Provider review
TOM Weight Loss Review: A Membership, and a Month That Is Four Weeks
TOM Weight Loss separates a physician membership from medication and says so clearly — $100 or $150 a month depending on tier, with the medication billed by the pharmacy on top. What the page does not add up is that the two halves run on different clocks: the membership is monthly, and the medication is a four-week supply, which is thirteen fills a year.
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The money verdict
Honest about the membership and honest about the four-week supply — but nowhere on the page are the two added together, and they run on different clocks.
Worth it if
- You want the physician relationship named and priced as its own thing
- You want dose-by-dose medication pricing published before you start
- You are comfortable doing the arithmetic across two billing cycles
Look elsewhere if
- You want one number that covers everything — this is deliberately two
- You assume a “month” of medication means twelve fills a year; here it is thirteen
- You want the compounding pharmacy named
$149/cycle
No exclusions disclosed
Every 4 weeks (13×/yr)
At a glance
$67/cycle
Advertised
$149/cycle
Walk-away
$1,937
Year at this price
The same Semaglutide price, three ways
The short bar is the number TOM Weight Loss leads with. It lasts one cycle.
Advertised
first cycle only
$67
Walk-away
every cycle after
$149
Ready to check TOM Weight Loss’s current price?
Prices may change.
Best for: You want the physician relationship named and priced as its own thing Skip it if: You want one number that covers everything — this is deliberately two
Pricing, per compound
Everything TOM Weight Loss sells, cheapest year first. “Advertised” is the price it leads with; “Walk-away” is what you pay if you stop after one cycle.
| Provider | Advertised | Walk-away | Year at this price |
|---|---|---|---|
Semaglutide — compounded injection Medication only, at 1 mg. “Prices reflect a 4-week supply” — thirteen fills a year, $1,937 — and the $150 membership on top is billed twelve times. | $67.00/cycle | $149.00/cycle | $1,937.00 $149.00 × 13 four-week cycles |
The year at this dose — 12 payments, or 13 where a seller bills every four weeks. Several charge more as you move to a higher dose; where they publish that, the row says so.
Every figure above was read on tomweightloss.com, one product at a time. Check the current price before you buy.
See TOM Weight Loss’s pricesHow this compares
On our compounded semaglutide board, TOM Weight Loss is $149 and the cheapest we have priced is Embody — weekly injection at $79.
See every compounded semaglutide price we have checked →
Pros and cons
Pros
- The membership is stated plainly as a separate charge covering care, with the medication billed by the pharmacy — no attempt to present one figure as the whole cost.
- It says outright that “prices reflect a 4-week supply”, which is the disclosure most four-weekly sellers omit entirely.
- The prescribing physician is named, and the operating entity — Texas Obesity Medicine PLLC — is published.
- Medication is priced dose by dose, so titration cost is visible in advance.
- The pricing table carries its own last-updated date, which is rare and makes the figures checkable.
- It states that “compounded medications are not FDA-approved and carry additional risks” in its own words.
1 more
- A quarterly membership option saves up to 20% against monthly.
Cons
- The two halves of the bill are never added together on the page.
- Medication is a four-week supply, so it is billed thirteen times a year rather than twelve — a full extra fill that a monthly membership figure sitting beside it disguises.
- The medication price roughly triples across the dose range, from $67 at 0.25 mg to $189 at 2.4 mg.
- No compounding pharmacy is named.
- No certificate of analysis or testing result is published.
- Two membership tiers at $100 and $150 are both quoted on the same page without a clear statement of what separates them.
How we verified this
What we checked
- Every price read off tomweightloss.com — 1 product, checked one at a time
- The billing cycle taken from the company's own terms, not assumed from the price
- States, inclusions and cancellation terms read on the company's own pages
- Screened against the FDA's live warning-letter index
What to double-check before you buy
- Prices may change. Confirm before you buy.
Key terms
Show definitions
- Walk-away price
- What one cycle costs at the ongoing rate with no commitment — what you actually pay if you stop after month one.
- Year at this price
- The walk-away price multiplied by however many times a year it's actually billed. ⚠ It's the year at THIS dose — several sellers charge more as you move up, and most don't publish the ladder.
- Four-weekly billing
- A cycle that repeats every 4 weeks rather than on the calendar month, so it bills 13 times a year, not 12. ⚠ A stated SHIPPING interval is not a billing interval.
- Compounded
- Made to order by a pharmacy from raw ingredients, rather than dispensed as an FDA-approved, mass-manufactured product.
Bottom line
Add the two clocks together before you decide: at a 1 mg dose that is $1,937 in medication across thirteen four-week fills, plus $1,800 in membership across twelve months. TOM tells you both halves honestly — it just never puts them in the same sentence, and the four-week supply is where the extra fill hides.
Visit TOM Weight LossFrequently asked questions
What does TOM Weight Loss actually cost?
Two separate bills. The membership is $100 or $150 a month depending on tier (or $200/$300 quarterly), and covers care with the physician. Medication is billed by the pharmacy on top, from $67 for a 4-week supply at 0.25 mg up to $189 at 2.4 mg. At a 1 mg maintenance dose that is $1,937 of medication a year plus $1,800 of membership.
Is a month of medication really a month?
No — the pricing page says prices reflect a four-week supply. Four weeks comes round thirteen times a year rather than twelve, so a year of medication is thirteen fills. The membership beside it is genuinely monthly, so the two halves of the bill run on different clocks.
Does TOM Weight Loss have an FDA warning letter?
No letter is filed under TOM Weight Loss or Texas Obesity Medicine in FDA's warning-letter index, checked on 14 August 2026 against a corpus that returned all 110 letters this site already holds in the same pass.
Sources
Every price above was checked against TOM Weight Loss’s own pricing page — never a third-party aggregator:
Show every source link
- TOM Weight Loss — official site
Where we read every figure on this page
Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.