I keep seeing ads pop up in my Instagram and Facebook feeds for Join Piper, and it catches my eye every time because their ads are so obviously AI-generated that it sort of throws me for a loop. Piper uses AI-generated videos to promote their compounded GLP-1 medications, and while this isn’t necessarily surprising, I’m always left wondering if that works. Do people know it’s AI? Do they care?

Regardless, since I had seen Piper so many times, I decided to go check them out and see what they’re offering, especially since their ads were centered around the fact that they are offering compounded GLP-1 medications for as low as $135/month (which, if you’re not aware, is a very low price). 

I dug into Join Piper, took their intake quiz, and did as much research as I could so I could report back to you. The compounded GLP-1 space is vast, and your options are endless, so it can be hard to determine which online weight loss providers are legit and which should be avoided. At this point, I have worked with and reviewed dozens of such providers and have a keen understanding of what to look for and how to know if you’re aligned with the right company for your goals. Plus, I have many GLP-1 users inside my fitness and training app, The Simply Strong App, who are always looking for the most budget-friendly options, and I like to vet them so I can share. 

My Experience With Join Piper

My first impression of Piper weight loss was that they obviously used AI to create their entire website. From the text to the images, everything is AI-generated. This isn’t uncommon, and there’s nothing inherently wrong with it, but I do think it gives a bit of a skeezy impression. People resonate better with brands that feel more “real,” and Piper doesn’t really give those vibes. 

A quick scan of the website told me that they offer two options: compounded semaglutide and compounded tirzepatide. They highlight the fact that they offer the same price for every dose (which is rare), have flat monthly costs, no shipping fees, and provide all-inclusive care. All of that sounds great, especially for those who are on a budget and are looking for the most cost-effective option for compounded GLP-1 medications.

To get started with Piper and to see if you qualify for treatment, you need to go through their short health questionnaire, so that’s where I started. You start by making an account, entering your email, first and last name, and creating a password. Next up, you enter your basic information, including your date of birth, phone number, and zip code. They ask if you are currently taking a GLP-1 medication and then ask you to enter your weight and height so they can calculate your BMI. The quiz will auto-calculate your BMI for you. When I entered my height and weight, my BMI came back at 20 (which is not overweight), and a message popped up stating Piper cannot approve medication for anyone with a BMI under 25. 

For reference, I am 5’7” tall and weigh ~130 lbs. In order for me to qualify for Piper, I would need to weigh at least 160 lbs, which would make my BMI 25 and therefore meet their BMI requirement. Most companies hold BMI thresholds to qualify patients for treatment; however, some do not. Piper’s BMI requirement of 25 ensures that the patient has weight to lose but doesn’t quite require them to be in the “overweight” category, which is a BMI of >27.

In order to move forward with the intake process with Piper, I increased my weight to 160 lbs, so I could bypass the BMI pre-qualifying screen. Next, they ask whether you’re interested in semaglutide or tirzepatide, which is great, but also can be confusing for those who have no idea which one they want to go with and would like to have a doctor consult to figure that out. They also ask which additive you’d like in your medication, choosing between vitamin B12 or glycine. Again, many people will not know and will need extra information and direction from a medical provider to make this decision. Next, they ask how you would like to continue your treatment plan. You can choose from titration, which is a gradual increase each month, or maintenance, which is staying at your current dose. Personally, I would prefer to make this decision on a month-to-month basis as symptoms and results present, and I would like to make these decisions in conjunction with my care team, so I feel confident in them. The way Piper presents it, it’s as if you have to choose between one or the other, but your treatment plan should be completely customized to you. I’m sure there are opportunities to speak with your doctor once you get approved.

After I entered my shipping address, I was brought to the checkout screen, where I was given my payment options and pricing. Piper offers 3 different options for paying - 1 month, 3 months, or 6 months, which I actually really like. Since I had chosen the titration option, I am assuming that I would be given regular dosing increases with each month that I ordered. So if I ordered the 3-month plan, my assumption is that my first month would be my lowest dose and the two following months would be increased, but it wasn’t clearly stated. However, it does state that you can change or cancel your plan at any time through your online portal, so that was comforting.

The pricing for compounded tirzepatide is $279/month for the one-month plan, $216/month for the 3-month plan ($648 total), or $199/month for the 6-month plan ($1194 total). I also took a peek at the prices for their compounded semaglutide and found that the 1-month plan costs $179/month, $166.33/month for the 3-month plan ($499 total), and $135/month for the 6-month plan ($810 total) These prices are great, to be honest, much lower than most compounded medications from other providers. 

Once you select your payment plan and enter your payment information (they accept HSA & HRA accounts, too, by the way!), you submit your file, and it gets sent to a licensed doctor in your state for final review and approval. If, for some reason, the doctor determines that you aren’t a good fit for the medication, you will be refunded. Although, based on the very basic intake information, I am assuming that doesn’t happen very often. I say this because Piper didn’t ask any questions regarding health history, current medications, etc., which can be reasons for a doctor to disapprove the medication. 

Overall Thoughts and Opinions of Piper Weight Loss

After reviewing Piper’s website and going through the intake process, I am most impressed with the pricing they offer. I searched everywhere on their website for information on what compounding pharmacies they are using to offer such low prices, and according to Reddit, they are using an AI-powered pharmacy (fitting). I cannot confirm whether or not this is true, but it’s quite possibly the reason why their medications are so inexpensive. What this means about the quality of the medication, I don’t know. In fact, this type of service might very well end up being the new industry standard. What I do know is that these companies (Join Piper and the like) cannot legally prescribe compound medications without using licensed medical doctors and approved pharmacies, so I truly don’t think they’re doing anything shady here.

The things that I didn’t love about Piper were how generic and anonymous everything was - AI images and AI content fill the website, and there’s no information on who the founders are or who the doctors are that serve you as a patient. This isn’t uncommon in this space, but I would prefer to feel at least a little more connected to the brand. I also noticed that they don’t have an active social media presence or support group, which can be really helpful when going through a medicated weight loss journey. 

If you’re looking for the cheapest option for compounded GLP-1 medications, Join Piper is definitely up there with some of the most budget-friendly. Looking around the internet, I found a lot of great feedback about Piper’s service - customers say that approval and shipping are fast, prices are as stated, and they are seeing great results. To be honest, regardless of who is behind the company, it seems to me that Piper found a way to deliver these medications at a lower cost, so if that’s an important factor for you, Piper will likely be a good fit.

Of course, you should read all current and past customer reviews before signing up, which you can find on trustpilot.

Visit Join Piper's website today to get started.