GLP-1 Weight Loss & Microdosing in Bend, Seattle, and by Telehealth in OR, WA, and CA
Personalized GLP-1 Programs For Lasting Results
Board-Certified Obesity & Metabolic Medicine
- Free visit with an experienced GLP-1 clinician
- In person in Seattle, Bend or video in OR, WA, or CA
- No obligation
2025 & 2026 Winner
Best Weight Loss Clinic in Bend
Three Best Rated Weight Loss Centers Seattle
How GLP-1 Therapy Works at Flow Wellness
Flow Wellness offers multiple GLP-1 options tailored to your goals and preferences. Your treatment plan is guided by a clinician who helps you choose the right medication, monitors progress, adjusts dosing when needed, and provides ongoing support throughout your journey.
Semaglutide Programs (Wegovy® & Ozempic®)
Mimics a natural GLP-1 hormone to reduce appetite and slow digestion. Available as compounded* semaglutide, brand-name Wegovy pens, or a daily oral option.
Tirzepatide Programs (Zepbound® & Mounjaro®)
Acts on both GLP-1 and GIP receptors for a dual effect on appetite and insulin sensitivity. Available as compounded* tirzepatide or manufacturer-direct Zepbound vials and KwikPen®.
What every program includes
Free initial consultation with experienced provider
Personalized dosing strategy
Continuous clinician support with monthly follow-ups and unlimited direct provider messaging
Body composition scans to track fat loss and monitor muscle
Pricing
$224 - $499/month for compounded GLP-1 medication program*
$124 - $149/month for manufacturer direct GLP-1 program (medication cost extra)
Body composition scans included
All supplies & shipping included
Start Strong
A 90-day GLP-1 program built around you
Start medication with a plan for everyday life.
Start Strong pairs GLP-1 treatment with practical guidance and ongoing support so you can build habits that fit your goals and routine.
What your 90 days include
Your path forward
After your consultation, start your medication, get your supportive supplement, and meet with your coach each month.
90-day program | $1,249
We’ll help you turn your goal into a plan and make meaningful progress over the next 90 days.
Medication prescribed when appropriate. Results vary.
Manufacturer Direct GLP-1 Weight Loss Program
- Flow Wellness offers manufacturer-direct Wegovy® (semaglutide) and Zepbound® (tirzepatide) for medical weight loss! That means no compounding, no guesswork, just FDA-approved, brand-name medications delivered with expert care. Note that you will pay the manufacturer directly for the medication.
Manufacturer Direct Medication Pricing
Flow Wellness GLP-1 program fee ($149) not included in prices listed below
Zepbound® (tirzepatide)
- $349/month for 2.5 mg dosing
- $449/month for 5, 7.5, 10, 12.5, and 15 mg dosing
- Medication arrives in single use vials and prescriptions must be refilled within 45 days to maintain discounted pricing
Wegovy® & Ozempic® (semaglutide)
- $349 per month for all doses of single use pens
- $199 for first two months of treatment (0.25 and 0.5 mg)
Wegovy® Pill & Foundayo®
Oral (pill) GLP-1 daily treatments
- $149 per month for starting doses
- $299 per month for treatment doses
Care that adjusts as you do.
Everyone responds differently to medical weight loss treatment. Your clinician pays attention to how your body responds and adjusts your plan over time. That might mean changing your dose, adjusting timing, or adding other support like supplements or peptides.
Nothing is one-size-fits-all.
Tracking progress beyond the scale.
Weight doesn’t tell the full story.
Two people can lose the same number of pounds and see very different changes in their body. What’s most important is understanding what your body is losing and what it’s keeping.
Body composition scans at our Bend and Seattle clinic give a clearer picture of your progress by looking at:
- Body fat percentage
- Skeletal muscle mass
- Visceral fat (the fat stored around your organs)
Visceral fat is closely linked to long-term health risks like heart disease and diabetes. It’s not something you can track on a scale, but it’s one of the most important markers of metabolic health.
Over 40 and need help?
GLP-1 works best as part of a bigger plan
If weight loss has stalled after 40, our six-month Stronger & Healthier After 40 program uses advanced labs, hormone evaluation, and body-composition scans to combine therapies and reach your goals.
Explore the Sronger & Healthier After 40 program →Microdosing GLP-1 Medications
What Is Microdosing GLP-1s?
Microdosing means using a lower-than-standard dose of medication . Rather than aiming for aggressive weight loss, the goal is to harness the metabolic and anti-inflammatory benefits of these medications while potentially reducing side effects.
This approach may be a good fit if you:
- Are sensitive to side effects
- Want to maintain prior weight loss
- Combine GLP-1s with hormone therapy or lifestyle changes
- Have inflammatory or hormonal conditions like PCOS or Hashimoto’s thyroiditis
GLP-1 microdose pricing ranges from $224-$299 per month*
Flow Wellness GLP-1 Program Pricing
Compounded GLP-1s*
- Flexible dosing
- Microdosing available
- Provider support
- Body composition scans
- $224 - $499 per month
- Medication included
Manufacturer Direct GLP-1s
- Brand-name medications
- Manufacturer fulfillment
- Provider support
- Body composition scans
- $124 - $149 per month
- Medication cost extra
Oral GLP-1s
- No injections
- Manufacturer fulfillment
- Provider support
- Body composition scans
- $124- $149 per month
- Medication cost extra
Why people choose Flow Wellness
Medical weight loss is only as good as the care behind it. At Flow, a board-certified obesity medicine physician leads your program, and your clinician knows your plan, tracks your progress, and answers your questions. More than 1,500 Pacific Northwest patients treated. Voted Best in Bend and Top 3 in Seattle.
Real Stories of Real Progress
Hear From Flow Wellness GLP-1 Patients
Related GLP-1 Resources
Which GLP-1 Is Best for Weight Loss?
Which GLP-1 works best? It’s a fair question—and the honest answer is that there isn’t one single “best” option for everyone. Several GLP-1 medications can
Tips for Starting GLP-1 Medications
What to Expect When Starting GLP-1 Medication Starting a GLP-1 medication like semaglutide or tirzepatide can feel exciting—and a little overwhelming. You may wonder what
How Many Units Is 2.5 mg of Tirzepatide? Conversion Chart for All Doses
Quick answer: 2.5 mg of tirzepatide equals 25 units on a standard U-100 insulin syringe when your vial concentration is 10 mg/mL — the most
GLP-1 Podcast with Flow Wellness Medical Director
Key takeaways from the GLP-1 podcast
- Dr. Kevin Jones explains that GLP-1s help reduce appetite, slow digestion, and quiet “food noise.”
- Medical supervision is important because dosing, side effects, muscle loss, and long-term maintenance need to be monitored.
- Common side effects include nausea, constipation, diarrhea, and appetite changes.
- Flow Wellness tracks body composition to help patients lose fat while protecting muscle.
- Healthy lifestyle habits are essential, especially protein intake, strength training, hydration, sleep, and nutrition.
- Many patients use GLP-1s to feel more confident, move better, reduce cravings, and improve long-term metabolic health.
- Weight maintenance is individualized: some patients stop, some cycle back on, and others stay on a lower maintenance dose.
Transcript of the podcast
Questions About GLP-1 Weight Loss and Microdosing
Can I get GLP-1 medications for weight loss or microdosing at Flow Wellness?
Yes. Flow Wellness prescribes semaglutide, tirzepatide, and oral GLP-1 medications such as the Wegovy Pill and Foundayo for weight loss and lower-dose maintenance. You can be seen in person at the Flow Wellness clinics in Bend, Oregon and Seattle, Washington, or by video anywhere in Oregon, Washington, or California. A Flow Wellness clinician manages your care from the first consultation through monthly follow-ups.
Is the GLP-1 consultation at Flow Wellness free?
Yes. The first GLP-1 consultation at Flow Wellness is free and comes with no obligation to start treatment. You can book online or call 541-422-3569 (Bend), 206-737-1922 (Seattle), or 971-340-4090 (telehealth). A credit card holds the appointment but is not charged for the visit; Flow Wellness charges $50 only for a no-show or a cancellation within 24 hours.
How much does a GLP-1 weight loss program cost at Flow Wellness?What is microdosing for weight loss, and who is it right for?
Flow Wellness compounded GLP-1 programs cost $224 to $499 per month with medication, supplies, shipping, and body composition scans included, and microdose programs run $224 to $299 per month. Brand-name Wegovy, Zepbound, and oral GLP-1 programs cost $124 to $149 per month to Flow Wellness, with the medication paid directly to the manufacturer. The 90-day Start Strong program, which adds monthly health coaching, is $1,249. Compounded GLP-1 medications are not FDA approved.
What is the difference between compounded and brand-name GLP-1 medications?
Brand-name GLP-1s such as Wegovy and Zepbound are FDA approved for weight management and were tested in large clinical trials. Compounded semaglutide and tirzepatide are prepared by licensed pharmacies; they are not FDA approved and are not reviewed by the FDA for safety, effectiveness, or quality. Flow Wellness offers both, and your clinician explains the cost, dosing flexibility, and evidence behind each so you can choose.
What are GLP-1 medications and how do they work for weight loss?
GLP-1 medications mimic a gut hormone that lowers appetite, increases fullness, and slows how fast the stomach empties, which reduces cravings and constant thoughts about food. The two most prescribed are semaglutide (Wegovy and Ozempic) and tirzepatide (Zepbound and Mounjaro). Wegovy and Zepbound are FDA approved for chronic weight management; Ozempic and Mounjaro use the same molecules but are approved for type 2 diabetes. Flow Wellness clinicians help you choose among them.
Does Flow Wellness offer oral GLP-1 pills?
Yes. Flow Wellness prescribes daily oral GLP-1 options, including the Wegovy pill and Foundayo, for patients who prefer not to inject. Medication from the manufacturer costs about $149 per month at starting doses and $299 per month at treatment doses, plus the Flow Wellness program fee of $124 to $149 per month.
What is GLP-1 microdosing and who is it for?
GLP-1 microdosing means taking a lower dose than the standard weight loss schedule, with the goal of steadier appetite control and fewer side effects rather than rapid weight loss. At Flow Wellness it is most often used by patients who are sensitive to side effects, want to maintain weight they have already lost, or are pairing a GLP-1 with hormone therapy. Some patients with PCOS or Hashimoto’s ask about it, but benefits for those conditions have not been established. Microdosing and alternative dosing of GLP-1s have not been studied in clinical trials and are not FDA approved. Compounded GLP-1 medications are not FDA approved.
Who qualifies for GLP-1 weight loss treatment?
FDA-approved GLP-1 weight loss medications are labeled for adults with a BMI of 30 or higher, or 27 or higher with a weight-related condition such as high blood pressure, prediabetes, or sleep apnea. At your free consultation, a Flow Wellness clinician reviews your health history, medications, and goals and tells you whether a GLP-1 is appropriate for you, and if so which option and dose.
How much weight do people lose on GLP-1 medications?
In the STEP 1 trial, adults on semaglutide 2.4 mg lost an average of about 15% of body weight over 68 weeks. In SURMOUNT-1, adults on the highest dose of tirzepatide lost about 21% over 72 weeks. Results vary by person, dose, and habits, and these trials did not study compounded medication or microdosing. Flow Wellness tracks your progress with body composition scans so you can see fat lost, not just pounds.
How quickly will I see results on a GLP-1 at Flow Wellness?
Most Flow Wellness patients notice less appetite and fewer cravings within the first one to two weeks. Measurable changes in weight and body composition usually show up within 8 to 16 weeks as the dose is gradually increased. Your Flow Wellness clinician reviews progress at each monthly follow-up and adjusts the plan if results stall.
Are GLP-1 medications safe long term?
GLP-1 medications have been used for type 2 diabetes for over 20 years and are generally well tolerated when monitored by a clinician. They are not recommended if you are pregnant or planning pregnancy, or if you or a family member has had medullary thyroid cancer or MEN2, and they need extra caution with a history of pancreatitis or gallbladder disease. Flow Wellness screens for these at your consultation and monitors you at monthly check-ins. Compounded GLP-1 medications are not FDA approved.
What are the most common GLP-1 side effects, and how does Flow Wellness manage them?
The most common side effects are nausea, constipation, diarrhea, reflux, and fatigue, usually mild and worst in the first weeks or after a dose increase. Flow Wellness starts at a low dose and raises it gradually, includes an anti-nausea prescription in its programs, and gives you unlimited messaging with your clinician. Flow Wellness also offers prescription supplements to help manage side effects.
Do I need lab work before starting a GLP-1 at Flow Wellness?
Not always. Flow Wellness decides on lab work case by case, based on your health history and how recent your last labs are. When labs are needed, they typically check blood sugar, kidney function, and thyroid, and you can use a discounted cash-pay price or bill your insurance.
Will I lose muscle on a GLP-1, and what role do diet and exercise play?
Some of the weight lost on any GLP-1 can come from muscle, especially without enough protein and strength training. Flow Wellness uses body composition scans to measure fat, skeletal muscle, and visceral fat, then adjusts your dose, protein target, and exercise plan to limit muscle loss. Eating well and strength training also make it easier to keep weight off if you later lower or stop the medication.
Will I need to stay on a GLP-1 forever?
Not necessarily. Some Flow Wellness patients use a GLP-1 for several months to a year, build habits, and then taper off; others cycle back on when needed or stay on a lower maintenance dose. Weight regain is common after stopping, so your Flow Wellness clinician plans the taper with you and keeps tracking your body composition.
Can GLP-1 treatment be combined with hormone therapy or peptides at Flow Wellness?
Yes. Flow Wellness patients can pair a GLP-1 with hormone replacement therapy, peptide therapy, prescription supplements, or lab-guided care under the same care team. For patients over 40 whose weight loss has stalled, the six-month Stronger and Healthier After 40 program at Flow Wellness combines advanced labs, hormone evaluation, and body composition scans.
Does Flow Wellness accept insurance for GLP-1 weight loss?
Flow Wellness is a self-pay clinic and does not bill insurance, because coverage for weight loss care varies widely and many plans exclude it. You can use HSA or FSA funds, and Flow Wellness provides itemized receipts if you want to submit for reimbursement. If your insurance already covers a GLP-1, you can still join the Flow Wellness monthly program for follow-ups, monitoring, and body composition scans.
Medically reviewed by Dr. Kevin Jones, MD, Board-Certified in Obesity Medicine. Flow Wellness owner and Medical Director. Last update: November 2026.
Citations
- ICER Draft Evidence Report, Sept 2025 (head-to-head + cardiovascular outcomes) — https://icer.org/wp-content/uploads/2025/09/ICER_Obesity_Draft-Report_For-Publication_090925.pdf
- Tirzepatide vs. semaglutide comparative meta-analysis, 142,000+ participants (PMC) — https://pmc.ncbi.nlm.nih.gov/articles/PMC12151102/
- Long-term GLP-1 RA systematic review, 2018–2025 RCTs (PMC) — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361690/
*Compounded formulations of GLP-1s are not reviewed by the FDA for safety, efficacy, or quality. Cited papers do not apply to compounded medication. Compounded medications are only indicated for patients when a prescribing practitioner determines that the compounded preparation produces a significant difference for their patient compared to the FDA-approved product. Microdosing and alternative dosing of GLP-1s has not been studied nor is FDA approved.
