77. The Cost of GLP-1s: Insurance, Telehealth Options, Maintenance on semaglutide / tirzepatide

In today’s episode I’m sharing real talk on the cost of GLP-1 peptides like semaglutide and tirzepatide, what insurance does (and doesn’t) cover, and what it actually takes to maintain results long term.

These medications can be powerful tools for weight loss and metabolic health, but they’re not quick fixes. That’s why it’s so important to understand not just the financial side, but also the lifestyle shifts, maintenance strategies, and functional testing that truly support lasting results.

I’ll walk you through what you can expect if you’re paying cash, what insurance may cover depending on BMI or health conditions, why weight regain is such a common challenge, and how strength training + holistic health strategies fit into the picture.

You deserve clarity, and you deserve support in making these decisions with eyes wide open.

Episode Recap:

• How much GLP-1s really cost — and why so many women ask this question {00:43}
• When insurance typically covers GLP-1s and when it almost never does {01:20}
• What cash pay looks like at pharmacies, medspas, and telehealth platforms {05:42}
• How long you might actually need to be on a GLP-1, and why weight regain is common {09:19}
• What maintenance really looks like: strength training, protein, gut health, and hormones {13:39}
• Why functional testing still matters, even if GLP-1s are working {20:25}
• The hidden cost of not addressing metabolic issues early {25:39}
• Why GLP-1s are more than weight loss drugs — they’re metabolic therapies {26:41}

Links & References:

• Click here to order peptides with EllieMD, a US based telehealth provider.
• Book a peptide consult zoom call
• Download my GLP 1 Peptide Guide
• Join The Microdose Method GLP Coaching Group
• Learn more about working with our team by visiting fueledandfree.com
• Ep. 68 | Microdosing GLP-1s / Semaglutides: A Tool for Reducing Inflammation, Weight Loss & Insulin Resistance
• Ep. 75 | My 6 month update on microdosing a GLP 1, how peptides impact cravings, blood sugar, and can be a tool for longevity

Connect with me on Instagram @margaretannpowell

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. Please seek the guidance of your physician or healthcare provider regarding any medical condition or treatment.