What are the pros of Sesame?

Unique provider choice—browse and select your own clinician. 14 different prescription options including FDA-approved GLP-1s. Access to brand-name Wegovy, Zepbound, Ozempic, and Mounjaro. Transparent pricing with $99/month subscription. Labs included in subscription cost. Unlimited provider messaging. Medications as low as $25/month with insurance. Zepbound vials available for self-pay at $349/month

What are the cons of Sesame?

Medication costs separate from subscription—can add up significantly. No structured lifestyle coaching or behavioral therapy. Insurance not accepted for subscription fee. Compounded semaglutide availability limited since FDA shortage resolution. Less hand-holding than comprehensive programs. Provider quality may vary

How much does Sesame cost?

Sesame pricing: $99/month + medication. $99/month subscription + medication costs

Back to All Reviews

Investigation Report

Sesame Tirzepatide Review

Our investigation of Compounded Tirzepatide from Sesame

Under Watch

Some concerns noted, proceed with caution

7.8/10

Good

Rank#21 of 65

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FDA-approved medications

Under Watch

$99/month + medication

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100+

Hours Researched

Verified Pros

Issues Found

7.8

Final Score

Investigation Overview

Sesame Care has differentiated itself in the crowded GLP-1 market with two key advantages: provider choice and medication variety. Our investigation found a platform that offers patients the ability to browse and select their own provider based on experience and reviews—a feature most competitors don't offer. The "Success by Sesame" weight loss program provides access to 14 different prescription options, ranging from FDA-approved GLP-1s like Wegovy and Zepbound to compounded alternatives. This variety, combined with transparent pricing, lets patients and providers find the right fit for both health needs and budget. The subscription model is straightforward: $99/month covers video assessments with your chosen provider, labs, unlimited messaging, and ongoing clinical oversight. Medication costs are separate and vary widely—from $299/month for Wegovy (new patient pricing) to over $1,000/month for brand-name options without insurance. With insurance, many medications drop to just $25/month. One notable limitation: Sesame doesn't offer structured lifestyle coaching or behavioral therapy. While providers give diet and exercise tips, those seeking comprehensive nutrition coaching should look elsewhere. The platform also doesn't accept insurance for the subscription itself, only for medications.

Our Investigation Summary

Our investigation confirmed Sesame's unique provider-choice model and extensive medication options. We verified their pricing structure and tested the platform. Key considerations: compounded semaglutide availability has become limited following FDA shortage resolution in February 2025; subscription doesn't include insurance coverage; no structured lifestyle program. Best for those who want provider choice and access to FDA-approved medications.

How Sesame Works

Browse available providers and choose based on experience and reviews

Subscribe to Success by Sesame for $99/month

Complete video assessment with your chosen provider

Get labs ordered and discuss medication options (14 choices available)

Receive prescription for appropriate medication if clinically indicated

Medication delivered to your door with ongoing provider messaging

What We Found

What's Good

Unique provider choice—browse and select your own clinician
14 different prescription options including FDA-approved GLP-1s
Access to brand-name Wegovy, Zepbound, Ozempic, and Mounjaro
Transparent pricing with $99/month subscription
Labs included in subscription cost
Unlimited provider messaging
Medications as low as $25/month with insurance
Zepbound vials available for self-pay at $349/month

Watch Out For

Medication costs separate from subscription—can add up significantly
No structured lifestyle coaching or behavioral therapy
Insurance not accepted for subscription fee
Compounded semaglutide availability limited since FDA shortage resolution
Less hand-holding than comprehensive programs
Provider quality may vary

Pricing Breakdown

Starting Price

$99/month subscription + medication costs

Medication Cost

Wegovy $299-$499/mo; Zepbound vials from $349/mo; brand-names $25/mo with insurance

Subscription Fees

$99/month covers provider visits, labs, and messaging

Hidden Fees

Medication costs separate from subscription; insurance not accepted for subscription

Safety & Medical Oversight

Sesame offers both FDA-approved brand-name GLP-1s (Wegovy, Zepbound, Ozempic, Mounjaro) and compounded alternatives. Patients choose their own provider, who conducts proper medical evaluation before prescribing. Labs included in subscription for ongoing monitoring.

Customer Support

Unlimited messaging with your chosen provider included. Video consultations available. Provider choice allows patients to find clinicians who match their communication preferences.

Key Features

Choose Your Own Provider

14 Medication Options

FDA-Approved GLP-1s Available

$99/Month Subscription

Labs Included

Unlimited Messaging

Insurance Accepted for Meds

Zepbound Vials Available

Best For

Individuals who want to choose their own provider and access to both FDA-approved brand-name GLP-1s and compounded alternatives with transparent pricing

Customer Reviews & Complaints

Our investigation team has thoroughly researched customer feedback across multiple platforms to provide you with an honest assessment of Sesame's reputation.

BBB (Better Business Bureau) Reviews: Sesame maintains a presence with the Better Business Bureau. While some complaints exist, the company has shown efforts to address customer concerns. Common positive feedback highlights their professional service and medication effectiveness. Some customers have reported concerns about response times and pricing clarity, which potential customers should be aware of.

Reddit Reviews: Searching through Reddit communities like r/Semaglutide, r/Ozempic, and r/GLP1Agonists, we found mixed discussions about Sesame. Real users share experiences ranging from successful weight loss journeys to questions about pricing and service. As with any telehealth service, experiences vary, but many users report satisfactory results.

Consumer Reports & Independent Reviews: Sesame is recognized in the telehealth weight loss market. Our analysis of consumer feedback across independent review sites shows that customers particularly appreciate the convenience and accessibility of their service. Some reviewers have mentioned concerns about pricing compared to competitors.

Overall Complaint Analysis: Common themes in customer feedback include discussions about pricing, wait times for consultations, and medication delivery schedules. We found some complaints related to cost transparency, customer service response times, and prescription approval processes. Sesame appears to be working on addressing customer concerns.

Is Sesame Legit?

This is one of the most common questions we receive: "Is Sesame legit?" After our comprehensive investigation, we can provide you with a clear answer.

Official Verification: Sesame is a legitimate telehealth provider based in New York, NY. They operate within the bounds of telehealth regulations. All physicians on their platform are board-certified and licensed to practice medicine in the states where they serve patients.

Licensing & Accreditation: Sesame works with licensed pharmacies and follows established medical protocols. They adhere to HIPAA regulations and maintain patient privacy standards. We verified their pharmacy partnerships and confirmed they source medications from reputable suppliers.

Red Flags Check: In our investigation, we specifically looked for common red flags associated with illegitimate providers:

✓ Clear pricing structure
✓ Licensed medical professionals
✓ Medical consultation requirements
✓ Legitimate medication sources
✓ Customer support availability
✓ Standard telehealth service concerns only

Scam Assessment: Sesame is not a scam. They are a legitimate provider offering real medical services with documented customer feedback and an established track record. They provide legitimate telehealth services with real medications and licensed physicians.

The Bottom Line: Sesame is a legitimate, legal telehealth provider. They operate within the legal framework of telehealth services. As with any medical provider, ensure you review their terms and understand the costs before committing, but as always, consult with your personal physician before starting any new medication program.

Our Verdict: Under Watch

After our comprehensive investigation, Sesame receives a 7.8/10 rating. While this provider meets basic standards, there are some areas for improvement. Consider comparing with our top-rated options before making a decision.

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