- signed up myself
- tracked the real cost
- read the fine print
Cielo review
A clearly labeled $199/mo semaglutide or $299/mo tirzepatide month-to-month, dropping to $89/$129 only with a 6-month prepay — through a named clinical network (MD Integrations) but no named pharmacy and no published cancellation policy.
then $299/mo ongoing
- HSA / FSA-eligible
- I walked it myself
- No insurance needed
Referral link — walled off from the score
Cielo at a glance
- Semaglutide
- $199/mo
- Tirzepatide
- $299/mo
- Coverage
- Not published — no state list found anywhere on the site
- Brand-name
- Compounded only
How I scored Cielo
Each factor is scored from Cielo's real pricing, disclosures and the actual signup, then combined into the 50/100 Mom-Tested Score by the same weighted six-factor method I use on every provider — never nudged by whether a provider pays us.
Scores low here: getting started asks more of your week than most.
Scores low: pinning down the real ongoing number takes work.
Scores high on medication choice — the options that matter are covered.
Scores low: whether it reaches you is the open question.
Support is the weakest part of this provider's score.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
How I verified this review
- Last verified
- August 2026
- Confidence
- high
- Primary source
- joincielo.health
Independently verified 2026-08-05 via direct fetch of the homepage (fully server-rendered) and Terms of Service. The site repeats 'From $89/Month* Reg $199/Month' (semaglutide) and 'From $129/Month* Reg $299/Month' (tirzepatide), asterisk resolving to '*With a 6-month plan. All doses.' $199/$299 recorded as the standard rate, $89/$129 as the promo, per this site's single-headline-number rule. Terms of Service names MD Integrations as the contracted clinical network. No named pharmacy, no state list, no cancellation policy found anywhere public. No FDA warning letter found for Cielo / joincielo.health in a direct search.
What to expect when you sign up
I walked Cielo's public signup funnel (August 2026) — a first-hand look at the flow. I don't create accounts, enter medical info, or check out, so this is what any visitor sees, not a patient outcome.
- 1Homepage pricing cards show both the flexible rate and the 6-month-commitment rate, clearly labeled side by side
- 2Complete a medical assessment; the site describes 'physician-led care'
- 3Its Terms of Service names the clinical network behind visits: 'JoinCielo.Health is contracted with MD Integrations'
- 4No named pharmacy anywhere — just 'Regulated FDA pharmacy partners'
What I noticed
- Genuinely rare transparency: the site prints "Reg $199/Month" right next to "From $89/Month*" with the asterisk explained on the same screen, instead of burying the real ongoing price in fine print
- That $89/$129 rate only applies if you commit to 6 months upfront — someone who wants month-to-month pays $199/$299
- No cancellation or refund policy found anywhere on the public site
- Nothing here is written with a nursing mom's schedule in mind specifically
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $89 → $199 | Flexible monthly planCielo's own pricing cards label $199/mo "Reg" and $89/mo "From... *With a 6-month plan." The $89 rate needs a 6-month prepay; month-to-month is $199. |
| Compounded tirzepatide | $129 → $299 | Flexible monthly planSame structure: $299/mo labeled "Reg," $129/mo labeled "From... *With a 6-month plan." |
HSA/FSA is commonly accepted for GLP-1 telehealth — check your plan. Prices reflect Cielo's public disclosures at last review and change often; confirm the current number on Cielo's own site.
What I like
- Unusually upfront about the split between its flexible and 6-month-commitment pricing
- Names its clinical network (MD Integrations) directly in its Terms of Service
- Compounded-only, single-purpose site, nothing else crowding the page
- Both molecules on one plan
The caveats
- The advertised $89/$129 rate needs a 6-month upfront commitment
- No named compounding pharmacy anywhere
- No published state list
- No cancellation or refund policy found anywhere public
What I actually think of Cielo
A clearly labeled $199/mo semaglutide or $299/mo tirzepatide month-to-month, dropping to $89/$129 only with a 6-month prepay — through a named clinical network (MD Integrations) but no named pharmacy and no published cancellation policy. The number they lead with is $89, but the price that sticks is closer to $299/month — so read the headline as a first-month offer, not the real monthly number.
I look at Cielo the way moms actually have to — not just the real monthly number, but nursing and pregnancy timing and the real monthly cost. That's the stuff a generic weight-loss review skips right over.
What Cielo really costs
- Compounded semaglutide — Flexible monthly plan: $89 to start, then $199/mo
- Compounded tirzepatide — Flexible monthly plan: $129 to start, then $299/mo
For context, the typical ongoing price across my shortlist is around $166/month, so Cielo sits at the pricey end.
Which meds Cielo prescribes
Cielo prescribes semaglutide and tirzepatide — the two with the strongest published weight-loss numbers, and having both on one account genuinely matters if insulin resistance is in the mix (which it often is with PCOS or after gestational diabetes), because that's when tirzepatide tends to be the better fit. These are compounded from a licensed pharmacy — that's why the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are, and it's worth knowing that going in.
Who Cielo is — and isn't — for
A good fit if…
- you might need to move between semaglutide and tirzepatide as your body and hormones shift.
Look elsewhere if…
- you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
- you want to be able to cancel without a fight — the exit terms are the part of the fine print I'd read twice here.
- you'd rather a prescriber actually talk timing around nursing and pregnancy timing — that's what my #1 pick, CoreAge Rx, is built to do.
Can you trust it?
I'm confident in the public facts on Cielo — pricing, pharmacies, and the clinical network all checked out when I last looked. With any compounded GLP-1, the most useful thing you can do is confirm which licensed pharmacy fills it and what's actually in the formulation — I explain how I weigh oversight in the scoring method.
A standing caveat, because I'm a mom writing this and not your doctor: GLP-1 meds aren't established as safe during pregnancy or breastfeeding, and every label advises against it. Nothing here changes that — plan the timing with your own clinician.
So, would I use it?
Cielo is a reasonable option — weigh it on nursing and pregnancy timing and the real monthly cost against the picks below. For most moms, CoreAge Rx is still the stronger all-round fit — and you can see them side by side in this head-to-head.
The bottom line for moms
Best for: A mom comfortable prepaying 6 months for the real discount, who's already confirmed her state and read the fine print on renewal.
If Cielo isn't the one
Providers I have a referral relationship with, ordered by Mom-Tested Score — highest first. A fee never moves a score, but it does decide who shows up in this box, so it isn't everyone: my full ranking has every provider, paid or not.
- Visit CoreAge RxMom-Tested Score94/100ACoreAge RxMy #1 pick
The one I'd point a friend to first: I finished the intake in a single nap, the price on screen was the price I'd actually pay, and both semaglutide and tirzepatide were right there on one account.
- Visit Trimi HealthMom-Tested Score85/100B
The price-first pick: some of the lowest flat, all-inclusive pricing I found, in all 50 states — great if the monthly number is your whole decision and you read the annual-prepay fine print before you sign.
- Visit Gala HealthMom-Tested Score84/100B
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it won't name.
Keep comparing Cielo
Head-to-head & alternatives
Cielo, answered
- Is Cielo's $89/mo the price I'll actually pay?
- Only if you commit to 6 months upfront. Cielo's own pricing cards label $89/mo (semaglutide) and $129/mo (tirzepatide) as the 6-month-plan rate; the flexible month-to-month rate is $199/mo and $299/mo.
- Who treats you through Cielo?
- Its Terms of Service name MD Integrations as the contracted clinical network. It doesn't name a specific pharmacy, only 'Regulated FDA pharmacy partners' generically.
- How do I cancel Cielo?
- We couldn't find a published cancellation policy anywhere on the public site. Confirm directly with support before committing to the 6-month rate.
Pricing, states and verification reflect Cielo's public disclosures at last review; the Mom-Tested Score is one mom's editorial judgment per the published method. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See my medical disclaimer and how I'm funded.