When clinically appropriate after your evaluation, Dr. Miranda prescribes compounded semaglutide — the active ingredient in Ozempic® and Wegovy® — or compounded tirzepatide, the active ingredient in Mounjaro® and Zepbound®. Each prescription is prepared individually by an independent, state-licensed 503A compounding pharmacy and billed at cost, typically $50–$200/month depending on dose. Compounded medications are not approved or evaluated by the FDA for safety, effectiveness, or quality — Dr. Miranda reviews both compounded and brand-name options with you, and prescribes brand-name when it’s the better fit. Trademarks are property of their respective owners; Summit is not affiliated with Novo Nordisk or Eli Lilly.

No. Summit runs cash-pay by design — that’s what keeps Dr. Miranda’s schedule open enough to review every application personally instead of routing you through a prior-authorization queue. Most patients find the flat monthly fee easier to budget than unpredictable insurance costs anyway.

Your monthly fee covers the physician side — consultations, dosing decisions, and direct messaging with Dr. Miranda. When a prescription is clinically appropriate, it’s filled and shipped by an independent, licensed 503A compounding pharmacy, billed separately. Summit itself doesn’t sell or dispense medication.

That depends on your biology and how you respond. The program is built around eventually needing less of this, not staying on it indefinitely — many patients taper down once they’ve reached and held their goals. Dr. Miranda walks through a realistic timeline with you at intake.

Those are volume platforms built around algorithms and rotating nurse practitioners. Summit is one physician’s independent practice — Dr. Miranda personally reviews every application and manages every patient himself. No queue, no chatbot, no hand-off to whoever’s on shift.

Yes. Summit is a telehealth-only practice — every consultation, follow-up, and check-in happens by video or secure messaging, in every state we serve.

The plan adjusts. If progress stalls, Dr. Miranda re-evaluates your labs, hormones, and dosing rather than just renewing the same prescription. Medicine doesn’t guarantee outcomes, but you have a physician staying with the problem instead of walking away from it.

Tennessee, Florida, Georgia, Ohio, and Washington. Licensing determines this list, and it expands over time as Dr. Miranda adds states.

Labs are ordered based on your clinical picture at intake. Summit Complete includes three comprehensive panels a year at no extra charge; on the other tiers, labs are ordered as indicated and billed separately at cost. Dr. Miranda reads and discusses every result personally.

It’s the web of hormonal systems that govern weight and energy — thyroid, cortisol, insulin sensitivity, and sex hormones among them. When one of these is off, weight loss gets much harder no matter how disciplined you are with diet and exercise. Summit looks at the full picture, not just a GLP-1 prescription in isolation.

It covers physician consultations, dosing management, direct messaging, and full care-plan access. Labs outside the Summit Complete tier are billed separately as ordered. The one true add-on across every tier is medication itself, which is billed by the compounding pharmacy, not Summit.

A licensed compounding pharmacy that fills individualized prescriptions under FDA and state pharmacy board oversight — distinct from the large 503B facilities. It’s a separate business from Summit; we just work with one to get your prescription filled and shipped when appropriate.

Yes — many Summit patients have. Whether you stopped for cost, side effects, or you regained weight after stopping, Dr. Miranda evaluates your case individually to figure out the right dose and whether it should be paired with a broader hormonal work-up this time around.

Yes. The program is month to month with thirty days notice. There is no long-term contract and no cancellation fee.