Methodology
The Metabolic-Fit Score, explained
Every GLP-1 provider on this site is scored out of 100 on the same six weighted factors — chosen and weighted for mothers considering GLP-1 care postpartum, while managing PCOS or a history of gestational diabetes, or through the perimenopausal shift. We apply the identical rubric to providers we earn a commission from and providers we don't, and we say so on every card. A score is our editorial judgment, built from each provider's public disclosures and our review; it is never sold.
- 6
- weighted factors
- 100
- points possible
- 0
- bought by ads
- 1
- rubric for all
The six factors
1. Postpartum & breastfeeding guidance
20%Whether the program is set up to talk through the timing that actually matters for mothers — GLP-1 medicines are not used in pregnancy, and semaglutide carries a two-month washout before a planned pregnancy. On breastfeeding the injectable labels do not prohibit it: they record that there are no human-milk data and ask that the benefits of breastfeeding be weighed against the mother's clinical need. We reward providers whose clinicians will raise that conversation, along with contraception and conception timing, rather than shipping a vial and moving on. Our joint-heaviest factor.
2. PCOS & hormonal fit
20%How well the approach fits a mother's hormonal metabolism — access to tirzepatide (often preferred where insulin resistance drives the weight), awareness of a gestational-diabetes history and the perimenopausal shift, and whether the program treats more than a number on the scale.
3. Clinical oversight & labs
20%Whether a licensed clinician — not just an intake form — stands behind the prescription, and whether the program runs or reviews labs. This matters more, not less, when thyroid, glucose and hormonal markers are already in motion after a pregnancy or into midlife.
4. True monthly cost
16%The real all-in monthly price, and whether it's honest: no teaser first-month rate that quietly triples at refill, no membership or consult fees stacked on top, no insurance-dependent number that only reveals itself after intake.
5. Ongoing support
12%The quality of continuing care through the sleep-deprived reality of early motherhood — side-effect and titration guidance, responsiveness, and whether support disappears once the first vial ships.
6. Cancellation fairness
12%How easily you can pause, switch or quit — and whether the provider locks you into contracts, forced auto-ships, or makes leaving deliberately painful when life with a baby changes your plans.
How we stay honest
- Same rubric for everyone. Every provider is graded on identical criteria, whether or not they compensate us. Affiliate relationships are disclosed site-wide and never adjust a score.
- Disclosed limits. The rubric is applied by Elena Voss — a mother writing for mothers, not a treating clinician. The evidence behind each score is checked against its cited primary sources, which are linked inline so you can audit any figure yourself. We claim no medical license we don't hold, and we don't claim a clinical reviewer we don't have.
- We name the limits. Most telehealth brands are general metabolic programs, not OB or hormone clinics. Where the postpartum or PCOS framing is broad rather than specialized, we say so and score it down.
- Facts are sourced, scores are judgment. Pricing, states served, and brand access reflect each provider's public disclosures at last review; medical claims are tied to primary research or FDA labeling; the weighted score is ours.
This page is editorial information, not medical advice. Compounded GLP-1 medications are not FDA-approved finished drug products, and GLP-1 medicines are not appropriate during pregnancy or while trying to conceive; the labels advise against breastfeeding while taking them. Talk to a licensed clinician about your history, hormones and goals — and your feeding plans — before starting any weight-management medication. See our affiliate disclosure and medical disclaimer.