Recommended
Compounded GLP-1
Doctor-trusted GLP-1 from $179/month — no insurance required.
What's going on
Weight gain in your 40s and beyond is rarely about willpower. Shifting hormones change where your body stores fat, slow your metabolism, and increase appetite signals — at the same time.
DRIVER 01
Estrogen decline shifts fat storage from hips to abdomen
DRIVER 02
Insulin sensitivity drops, making weight harder to lose
DRIVER 03
Sleep disruption from night sweats raises hunger hormones
Why now
The math on midlife weight gain isn't your fault.
Six-month outcomes from clinical data of GLP-1 medications vs lifestyle-only weight loss. The biology is doing the work — and the difference shows up on the scale.
What helps
Recommended approach
GLP-1 medication addresses the appetite and metabolic side directly. If you're also in perimenopause, pairing with HRT often unlocks results that GLP-1 alone can't.
How Gala works
From symptoms to a plan in a week.
No clinic visits. No insurance hoops. A licensed clinician reads your full picture before they prescribe anything.
Tell us your symptoms
5 minutes, in plain language. Symptoms, history, goals — everything a thoughtful provider would ask.
Provider review
A US-licensed clinician reads the whole assessment and builds a plan around the symptoms you actually have.
Treatment + ongoing care
Medication ships free. Adjustments, messaging and provider support are part of the plan.