Lose the Fat. Keep the Muscle You Earned.
Prescription semaglutide or tirzepatide, with dosing tuned to quarterly bloodwork and body-composition tracking. Built for SPENGA members who train, not for cookie-cutter telehealth.
It’s Not Your Willpower. It’s Your Biology.
You meal prep. You hit the gym. You track your calories. The scale barely moves, or the weight comes back the moment you ease up.
Even on GLP-1, most online programs hand everyone the same dose on the same schedule. You lose weight at first. Then you plateau, your body adapts, progress stalls, and the only advice you get is to stay on it and exercise more.
The problem is not your effort. It is one-size-fits-all dosing that was never built for your body.
Dosing That Evolves With Your Body.
We use a proprietary titration process that adjusts your dose based on how your body actually responds. Too much medication or tough side effects, we dial it back. Hitting a plateau, we adjust and add support. Your body changes; your dosing should too.
Safer
Your dose is matched to you from day one and adjusted on how you feel, which reduces unnecessary side effects.
Better results
Ongoing monitoring and proactive adjustments help prevent the long plateaus that come as your body adapts.
Faster progress
Your provider adjusts when it is appropriate, instead of waiting on a rigid escalation calendar.
Lose fat while preserving muscle.
Most telehealth GLP-1 programs cause rapid weight loss and strip muscle in the process. Personalised titration and body-composition tracking is what makes the second number possible.
Individual results vary and are not guaranteed. These statements have not been evaluated by the FDA and are not intended to diagnose, treat, cure or prevent any disease.
Your complete GLP-1 solution.
Personalised titration
Dosing tailored to your body, adjusted on labs and how you feel.
Bloodwork included
Quarterly Labcorp labs with biometric tracking, at home for a small upcharge.
Unlimited provider support
Book a visit whenever you have a question, a side effect or a plateau.
Free medication delivery
At your door in two to three business days, from US pharmacies.
FSA/HSA approved
Use your health benefits. Our team helps you apply them.
Bionetic body tracking
Body composition, not just weight, so muscle preservation is measurable.
Specific components are recommended by your provider based on your medical history and goals. Not all patients receive all add-ons. Only available if prescribed after an online consultation with a healthcare provider.
Cookie-cutter GLP-1 versus personalised titration.
Other telehealth programs
Apex MD
Weight is only the first thing GLP-1 changes.
Sleep health
Studied for obstructive sleep apnea.
Brain health
Over 100 studies have shown GLP-1s can:
Heart health
Studies have shown GLP-1s can:
Bone health
Studies have shown GLP-1s can:
Statements reference published research on GLP-1 receptor agonists and are not a promise of individual outcome. Talk to your provider about what applies to you.
Four ways in. Same medical team.
Compounded semaglutide
Best for patients starting GLP-1 with a proven injectable option. Clinically studied ingredient supporting significant weight loss.
Compounded tirzepatide
Best for patients seeking the most aggressive GLP-1 based option, where clinically appropriate. Dual-pathway therapy.
Semaglutide pills
Best for patients who want a needle-free GLP-1 option with the same medical oversight.
Tirzepatide pills
Needle-free, advanced dual-pathway support for powerful weight-loss potential, where clinically appropriate.
Compounded medications are prepared by a licensed pharmacy and are not affiliated with or identical to brand-name drugs like Ozempic®, Wegovy® or Mounjaro®. Results vary. Medication is prescribed only when clinically appropriate.
When you work out, GLP-1 works better.
Research suggests people who combine GLP-1 medication with regular exercise often lose more weight than those relying on diet and exercise alone. Your SPENGA routine is not just burning calories; it may help you get more out of the medication.
Your first twelve months.
Weight loss is not linear. Some months feel dramatic, others slower. Here is what many patients experience, so you know what to expect and how we support you.
Adjusting
Initial consult, labs and starting dose. Your body begins adapting to GLP-1.
Dialling in
Dose adjustments based on your response. Food, movement and sleep habits get consistent.
Momentum
You are in a rhythm. We fine-tune dosing and support based on labs and progress.
Holding it
Many patients transition from weight-loss dosing toward a microdosing protocol for maintenance.
Get the answers you need.
What are GLP-1 medications?+
GLP-1 receptor agonists were originally developed for type 2 diabetes and have also been shown to support significant weight loss. They mimic a natural hormone that helps regulate appetite, blood sugar and digestion, so you feel fuller longer with fewer cravings.
How do I choose between semaglutide and tirzepatide?+
Both are effective, but they work differently. Semaglutide targets appetite regulation; tirzepatide works on two metabolic pathways and may lead to greater fat loss for some people. Your provider will help you decide based on your goals, history and response.
Will I lose muscle or bone density?+
Muscle loss is not inevitable. We emphasise adequate protein, resistance training and appropriate dosing to protect lean mass and bone health while you lose fat. Working with a SPENGA F.I.T. trainer is one of the best ways to hold onto muscle through the process.
When will I see results?+
Many patients notice appetite changes in the first one to two weeks. Meaningful fat loss typically happens over the first one to three months, with continued progress as your dose is optimised. Results vary with consistency, habits and individual metabolism.
Are labs required? Are they included?+
Quarterly labs are included with your subscription, at any Labcorp, or at home for a small upcharge. We strongly encourage completing them: bloodwork is how your provider knows what to change.
Who might not be a candidate?+
GLP-1 therapy may not be appropriate for people with certain conditions, including a history of medullary thyroid cancer, MEN-2 syndrome, or specific gastrointestinal disorders. Complete your intake and a provider will review your history.
What are the common side effects?+
Most commonly nausea, reduced appetite, bloating, constipation or fatigue, especially during dose increases. Most are mild and temporary, and manageable with proper dosing. Providers can prescribe anti-nausea medication when needed.
Am I locked into a contract? Do I stay on this forever?+
No. Pricing is transparent, billing is month to month, and you can adjust or discontinue with your provider. Many patients move from weight-loss dosing to a microdosing protocol for maintenance and broader health benefits.
Get the Member Guide
What each protocol does, what it costs, what bloodwork it needs, and how to pick. Emailed once, no drip campaign. Your SPENGA100 code comes with it.
You’re Already Doing the Hard Part. Let the Medicine Catch Up.
SPENGA has partnered with the best in medical wellness, Apex MD. Exclusive member access, physician-guided protocols, and $100 off your first month with code SPENGA100.