U.S. licensed physicians, licensed to practice in Washington, prescribing compounded semaglutide, tirzepatide, testosterone replacement, enclomiphene, and NAD+, shipped directly to Seattle, Spokane, Tacoma, and every zip code in the state.
No insurance required · HSA/FSA eligible · Washington residents only
An evidence-based protocol tailored to your labs, history, and goals.
Each prescribed by a Washington-licensed physician. Ships statewide.
, and every smaller community in the state.
Washington has a semi-arid continental climate with high elevation. Altitude alone doesn’t affect GLP-1 or testosterone ester stability, but seasonal temperature swings can, which is why every OPTML shipment into Washington uses insulated, cold-chain packaging rated for extremes.
Washington’s Puget Sound region receives shipments in 2-3 business days.
Our prescribing physicians hold active, unrestricted Washington Medical Board licenses. Consultations are conducted via secure video and HIPAA-compliant messaging.
Eight evidence-based protocols, each prescribed by a physician licensed in Washington.
The STEP-1 molecule. Compounded by 503A pharmacies. Average 15% body-weight reduction at 68 weeks.
from $249/mo →
The SURMOUNT-1 molecule. Dual-agonist compounded therapy. Average 20.9% body-weight reduction at 72 weeks.
from $299/mo →
Physician-supervised testosterone cypionate with full panels. TRAVERSE-trial-backed cardiovascular safety.
from $199/mo →
Subcutaneous NAD+ for mitochondrial support, cognitive clarity, and metabolic performance.
from $179/mo →
Raises endogenous testosterone without suppressing the HPG axis, ideal for men who want fertility preserved.
from $129/mo →
Sub-clinical sema or tirzepatide for insulin sensitivity, anti-inflammation, and gentle appetite control, not significant weight loss.
sema $199/mo · tirz $299/mo →
Bioidentical 17β-estradiol + micronized progesterone for perimenopausal and menopausal women. Sleep, mood, hot flashes, brain clarity, bone density.
starting at $199/mo →
GHRH peptide that stimulates your own growth hormone. Daily SC at bedtime for sleep, recovery, body composition, and skin/hair quality.
$189/mo →
From online intake to first shipment in under a week. No waiting rooms, no insurance runaround.
Tell us your goals, health history, and current meds. Takes less time than a drive to a Seattle clinic.
If your protocol needs bloodwork, we send an order to any Quest or Labcorp in Washington.
A physician licensed in Washington reviews your case.
Cold-chain packaging, tracked shipping, and delivery in 2-3 business days.
Every OPTML protocol is backed by a large, peer-reviewed randomized controlled trial.
Sources: Wilding JPH et al. NEJM 2021 · Jastreboff AM et al. NEJM 2022 · Lincoff AM et al. NEJM 2023.
Four reasons we’re different from generic telehealth platforms.
Every protocol is approved by a physician (MD or DO) licensed in Washington.
Comprehensive panels through Quest and Labcorp with dozens of draw sites across Washington.
OPTML partners with 503A compounding pharmacies licensed to ship into Washington.
We prescribe what the trials support: STEP-1, SURMOUNT-1, TRAVERSE.
State-specific questions we get from Washington patients.
5-minute intake. Physician review in under 48 hours. First shipment to your Washington address in under a week.
Start your consultation