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How Much Does Medical Weight Loss Cost in El Paso?

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In El Paso, a supervised weight-loss program using compounded semaglutide runs $190–$325 per month and compounded tirzepatide runs $290–$450 per month, depending on dose. At Solas Health & Wellness that fee includes the medication, pre-filled and ready to inject, your monthly visit, dose adjustments, and messaging with the clinic. Brand-name Wegovy or Zepbound cost $1,000–$1,400 per month at retail without insurance.

What Is Medical Weight Loss and Why Does It Cost What It Does?

"Medical weight loss" in 2026 almost always means a GLP-1 medication — semaglutide (the molecule in Ozempic and Wegovy) or tirzepatide (Mounjaro and Zepbound) — prescribed and monitored by a licensed provider. The drugs work by reducing appetite and slowing how quickly your stomach empties, so you eat less without white-knuckling it.

The price you pay is driven by three things: which molecule (tirzepatide costs more to make), the dose (higher doses use more drug), and brand versus compounded. Brand-name pens from Novo Nordisk and Eli Lilly carry list prices north of $1,000 a month. Compounded versions of the same active ingredient, made by licensed 503A/503B pharmacies, cost a fraction of that — which is what makes a cash-pay program in El Paso realistic for most people.

The fourth factor is what the clinic bundles in. Some clinics quote a low medication price and then bill separately for every visit, every dose change and every message. Others quote one monthly number. Solas does the second, and the rest of this guide shows you exactly what that number buys.

Medical Weight Loss Cost Breakdown at Solas

Here is every charge, so there are no surprises:

ItemCost at SolasWhat it covers
Initial consultation $100 — credited toward your first month Full medical history, exam, review of any existing labs, goal-setting, and a medication recommendation with Celeste Cisneros, FNP-BC.
Semaglutide — 0.25 mg — starting dose $190/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Semaglutide — 0.5 mg $190/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Semaglutide — 1 mg $280/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Semaglutide — 2 mg $300/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Semaglutide — 2.5 mg — maintenance $325/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Tirzepatide — 2.5 mg — starting dose $290/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Tirzepatide — 5 mg $350/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Tirzepatide — 7.5 mg $375/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Tirzepatide — 10 mg $400/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Tirzepatide — 12.5 mg $425/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Tirzepatide — 15 mg — maintenance $450/month Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Baseline labs (if needed) $50 through Solas, or bring your PCP's from the last year Wellness weight-loss panel: CBC, CMP, TSH, lipids, A1c. Strongly recommended; can be done within the first 30 days.
Follow-up visits Included — the monthly dose review is the follow-up Dose review, side-effect management, weigh-in, plan adjustment.
3-month prepay $975 (tirzepatide) Saves up to $375 vs month-to-month at the top dose. After the 2.5 mg starting month, prepay is $325/month with dose increases included.

What's Included in the Monthly Fee

Your monthly fee at Solas covers:

What's not included: a sharps container — any hard plastic container with a lid does the job — B12 or other add-ins, the one-time $100 consultation (credited toward month one), and lab work, covered below.

What Lab Work Costs

Baseline labs are strongly recommended — but they do not have to come before your first dose. Celeste will start a patient who gets the panel drawn within the first 30 days. The panel is a wellness weight-loss panel: CBC, CMP, TSH, lipids and A1c. Order it through Solas for $50 cash, or skip it entirely by bringing results from your primary care provider drawn within the last year. Follow-up labs are recommended once a year.

If your primary care provider has drawn a metabolic panel, lipids or an A1c in the last year, bring them — there is no reason to pay to repeat them.

What the Medication Costs: Compounded vs. Brand

This is where the numbers diverge dramatically, and it is the single biggest driver of what you will pay anywhere in El Paso:

OptionTypical monthly costNotes
Compounded semaglutide at Solas$190–$325Program fee — includes Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Compounded tirzepatide at Solas$290–$450, or $325 on prepayProgram fee — includes Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging
Compounded semaglutide, El Paso typical$250–$400Cash-pay; visits and supplies often billed separately
Compounded tirzepatide, El Paso typical$300–$500Cash-pay; visits and supplies often billed separately
Brand Wegovy (retail, no insurance)$1,300–$1,400FDA-approved for weight loss
Brand Ozempic (retail, no insurance)$900–$1,000FDA-approved for type 2 diabetes
Brand Zepbound / Mounjaro (retail, no insurance)$1,000–$1,300Zepbound approved for weight loss; Mounjaro for diabetes
Brand with insurance + savings card$25–$200Eligible commercially-insured patients only; prior auth common

Compounded medication contains the same active ingredient as the brand-name pen, made by a licensed compounding pharmacy rather than the original manufacturer. It is legal, it is common, and it is the reason a supervised program can cost a few hundred dollars instead of more than a thousand. Here is the full comparison if you want the detail.

Insurance, HSA, and FSA

Insurance may cover brand-name Wegovy or Zepbound for weight loss, usually with prior authorization and a BMI threshold — and denial rates are high. Ozempic and Mounjaro are approved for type 2 diabetes and are rarely covered for weight loss alone. Compounded medication is never covered by insurance.

Solas is a cash-pay clinic and does not bill insurance. That is deliberate: it is why the monthly fee is one fixed number rather than a copay, a deductible and a surprise bill three weeks later. HSA and FSA cards are accepted for the program fee, the consultation and labs.

Solas vs. Online Weight-Loss Services

National telehealth services advertise low headline prices. Here is how they actually compare once you add up what you get:

OptionTypical monthly costNotes
Solas Health & Wellness (El Paso)from $190 (semaglutide) / $290 (tirzepatide)In-person visits with an FNP-BC; Medication pre-filled in the syringe, swabs, monthly visit, dose adjustments, messaging; labs $50 or bring your own; medication in stock
National telehealth — compounded semaglutide$199–$399Questionnaire-based; medication shipped; provider contact is usually asynchronous
National telehealth — compounded tirzepatide$299–$549Same model; often a first-month promo then a higher recurring rate
Brand-name via PCP + insurance$25–$200 if covered; $900–$1,400 if notRequires an approving plan and a prescriber willing to fight prior auth

National services also tend to advertise a first-month price that rises after; the ranges above are what they typically settle at.

The difference is not the drug — it is the same molecule. It is who is watching your response. Dose titration, nausea management, plateaus and the decision to switch from semaglutide to tirzepatide all go better with a provider who has actually seen you.

Total First-Year Cost

Putting it together for a typical patient who starts on semaglutide, titrates up over a few months, and stays on for a year:

ItemAnnual cost
Initial consultation$100, credited toward month one — net $0
Baseline labs$50 through Solas ($0 if you bring your PCP's from the last year)
12 months semaglutide program≈ $3,300 (2 months at $190, then titrating to 2.5 mg at $325)
12 months tirzepatide program≈ $4,200 month-to-month, or $3,865 on the $325 prepay plan after month one
Follow-up labs$0 in year one — recommended annually, so $50 at the one-year mark
Total, semaglutide≈ $3,350
Total, tirzepatide≈ $4,250 month-to-month, ≈ $3,915 on the prepay plan
Brand Wegovy for a year, no insurance$15,600–$16,800

For context, the average patient on semaglutide loses roughly 14% of body weight in a year in clinical trials, and roughly 20% on tirzepatide. Managing type 2 diabetes averages around $9,600 a year in direct medical costs. For most people the program pays for itself in avoided costs alone, before you count anything else.

How to Get Started in El Paso

  1. Book your consultation — in person at 6633 N Mesa St, Suite 508, or by telehealth. In person is recommended so the first visit includes your InBody scan.
  2. Bring any recent labs from your PCP so we can skip what has already been drawn.
  3. Get a plan, not a pitch — Celeste reviews your history and goals and recommends semaglutide, tirzepatide, or neither.
  4. Start the same day — medication is stocked in the clinic, pre-filled and ready to go. There is no ordering wait and nothing to ship.

Ready to see what medical weight loss would actually cost you?

Book a consultation with Celeste Cisneros, FNP-BC, and get a real number for your situation — not a range.

Book a Consultation Call (915) 266-3174

Frequently Asked Questions

How much does medical weight loss cost in El Paso?

At Solas Health & Wellness in El Paso, compounded semaglutide programs start at $190 per month and compounded tirzepatide programs start at $290 per month. The monthly fee includes medication (pre-filled and ready to inject), alcohol swabs, your monthly visit with Celeste, dose adjustments, and messaging during office hours. Solas is a cash-pay clinic, so there are no insurance codes and no surprise bills.

What's included in the monthly weight-loss fee at Solas?

The monthly fee covers the medication itself — supplied pre-filled in the syringe, ready to use — plus alcohol swabs, your monthly visit with Celeste Cisneros, FNP-BC, dose adjustments as your progress and goals warrant, and messaging with the clinic during office hours. Visits can be in clinic or by telehealth; in person is recommended because it includes an InBody body-composition scan, which is how progress is actually measured rather than by the bathroom scale. Not included: a sharps container (any hard plastic container with a lid works), B12 or other add-ins, the one-time $100 consultation, and lab work.

Is the initial consultation free?

The initial weight-loss consultation is $100, and that $100 is credited toward your first month of medication — so it works as a deposit rather than an added fee.

Do I need lab work, and what does it cost?

Baseline labs are strongly recommended, and you can get them within your first 30 days rather than before you start. The panel is a wellness weight-loss panel: CBC, CMP, TSH, lipids and A1c. Bring results from your primary care provider if they were drawn within the last year, or order the panel through Solas for $50 cash. Follow-up labs are recommended once a year.

Semaglutide or tirzepatide — which should I choose?

Both are GLP-1 medications that reduce appetite and slow digestion. Tirzepatide adds a second hormone pathway (GIP) and produced greater average weight loss in clinical trials — roughly 20% of body weight versus roughly 14% for semaglutide over about a year — but it costs more per month. Celeste reviews your history, goals and budget at the initial visit and recommends one; many patients start on semaglutide and move to tirzepatide only if they plateau.

Does insurance cover weight-loss injections?

Sometimes, for the brand-name drugs. Wegovy and Zepbound are FDA-approved for weight loss and some commercial plans cover them, often with prior authorization and a BMI requirement; Ozempic and Mounjaro are approved for type 2 diabetes and are rarely covered for weight loss alone. Compounded semaglutide and tirzepatide are never covered by insurance. Solas is cash-pay and does not bill insurance, which is exactly why the monthly price is fixed and predictable. HSA and FSA cards are accepted.

How is Solas different from an online weight-loss service?

Online services ship medication after a questionnaire. At Solas you are seen in person in El Paso by Celeste Cisneros, FNP-BC, a board-certified Family Nurse Practitioner, who adjusts your dose based on how you are actually responding, manages side effects, and can order and interpret labs. Follow-up visits can be done by telehealth once you are established, though the in-person InBody scan is what makes the monthly check-in genuinely useful.

How long does the program take?

Most patients stay on medication for 8–10 months, though it varies by person. Dose increases are set by Celeste on your progress and goals rather than a fixed calendar, and microdosing — a slower, lower-dose approach — is available for patients who prefer it. There is no minimum commitment; the fee is month to month.

Pricing reflects Solas Health & Wellness rates as of September 2026 and is subject to change. Brand-name and third-party figures are approximate retail prices at time of writing. Weight-loss outcomes cited are trial averages and individual results vary. This guide is educational and is not a substitute for a medical consultation.