10 Menopause Weight Loss Programs: GLP-1, Hormone and Coaching Prices (2026)

Which menopause weight loss program fits you?

Start with what matters most to you. Insurance, budget and whether you want hormone therapy narrow the list fast. Here is the quick pick for each situation.

• Our pick, GLP-1 and hormone therapy on one account: Gala. Compounded tirzepatide costs about $180 a month on a yearly plan, the same at every dose.
• A hormone-first clinic with a coach: Joi. Semaglutide costs about $180 a month and tirzepatide about $250, billed every three months.
• PPO insurance and menopause specialists: Midi Health. Visits often cost your specialist copay, and the GLP-1 medicine is paid apart.
• Doctors certified by The Menopause Society, cash pay: Alloy Weight Care, with hormone therapy from the same team.
• Obesity-medicine doctors and hormone therapy on one membership: Mochi Health. The price starts low and rises with the dose.
• Commercial insurance for visits and the widest choice of medicines: Found. It does not prescribe hormone therapy.
• Brand-name drugs only, with insurance help: Ro Body. It does not prescribe hormone therapy either.
• A structured nutrition program with brand-name drugs: WeightWatchers Clinic, on a 6- or 12-month plan.
• A coaching app with medicine: Noom Med. Coaching with no medicine: the Noom app, about $70 a month.
• On Medicare: the GLP-1 Bridge can bring Wegovy, Foundayo or the Zepbound KwikPen to $50 a month if you qualify. The insurance section below explains who does.

The table shows the monthly price with the program fee included wherever the program charges one. For GLP-1 programs in general, not built around midlife, see our best online GLP-1 programs. If you would rather take a pill than a shot, see menopause weight loss pills.

Gala: best overall for GLP-1 and hormone therapy together

Gala is a young online clinic, founded in 2024, that builds its weight program for women. Its weight page is titled "GLP-1 weight loss for women." Hormone therapy sits on the same account, with estradiol as a pill or patch, progesterone, vaginal estradiol and non-hormonal options.

Licensed clinicians from medical groups linked to OpenLoop write the prescriptions. Gala says it has providers in all 50 states. Its home page lists video visits, live coach sessions, a free tracking app and a care team seven days a week, with no membership fee.

• Compounded tirzepatide: $179 a month on the yearly plan, or $199 a month on the 3-month plan. Every dose costs the same.
• Compounded semaglutide: from $129 a month. Gala does not publish the plan length behind that price.
• Hormone therapy: from $69 a month, with messaging, dose changes and shipping included.
• Included: the provider visit, dose adjustments, messaging and free shipping. HSA and FSA cards are accepted.

Read the billing terms before you start. Sending the intake starts the subscription and the first charge, before a clinician has reviewed you. Gala's refund policy says that "in no event" will you get a refund when you cancel. The one exception is a provider ruling you out for medical reasons. You must cancel at least 72 hours before your billing date, or the next cycle is charged.

Reviews are strong but split. Trustpilot gives Gala 4.6 out of 5 from about 4,200 reviews. Its Better Business Bureau profile shows a C- rating, not accredited, with 40 complaints, mostly about billing. Gala does not name the compounding pharmacy that fills your order.

• Pros: built for women in midlife; GLP-1 and hormone therapy on one account; one of the lowest flat tirzepatide prices we track; coaching and video visits included.
• Cons: no refund when you cancel; a C- BBB rating; the pharmacy is not named; compounded medicine is not FDA-approved.

Full details are in our Gala review and Is Gala legit?.

Joi: best for a hormone-first clinic with coaching

Joi is the women's side of Joi + Blokes, a company built around hormone care that later added GLP-1 medicine. That order matters for a woman in perimenopause. The same clinician and the same health coach can look after your weight and your hormones.

• Compounded semaglutide: $179 a month, with a $99 first month. Billed every three months, $537 per three-month supply.
• Compounded tirzepatide: $249 a month, with a $149 first month. Billed every three months, $747 per supply.
• Included: clinician visits, dosing support and unlimited health coaching, with no membership fee.
• Hormone therapy: from about $50 a month per hormone, plus a $50 monthly care plan that covers follow-up labs and visits.

The contract is the catch. Joi's terms say you "agree to pay for a minimum of three consecutive months of service." They also say "all Products are non-refundable." After the first three months, you must cancel thirty days before the next processing date.

Joi names its medical director, Dr. Melissa Loseke, and lists its partner pharmacies in its terms. That is more openness than most GLP-1 sites. Trustpilot gives Joi 4.6 out of 5 from about 1,400 reviews. Common complaints are visits cancelled at short notice and surprise charges for labs or the care plan. HSA and FSA cards are accepted.

• Pros: hormone care is the core of the clinic; coaching included; named medical director and pharmacies; a lower first month.
• Cons: a three-month minimum; nothing is refundable; New York and New Jersey see different prices; compounded medicine is not FDA-approved.

Found: best for commercial insurance and a wide medicine menu

Found is an online weight clinic with one of the widest menus we track. It prescribes compounded semaglutide and tirzepatide, brand-name GLP-1s and older weight pills such as metformin. That helps if one medicine does not suit you and you want to switch without changing clinics.

• Compounded semaglutide, cash: $289 month to month, or $169 a month on a 12-month plan paid up front.
• Compounded tirzepatide, cash: $359 month to month, or $239 a month on a 12-month plan.
• With commercial insurance: semaglutide from $99 to $199 a month. You see a clinician by video before each refill and pay your visit copay, which Found says is "typically around $30."
• Billing: every 28 days, so a year holds 13 billing cycles. A 12-month plan covers 48 weeks.

The compounded price includes care, medicine and membership, and it stays the same at every dose. Found says its medicine comes from state-licensed 503A pharmacies and is tested by an outside lab. The membership fee is refundable only within 3 days, or before your first visit. Renewals and shipped medicine are not refundable.

Found does not prescribe hormone therapy, so you would need a second provider for that. Trustpilot gives it 4.2 out of 5 from about 750 reviews, with about one review in five at one star, mostly about billing. More in our Found review.

• Pros: many medicines with the same clinicians; same price at every dose; commercial insurance lowers the plan price; help with the Medicare GLP-1 Bridge.
• Cons: no hormone therapy; the low cash price needs a year paid up front; a copay before each refill on the insurance track.

Ro Body: best for brand-name drugs with insurance help

Ro prescribes only FDA-approved brands, never compounded medicine. Its menu includes Wegovy as a pen or pill, Zepbound, Foundayo and Ozempic. You pay a membership, then the medicine at the makers' cash prices.

• Membership: $149 a month, with a $39 first month. Prepaying drops it to $74 to $99 a month.
• Wegovy pill: $149 a month at the starting dose, up to $299.
• Wegovy pen: $199 a month for the first two fills if you sign up by December 31, 2026, then $349.
• Zepbound KwikPen: $299 to $449 a month by dose. The $449 price needs a refill within 45 days, or it costs $499 to $699.

The membership covers visits, coaching and help with prior authorization, the approval step an insurer may require. It also covers a metabolic lab test at Quest when your provider orders one. Your $39 first month is refunded if Ro finds you are not eligible. The program is not offered in Hawaii, Louisiana, Mississippi or Virginia.

Ro does not offer hormone therapy and does not tailor its plan to menopause. Trustpilot gives it 3.9 out of 5 from about 6,800 reviews. More in our Ro review.

• Pros: FDA-approved drugs only; a lab test in the membership; insurance help; two needle-free pills.
• Cons: no hormone therapy; the highest cash cost here for most doses; two separate bills.

Midi Health: best with PPO insurance and menopause specialists

Midi Health is a menopause clinic first. It trains its clinicians specifically in perimenopause and menopause care, and it is in-network with most PPO plans. A PPO is an insurance plan that lets you see specialists without a referral. In-network, a visit usually costs your specialist copay plus any deductible.

Its weight program sells two compounded medicines. One is a GLP-1 dosed like semaglutide. The other is a dual-action GLP-1 and GIP medicine dosed like tirzepatide, sold under its own name. Prices are per 4-week supply, rise with the dose, and include shipping:

• GLP-1 shot: about $165 at the lowest doses, up to $355 at the top dose.
• Dual-action shot: about $210 at the lowest doses, up to about $435.
• Under-the-tongue versions: about $165 to $275 for the GLP-1, and about $210 to $460 for the dual-action medicine.

Visits are billed apart. Midi puts it this way: "You only pay for your care and your medications." Without insurance, a first visit costs $250 and a follow-up $150. Medicare is out of network, and Midi cannot see Medicaid patients right now. HSA and FSA cards are accepted for visits.

Hormone therapy is Midi's core. It prescribes FDA-approved hormones by default, and your plan may cover them at your own pharmacy. Trustpilot gives Midi 4.1 out of 5 from about 1,700 reviews. More in our Midi Health review and Midi Health insurance guide.

• Pros: menopause-trained clinicians; insurance for visits; hormone therapy and weight care on one platform; no membership.
• Cons: the GLP-1 medicine is self-pay and rises with the dose; visits and labs are billed on top; compounded medicine is not FDA-approved.

Alloy Weight Care: best for Menopause Society-certified doctors

Alloy started as an online hormone therapy service and added a weight program. On its consult page, Alloy says: "All of our consult doctors have been certified by The Menopause Society for over 10 years." Care happens by message, with no video visits.

• Weight Care fee: $99 a month, which Alloy says "includes unlimited messaging with your menopause-specialized doctor."
• Compounded semaglutide: starting at $70 for a 1-month supply, so about $170 with the fee.
• Compounded tirzepatide: starting at $100, so about $200 with the fee.
• Brand-name options: the Wegovy pill and Foundayo from $149, the Wegovy pen from $199 and Zepbound from $299, plus the fee.

Alloy publishes its starting prices, not a full dose-by-dose list. New customers can take $50 off the first month with the code STARTGLP1. Compounded options are not offered in Alabama, Arkansas, California, Nevada or DC. Weight Care is not offered at all in Louisiana or Mississippi.

Hormone therapy is billed by product. The estradiol pill plus progesterone comes to about $65 a month, after a one-time $49 consult. Alloy's terms refund only the first shipment of each product within 30 days. Consult, membership and service fees are not refundable. Alloy is cash-pay only, accepts HSA and FSA cards, and has 4.3 out of 5 on Trustpilot from about 4,000 reviews. More in our Alloy review.

• Pros: menopause-certified doctors; clear hormone prices; brand-name and compounded GLP-1s; HSA and FSA accepted.
• Cons: a $99 monthly fee on top of the medicine; no higher-dose prices published; no insurance; no video visits.

Mochi Health: best for obesity-medicine doctors with hormone therapy

Mochi Health is one of the biggest GLP-1 clinics, with more than 500,000 members by its own count. It has more than 400 board-certified providers, including some certified in obesity medicine, a specialty focused on weight. Hormone therapy runs on the same membership.

• Compounded semaglutide: about $140 a month at the starting dose, up to about $270, with the $79 membership.
• Compounded tirzepatide: about $170 a month at the starting dose, up to about $280.
• Hormone therapy: estradiol pill from $26, progesterone from $23 and the estradiol patch from $72, plus the membership.
• First month: new members pay nothing for the membership on the 1-month plan, though not in every state.

Prepaying a year of membership, $588, brings the fee to about $49 a month. Mochi now works as a marketplace of pharmacies, so the medicine price can vary by pharmacy. Its terms give no refund for partly used subscription periods, and medicine fees are not refundable once sent to a pharmacy. You cancel in your account or by phone, not by email.

Its record has one serious mark. In March 2025, Washington State shut down sterile compounding at Aequita, a former pharmacy partner, which delayed orders. Trustpilot gives Mochi 4.5 out of 5 from about 19,500 reviews. HSA and FSA cards are accepted for the membership. Labs are not included. More in our Mochi Health review.

• Pros: obesity-medicine doctors; hormone therapy on the same membership; a low starting price; a free first month for new members.
• Cons: the price rises with the dose; a past pharmacy shutdown; no labs; compounded medicine is not FDA-approved.

WeightWatchers Clinic: best for a structured nutrition program

WeightWatchers Clinic, with its Med+ plan, pairs licensed clinicians with the WW nutrition and coaching program. Every medicine on its menu is an FDA-approved brand, never compounded. That suits women who want the structure of a diet program they already know, along with a prescription.

• Membership: $25 for the first month, then $74 a month on a 12-month plan or $84 on a 6-month plan. There is no shorter plan.
• Wegovy pill or Foundayo: $149 to $349 a month by dose, billed apart.
• Wegovy pen: about $199 a month for the first two fills, then $349.
• Zepbound: $299 to $449 a month by dose.

WW's offer terms say: "Plans auto-renew for another 12-month or 6-month period at the same monthly rate at the end of each plan term." Complaints filed with the Better Business Bureau describe members billed for the full term after they tried to stop. Its care team helps with prior authorization for the medicine.

The standard Clinic plan does not include hormone therapy. WeightWatchers now also sells a separate menopause plan that adds access to hormone therapy, with the medicine billed on top. Trustpilot gives the WW brand 4.0 out of 5 from about 4,900 reviews, mostly about the app. More in our WeightWatchers review.

• Pros: brand-name drugs only; a full nutrition and coaching program; insurance help for the medicine.
• Cons: a 6- or 12-month commitment that renews on its own; two separate bills; no compounded option.

Noom: best for coaching, with or without medicine

Noom built its name on the psychology of eating: daily lessons, food logging and habit tools. Noom Med adds compounded GLP-1 medicine to that app. The plain Noom app has no medicine at all.

• Noom Med semaglutide: $129 for the first 4 weeks, then $249 a month.
• Noom Med tirzepatide: $149 for the first 4 weeks, then $299 a month.
• Microdose semaglutide: $79 for the first 4 weeks, then $179 a month.
• Noom app, no medication: about $70 a month, or $209 a year on the annual plan.

After the first 4 weeks, Noom Med bills every 12 weeks, so you pay three months at once. Noom gives no refund once a prescription is written. Noom Med is not offered in Alabama, Louisiana or Mississippi. In 2022, Noom settled a $62 million class action over hard-to-cancel subscriptions.

Noom also runs a separate menopause program, Noom + HRT Rx, with an FDA-approved estradiol patch, progesterone and a compounded estrogen cream. It is sold apart from Noom Med. Trustpilot gives the Noom brand 4.5 out of 5 from about 67,000 reviews, mostly about the app. More in our Noom review.

• Pros: the most developed coaching app here; a microdose option; an app-only plan with no medicine.
• Cons: you pay 12 weeks at a time; no refund once prescribed; Noom Med costs more than several rivals for the same medicine.

What should a menopause weight loss program include?

A good program does more than mail a vial. Use this checklist to compare them, along with which programs tick each box.

• A clinician who knows menopause: Midi Health trains its clinicians in menopause, Alloy's consult doctors are certified by The Menopause Society, and Joi is built around hormone care.
• Hormone therapy on the same plan: Gala, Joi, Midi Health, Alloy and Mochi Health. Noom and WeightWatchers sell it through separate menopause programs. Found and Ro do not offer it.
• A choice of medicine: Found has the widest menu. Ro and WeightWatchers offer brand-name drugs only. Mochi, Alloy and Joi offer both brand-name and compounded routes.
• Coaching or nutrition help: Joi includes unlimited health coaching, Gala lists live coach sessions, and WeightWatchers and Noom build the whole program around it.
• A clear all-in price: Gala, Joi and Found show one figure with care and medicine inside. Mochi adds its membership to a medicine price that varies by dose and pharmacy. Midi, Ro, Alloy and WeightWatchers bill the medicine apart from care.
• Insurance for visits: Midi Health and Found bill commercial insurance for visits, and Mochi offers a plan that does the same.
• A named pharmacy: Joi lists its partner pharmacies in its terms. Gala does not name the pharmacy that fills your order.

Can one program treat weight and hormones together?

Yes, and several here do. But it helps to know what each treatment does. Hormone therapy treats symptoms like hot flashes, night sweats and vaginal dryness. It is not a weight-loss drug.

A 2006 meta-analysis of hormone therapy trials found a small drop in belly fat in women without diabetes. It also found lower insulin resistance, which means the body needs less insulin to handle the same sugar. That is a shift in where fat sits, not a weight-loss result.

GLP-1 medicines work on appetite and fullness. The two can be used together. Neither the Wegovy nor the Zepbound label lists hormone therapy among the reasons the drug must not be used.

Some early data suggest the pair may work better together. A Mayo Clinic study, published in January 2026, followed 120 postmenopausal women on tirzepatide for at least a year. Women also using hormone therapy lost about 19% of their weight, against about 14% for those without it.

That study was observational, not randomized. So it cannot show that hormone therapy caused the gap, and women on hormones may have had other habits that helped. A 2026 position statement from the Spanish Menopause Society says the link should not justify starting hormone therapy only to boost weight loss.

How much do menopause weight loss programs cost per month and per year?

Compare like with like. Some programs show one all-in price. Others show a membership, with the medicine billed apart, and Midi bills visits apart too. A first-month offer is not the price you stay on.

On a 12-month plan, Gala's tirzepatide costs about $180 a month at every dose. Found's costs about $240, with the year paid up front. With a prepaid year of membership, Mochi's tirzepatide starts near $140 and rises to about $250 at the top dose.

Here is roughly what a first year costs. Each figure counts any intro price for its real length, then the regular price. Programs billed every 28 days count 13 cycles in a year.

• Gala tirzepatide: about $2,150 on the yearly plan, or about $2,390 on 3-month plans. Hormone therapy adds about $830 at its entry price.
• Joi: about $2,070 for semaglutide or $2,890 for tirzepatide, with the cheaper first month counted once. One hormone with the care plan adds roughly $1,200 to $2,150.
• Found semaglutide, cash: about $2,200 on the 12-month plan, or about $3,650 month to month. Tirzepatide runs about $3,110 or $4,530.
• Ro Body: about $4,230 for the Wegovy pill on its label dose steps with the annual prepay. Up to about $6,870 for Zepbound with the monthly membership.
• Midi Health medicine: about $3,300 to $4,150 for the GLP-1, or $3,650 to $5,100 for the dual-action medicine, on label dose steps. Self-pay visits add about $700.
• Alloy Weight Care: about $2,030 if you stay at its starting semaglutide price all year, plus the $49 consult. Alloy publishes no higher-dose prices.
• Mochi Health: about $1,670 if you stay at the starting semaglutide dose all year, up to about $3,340 at the top tirzepatide dose. The free first month takes $79 off.
• WeightWatchers Clinic: about $2,600 to $6,300, from a Wegovy pill start on the 12-month plan to top-dose Zepbound on the 6-month plan.
• Noom Med: about $2,230 for microdose, $3,120 for semaglutide or $3,740 for tirzepatide, counting the first 4 weeks then four 12-week bills.
• Noom app: about $210 a year on the annual plan.
• Medicare GLP-1 Bridge: $600 a year for the drug, if you qualify.

For more ways to cut the bill, see GLP-1 without insurance and GLP-1 programs with no membership.

Will insurance or Medicare pay for a weight loss program for menopause?

Sometimes, for parts of it. Insurance never covers compounded GLP-1 medicine. It may cover visits, and it may cover a brand-name drug after prior authorization.

• Visits on a PPO plan: Midi Health is in-network with most PPO plans, so a visit usually costs your specialist copay.
• Visits on commercial insurance: Found's insurance track lowers its plan price, with a video visit and copay before each refill. Mochi's Covered With Mochi plan bills visits to your insurer for $119 for 6 months or $199 for 12 months, paid up front.
• Brand-name drugs: Ro, WeightWatchers and Mochi help with prior authorization for Wegovy or Zepbound. Approval depends on your plan.
• Medicare and Medicaid: none of these insurance tracks accepts them. Midi treats Medicare patients as self-pay.

Medicare now has its own route. The GLP-1 Bridge charges $50 a month for a one-month supply, from July 1, 2026, with approvals valid through December 31, 2027. It covers Wegovy as a shot or pill, the Foundayo pill and the Zepbound KwikPen only, not Zepbound vials.

You need Part D, Medicare's drug coverage, and a prior authorization. Medicare.gov lists who qualifies. A BMI of 35 or more counts on its own. A BMI of 30 or more counts with heart failure with preserved ejection fraction, uncontrolled high blood pressure, or kidney disease at stage 3a or higher.

A BMI of 27 or more counts with prediabetes, a past heart attack or stroke, or leg artery disease with symptoms. Type 2 diabetes, moderate to severe sleep apnea and fatty liver disease exclude you from the Bridge, though your Part D plan may still cover a GLP-1. Extra Help cannot lower the $50. Found helps eligible members with the Bridge paperwork.

Is a menopause weight loss plan without medication enough?

For some women, yes. The US Preventive Services Task Force recommends intensive programs that combine diet, activity and behavior support for adults with a BMI of 30 or more. Its 2018 recommendation rates that advice as a B, meaning a moderate benefit.

The gain is real but modest. In the evidence review behind that advice, people in these programs lost about 5 pounds more than those in control groups over 12 to 18 months. A GLP-1 usually does far more, as the trial figures below show.

A no-medication plan suits you if your BMI is under the cutoffs for a GLP-1, or if you want to start with habits. The Noom app costs about $70 a month, or $209 a year. The Menopause Society also lists weight loss among its recommended non-hormone options for hot flashes, on limited evidence.

Why perimenopause weight loss feels harder

It is not only your imagination. The SWAN study tracked women's body composition through the menopause transition with body scans.

It found that the pace of fat gain doubled and lean mass began to fall as the transition began. Both trends lasted until about two years after the final period. Weight itself kept rising at the same pace as before.

So the change is partly in what your body is made of. That is why a program for midlife should also protect muscle, not only move the scale. The full picture is in our guide to perimenopause weight gain, and the medicine options are in perimenopause weight loss medication.

Compounded or brand-name GLP-1: is it safe and legal?

A compounded medicine is made by a pharmacy for a prescription, from the same active ingredient as the brand. It is not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness or quality before they are sold.

Gala, Joi, Found, Midi Health, Alloy, Mochi and Noom Med all offer compounded semaglutide or tirzepatide. Ro and WeightWatchers prescribe brand-name drugs only. Most of these programs use 503A pharmacies, which fill one patient's prescription at a time. A 503B outsourcing facility makes larger batches under tighter FDA oversight.

The rules have tightened. The FDA declared the tirzepatide shortage over in December 2024, and the semaglutide shortage over in February 2025. On April 30, 2026, it proposed not to add semaglutide, tirzepatide and liraglutide to the 503B bulks list.

That list sets which ingredients outsourcing facilities may compound from. The proposal covers outsourcing facilities only, not 503A pharmacies. Public comments closed on July 30, 2026, and no final decision has been announced. More on the legal side in compounded GLP-1s.

How menopausal weight loss programs should protect muscle and bone

Any fast weight loss takes some lean mass, meaning muscle and other non-fat tissue. The trials measured it with body scans, and the share depends on the drug and the study.

• Tirzepatide, SURMOUNT-1 substudy: about a quarter of the weight lost was lean mass. People on placebo lost lean mass in almost the same share.
• Semaglutide, STEP 1: about 4 in 10 pounds lost were lean tissue, as reported by a 2025 joint advisory of four US nutrition and obesity societies.
• Bone: in Wegovy's heart trial, women on the shot had more hip and pelvis fractures than women on placebo, 1% against 0.2%, per the drug's FDA label.

That same 2025 advisory says protein targets of 1.2 to 1.6 grams per kilogram of body weight a day "have been proposed during active weight reduction." It adds that protein alone is likely not enough without strength training. Ask whether your program includes a dietitian or coach who plans both.

Red flags before you sign up for a menopause weight loss program

Legitimate programs still have billing rules that can cost you. Read these terms before you pay:

• Minimum terms: Joi requires three months, and WeightWatchers sells only 6- or 12-month plans that renew on their own.
• Cancel windows: Gala needs 72 hours before billing, Joi needs thirty days after the minimum, and Alloy needs 5 business days before the next shipment.
• No-refund rules: Gala gives no refund when you cancel, Joi says all products are non-refundable, and Noom Med gives none once a prescription is written.
• Billing rhythm: Noom Med bills 12 weeks at once, Joi bills every three months, and Found and Midi bill every 28 days or 4 weeks.
• Two bills: at Ro, WeightWatchers and Alloy, the membership or fee is charged apart from the medicine.

Then walk away from any seller that shows these signs:

• A GLP-1 sold with no prescription and no review by a licensed clinician.
• Claims like "generic Wegovy" or "FDA-approved compounded semaglutide," which are not accurate.
• A "GLP-1" supplement that names no drug, such as semaglutide or tirzepatide, while promising drug-like results.
• No named prescriber, medical group or US company behind the site.
• Promises of a set number of pounds lost, backed by before-and-after photos instead of trial results.