In May when my research subject hit 245 lbs we realized a new strategy for weight loss was needed to get healthy. A telehealth company provided compounded Tirz at $300/mo. That quickly became too expensive, so I sought out a compounding pharmacy in my area who referred me to a provider who got me a 3 month supply for $250. Of course, that incentivized me to see how cheap I could go and still get a quality product...and try Reta because it is reportedly more effective. The subject titrated off Tirz and onto Reta, and we added a few more peps to deal with the loose skin and target the visceral and liver fat more directly. So far, the subject is down 34 lbs and shows significant body reshaping.