1836 Wellness

Telehealth, statewide in Texas

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1836 Wellness is a Houston based telehealth practice serving adults ages 18 to 64 across Texas. Programs cover medical weight management including GLP-1 options, hormone care, metabolic health, and clinician ordered laboratory testing with follow up. Clinical services are provided by Franklin Street Medical PLLC, a separately physician owned medical practice, and treating clinicians independently determine treatment and prescribing. 1836 Wellness LLC provides nonclinical management and administrative support only. Care is delivered by telehealth statewide, and this practice is direct pay and does not accept or bill Medicare or Medicaid.

Services & Treatments

Medical Weight Management

Semaglutide (Wegovy/Ozempic)

Tirzepatide (Mounjaro/Zepbound)

Hormone Therapy

Testosterone Therapy

Lab Testing

Telehealth

Questions to Ask Before You Book

These five questions help you quickly assess whether a clinic is a good fit and avoid unexpected costs or surprises.

Is this brand-name or compounded medication?

Brand-name Wegovy and Zepbound are FDA-approved. Compounded versions are lower cost but are not FDA-reviewed for safety or efficacy. Ask which the clinic uses and why.

Which physician will supervise my treatment?

You have the right to know the credentials of your supervising provider. Look for board-certified physicians, ideally with training in obesity medicine (ABOM diplomate).

What lab work is required before starting?

A reputable clinic should require baseline labs, at minimum a metabolic panel and thyroid function, before prescribing GLP-1 medications.

What's included in the monthly fee?

Understand whether the fee covers only the medication, or also includes provider visits, lab monitoring, supplies, and dose adjustments.

How do you handle side effects between appointments?

Nausea and GI side effects are common, especially early on. Know how to reach a provider between visits if you need a dose adjustment or have concerns.

A note on GLP-1 medication safety

The FDA has flagged risks with compounded GLP-1 medications including dosing errors, unlicensed sellers, and products that have not been reviewed for safety or effectiveness. Always confirm that your medication comes from a licensed, PCAB-accredited compounding pharmacy, or ask about brand-name options. Read the FDA guidance on semaglutide.