Finally serious about weight loss? So are we.
Personalized care with GLP-1 medication, prescribed by licensed U.S. clinicians and paired with coaching that actually fits your life.
- Lose weight week over week
- No hidden fees, ever
- No insurance required
- Free lifestyle coaching included
Transparent pricing
Final treatment and pricing are determined by your clinician after review.
Two simple options — a weekly injection or daily oral drops. Both are compounded GLP-1 medications prescribed by a licensed clinician.
One simple injection per week.
- Personalized dose titration
- Ships to your door monthly
- Monitored by a real provider
One daily dissolvable dose.
- Ships to your door
- No needles required
- Monitored by a real provider
Prices shown are starting points. Final treatment and pricing are determined by your clinician after review.
See what's possible.
Move the slider to your current weight and see an estimate of what patients typically lose over the course of care.
*Estimate based on average results reported by patients using GLP-1 medication combined with diet and lifestyle changes. Individual results vary.
Why patients choose Neshiva? It works.
On average, patients treating with GLP-1 medication lose 15–20% of their body weight.
Real results.
Real patient results. Individual results may vary.
What's actually in the prescription
These medications copy a signal your body already sends after meals — a hormone called GLP-1 (glucagon-like peptide-1) that tells your brain you're full and slows how fast your stomach empties. You feel full sooner. Cravings quiet down.
Semaglutide
A GLP-1 medication
Semaglutide mimics the natural GLP-1 signal your gut releases after eating. It's the active ingredient studied in the STEP trials — a series of large clinical studies that measured how much weight people lost on it.
Tirzepatide
A dual GLP-1 and GIP medication
Tirzepatide works on two fullness hormones at once — GLP-1 and a second one called GIP (glucose-dependent insulinotropic polypeptide). In the SURMOUNT-5 head-to-head trial, people on tirzepatide lost about 17% more body weight than those on semaglutide — for someone starting at 200 lbs, that's roughly 34 additional lbs over the course of treatment.
Source: Aronne LJ, et al. SURMOUNT-5 (N Engl J Med, 2025).
Semaglutide and tirzepatide are different medications and aren't interchangeable. A licensed clinician chooses which one — and at what dose — is right for you.
Three simple steps
Get approved
Complete a short online health review. A licensed clinician evaluates whether treatment is right for you.
Get prescribed
If appropriate, your clinician writes a personalized prescription and shares a care plan.
Receive your Rx
Your medication ships discreetly to your door, with coaching and check-ins along the way.
Everything, all in one place
Track your progress, message your provider, and get ongoing support — all in one secure portal.
Open a patient accountSupport, 24/7.
Message your care team any time. Real humans, licensed in the U.S., ready when you need them.
In their own words.
Placeholder testimonials — to be replaced with real, disclosed reviews.
"The intake was quick and my provider actually took time to answer questions."
"Having everything in one portal makes managing my care so much easier."
"Shipping arrived discreetly and on schedule. Support has been responsive."
"I appreciate the ongoing check-ins — it doesn't feel transactional."
"Clear pricing, no surprise fees. Refreshing for healthcare."
"Straightforward process from intake to first appointment."
"The intake was quick and my provider actually took time to answer questions."
"Having everything in one portal makes managing my care so much easier."
"Shipping arrived discreetly and on schedule. Support has been responsive."
"I appreciate the ongoing check-ins — it doesn't feel transactional."
"Clear pricing, no surprise fees. Refreshing for healthcare."
"Straightforward process from intake to first appointment."
Good questions.
Our commitment to you
If a licensed clinician determines treatment isn't right for you at intake, you won't be charged for the medication. Care that's honest, or nothing at all.
What's your weight loss goal?
No account needed to begin. We'll ask for your details later.
No account required — pick any option to begin.
Important information
Neshiva does not provide medical advice. A doctor-patient relationship is established only after a licensed clinician reviews your intake and determines that treatment is appropriate. Prescriptions are issued at the sole discretion of the treating clinician. Medications referenced on this page are compounded or branded formulations of GLP-1 receptor agonists; we do not reference or distribute any competitor's trademarked medication. Individual results vary and are not guaranteed. Pharmacy partner information will be disclosed prior to any prescription being filled.