S5 E3: The Cost of GLP-1s: Insurance, Telehealth Options, Maintenance on semaglutide / tirzepatide

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S5 E3: The Cost of GLP-1s: Insurance, Telehealth Options, Maintenance on semaglutide / tirzepatide
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In today’s episode I’m sharing real talk on the cost of GLP-1 peptides like semaglutide and tirzepatide, what insurance does (and doesn’t) cover, and what it actually takes to maintain results long term.

These medications can be powerful tools for weight loss and metabolic health, but they’re not quick fixes. That’s why it’s so important to understand not just the financial side, but also the lifestyle shifts, maintenance strategies, and functional testing that truly support lasting results.

I’ll walk you through what you can expect if you’re paying cash, what insurance may cover depending on BMI or health conditions, why weight regain is such a common challenge, and how strength training + holistic health strategies fit into the picture.

You deserve clarity, and you deserve support in making these decisions with eyes wide open.

Episode Recap:

  • How much GLP-1s really cost — and why so many women ask this question {00:43}
  • When insurance typically covers GLP-1s and when it almost never does {01:20}
  • What cash pay looks like at pharmacies, medspas, and telehealth platforms {05:42}
  • How long you might actually need to be on a GLP-1, and why weight regain is common {09:19}
  • What maintenance really looks like: strength training, protein, gut health, and hormones {13:39}
  • Why functional testing still matters, even if GLP-1s are working {20:25}
  • The hidden cost of not addressing metabolic issues early {25:39}
  • Why GLP-1s are more than weight loss drugs — they’re metabolic therapies {26:41}

Links & References:

Connect with me on Instagram @margaretannpowell

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. Please seek the guidance of your physician or healthcare provider regarding any medical condition or treatment.

More About the Fueled & Free Podcast:

Hosted by Margaret Powell, a Holistic Nutritionist, The Fueled & Free Podcast is a women’s health podcast that helps you cut through the noise of the wellness world, ditch diet culture & reclaim your metabolism.

Informative and relatable wisdom + guidance for the everyday woman, we cover topics on nutrition, hormones, gut health, thyroid health, nervous system regulation tools, motherhood, and more. New episodes release every Wednesday! Connect with Margaret on Instagram @margaretannpowell or email fueledandfreepodcast@gmail.com. To learn more about working with Margaret, head to https://fueledandfree.com.

Lots of Love,

At Fueled & Free Nutrition, we believe you deserve real answers about your health—not just band-aid solutions.
Whether you’re struggling with gut issues, perimenopause or menopause symptoms, low energy, or hormonal imbalances, we’re here to help you rebuild your resilience and feel like yourself again. Let’s uncover what’s really going on so you can finally move forward with confidence and ease.

Hey, I'm Margaret

I'm a Certified Holistic Nutritionist + Holistic Health Coach, Functional Diagnostic Nutritionist and owner of an integrative virtual wellness clinic that has helped hundreds of women on their journey to optimal health.

I know from my own personal health journey that it's possible to reclaim my body after years of struggling. I was confused and overwhelmed, dismissed by health providers who didn't take the time to understand the "why" behind my symptoms. Then I discovered Functional Nutrition and worked through the process of unraveling the root causes behind my struggles, everything changed.

Now I'm here to help you do the same!

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