Compounded semaglutide

Trellis Vitality review

At Trellis Vitality, compounded semaglutide runs $150 a month on the shortest plan. Trellis wraps the drug in a supervised program with labs, a muscle-preservation protocol and a 90-day re-test. You pay the same on a starting dose as on a maintenance dose.

A real month costs$15080 of 379 by price
EvidenceVerified
Billing cyclemonthly
Price across dosesSame at every dose
Where it ships50 states
FDA warning letterNone found

Visit Trellis Vitality →

Is it right for you?

Worth a look if

  • You care about holding on to muscle while the weight comes off.
  • You like the idea of lab data guiding your dose, not just a questionnaire.
  • You want a single price that doesn't creep up as the dose rises.

Skip it if

  • You're in Connecticut, Ohio or South Carolina, where Trellis says the program isn't offered.
  • You'd rather skip lab kits and simply get a vial shipped.
  • You want a published refund window before you commit.

What's included

Semaglutide at Trellis comes in one-, three- and six-month plans. The one-month plan is $150, and longer terms bring the monthly cost down. The table on the program page states that all dosages carry the same price. Expedited shipping is free and there's no membership.

Vials Rx, a licensed sterile compounding pharmacy in Houston, prepares each prescription. Trellis says every batch passes checks for potency, sterility, pH balance and endotoxins, then ships cold-packed by UPS.

The program part matters here. A Vitality Lab Kit sets a baseline, clinicians follow body composition over time, and a re-test comes at 90 days. Trellis also offers a glycine formulation and microdosing where a clinician thinks they fit.

From sign-up to refills

  1. Take the free clinical assessment online. Expect questions on your goals and history, plus your phone number and ZIP code.
  2. A clinician from Arora Health & Aesthetics reviews your answers. A prescription is never guaranteed.
  3. Send in your baseline labs through the Vitality Lab Kit.
  4. Vials Rx compounds and ships the semaglutide. Trellis quotes 24 to 48 hours from order to shipment.
  5. Check-ins continue through the plan, and the 90-day re-test shows whether you lost fat or muscle.

What's good, what isn't

What's good

  • The one-month plan at Trellis keeps the same semaglutide price from the first dose to the last.
  • A 90-day re-test at Trellis tracks visceral fat against lean mass, not just scale weight.
  • Every Vials Rx batch is checked for potency, sterility and endotoxins before shipping.

What isn't

  • Baseline and follow-up labs are mandatory at Trellis, so the start takes longer than a simple intake.
  • Trellis names Connecticut, Ohio and South Carolina among states it doesn't currently serve.
  • Refunds are handled case by case through Trellis support rather than under a written window.

Read these terms first

Lab kit cost
The Vitality Lab Kit is required, and the price table doesn't show it as a separate line. Ask whether it's included in your plan price.
Which plan
Three- and six-month plans lower the monthly cost, but you're buying the longer term up front. The one-month plan is the flexible choice.
Phone number at intake
The assessment asks for your phone number early, with consent to calls and texts, including marketing messages.

Price

Trellis Vitality costs $150 a month for compounded semaglutide.

How we got $150

The arithmeticOne month = 30.4375 days

  1. Trellis Vitality advertises

    Read on Trellis Vitality's own site

    $150.00

  2. The card is charged $150.00 — exactly what it advertises

    + $0.00

  3. And it is charged once a calendar month

    + $0.00

A real month$150.00

Reconciles exactly — the advertised figure is a real month.

Where it sits, and what costs less

$54median $199$325+

79 cheaper · 21%298 dearer · 79%

The most expensive 10 sellers charge between $325 and $540 a month.

  1. Fidelity Medical Clinicstarting dose$54
  2. Collective$76
  3. NextMeds$79
  4. Lean Meds$79
  5. RxPepsDirectstarting dose$80
  6. Trellis Vitality$150

Another 74 sellers are cheaper than Trellis Vitality. The whole cheapest list →

Where it says it operates

Listed in 50 states, all but 1 of the 51 we track.

What else this seller sells

The same seller appears in our data for one other medication.

Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.

Common questions about Trellis Vitality

Is Trellis Vitality legit?
Yes, as a registered Texas company. Trellis Vitality LLC names its medical group, Arora Health & Aesthetics, and its medical director. Vials Rx in Houston compounds the medication. Compounded semaglutide is not FDA-approved, and Trellis says so plainly.
How much does Trellis Vitality semaglutide cost?
$150 a month on the one-month plan, the same at every dose. The three- and six-month plans cost less per month. Trellis charges no membership fee.
Can I use HSA or FSA at Trellis Vitality?
Trellis says the program is HSA and FSA eligible for most plans, and it provides an itemized superbill on request. It isn't billed to insurance.
Can you switch to Trellis Vitality from another compounded program?
Yes. Trellis invites people already on compounded medication to upload recent labs, and its clinical team reviews them and suggests protocol changes at no charge.