A single “starting dose” isn’t how OPTML thinks about GLP-1s. Lean optimizers chasing food noise and metabolic efficiency need a different titration than someone targeting 20% body-weight loss. This calculator returns the dose band that fits your goal, with the reasoning shown.
Fill in your profile to see a starting-dose recommendation: microdose, low-dose, or full-dose.
OPTML retail is flat by molecule, sema $199/mo, tirz $299/mo, whether you’re on a microdose or a full titration.
Same molecules. Same retail price. Different starting doses, different titration trajectories, and different clinical outcomes.
For lean and normal-weight optimizers. Goal isn’t weight loss, it’s metabolic and anti-inflammatory effects: insulin sensitivity, mitochondrial efficiency, food-noise reduction.
Bridge band. For people targeting modest fat loss (5-10 lbs), recomposition, or metabolic improvement with some appetite control. Better tolerated than full-dose.
For patients targeting 15-25%+ of body weight. The well-trodden titration ladder used in STEP, SURMOUNT, and other landmark trials. Strongest weight-loss outcomes; highest GI burden.
OPTML’s starting-dose recommendation is independent of molecule choice, pick the molecule with your provider based on tolerance, goals, and history.
Most online GLP-1 clinics start every patient on the same FDA titration regardless of goal: 0.25 mg sema or 2.5 mg tirz, ramping every 4 weeks. That’s the right plan for someone targeting 25% body-weight loss. It’s often too aggressive for a lean optimizer who just wants to dial in food noise and insulin sensitivity.
The OPTML model: pick the molecule, pick the goal, and titrate appropriately. Same flat retail at any dose, you pay by molecule, not by milligram, so there’s no incentive to push higher than your goal needs.
It looks at four signals:
Compounded semaglutide $199/mo flat. Compounded tirzepatide $299/mo flat. Microdose, low-dose, or full-dose, same retail. Provider-titrated. Same-day prescriptions in most states.
Explore microdose GLP-1 →How this tool calculates
This educational tool visualizes the published dose-escalation schedules used in the pivotal clinical trials of the FDA-approved branded GLP-1 medications (STEP-1 for semaglutide, SURMOUNT-1 for tirzepatide). It does NOT prescribe or recommend a specific dose for any individual. All dosing decisions are made exclusively by a U.S. licensed physician after individual patient evaluation.
Peer-reviewed sources
Important. This tool is provided for educational purposes only and does not constitute medical advice, diagnosis, or treatment. The tool does not prescribe medication, recommend specific dosing, or substitute for clinical evaluation. Compounded medications referenced anywhere on this site are not FDA-approved; the FDA does not verify the safety, effectiveness, or quality of compounded drugs. Treatment decisions are made only by a licensed U.S. physician after individual patient evaluation.