CONDITIONAL - MyStart Health shows promise with competitive pricing, CEO accountability, and 67% 5-star reviews on Trustpilot. However, prospective customers should be aware of the September 2025 FDA warning letter regarding marketing claims and recent fulfillment delays. Best for users who can be patient with a newer company working through growing pains.
Drugs: Compounded semaglutide and tirzepatide. Regular Monthly Price: $299/month (all-inclusive program). Lowest Monthly Price: $149/month (with $150 holiday promo).
MyStart Health offers all-inclusive pricing with consultations, shipping, and blood work included when needed. The Delaware-based company provides access to a 600+ physician network with unlimited follow-up support and ships medications in temperature-controlled packaging.
This newer telehealth provider (founded 2024) has experienced growing pains including an FDA warning letter in September 2025 for misleading marketing claims and fulfillment delays in January 2026 during a pharmacy transition. However, CEO Matthew Stern has shown accountability by personally responding to complaints and offering partial refunds.
The company holds a C+ BBB rating and offers a price lock guarantee to protect against future increases. MyStart Health positions itself as a budget-friendly option in the compounded GLP-1 market, though customers should expect potential service inconsistencies as the company builds its infrastructure.
Budget-conscious users comfortable with a newer telehealth provider, those who appreciate direct CEO accountability, patients who can be flexible on delivery timing during the company's growth phase
Users who need guaranteed fast delivery timelines, those who prefer established providers with years of track record, anyone uncomfortable with compounded (non-FDA-approved) medications
Competitive pricing ($179-$299/month) with price lock guarantee, CEO personally responds to escalated complaints, 600+ physician network, all-inclusive pricing with no hidden fees
New company (2024) still building infrastructure, experienced fulfillment delays in January 2026 during pharmacy transition, FDA warning letter about marketing language (September 2025)
Regular Price
$299/month
Promotional Price
$179/month (advertised starting price with discounts)
Dosing: Weekly injection, dose escalation protocol
Included: Physician evaluations, follow-up appointments, unlimited clinician access, monthly prescriptions, 4-week or 12-week medication supply, blood work if needed, shipping
NOT FDA-approved. Compounded medication from 503A pharmacies. FDA warning letter issued September 2025 for calling product 'Generic Ozempic' - this claim is false/misleading per FDA.
Regular Price
$429/month
Promotional Price
3-month programs under $300/month advertised
Dosing: Weekly injection
Included: Medication, supplies, shipping, provider visits, blood work if needed
NOT FDA-approved. Compounded tirzepatide availability subject to regulatory restrictions.
| Product | Regular Price | Promo Price | State Variations |
|---|---|---|---|
| Semaglutide Injectable (Monthly) | $299/month | $179/month advertised with discounts | State availability not clearly disclosed |
| Semaglutide Injectable (3-Month) | ~$299/month equivalent | Discounted with prepay | State availability not clearly disclosed |
| Tirzepatide Injectable | $429/month | Under $300/month for 3-month programs | Subject to state/federal compounding regulations |
Initial Consultation
Video consultation with licensed provider after checkout
Follow-up Consultations
24/7 access to 600+ board-certified doctors
Lab Work
Blood work included when clinically required
Shipping
Ships in temperature-controlled/refrigerated packaging
Advertised prices starting at $179/month for semaglutide, under $300/month for tirzepatide 3-month programs - among lower market prices
Impact: Makes GLP-1 medications accessible to budget-conscious users when medication is actually delivered
Company promises price will never increase from initial subscription rate
Impact: Protects against future medication cost inflation for long-term users
Monthly fee includes physician evaluations, unlimited clinician access, medication, blood work if needed, and shipping
Impact: No surprise fees; customers know total cost upfront
Multiple Trustpilot reviews mention CEO Matthew Stern personally reaching out to resolve problems
Impact: Accountability at leadership level; escalation path exists for serious issues
Access to 600+ board-certified U.S. physicians
Impact: Coverage and quick prescription turnaround when operational
67% 5-star reviews on Trustpilot; customers who receive medication report effective weight loss and professional care
Impact: Medication appears effective and medical care is quality when fulfillment works
September 2025 FDA enforcement action found company marketing compounded semaglutide as 'Generic Ozempic' - a false claim under federal law
Impact: Raises serious transparency and regulatory compliance concerns about company practices
Multiple recent customers report paying but not receiving medication for 2-3+ weeks with orders stuck in 'sent to pharmacy' status
Impact: Risk of payment without medication delivery; medication gaps for users who depend on consistent supply
Company doesn't name pharmacy partners and admitted to 'switching pharmacies' during fulfillment crisis
Impact: Lack of transparency about medication source; quality control questions
Technical problems with member portal leaving customers without access to important information
Impact: Missed refill notifications, order status confusion, communication gaps
Credit card charged after intake quiz but before speaking with provider
Impact: Financial commitment required before medical evaluation (though company claims refund if medically ineligible)
Better Trustpilot (4.5 vs 3.9), no FDA warnings, comprehensive coaching included (dietitian, mental health, fitness app), more reliable fulfillment. $249/month - slightly higher but you'll actually receive your medication.
Similar pricing ($179+/month), much larger review base (9,000+ Trustpilot reviews), 4.5/5 rating, no FDA warnings, established operations.
Established company, FDA-approved Wegovy/Zepbound available, reliable fulfillment infrastructure, no regulatory issues. Higher price ($349+) but premium reliability.
NYSE-listed public company (HIMS), established infrastructure, regulatory compliance, $199+/month compounded semaglutide with 6-month commitment.
Complete online health intake quiz (5-10 minutes)
Payment processed after quiz completion (before consultation)
Licensed clinician reviews intake and medical history
Video consultation scheduled if needed, or async prescription approval
Prescription sent to compounding pharmacy
Medication shipped with temperature-controlled packaging
Time to First Prescription
Same-day approval claimed after intake completion; however January 2026 reviews show 2-3+ week delays from approval to actual medication delivery
Consultation Format
Telehealth - video consultation or async prescription based on health intake
Provider Type
Network of 600+ U.S. board-certified, licensed physicians
Video Option
Same-day video consultations available if needed; may be async prescription for straightforward cases
"Ordered 1/3/2026, approved same day, status stuck at 'sent to pharmacy' for over 2 weeks. Told it would ship 'this week' multiple times - nothing shipped."
— Trustpilot review, January 2026
Quality Concerns: FDA warning letter (September 2025) found false/misleading marketing claims. Undisclosed pharmacy partners and admission of pharmacy switches raise quality control questions.
3.9/5 stars
240 reviews
67% 5-star, 10% 4-star, 4% 3-star, <1% 2-star, 18% 1-star. Company replies to 66% of negative reviews within 2 weeks. January 2026 reviews show concerning fulfillment failure pattern.
C+ rating, NOT Accredited
6 complaints
Business file opened April 2025. Company has responded to complaints per BBB profile. Primary complaint types: failure to deliver medication, service/product issues.
4.3/5 stars
312 verified reviews
Positive comments on weight loss results, ease of ordering, responsive physician support
4.3 stars average, Positive trust score
161 reviews
Site deemed legit and safe based on automated analysis
"Started in October 2025, down 22 lbs already. Medication is effective, doctors are responsive, and when I had a billing question Tyrese resolved it same day. Just wish shipping was faster."
— Trustpilot, 4-star review, January 2026
Fulfillment Failure
"I ordered on January 3rd, was approved same day, and have been stuck at 'sent to pharmacy' for over two weeks now. Every time I contact support they say it will ship 'this week' or 'in 4-5 days' and nothing happens. I've been charged but have no medication."
— Trustpilot, 1-star review, January 2026
Broken Promises
"They told me three different times my order would ship 'this week.' It never did. They blame the pharmacy, they blame the holidays, but they already have my money and I have no medication."
— Trustpilot, 1-star review, January 2026
Portal Issues
"The patient portal just shows blank screens. I can't see my order status, I can't see messages from my doctor, I can't see anything. Had to call multiple times just to find out what was happening."
— Trustpilot, 2-star review, January 2026
888-828-5816 - Monday-Friday 9am-9pm, Saturday 9am-6pm (EST). Mixed reports: some get quick callbacks within 5 minutes, others unable to reach support.
support@mystarthealth.com
No live chat disclosed on website
members.mystarthealth.com - Multiple customer complaints about portal displaying blank pages, causing missed information about refills and order status
Based on Trustpilot reviews and BBB complaints from January 2026
Best Case
Quick callbacks within 5 minutes reported by some customers; CEO personally responds to escalated complaints
Typical
Variable - some customers report responsive service, others report inability to get updates on delayed orders for days/weeks
Worst Case
Repeated broken promises about shipping timelines; customers report being told medication will ship 'this week' or 'in 4-5 days' multiple times with no follow-through
Medical oversight appears solid with large physician network and named medical advisor. Compounded medications are standard for budget telehealth GLP-1 providers. Customers consistently report medication effectiveness when received.
Pre-consultation billing is common in telehealth. Company has shown willingness to provide partial refunds for delivery issues. Price lock guarantee is customer-friendly for long-term users.
Newer company experiencing growing pains typical of rapid growth. CEO accountability is a positive sign. Customers should allow extra time for delivery during growth phase.
Auto-Renewal
Yes - monthly plans auto-billed and auto-shipped; 3-month plans auto-billed every 3 months
Billing Transparency
Payment processed after health intake quiz completion but BEFORE medical consultation. Full refund if deemed medically ineligible. January 2026: reports of being charged but medication not shipped for weeks.
Payment Methods
Credit cards (Visa, Mastercard), monthly auto-billing, 3-month prepay plans. No insurance accepted - cash pay only.
Financing
3-month prepay options available with discounted rates
"The FDA warning letter concerns me. They were calling it 'Generic Ozempic' which isn't true - compounded semaglutide is completely different from FDA-approved Ozempic."
— Customer concern shared on Trustpilot, January 2026
State Restrictions
Specific state availability not disclosed on main website
State-Specific Requirements
Operates through licensed U.S. telehealth providers and compounding pharmacies
Pharmacy Board Actions
No known state pharmacy board actions found
600+ physician network with board-certified providers. Dr. Ritu Chopra as Chief Medical Advisor adds credibility. Customers who receive medication report effective weight loss and professional care. Blood work included when needed.
Competitive pricing ($179-$299/month semaglutide) with unique price lock guarantee. All-inclusive model with no hidden fees. Among the more affordable compounded GLP-1 options.
FDA warning letter (September 2025) for 'Generic Ozempic' marketing claim is a concern, though company may have since corrected. Pharmacy partners not named publicly, which is common in the industry.
CEO Matthew Stern personally engages with escalated complaints - unusual accountability. Named representatives praised (Tyrese, Cecile, Curtis). January 2026 saw fulfillment strain but company responded with partial refunds.
Very new company (2024) experiencing growing pains. FDA warning addressed marketing language, not medication safety. January 2026 fulfillment delays appear related to pharmacy transition and holiday demand surge.
MyStart Health is a newer telehealth provider offering competitive GLP-1 pricing with a price lock guarantee and CEO who personally responds to escalated issues. The 3.9/5 Trustpilot rating reflects that the majority of customers are satisfied with their care and results. Concerns include an FDA warning letter about marketing language (calling compounded semaglutide 'Generic Ozempic') and January 2026 fulfillment delays as the company switched pharmacies. These appear to be growing pains rather than fundamental problems. Consider MyStart if you're comfortable with a newer company, can tolerate potential delivery delays, and want budget-friendly pricing. For those needing guaranteed reliability, established alternatives like Fridays Health or MEDVi may be safer choices.
Best Alternative: Fridays Health — If you want comprehensive coaching (dietitian, mental health, fitness app) included with your GLP-1 program, Fridays Health at $249/month offers a more holistic approach with a 4.5 Trustpilot rating.
Others: MEDVi ($179+/month, established track record with 9,000+ reviews), Ro ($349+, FDA-approved brand-name options available), Hims & Hers ($199+, public company infrastructure)
We verified: FDA warning letter dated September 9, 2025 - confirmed on FDA.gov, BBB rating C+, 6 complaints, NOT BBB Accredited, Trustpilot rating 3.9/5 from 240 reviews (67% 5-star, 18% 1-star), Company address: 254 Chapman Rd, STE 208 #17801, Newark, DE 19702, CEO Matthew Stern, Chief Medical Advisor Dr. Ritu Chopra, January 2026 Trustpilot reviews documenting fulfillment failures.
We could not verify: FDA warning letter compliance/response status, Specific compounding pharmacy partners used, Total customer count vs. customers with problems, Current operational status of fulfillment, Medication quality (would require lab testing).
This review is based on publicly available information including: FDA warning letter dated September 9, 2025 accessed from FDA.gov; BBB business profile accessed January 25, 2026; Trustpilot customer reviews accessed January 25, 2026; company website content; and third-party review sites. All claims are supported by documented sources.
This review is for informational purposes only and does not constitute medical advice. GLP-1 medications have risks and side effects. Consult with a qualified healthcare provider before starting any weight loss medication. This review does not replace professional medical consultation.
AllGLP1.com may earn affiliate commissions from alternative providers recommended in this review. This does not influence our factual findings about MyStart Health's FDA warning or documented fulfillment issues. Our concerns are based on verified regulatory action and customer reports.
