Seller record · Telehealth service

1st Optimal

By Paul Harris, Standards EditorRecorded September 2026 · Standard v1.1 · How checks are performed

Fails 4 of 8 criteria. S4, compounding disclosure: No page says whether the medications are compounded or that compounded products are not FDA-approved. The weight-loss pages call GLP-1s FDA-approved medications and the recovery page calls its peptide protocols FDA-approved, while the terms name a 503A compounding pharmacy. 3 more criteria also fail; see the table below.

At a glance

1st OptimalTelehealth service

4/8criteria passed
Price
Not printed before a consultation or sign-up
Sells
GLP-1 injections, oral GLP-1 tablets, peptide therapy, and 3 more
FDA letters
None on file
Visit 1st OptimalSee all eight dispositions

Telehealth service. Passes 4 of 8 criteria. Recorded against Standard v1.1.

A Michigan functional medicine membership practice combining lab testing and health coaching with GLP-1 weight loss care, peptide therapy and hormone therapy for women and men. Memberships are priced, while the medications are sold separately at member rates.

Operating entity No legal entity name appears in the footer, in the answers, in the terms of service or in the privacy policy, which name the business only as 1st Optimal.

Dispositions

CodeCriterionDispositionWhere it appears
S1Prescriber requirementPASS1st Optimal's FAQ; 1st Optimal's about page
S2Prescription gatingPASS1st Optimal's website; 1st Optimal's FAQ
S3Pharmacy identificationPASS1st Optimal's terms of service page
S4Compounding disclosureFAIL1st Optimal's weight loss for women page; 1st Optimal's recovery and performance page; 1st Optimal's terms of service page
S5Analytical documentationFAIL1st Optimal's weight loss for women page; 1st Optimal's FAQ; 1st Optimal's terms of service page
S6Business addressFAIL1st Optimal's website; 1st Optimal's FAQ
S7Price disclosureFAIL1st Optimal's functionalhealthplans page; 1st Optimal's FAQ
S8Enforcement statusPASSFDA warning-letter index

Evidence, criterion by criterion

The evidence behind each disposition in the table above, where it appears, and its date.

S1PASSA licensed medical provider reviews each member's consultation and lab results before any prescription, which is then sent to a partner pharmacy, and the about page says every protocol is provider-supervised.Source: 1st Optimal's FAQ; 1st Optimal's about page.
S2PASSEvery start button books a free intake call, followed by lab testing and a provider consultation, and the answers say medication is invoiced for new patients immediately after the medical provider appointment.Source: 1st Optimal's website; 1st Optimal's FAQ.
S3PASSThe terms name the affiliated pharmacy: Belmar Pharmacy in Colorado, a 503A pharmacy at 231 Violet Street, Suite 140, Golden, CO 80401.Source: 1st Optimal's terms of service page.
S4FAILNo page says whether the medications are compounded or that compounded products are not FDA-approved. The weight-loss pages call GLP-1s FDA-approved medications and the recovery page calls its peptide protocols FDA-approved, while the terms name a 503A compounding pharmacy.Source: 1st Optimal's weight loss for women page; 1st Optimal's recovery and performance page; 1st Optimal's terms of service page.
S5FAILNo certificate of analysis or lot document is published on the program pages, the answers or the terms.Source: 1st Optimal's weight loss for women page; 1st Optimal's FAQ; 1st Optimal's terms of service page.
S6FAILThe seller prints two different addresses. The footer of every page gives 7111 Dixie Hwy, Ste 267, Clarkston, MI 48346, while the answers give 6429 E Washington St, Clarkston, MI 48346.Source: 1st Optimal's website; 1st Optimal's FAQ.
S7FAILNo medication price is printed. The plans page prices the weight loss membership at $99 a month and peptide care at $109 for 3 months, covering consultations, labs, shipping and supplies, and the answers say treatments are sold separately at member rates.Source: 1st Optimal's functionalhealthplans page; 1st Optimal's FAQ.
S8PASSNo FDA warning letter names 1st Optimal, and no action has halted the business.Source: FDA warning-letter index.

Products shown on the seller's own pages at the recorded date: GLP-1 injections, oral GLP-1 tablets, peptide therapy, testosterone therapy, menopause hormone therapy, lab testing.

Visit 1st Optimal

Dispositions recorded against Standard v1.1. Method and null semantics: how checks are performed. This record is not a review and contains no medical advice.