Weekly injection
semaglutide
One simple weekly injection.
$200/mo
Tide Promise — same price at every dose
Get started →Physician-guided weight loss
$200/month, everything included — and the price never rises with your dose.
Free assessment · No commitment · Cancel anytime

Weight does not move in a straight line, and neither does care. Your physician adjusts with you — dose by dose, month by month — for as long as you are with us.
Eligibility check
A starting point, not a decision. Your physician reviews your full history before anything is prescribed.
Enter your details to see where you stand.
Plans
Your physician will recommend what fits your history and your goals. Every plan is one monthly price that includes your physician’s care, your medication, and ongoing support.
Weekly injection
One simple weekly injection.
$200/mo
Tide Promise — same price at every dose
Get started →Weekly injection
One simple weekly injection of our dual-action medication.
$250/mo
Tide Promise — same price at every dose
Get started →Prescription only. A licensed physician determines whether treatment is appropriate for you. A video visit with your physician is included if you would like one, whether or not your state requires it. Important Safety Information
One monthly membership. No per-visit charges. No surprise costs when your dose changes.
Start your assessment →How it works
Step 1
A few minutes about your health history and goals. No cost, no commitment.
Step 2
Depending on where you live, you will either need a video visit, or the physician can review your information and prescribe without a visit.
Step 3
Once prescribed, your medication ships from a licensed US pharmacy. Your care team stays with you for dose changes and check-ins.
Every plan is reviewed and prescribed by a licensed physician — never a questionnaire alone. Depending on your state, that review happens with or without a video visit. If treatment is not right for you, we will tell you.
Your monthly price covers your physician’s care, your plan, your medication, and ongoing support — including a video visit with your physician if you would like one, with no surprise add-ons.
Your prescription is filled by a LegitScript-certified sterile 503A compounding pharmacy.
Our physician is licensed in 36 states and Washington, D.C., and we accept patients in every one of them.
Your physician
It depends on the state you live in. In some states a licensed physician reviews your health history and prescribes without a visit; in others, you meet your physician by video first. Either way, if treatment is appropriate they send a prescription to our partner pharmacy, which prepares and ships it to your door — and if it is not appropriate, they will tell you and explain why. If you would like a video visit even when your state does not require one, you can request it — it is included in your plan.
Check what my state requires →No. New Tides is a cash-pay service. Your monthly membership is the whole price, and nothing is billed to insurance.
Both are once-weekly injections that help regulate appetite and blood sugar. Tirzepatide acts on two gut hormone receptors while semaglutide acts on one. Your physician will help you choose based on your history, your goals, and how you respond.
Compounded medications are reconstituted or prepared by pharmacies for an individual patient. Because there is so much variation from patient to patient, the FDA does not review each compounded prescription for safety and effectiveness. The compounding pharmacies that prepare them are overseen by their State Board of Pharmacy and the other regulations they operate under. Your physician will discuss the risks and benefits with you.
Yes — you can pause or cancel at any time from your patient portal, with no cancellation fee. If you and your physician decide to stop treatment, they can talk you through how to do that safely.
The most common are gastrointestinal — nausea, constipation, or reflux — and they often ease as your body adjusts. Serious side effects are uncommon but possible. Your physician reviews your full history first and stays available to adjust your dose.
Take the assessment and find out whether treatment is right for you. It is free, and there is no commitment.
Start your assessment →Free assessment · No commitment · Cancel anytime
Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality.