Provider review
Cielo review
Same price any dose, and the figure it advertises needs six months paid up front.
Take a quarter dose and you pay the full-dose rate — the price card says so in three words. The cheap number on every page is a six-month prepay. The month-to-month rate is more than twice it.
Reviewed by Lena OrtizMetabolic Health Editor
Price updated August 2026
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Price as published
Cielo
$199/mo semaglutide standing, same price any dose
- Vs median
- $30/mo above the $169 median
- Market
- $59–$1300/mo across 242 of 373
- Structure
- Same price at every dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
In one paragraph
The verdict
Take a quarter dose here and you pay for a full one — "Same price any dose" is printed inside the price card, so at least you are told. Credit where it is due: Cielo also prints the regular monthly rate struck through beside the sale rate, which most sites running a permanent discount will not do, and its savings arithmetic actually checks out against that regular rate. The footnote naming the six-month condition sits on the teaser itself rather than in the terms. Three things will cost you. The figure you see on every page is the six-month prepay rung, and the rate you pay month to month is more than twice it — so reaching the advertised number means buying half a year of medication you intend to under-use. The flash sale justifying the discount has no end date, so it is not a sale. And no pharmacy is named anywhere.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
Who it suits, and who it does not
A good fit if
- You are starting low and expect to work up, and want the rate to hold while you do
- You can pay six months up front and are confident you will stay on the medication that long
- You want to see the standing rate and the discounted rate side by side before deciding
Look elsewhere if
- You are taking less to spend less. The figure does not move when your dose does
- You are budgeting from the number on the homepage. That one needs six months paid at once
- You want the dispensing pharmacy named before you order
- You need to confirm the service reaches your state before signing up
What it actually costs
Price as published
Standing rate $199/month compounded semaglutide and $299/month compounded tirzepatide, published as the "Regularly" figure · currently discounted sitewide to $139/mo and $189/mo under a "Flash Sale - Limited Time Offer" bar that carries no end date · prepay rungs semaglutide 6 Month Plan $89/mo ("Save $660 on 6 months") and 3 Month Plan $99/mo ("Save $300"); tirzepatide 6 Month $129/mo ("Save $1,020") and 3 Month $149/mo ("Save $450") · the "from $89/mo" on every page is the six-month prepay rung; the month-to-month regular rate is 124% higher · the price card states "Same price any dose" · no week count published
- Vs median
- $30/mo above the $169 median across the 242 of 373 programs we track that publish a plain monthly rate
- Market
- $59–$1300/mo is the full published spread in our ranking
- Structure
- Same price at every dose
One figure regardless of how much drug you take. Reassuring if you expect to titrate upward, and the least economical structure on this page if you do not: a quarter dose costs what a full one does.
88 of the 373 programs we track price a small dose this way. The price card promises the same figure at any dose, so the bill does not fall when the dose does. The cheapest rungs are six-month prepays, which means reaching the advertised figure requires buying half a year of medication the reader intends to under-use.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
What is included
- Consult
- Included in the price
- Dietitian
- Not included
- Labs
- Not required
- Pricing
- Flat at every dose
- Price last updated
- August 2026
What it does well
- "Same price any dose" appears as a bullet inside the price card on both molecule pages rather than buried in an FAQ
- Publishes the crossed-out regular monthly rate beside the promotional one, so the standing price stays visible instead of being replaced by the sale figure
- The footnote "*With a 6-month plan. All doses." is attached to every "From $X/mo" teaser, so the prepay condition is disclosed at the point of the claim
- Its savings arithmetic checks out: "Save $660 on 6 months" is exactly the regular monthly rate minus the six-month rung, six times over
Pharmacy, labs and oversight
Cielo does not publicly identify the pharmacy that fills its prescriptions. No bloodwork is required before you start. A clinician review is included in the price.
Transparency check
3 of 4 published openly
What Cielo publishes about itself, read from its own pages when we verified them — not estimated, and not a score.
- Pharmacy named and regulatedNo pharmacy is identified anywhere we could find on its own pages.
- Not published
- A price you can read before intakeA monthly rate is published on its own pages — the figure in the price row above, read there and verified against it.
- Published
- What a higher dose costsOne price at every dose, so the bill is knowable before you titrate.
- Published
- No FDA warning letter on fileChecked against the FDA's own warning-letter database; nothing on file for this company.
- None on file
How the program works
Cielo sells compounded semaglutide and compounded tirzepatide as once-weekly injections on a monthly subscription, with three- and six-month prepay plans beneath it. Both molecule pages carry the flat-dose promise as a bullet inside the price card, and both print the regular monthly rate struck through beside the discounted one. A sitewide flash-sale bar with no stated end date discounts every rung at once. No compounding pharmacy is named and no state list is published.
The honest cons
SAME PRICE ANY DOSE IS THE STRUCTURE THIS SITE EXISTS TO FLAG. A patient holding a quarter dose is billed what a patient at the top of the range is billed, and the gap is medication bought and never injected
- THE HEADLINE IS A SIX-MONTH PREPAY. "from $89/mo" is the six-month rung; the month-to-month regular rate is $199, 124% higher
- A "Flash Sale - Limited Time Offer" bar with no end date runs on every page, so the urgency is permanent and the "regular" rate may be one nobody actually pays
- "Regulated FDA pharmacy partners" misdescribes how compounding is overseen — 503A pharmacies are licensed by state boards, not regulated by the FDA the way that phrase implies
- No compounding pharmacy is named on the homepage or either molecule page
- No list of states served is published anywhere on the site
- Compounded GLP-1s are not FDA-approved, and intentional microdosing is off-label and unproven
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
How it compares
Cielo is one of 373 low-dose GLP-1 programs we track, and 242 of them publish a monthly rate you can read before signing up. The ranking lists every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to.
Where this sits
#118 of 373
Ordered with the companies that pay us first, and Cielo is not one of them. A disclosed partition, not a score.
Compare all 373 providers →Read this before you buy
Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.
- What the evidence actually shows
- What microdosing GLP-1 costs
- Low dose vs full dose
- What a flat price costs at a low dose
- The true annual cost of a plan
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
The closest alternative
MadeMed
$239/mo flat
- Vs median
- $70/mo above the $169 median
- Market
- $59–$1300/mo across 242 of 373
- Structure
- Same price at every dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
Read the MadeMed review →Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.