Yes. We're LegitScript-certified, which means our telehealth practice and pharmacy partner are audited and monitored against national standards for licensure, safety, and advertising.

Our medications are dispensed by Strive Compounding Pharmacy, a triple-accredited 503A pharmacy regulated by state pharmacy boards. We're transparent about who prescribes (MD Integrations), who dispenses (Strive), and who operates the platform (Ironoak Holdings LLC).

Not to start. The decision to begin HRT is made primarily on symptoms, history, and risk factors — current ACOG and NAMS guidance does not require baseline labs for the average symptomatic patient under 60.

Your physician may order labs later if there's a specific clinical reason (e.g., unexplained bleeding, persistent symptoms, monitoring testosterone). You'd pay the lab directly; we don't mark up lab work or bundle it into the subscription.

From physician approval, Strive Pharmacy typically dispenses within 2 business days and your shipment arrives within 3–5 business days. Most patients receive their first delivery within a week of finishing intake.

You'll get tracking the moment it ships. All packaging is plain, unmarked, and discreet.

No. We don't bill insurance for visits or medication, and we don't accept HSA/FSA for compounded products.

We chose this because insurance reimbursement on compounded HRT and weight management is unreliable and adds weeks of paperwork. Charging cash directly lets us keep visits short, prescribers focused, and pricing transparent.

The active ingredient — semaglutide — is the same. Ozempic® and Wegovy® are FDA-approved, commercially manufactured products from Novo Nordisk. Our medication is compounded semaglutide, prepared by a licensed 503A pharmacy.

Therisse is not affiliated with or endorsed by Novo Nordisk. Ozempic® and Wegovy® are registered trademarks of Novo Nordisk A/S.