The problem was never willpower.
You've done the diets and the discipline, and your body responded like it had other plans. Longitude starts by measuring what's actually driving that — then a clinician decides whether medication belongs in your plan, and what goes around it so the result has a chance of holding.
You've probably been here before.
- Weight that arrived over years and won't leave the way it used to
- Diets that worked in your thirties and stopped working after
- Advice to eat less and move more from someone who measured nothing
- Watching other people use a GLP-1 and wondering whether it's right for you
- Or already taking one — from somewhere that sent the pen and not much else
The reason you want this is yours. What we can add is the part that's usually missing: knowing why your body is behaving this way, and having someone watch what happens next.
What gets measured before anything is prescribed.
Weight is the symptom. The panel looks at the system underneath it — how you regulate glucose and insulin, thyroid function, lipids, inflammatory markers, and the hormones that influence where weight sits and how hard it is to shift.
Two people at the same weight can need completely different plans, and you can't tell which is which without looking.
What care can look like.
For many people a GLP-1 or another metabolic therapy is part of it. For others the data points somewhere else first — thyroid, sleep, insulin resistance, or a medication they're already taking that makes weight loss harder.
Every therapy is documented in full before you commit: how it works, what to expect, what we monitor, its regulatory status, and what it costs for 30 or 90 days.
The two things a pen in the post won't tell you.
You can lose muscle along with the fat.
Rapid weight loss costs lean mass unless protein intake and resistance training are deliberately managed alongside it — and lean mass is what keeps your metabolism and your independence later.
This is a large part of what your monthly coaching call is for, and part of what gets monitored.
Stopping is its own event.
Weight regain after discontinuing these medications is common and well documented. Any plan that doesn't say what happens when you stop is only half a plan. Yours should cover it from the beginning — whether that means staying on, tapering, or what replaces it.
Nobody selling a monthly subscription wants to raise either of these. They're the two questions most worth asking.
What your membership covers on this path.
Your metabolic panel and the follow-ups that show what's changing — including markers beyond the number on the scale. Genetic testing, once. 24/7 access to your clinical team for the side effect you're unsure about. A 1:1 coaching call every month, which on this path is where muscle, protein and the plateau actually get handled. Member pricing on supplements and devices.
A licensed clinician decides whether care is appropriate and what to recommend. Membership is not a prescription, and not everyone who applies is a candidate for medication.
Your first ninety days.
Weeks 1–2 — measure. Metabolic panel, your history, what you've already tried, and what you actually want to be able to do again.
Weeks 2–3 — decide together. A clinician reviews it with you and recommends a path, including the case for not using medication.
Weeks 3–12 — adjust. If therapy starts, dose and tolerance get managed rather than guessed. Follow-up markers and your monthly call track whether it's working — and whether you're keeping the muscle.
Before you begin
Questions worth asking.
Is this just a GLP-1 subscription? No. Medication is one possible part of a plan that starts with measurement and continues with monitoring. If all you want is a pen in the post, this will feel like more than you asked for.
Will I lose muscle? Some lean mass loss is a known risk with rapid weight loss. It's managed with protein, resistance training and monitoring rather than ignored — and it's a standing subject on your monthly call.
What happens when I stop? Regain is common, and your clinician should discuss it before you start rather than after. What that looks like for you depends on your data and your plan.
Is the medication compounded? Depends on the therapy, and every product page says so plainly — FDA-approved, compounded by a licensed 503(a) pharmacy, or prescribed off-label — along with the basis for it. You'll know before you decide.
I'm already on a GLP-1 from somewhere else. Bring it. What you're taking, at what dose, and how it's going is where the first conversation starts.
Do I have to take medication? No. A clinician may well recommend something else, and sometimes recommends nothing yet.
What does it cost? $149/month for membership. Medication, if a clinician prescribes it, is priced separately — you will see the 30-day and 90-day price before you commit.
Start by finding out why.
A free eligibility check, then a real look at what's driving it. $149/month membership; medication, if prescribed, is priced separately.