I Tried 3 Online Weight Loss Programs So You Don't Have To

I was 41 when I realized the diets weren’t working anymore.

Not because I wasn’t trying — I’d been trying for a decade. Eating 1,400 calories. Walking 10,000 steps. Skipping wine on weeknights. The scale didn’t care. If anything, it crept up. My waistbands told the truth every morning.

The research process

I gave myself two weeks to figure this out. Three online programs kept coming up in the serious reviews — not the influencer noise. Silhouette MD. Gala. TrimRX. All three prescribe GLP-1 medications (semaglutide / tirzepatide). All three are telehealth-first. All three take insurance or self-pay.

I signed up for all three intakes in one weekend.

Sound familiar? Check what applies.

Check all that apply

0 / 6

• You eat less than you used to and still gain weight
• You're hungry all the time, even after meals
• Your weight loss plateau has lasted 6+ months
• You wake up tired no matter how much you sleep
• You've tried 3+ diets in the last 5 years
• Your doctor has mentioned insulin resistance or PCOS

? of 6 symptoms match

This pattern is recognized — and it has a name.

The symptoms you checked are consistent with what physicians see in women with perimenopausal metabolic dysfunction. Every month without a diagnosis is another month your body works against you. The intake takes 8 minutes. It's free.

See If You Qualify →

Free intake · No commitment · 1,840 women reviewed

What I actually compared

How the Silhouette MD process worked

My recommendation, four months in

I’m down 22 pounds. I’m not obsessing about food. I sleep better. My clothes fit. None of that happened in a decade of dieting.

If you’re going to try one program, start with Silhouette MD. The intake is the most thorough I’ve seen, the physicians actually specialize in metabolic medicine, and the ongoing support is what kept me consistent.

Silhouette MD

The highest-paying GLP-1 telehealth program for women

Nora's Top Pick

Silhouette MD pairs you with board-certified physicians and runs an end-to-end GLP-1 protocol — from intake through monthly delivery — with the strongest editorial reviews of any platform we tested.

Nora's note: This is the one I'd start with if I were starting over. The intake was faster than I expected and the physician actually asked real questions. ✓ Used personally

• ✓Board-certified physicians who specialize in metabolic medicine
• ✓Most thorough intake — better matched protocols
• ✓Monthly check-ins included
• ✓Discreet, temperature-controlled delivery

• –US only
• –Out-of-pocket pricing (insurance reimbursement available)

★★★★ ⯨

4.9 (1,840 reviews)

Free eligibility check

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Free intake · No commitment required · Licensed physicians

If Silhouette isn’t a fit (out of state, etc.), Gala was the fastest to approve me and a solid second choice — they got me started in under 24 hours.

Gala Health

Fast doctor-prescribed weight loss, delivered to your door

Fastest Approval

Gala connects you with licensed physicians who can prescribe GLP-1 medications. Intake takes under 10 minutes and most patients hear back within 24 hours.

Nora's note: Great if you want the fastest possible approval. I've sent three friends here. All three got prescribed within 24 hours. ✓ Used personally

• ✓Fastest approval process — most patients hear back within 24 hours
• ✓Licensed US physicians only
• ✓Medication shipped to your door

• –US only
• –Requires insurance or out-of-pocket payment

★★★★ ⯨

4.8 (2,847 reviews)

Free consultation

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Free intake · No commitment required · Licensed physicians

Honest concerns

• These medications are not magic. You still need to eat reasonably.
• Side effects exist (nausea in the first weeks, mainly). Talk to the physician.
• Insurance coverage varies. Silhouette helps you check first.