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TOM Weight Loss review

By Gut Metabolic EditorialUpdated

90/100

Price transparency

What is disclosed before intake, not a clinical rating.

TOM Weight Loss is the online weight-care program of Texas Obesity Medicine, serving patients in Texas and Utah. Its current monthly plans include compounded semaglutide for $199 or tirzepatide for $249, alongside a separate physician-care membership for people paying the pharmacy directly. The distinction matters: a low pharmacy fill price on the comparison table does not include that care membership, and the supply interval differs from a calendar-month service bill.

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TOM Weight Loss does not pay us. We review it so you can compare it with the programs that do. Disclosure

Published monthly prices apply to the described formulation and billing plan. Confirm your prescribed treatment, included services and renewal before paying.

On this page

TOM Weight Loss at a glance

Price visibility
Public monthly plans
Pharmacy information
4 pharmacy partners named
Where it operates
Available only in Texas and Utah; patients must be physically located in one of those states for online visits.

The verdict

Published monthly prices apply to the described formulation and billing plan. Confirm your prescribed treatment, included services and renewal before paying.

The score beside TOM Weight Loss's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.

Considering TOM Weight Loss?

Confirm the plan, billing terms and availability before you begin.

What do you get with TOM Weight Loss?

  • Online care with Tran Le, the physician named by the practice, including an initial visit described as free and continuing consultations and check-ins. The public pages identify Texas Obesity Medicine PLLC as the practice operator. This is a limited-state clinical program rather than an all-state enrollment promise.
  • A basic plan including compounded semaglutide within its stated dose range, or a premium plan including compounded tirzepatide within its stated range. The premium plan also lists a higher-dose semaglutide option. The physician determines suitability and the actual prescription; shoppers should not choose a dose based on the membership tier.
  • A care-only alternative for patients considering branded medication or paying for a compounded prescription one fill at a time. That membership covers physician services while the pharmacy bills separately. Insurance and manufacturer assistance may affect branded-medication cost, but neither coverage nor a particular patient price is guaranteed.
  • Published dispensing options with pharmacy-specific, dose-specific prices. The pricing page names Drug Crafters, Luxe Med, Cypress and Empower and says prescriptions are sent to one of those pharmacies in the care-only arrangement. The chosen pharmacy, preparation and shipping location still need confirmation for the actual order.

How does TOM Weight Loss work?

  1. Start through the official patient portal

    The site links a branded patient entry and asks for health information before physician review. Confirm that you will be physically located in Texas or Utah for care. The program’s city pages do not expand eligibility beyond those two states.

  2. Discuss the clinical options at the first visit

    The practice says the initial visit is free. Bring your medical history, current medicines and previous treatment experience. The physician reviews suitability and can discuss medication or a different approach; completing the form alone does not establish a physician-patient relationship or guarantee a prescription.

  3. Choose bundled care or separate pharmacy billing

    Compare the $199 or $249 monthly medication-inclusive plan with the $100 monthly care-only membership. If choosing the latter, obtain the actual per-fill pharmacy charge and four-week supply. The appropriate comparison includes both care and medication over the same duration.

  4. Confirm refills, delivery and cancellation

    Ask which pharmacy will dispense, when the next assessment is due and how the monthly or quarterly payment renews. The public pages advertise cancellation flexibility but do not establish a complete advance renewal cutoff. Keep written confirmation of any cancellation and any approved medication-return request.

How much does TOM Weight Loss cost?

Semaglutide

$199 billed monthly inclusive compounded semaglutide plan within stated dose range; $535 three-month alternative. Higher-dose semaglutide and care-only options are separate.

Tirzepatide

$249 billed monthly inclusive compounded tirzepatide plan within stated dose range; $599 three-month alternative. Care-only membership plus separately billed pharmacy supply is separate.

Where it operates

Available only in Texas and Utah; patients must be physically located in one of those states for online visits.

Current monthly inclusive pricing is $199 for the basic semaglutide plan and $249 for the premium tirzepatide plan. Three-month alternatives are $535 and $599, respectively. Physician care alone is $100 monthly or $200 quarterly, with medication paid separately. These are different payment arrangements; a pharmacy’s lowest per-fill amount is not a complete program price.

  • The inclusive plans describe visits, check-ins, support, dose adjustments and the specified compounded medication. Confirm the supplied amount and any laboratory or outside-service expense in the accepted plan. Branded medicines require the care-only arrangement and remain a separate pharmacy charge, potentially influenced by insurance or manufacturer programs.
  • The care-only tables expressly price a four-week medication supply, with different amounts across doses and pharmacies. A four-week fill and a calendar-month service charge do not share the same interval. Request the actual refill dates and total budget instead of adding the smallest displayed numbers and calling the result a permanent monthly bundle.
  • The medication policy permits a refund request within thirty days of the original order for unopened, unexpired medicine in original sealed packaging, subject to authorization and inspection. Medication stored outside recommended conditions, opened products and prescriptions close to expiration are excluded. Obtain instructions before attempting a return.
  • Clinical consultation fees, laboratory work and processed administrative shipping fees are excluded from that medication refund arrangement. Approved refunds are described as returning to the original payment method within five to ten business days. A cancellation of future membership should be handled separately from a request concerning an existing medication purchase.

Considering TOM Weight Loss?

Confirm the plan, billing terms and availability before you begin.

Who is TOM Weight Loss best for?

A good fit if

  • Adults in Texas or Utah seeking a named physician’s online program
  • People comparing medication-inclusive care with separately billed pharmacy options

Look elsewhere if

  • Patients outside the two listed states
  • Shoppers assuming the cheapest four-week pharmacy fill includes physician membership

Considering TOM Weight Loss?

Confirm the plan, billing terms and availability before you begin.

What are TOM Weight Loss's pros and cons?

Pros

  • Names the practice and physician
  • Publishes monthly inclusive and care-only prices
  • Provides pharmacy-specific medication tables and written refund conditions

Cons

  • Limited to Texas and Utah
  • Separate four-week fills complicate care-only comparisons
  • Medication refunds exclude several already provided services and require authorization

The pharmacy behind the medicine

It names its pharmacy. TOM Weight Loss discloses Drug Crafters, Luxe Med Pharmacy, Cypress Pharmacy, Empower Pharmacy as its compounding partners. That matters more here than the price does: a compounded medicine is only as good as the pharmacy that made it, and a company willing to name one is a company you can go and check.

A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program, including the highest-scoring ones.

What else do people ask about TOM Weight Loss?

What do the $199 and $249 plans include?

The current page includes compounded semaglutide in the $199 basic membership and compounded tirzepatide in the $249 premium membership, within stated ranges. Both describe physician visits and check-ins. Ask about your actual supply, monitoring and any outside expenses before treating the bundle as your complete personal bill.

Is the $100 plan a medication offer?

No. It is physician care only, with medication billed separately by the pharmacy. The quarterly care-only option is $200. Obtain the actual pharmacy price and refill interval, then compare the total with an inclusive plan over the same treatment period.

Can I receive care outside Texas or Utah?

The practice expressly limits this program to patients located in Texas and Utah, while describing visits as fully online. Confirm eligibility if you travel or move. A pharmacy shipping a prescription does not by itself establish that the physician can provide care in another state.

Which pharmacies are listed?

The pricing table names Drug Crafters, Luxe Med, Cypress and Empower for separately billed compounded prescriptions. Availability and prices vary by dose and pharmacy. Ask which dispenser is assigned to your order; the presence of four options does not mean each supplies every preparation or address.

Can unopened medication be refunded?

The published policy allows a request within thirty days of the original order, with sealed original packaging, appropriate storage and expiration requirements. Authorization and inspection are required. This is a conditional policy, not a promise that all medication or service charges are reversible.

Is a prescription guaranteed after the free visit?

No. The physician decides whether care and a particular prescription are appropriate after reviewing your circumstances. Confirm any later charges and the accepted plan before treatment proceeds. The website also states that an inquiry alone does not create the clinical relationship.

Sources for this review

Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.

How it compares

TOM Weight Loss ranks 94 of 358 on our price-transparency score. Every prescription GLP-1 program we review is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.

Because TOM Weight Loss shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking, our compounded semaglutide ranking and our compounded tirzepatide ranking.

  • General weight-care starting headline $269; semaglutide formulation, pharmacy and renewal quoted individually; ongoing month-to-month total not established.Show the full pricing note
  • From $99/mo (compounded weekly injection, the same price at every dose — but this is the longest-plan floor, and the month-to-month rate appears only inside the intake)Show the full pricing note
  • Compounded semaglutide: discounted $99/month card beside $229; ongoing month-to-month total not established.

  • Current product page displays $117.96 monthly, provider page as low as $88.65; monthly/quarterly and prescribed-dose differences mean complete ongoing month-to-month total not established.Show the full pricing note
  • GLP-1 care advertised from $179 without a complete molecule-specific continuing quote; ongoing month-to-month total not established.Show the full pricing note

Read this before you start

Prices change — confirm on TOM Weight Loss's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.