The weight that settles in after 40 is not a discipline problem. Semaglutide and tirzepatide, prescribed by a board-certified nurse practitioner — by video, in 13 states, with lab tests before you start.
Sheena Eversole, MSN, AAPRN, FNP-BC · Autonomous Nurse Practitioner · Practicing Medicine Since 2004
Book NowTwo things change at once. Testosterone levels can drop about 1% a year starting in the late 30s, according to Cleveland Clinic, and low testosterone is more common in men who are overweight or have type 2 diabetes. Muscle declines too — adults can lose as much as 8% of their muscle mass each decade, beginning in their 30s or 40s, per Cleveland Clinic.
And the weight that arrives tends to arrive in the middle. Visceral fat — the fat inside the chest and abdomen — is linked to a higher risk of cardiovascular disease, according to Cleveland Clinic, which puts the risk threshold for men at a waist of 40 inches or more.
None of this is a willpower problem. You have a different body than you had at 30 and it should be treated that way.
Semaglutide and tirzepatide are the two GLP-1 medications Walk the Line prescribes, both compounded. They act on the areas of the brain that process hunger and fullness, slow digestion, and prompt the pancreas to release insulin in response to food, according to Cleveland Clinic — so you eat less and feel satisfied sooner. In head-to-head trials, tirzepatide has shown a slight edge over semaglutide in weight loss and glucose-lowering, per Cleveland Clinic, though the response varies from person to person and neither medication guarantees a specific result.
Which one is right for you is decided at your appointment. Learn more about these medications on the Medical Weight Loss page, or compare them by price and format on the GLP-1 Pricing page.
More than most men expect. The National Institute of Diabetes and Digestive and Kidney Diseases lists being overweight or having obesity, diabetes, heart and blood vessel disease including high blood pressure, and low testosterone among the causes of erectile dysfunction — several of the same conditions that make weight harder to lose after 40.
Walk the Line treats ED by telemedicine as part of Medical Services, so it can be addressed in the same place, by the same provider, as your weight. Read about Medical Services →
We offer both name-brand prescriptions and high-quality compounded weight loss medications. The cost of name-brand prescriptions varies with insurance. Out-of-pocket cost for compounded options is published in full — every dose, every format, no estimates. If insurance covers your medication, we can send your prescription to your pharmacy so you can use your pharmacy coverage.
Compounded Semaglutide and Tirzepatide, priced by dose and by format — weekly injections, daily capsules, and sublingual troches.
Every GLP-1 appointment at Walk the Line is a telemedicine appointment — by video, from home. Lab tests are checked before you start and completed at a lab near you, and medication ships to your door from a compounding pharmacy. Walk the Line works with clients in the following states:
Both of the GLP-1 medications Walk the Line prescribes, semaglutide and tirzepatide, are prescribed to men and women alike. In head-to-head trials tirzepatide has shown a slight edge in weight loss and glucose-lowering, according to Cleveland Clinic, but the response varies from person to person. The choice is made at your appointment, based on your health history and what you'll keep up with, with both prices published.
Yes. GLP-1 medications are prescribed to men and women alike. What they do — reduce appetite and hunger, slow digestion, and help manage blood sugar — is described by Cleveland Clinic; how much weight comes off, and how fast, varies by person, and no medication guarantees a specific result. Protecting muscle with enough protein and resistance training matters at any age, and more after 40.
That depends on the medication, the dose you settle at, and you. In real-world use, Cleveland Clinic puts semaglutide at roughly 10–20% of body weight and tirzepatide at 15–25%; the Medical Weight Loss page lays out that evidence. Individual results vary, and no medication guarantees a specific number. What you can control is protecting muscle along the way, with enough protein and resistance training.
It's a video appointment from home. We go through your health history, your goals, and what you've already tried, order lab tests you complete at a lab near you, and decide together whether semaglutide or tirzepatide fits and in which format. If it does, your prescription goes to a compounding pharmacy and ships to your door. Every price is published before you book.
Book a telemedicine appointment. We'll go through your history and your lab results and tell you plainly whether a GLP-1 makes sense for you — and which one.
Individual results vary. Back to Medical Weight Loss →