1
Tell us what you’re looking for
Choose the type of care that best matches what you need—such as personalized GLP-1 treatment, brand-name GLP-1 or insurance support, menopause and hormone care, or peptide and regenerative medicine.
Now Serving
14 U.S. states
AL
CA
FL
GA
IA
ID
IL
MD
NJ
NY
SC
SD
UT
VA
Don’t see your state?
View availability →
Miguel Antonatos, MD
Your physician for every visit
Physician-led GLP-1 & metabolic care
One doctor who tracks your labs, not just your weight.
A board-certified internal medicine physician personally manages your GLP-1 or peptide plan, reviews your blood work, and adjusts treatment as your metabolic markers change.
✓
One physician, start to finish
The doctor who evaluates you makes every dose decision.
✓
Options beyond one drug
Semaglutide, tirzepatide, or physician-evaluated peptide therapy.
✓
Blood work, ordered and reviewed
Lab results inform your plan instead of sitting in a portal.
✓
Progress measured in markers
A1c, lipids, and liver enzymes tracked over time, not just pounds.
Compounded semaglutide from $112
•
Compounded tirzepatide from $190
•
Medication included · No required membership
★★★★★
Verified patient reviews
•
ABIM Board-Certified Internal Medicine
•
Telemedicine since 2017 · 14 states
Takes about 2 minutes. Text consultations available today.
Typical delivery: 48–72 hours after physician approval
and pharmacy processing. Medication is prescribed only when medically
appropriate; compounded medications are not FDA-approved. Eligibility, pricing, and timing may vary.
Miguel Antonatos, MD · Your physician
Formerly Northwestern Medicine · Telemedicine since 2018 · Licensed in 14 states
Board Certified
Internal Medicine (ABIM)
Obesity Medicine Association
Medication Management Microcredential
Verified patient reviews
Read reviews →
2026 Best of Award
BusinessRate, based on verified reviews
Why Text2MD
More than a refill. A plan that's measured.
Most GLP-1 programs judge success by the scale. Here, the same physician tracks what's happening inside, and adjusts treatment to match.
Who manages you
Whichever provider is available at each follow-up
The same physician makes every dose decision
Treatment options
One medication, one titration protocol
Semaglutide, tirzepatide, or peptide therapy, adjusted to your response
Lab work
Rarely ordered; health history is self-reported
Blood work ordered and interpreted by your physician
How progress is measured
Pounds lost
Pounds lost plus blood sugar, cholesterol, and liver markers over time
Care models vary by telemedicine provider. This comparison describes the
model Text2MD is designed to provide.
What we track
Weight is one number. Your labs tell the rest.
GLP-1 and peptide therapy can change far more than your weight. These are the markers your physician uses to judge whether treatment is working.
Hemoglobin A1c & fasting glucose
Blood sugar control and diabetes risk
Fasting insulin
Insulin resistance, often years before glucose rises
Lipid panel
Triglycerides and cholesterol, key cardiovascular risk factors
Liver enzymes (ALT/AST)
Fatty liver, one of the most common silent effects of excess weight
Baseline
Before or at the start of treatment
Re-check
After about 3 months on a stable plan
Adjust
Dose, medication, or peptide changes based on results
Lab testing is ordered when clinically appropriate. Lab fees, if any, are
separate from medication pricing and depend on the lab and your coverage.
Wherever you are in treatment
Starting a GLP-1
Switching from another program
Stuck on a plateau
Planning long-term maintenance
Start My Consultation →
Already on semaglutide or tirzepatide? Transfers welcome.
Your estimate
See what could change, beyond the scale.
Move the sliders to match your weight and most recent labs. Estimates are based on average results from the major clinical trials.
Current weight
240lbs
140500
Average trial weight loss
−50lbs
About 21%, reaching ~190 lbs
Your labs: today vs. projected
Don't know your numbers? Leave the defaults. We check them at baseline.
Hemoglobin A1c%
Today
6.0
Projected
5.5
Average blood sugar over 3 months
Fasting insulinµIU/mL
Today
18
Projected
10
Insulin resistance, often before glucose rises
Triglyceridesmg/dL
Today
180
Projected
124
The lipid most responsive to weight loss
Liver enzyme (ALT)U/L
Today
42
Projected
29
A common early sign of fatty liver
Your real numbers start with a baseline panel, reviewed by your physician.
Get My Personal Plan →
Illustrative estimates only, not a prediction of your individual results. Weight
figures reflect average loss in the STEP 1 (semaglutide 2.4 mg, 68 weeks) and
SURMOUNT-1 (tirzepatide up to 15 mg, 72 weeks) trials of adults without diabetes,
alongside diet and activity changes. Lab projections are approximations drawn from
published trial averages and vary widely by person. Trials used FDA-approved
products. Treatment is prescribed only when medically appropriate.
How It Works
Start your request in 3 simple steps.
Tell us what you need, answer a few quick questions, and send your request securely for physician review.
Watch How It Works
Start your request in about 2 minutes.
The consultation request is designed to be quick. Choose the type of care you’re interested in, answer a few questions, and submit your information securely for physician review.
- Choose what Dr. Antonatos can help you with
- Answer a few program and safety questions
- Submit your request for physician review
2
Answer a few quick questions
If you’re interested in weight-loss treatment, tell us which program interests you—semaglutide, tirzepatide, or if you’re not sure yet. You’ll also complete a brief safety review.
3
Send your request securely
Enter your contact information, provide the required telemedicine consent, and submit your request securely for physician review.
Start My Consultation →
Consultation request takes about 2 minutes.
Submitting a consultation request does not guarantee treatment or a
prescription. Eligibility and treatment decisions are based on physician
evaluation and medical appropriateness.
Patient Reviews
What patients say about Text2MD
Real patient feedback about physician access, communication, continuity, and the overall care experience.
Start My Consultation →
Consultation request takes about 2 minutes.
Before You Start
Questions patients ask first
How much does it cost, and is there a membership?
Semaglutide programs start at $112 and tirzepatide programs at $190, with medication included at starting prices. There's no required monthly membership or annual retainer.
Your final price depends on the medication, dose, and treatment plan. Lab fees, if any, are separate. See full pricing →
Do I need blood work?
In most cases, yes, and it's one of the main reasons patients choose Text2MD. Baseline labs help your physician choose the right medication and starting dose. Repeat labs show whether your A1c, cholesterol, insulin, and liver markers are actually improving.
Recent results from your own doctor can often be used, so you may not need to repeat them.
Can peptide therapy be part of my plan?
Possibly. Some patients are better suited to peptide therapy, and some benefit from it alongside a GLP-1. Your physician evaluates options individually based on your history, goals, and labs, and prescribes only when clinically appropriate. Learn about peptide care →
How fast can I start?
Same-day consultations are often available once your intake is complete. If medication is appropriate, it typically arrives 48–72 hours after physician approval and pharmacy processing.
I'm already on a GLP-1. Can I switch to Text2MD?
Yes. Your current dose, medication history, side effects, and any gap in treatment are reviewed so you can continue without restarting from zero when that's safe to do.
Do you take insurance?
Text2MD is a direct-pay practice, so pricing is transparent and doesn't depend on insurance approval or prior authorizations. Lab work can often be billed to your own insurance.
Ready when you are.
Start with a 2-minute intake. Dr. Antonatos reviews it personally, and he's the physician you'll stay with.
Start My Consultation →More weight-loss questions →
Eligibility, pricing, availability, and delivery times vary. Medication is
prescribed only when medically appropriate.