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Semaglutide

Wegovy vs. Compounded Semaglutide in Florida

A Florida nurse practitioner explains the differences in cost, safety, and FDA status.

Amanda Walrath
Amanda Walrath, APRN, FNP-BCFebruary 5, 2025

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Considering semaglutide? Nuvo offers compounded semaglutide in Stuart, FL and by telehealth across Florida, $400 per vial with a free consult.See semaglutide →

If you're searching for Wegovy in Stuart or anywhere in Florida, you've probably also seen compounded semaglutide offered at a much lower price. They are not the same product. Here is a plain-language comparison from Amanda Walrath, APRN, FNP-BC, a board-certified nurse practitioner with 17 years of clinical experience.

What is Wegovy?

Wegovy is Novo Nordisk's FDA-approved brand of semaglutide for chronic weight management. It acts like GLP-1, a natural hormone that slows stomach emptying and signals fullness to the brain. In the STEP 1 clinical trial, adults taking Wegovy 2.4 mg along with lifestyle changes lost an average of about 15% of their body weight over 68 weeks. Wegovy is also approved to reduce the risk of heart attack and stroke in certain adults with heart disease.

What is compounded semaglutide?

Compounded semaglutide is prepared by a compounding pharmacy for an individual patient's prescription. It is not FDA-approved. That means the FDA has not reviewed its safety, effectiveness, or quality. The clinical trial results above come from studies of Wegovy, not compounded versions. FDA rules on compounded semaglutide have tightened since the national shortage ended in 2025. Any provider offering it should be able to explain where it comes from and why it's being prescribed.

Side-by-side comparison

Wegovy
Compounded semaglutide
FDA-approved
Yes
No
Made by
Novo Nordisk
Compounding pharmacy
Clinical trials
Yes
No
Insurance coverage
Sometimes
Generally no
Cost
Varies by insurance and manufacturer programs
Nuvo: $400 per vial, including shipping, supplies and follow-up

Who may be a candidate?

Wegovy is FDA-approved for adults with a BMI of 30 or higher, or 27 or higher with a weight-related condition such as high blood pressure or type 2 diabetes. Whether any GLP-1 medication is right for you depends on your full medical history. That decision should come from a licensed provider after an evaluation, not from an online form alone.

Safety: what you need to know

–Common side effects: nausea, vomiting, diarrhea, constipation, and stomach pain. These are usually worst when starting or increasing the dose.
–Do not use semaglutide if you or a family member has had medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 (MEN 2).
–Serious risks include pancreatitis, gallbladder problems, kidney injury from dehydration, and low blood sugar when combined with insulin or sulfonylureas.
–Pregnancy: not for use during pregnancy. Tell your provider if you are planning a pregnancy.
–Surgery: tell your surgeon and anesthesiologist that you take a GLP-1 medication before any procedure.

How to choose a safe provider in Florida

–The prescriber is licensed in Florida and does a real medical evaluation.
–The provider names the pharmacy filling your prescription.
–The medication ships cold and arrives with clear storage instructions.
–Follow-up is included, not charged extra.
–Pricing is clear up front.

How Nuvo Wellness and Health works

1.Telehealth consultation with Amanda Walrath, APRN, FNP-BC.
2.If appropriate, your prescription is filled by Hallandale Pharmacy and shipped overnight by FedEx, cold-packed, with all supplies included. Please allow 5–7 days after your prescription for the pharmacy to prepare and ship it.
3.Weekly self-injection at home. Keep the medication refrigerated.
4.Follow-up whenever you need it, including at refill time.

Why I started Nuvo Wellness & Health

Before medication, I tried meal-replacement protein shakes and intermittent fasting. I'm not a morning person, but I went to a 5:30 a.m. class at Burn Boot Camp in Stuart every morning for an hour before 12-hour shifts in urgent care. Over six months, I lost maybe 3 pounds. I wasn't overeating. I was going to the gym, I had a new baby and a full-time job, and I still couldn't lose the weight. My clothes felt tighter, and I was disappointed. That's when I realized this is the reality for so many people, and I knew it couldn't be my future.

I first tried Saxenda, a daily injection, but I didn't tolerate it and stopped. Then I found semaglutide, and it helped me feel like my old self again. I reached my goal of losing 30 pounds over about a year. Individual results vary. Because I've taken the same medication I prescribe, I understand the first weeks, the side effects, and the questions that come up along the way. As a nurse practitioner, I wanted to create a place where people feel heard, supported, and comfortable talking about their weight without judgment.

If you're worried that medication is "cheating," I felt the same way. If you're eating well, exercising, and being pulled in 20 different directions with nothing changing, it's OK to get help. You don't owe anyone an explanation. Do it for yourself. You don't have to do this alone.

Frequently asked questions

Is compounded semaglutide the same as Wegovy?
No. They share an active ingredient, but compounded versions are not FDA-approved and were not studied in Wegovy's clinical trials.
Do I need to live near Stuart?
No. Nuvo serves patients anywhere in Florida by telehealth.
How fast will it ship?
Please allow 5–7 days after your prescription for the pharmacy to prepare and ship it. Once shipped, it arrives overnight via FedEx.

This article is for educational purposes only and is not medical advice. Compounded medications are not FDA-approved. Individual results vary.

Related treatment · Compounded GLP-1
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