Metabolic-Fit / 100
PCOS Sisters review
Elena Voss is a mother writing for mothers, not a treating clinician, and holds no medical license. Prices and terms come from the company's own published pages. This is background reading, not medical advice.
A telehealth practice that treats only PCOS, run by nurse practitioners who live with it: GLP-1 prescriptions start at $150 a month and require a monthly membership of $99 or $129, depending on which clinician serves your state, so the real floor is about $249 before labs. The membership covers diagnosis, unlimited messages and video visits, a diet and exercise plan and a fitness app; a basic PCOS lab workup runs about $335 at its discounted rate. It names semaglutide and an oral option but never says whether the medication is compounded or brand. It serves about a dozen states, and its own pages list slightly different ones.
From $249/mo all-in with the required membership
- Confirm HSA / FSA coverage
- Public information reviewed
- Confirm your total cost
PCOS Sisters at a glance
- Semaglutide
- From $249/mo all-in with the required membership
- Tirzepatide
- Offered — price not published
- Coverage
- About a dozen states — AZ, FL, GA, NM, TX, UT, VA and WA on every list; its pages disagree on CT, HI, IL, NY and OR
- Brand-name
- Compounded only
How we scored PCOS Sisters
Every factor comes from PCOS Sisters's own published pricing, disclosures and oversight, and the six combine into the 65/100 Metabolic-Fit Score on our weighted six-factor framework. Commissions don't change a provider's score.
No postpartum or breastfeeding framing — a generic weight program.
Both molecules on one account, so treatment can follow insulin resistance.
Reasonable oversight, though some program details aren't public.
Cost is unpredictable or sits at the premium end.
Support is thin once the prescription ships.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
How we checked this review
PCOS Sisters is a nurse-practitioner practice that treats nothing but PCOS: a GLP-1 starts at $150 a month and needs a $99 or $129 monthly membership underneath it, so the real floor is about $249 before labs. It diagnoses PCOS, orders labs and imaging, and serves about a dozen states — its own pages list slightly different ones.
What we like
- The whole practice is PCOS care: diagnosis, labs, imaging, cycles, acne, hair and fertility under one clinician
- Unlimited messages and video visits with a nurse practitioner, plus a diet and exercise plan and a fitness app
- Prices for the membership, the evaluation visit and a basic lab workup are all published
- A Spanish-speaking clinician serves seven of its states
The caveats
- The GLP-1 needs a $99–$129 monthly membership on top — about $249 a month at the floor, before labs
- Never says whether its GLP-1 is compounded or brand-name
- Its own pages list different states, so confirm yours before paying
- No refund once a monthly draft runs, non-refundable prepaid plans, and a $50 fee to re-enroll
- Nothing on breastfeeding or postpartum timing
A PCOS practice, not a weight-loss storefront
PCOS Sisters does one thing: polycystic ovary syndrome. Its nurse practitioners diagnose it, order the labs and the ultrasound, and treat the parts that usually get split across three offices — irregular cycles, acne, hair thinning, unwanted hair, insulin resistance, fertility and weight. Several of its clinicians say they live with PCOS themselves. You do not need a diagnosis to start; a $75 evaluation visit, with no membership, is enough to begin the workup.
For a mother whose weight has never responded the way the charts say it should, that matters more than the GLP-1. A program that treats insulin resistance and the cycle together can tell you whether the medication is the right tool, or only one of them.
What a month really costs
GLP-1 prescriptions start at $150 a month, and a membership is required underneath them. The membership depends on who serves your state: $99 a month with Kristina Medina, APRN, who sees patients in English and Spanish in Arizona, Florida, Texas, Utah, Connecticut, New Mexico and Virginia, or $129 a month with the founder, Dr. Lynsey Johnson, DNP, in Georgia, Washington, Oregon, Illinois and New York. So the realistic floor is about $249 a month, or $279 with the founder.
Labs are extra. Its discounted basic PCOS workup runs about $335, with a $35 interpretation fee included, or you can use your own insurance at a local lab. Patients in Georgia with Aetna or United Healthcare, and in Texas with Blue Cross Blue Shield or United Healthcare, can choose a $50 insured membership instead.
What the membership includes
- A PCOS evaluation, a personalized diet and exercise plan, and a fitness app
- Unlimited messages and unlimited video visits with your nurse practitioner (New York members get one visit a month, with extras at $35)
- Semaglutide or another GLP-1, including an oral option, with monitoring for B12 and long-term maintenance plans
Three things to check before you pay
- Is the medication compounded or brand-name? The site names semaglutide and two partner pharmacies but never says. Ask.
- Do they serve your state? Its FAQ, its map and its membership cards each list a slightly different set of states — about a dozen in all.
- How strict is canceling? Message your nurse practitioner at least 24 hours before the monthly draft, or that month is not refunded. Prepaid plans are non-refundable, and coming back later costs a $50 re-enrollment fee.
Pregnancy and breastfeeding
Infertility is one of its services, so the same clinician can plan the medication around trying to conceive — ask how far ahead she would stop it. The site says nothing about breastfeeding. Injectable brand labeling calls for an individual breastfeeding benefit-risk assessment, and the GLP-1 pills are not recommended while breastfeeding.
The bottom line
If PCOS is the reason the scale will not move, PCOS Sisters gives you a practice built entirely around it, at a price that is clear once you add the membership. If you want to investigate a general compounded program alongside this dedicated PCOS practice, compare CoreAge Rx, a featured partner. Obtain its current complete quote and ask how it would coordinate your PCOS and reproductive history; its advertised starting price cannot establish equivalent specialist follow-up.
The bottom line for mothers
Best for: A mother with PCOS — diagnosed or suspected — who wants insulin resistance, cycles, skin and fertility handled by one PCOS specialist alongside the GLP-1.
Alternatives to PCOS Sisters
These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.
- Visit CoreAge Rx86
Metabolic-Fit / 100
CoreAge RxFeatured partnerCoreAge's officially linked public offer advertises compounded semaglutide at $79/month and tirzepatide at $129/month across doses, with care and overnight shipping included. It describes one-time purchases without a required subscription. Main navigation still shows semaglutide from $99; confirm your prescription quantity and total, and read the refund limits before paying.
- Visit MadeMed46
Metabolic-Fit / 100
A flat $239/mo semaglutide, $399/mo tirzepatide with one-click cancellation and a free L-Carnitine add-on at every dose — but it's only licensed in 23 states, and most of the country's biggest population centers aren't on the list.
- Visit SkinnyRx37
Metabolic-Fit / 100
A $99 first month for either injection, with the ongoing price shown only at checkout, and a real non-injection option most providers we review skip: sublingual tablets for both molecules — but the FDA issued its parent entity, Lean Rx, Inc., a warning letter on 02/20/2026 (ref. 717989) for mislabeling itself as the compounder on its own product images and for marketing language implying its compounded products share FDA-approved status with Mounjaro and Zepbound, which they don't. Confirmed directly on FDA.gov; SkinnyRx's own site never mentions it.
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PCOS Sisters, answered
- How much does a GLP-1 cost at PCOS Sisters?
- The GLP-1 starts at $150 a month and requires a membership: $99 a month with one nurse practitioner (Arizona, Florida, Texas, Utah, Connecticut, New Mexico, Virginia) or $129 with the founder (Georgia, Washington, Oregon, Illinois, New York). So plan on at least $249 a month, plus labs — a basic PCOS workup is about $335 at its discounted rate.
- Do I need a PCOS diagnosis first?
- No. PCOS Sisters diagnoses PCOS itself. You can book a $75 evaluation visit without a membership, or start a membership, which includes the evaluation.
- Is the semaglutide compounded or brand-name?
- The site does not say. It describes semaglutide and other GLP-1s, including an oral option, and names two partner pharmacies, but never states the form. Ask before you pay for the membership.
- What if I want to get pregnant later?
- Infertility care is one of the practice's listed services, so the same clinician can plan around it. GLP-1s are not used in pregnancy; ask your nurse practitioner how far ahead of trying to conceive she would stop the medication.
- Can I use a GLP-1 from PCOS Sisters while breastfeeding?
- Its pages do not address breastfeeding. Injectable brand labeling calls for an individual breastfeeding benefit-risk assessment, and the GLP-1 pills are not recommended while breastfeeding.
- How do I cancel?
- Message your nurse practitioner at least 24 hours before the monthly draft; after the draft there is no refund. Prepaid three-, six- and twelve-month plans are non-refundable and do not renew. If you leave and come back later, there is a $50 re-enrollment fee.
Pricing, states and verification reflect PCOS Sisters's public disclosures at last review; the Metabolic-Fit Score is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.