The best GLP-1 weight loss programs with coaching and support
Medication works best alongside changes to how you eat and move, and some programs help far more with that than others. We compared five on the support you actually get, from 1:1 coaching to dietitian and doctor visits, and on what it costs.
Updated . 4-minute read. We may earn a commission if you sign up through our links. Advertiser disclosure
The short answer
Our top pick is Noom: 1:1 coaching and psychology-based lessons in every plan, in the same app as your prescription.
Want a dietitian? MEDVi includes dietitian visits and care coaching with no membership on its compounded plans.
Best value with follow-ups:TotalRx, with unlimited clinician follow-ups from $129 a month, locked for life.
Most clinical support: Mochi, with a doctor video visit, dietitian visits and unlimited provider appointments.
The 5 best GLP-1 programs for support, ranked
Ranked on the support included, what a month costs, how clear the billing is and what you get back if you stop. Some of these programs prescribe compounded GLP-1s, which are not FDA-approved. How we ranked them. Sponsored: we may earn a commission when you visit a provider through our links.
1Editor's ChoiceBest coaching9.8/10
$129 first monthSemaglutide program; then $279 a month, billed $837 every 12 weeks.
Noom is the only program here built around behavior change: 1:1 coaching and psychology-based lessons come with every plan, alongside food logging, weight tracking and a community, in the same app as your prescription.
Dietitian visits, care coaching, unlimited messaging
Membership
None on compounded plans
Monthly cost
$299/mo from month two
MEDVi pairs medication with dietitian visits, care coaching and unlimited appointments and messaging, with no membership on its compounded plans. MEDVi says the dietitian visits are free subject to insurance and copay eligibility, so check what applies to you.
Dietitian visits and care coaching
Unlimited appointments and messaging
Billed monthly, no contract
$179 first month becomes $299
Dietitian visits depend on insurance and copay
FDA warning letter on its marketing, February 2026
TotalRx keeps a clinician involved for one price: unlimited follow-ups are included, there is no membership, and the rate is locked for life. If structured coaching matters most, Noom or MEDVi give you more of it; if you want ongoing care at a price that never rises, TotalRx is the one.
Doctor video visit, dietitians, unlimited appointments
Membership
$79/mo, or $588 a year
Monthly cost
From about $98/mo
Mochi has the most clinical support here: unlimited provider appointments, a 30-minute video visit with a doctor and registered dietitian visits, which it bills to insurance where it can. Customers praise its clinicians.
Doctor video visit and dietitian visits
Unlimited provider appointments
Insurance billed for visits where possible
Membership and medication billed separately
Per-dose prices not published
Eli Lilly is suing Mochi over compounded tirzepatide
Hers wraps brand-name medication in one of the best-built apps in telehealth, with care team access around the clock, nutrition guidance and regular clinical check-ins.
24/7 care team access
Nutrition guidance and regular check-ins
Brand-name medication
Membership on top of medication
Medication price rises with dose
FTC lawsuit over subscription billing, July 2026 (denied)
Prices read from each provider's own website between October 11 and October 22, 2026, at the starting dose. Brand-name medication costs more at higher doses.
Why support matters on a GLP-1
Wegovy® and Zepbound® are approved for use alongside a reduced-calorie diet and more physical activity, not instead of them 12. In the STEP 1 trial of semaglutide, everyone also had regular lifestyle counseling 3. Support helps in practical ways too: side effects such as nausea are often easier with smaller meals and enough fluids, and a coach or dietitian can help you adjust as your appetite changes. Our side effects guide has more.
Which kind of support do you need?
Help changing habits: a coaching program with lessons and food logging, like Noom.
Help with what to eat: a program with dietitian visits, like MEDVi or Mochi.
A doctor you can see: Mochi's 30-minute video visit.
Regular check-ins at a fixed price: unlimited clinician follow-ups at TotalRx.
Everything in an app, any time of day:Hers, with 24/7 care team access.
Planning for the long term matters too. Our guide to stopping a GLP-1 covers what the evidence says about keeping weight off.
How we ranked them
Support included, 40%: coaching, dietitian and doctor access, and follow-ups, without paying extra.
Monthly cost, 25%: every fee counted, at the dose most people reach.
Clear billing, 15%: whether the full price is shown before you pay, and how often you are charged.
Refunds and cancelling, 10%: what you get back if you are not approved or need to stop.
Track record, 10%: regulator action, lawsuits and complaint patterns.
Questions and answers
Which GLP-1 program has the best coaching?
Noom, which includes 1:1 coaching and psychology-based lessons in every plan. MEDVi is next, with care coaching and dietitian visits.
Do GLP-1 programs include a dietitian?
Some do. MEDVi and Mochi include registered dietitian visits. MEDVi says its visits are free subject to insurance and copay eligibility.
Is coaching worth paying more for?
If you have struggled to change habits before, it can be. Approved GLP-1s are prescribed alongside a reduced-calorie diet and more activity, and support makes those easier to keep up. If you mainly want the medication and check-ins, a lower-cost program with clinician follow-ups may suit you better.
Can I see a doctor on video?
Mochi includes a 30-minute video visit with a doctor. Most other programs review your health questionnaire and follow up by message.
Does Noom bill monthly?
No. After the first month, Noom bills its GLP-1 programs every 12 weeks: $837 for the semaglutide program and $897 for tirzepatide.
How we write our guides. We read the manufacturers' prescribing information, FDA and other official sources, published trials and each provider's own pricing and policies, and link to them so you can check our work. Figures were correct when we last checked them on October 22, 2026; prices and rules change often, so confirm them before you act. Medical disclaimer. This guide is general information, not medical advice, and no one at ProviderCompare is your clinician. Talk to a licensed healthcare professional before starting, changing or stopping any medication. Compounded GLP-1 medications are not FDA-approved and do not undergo FDA review for safety, effectiveness or quality. Brand names are trademarks of their owners, used for identification only.
Editor's ChoiceBest coaching9.8/10
