increase fees — ever
Complete Care
Compounded tirzepatide with comprehensive lab monitoring.
- Compounded tirzepatide (all doses, one price)
- NP consultations and unlimited messaging
- Full labs: CMP, lipid, A1c, thyroid at intake and 3 & 6 months
- AI care team with priority lab review
- Temperature-controlled monthly shipping
- No dose-increase fees — ever
Optimize
Tirzepatide plus bioidentical hormone optimization.
- Everything in Complete Care
- Bioidentical hormone optimization (when clinically indicated)
- Full hormone panels: testosterone, estradiol, cortisol, DHEA
- Personalized HRT protocols
- Quarterly metabolic + hormone reviews
- No dose-increase fees — ever
Shipping, labs, dose increases, and NP visits all included. Compare full plan details →
Two programs
One honest price
for each.
Whether you’re here for sustainable weight loss or to feel like yourself again, your program is the whole program. No hidden add-ons.
GLP-1from $249/moWeight loss that starts at home.
Compounded semaglutide or tirzepatide — the same active ingredients behind the brand names — prescribed by a licensed NP, shipped to your door.
- All doses included, flat rate forever
- Labs at intake, 3 months, 6 months
- Unlimited NP messaging + AI care team
Hormonefrom $329/moHormone care, without the upsell.
Comprehensive hormone optimization for men and women. Labs, personalized treatment, and continuous monitoring — nothing hidden, nothing extra.
- Full hormone panels included
- Personalized HRT protocols
- Quarterly metabolic reviews
How It Works
Four steps. No phone tree.
From intake to first shipment in under a week, for most patients.
~8 min
Tell us about you
Quick intake covering medical history, medications, and goals. Nothing scary, nothing long.
24–48 hrs
NP review
A board-certified NP reviews your intake, may message with follow-up questions, and approves your plan.
5–7 days
Medication ships
Temperature-controlled delivery from FDA-registered 503B facilities, straight to your door.
Ongoing
AI + NP care
Message anytime. Check in on dose changes. Labs at 3 and 6 months. Your price never changes.
Inside the app
Your AI care team.
In your pocket.
Abnormal lab results route directly to your NP — usually within hours. Your AI care team monitors your weight trend, symptom log, and lab patterns daily.
BMI & Weight Tracker
Visual trend line with goal projection. Your NP sees the same chart you do.
Symptom Checker
Log side effects and symptoms daily. Patterns flag automatically for NP review.
Nutrition Guidance
GLP-1 optimized meal patterns and protein targets — built into your plan.
Lab Review
Industry firstEvery panel reviewed in-app with plain-language explanations alongside clinical context.
What You Get
Four things bundled. Not four things upsold.
Every plan includes medication, labs, unlimited NP messaging, and AI-powered monitoring. No hidden fees, no surprise bills, no nickel-and-diming.
01 / 04
Medication
Compounded semaglutide or tirzepatide dispensed from FDA-registered 503B facilities. Every shipment is potency-verified and sterility-tested by our in-house pharmacist.
02 / 04
Unlimited NP messaging
Text your licensed NP anytime — dose questions, side effects, lab results. Most messages get a reply within hours, not days.
03 / 04
Lab panels
Baseline and follow-up labs included in your monthly price. We order, you draw at a local Quest or LabCorp. Results reviewed by your NP.
04 / 04
AI care team & tracking
Your AI care team monitors your weight trend, symptom log, and lab patterns — flagging anything worth a human review before it becomes a problem.
The medication
What we prescribe
Compounded semaglutide and tirzepatide — dispensed from FDA-registered 503B outsourcing facilities, potency-verified and sterility-tested.
Weekly self-injection — takes under 30 seconds
Compounded semaglutide and tirzepatide
Sourced from FDA-registered 503B facilities
John McIntosh, NP
Founder & Chief Clinician
Clinical leadership
“I started LiveRounded because I was frustrated watching patients pay $400 a month just to get a dose increase. Clinical care should never be a billing line item.”
John McIntosh, NP
Founder & Chief Clinician
GLP-1 Weight Management
Change your life.
Board-certified NP visits
Every prescription is reviewed and written by a licensed nurse practitioner. You can message your NP anytime — dose questions, side effects, or just a check-in. Most replies within hours.
AI care team between visits
Our AI monitors your weight trend, symptoms, and lab patterns daily. It flags anything worth a human review before it becomes a problem — so your NP is always one step ahead.
Labs included, always
Baseline and follow-up panels are included in your monthly price. We order them, you draw at a local Quest or LabCorp, and your NP reviews results with plain-language explanations.
Medication shipped to you
Compounded semaglutide or tirzepatide ships directly from an FDA-registered 503B facility, temperature-controlled, every month. No pharmacy runs, no insurance battles.
One flat price — forever
Whether you're on a starting dose or the maximum, your monthly subscription never changes. No dose-increase fees. No surprise bills. Ever.
Cancel anytime
No contracts, no cancellation fees. If GLP-1 therapy isn't right for you, you can pause or cancel at any time — no questions asked.
Before you start.
Real questions from real patients. No marketing fluff.
Ready for a price that doesn't climb?
Eligibility check takes about 8 minutes. You're not charged unless your NP approves your plan.
Check your eligibilityNo commitment · HIPAA-compliant · NP-prescribed · Cancel anytime