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Your weight is over
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Physician-Led Hormone
& Metabolic Medicine

A clearer plan for health

Hormone health
and GLP-1 weight loss medicine

A Better Lou helps you improve the drivers of aging from weight loss, body composition, hormones, sleep, and performance, using comprehensive bloodwork, biological age testing, and a physician-led GLP-1 plan that you can follow.
Testosterone & hormone evaluation (TRT only if indicated)
Advanced bloodwork (500+ biomarkers) + progress tracking
GLP-1 weight loss options with ongoing evaluation
Physical therapist to address your mobility issues
Coaching + accountability so the plan actually sticks

Your Weight is Over

Lose Weight Now
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Compounded Semaglutide GLP-1

ABL Select One

Compounded semaglutide GLP-1 medication. Physician-led GLP-1 weight loss built around your biology. Order now to speak with a provider as soon as the same day. When prescribed, semaglutide GLP-1 medication is shipped to your door with no office visits required. Monthly price covers provider care, medication and shipping.
$199.99/month
Call (520) 428-5924
What’s Included
Same-day phone visit with a licensed provider
Your prescription the same day, when clinically appropriate
Precision-dosed GLP-1 therapy, adjusted as you go
Medication shipped to your door in plain packaging
Refills and dose changes handled by your care team
Direct phone access to your team. No clinic visits.
No long-term contract. Cancel any time.
What's Included
Pink plus sign icon on a black background.
Same-day provider evaluation
Same-day prescription available for semaglutide GLP-1, when clinically appropriate
Medication shipped to your door in discreet packaging
Call or text your Membership Care Coordinator at anytime
Precision-dosed GLP-1 therapy, adjusted as needed
Refills and dose changes handled by your ABL care team
No clinic visits necessary
Compounded semaglutide is not FDA-approved and is not Ozempic® or Wegovy®; A Better Lou is not affiliated with Novo Nordisk.
Compounded Tirzepatide GLP-1

ABL Select Two

Advanced dual-action compounded Tirzepatide GLP-1 medication. Physician-led GLP-1 weight loss built around your biology. Order now to speak with a provider as soon as the same day. When prescribed, tirzepatide GLP-1 medication is shipped to your door with no office visits required. Monthly price covers provider care, medication and shipping.
$299.99/month
Call (520) 428-5924
What’s Included
Everything in ABL Select One
Our advanced dual-action medication
Same-day phone visit with a licensed provider
Your prescription the same day, when clinically appropriate
Medication shipped to your door in plain packaging
Refills and dose changes handled by your care team
No long-term contract. Cancel any time.
What's Included
Black plus sign on a white background.
Same-day provider evaluation
Same-day prescription available for tirzepatide GLP-1, when clinically appropriate
Medication shipped to your door in discreet packaging
Call or text your Membership Care Coordinator at anytime
Precision-dosed GLP-1 therapy, adjusted as needed
Refills and dose changes handled by your ABL care team
No clinic visits necessary
Compounded tirzepatide is not FDA-approved and is not Mounjaro® or Zepbound®; A Better Lou is not affiliated with Eli Lilly.
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Who is this for?

Plenty of people are told “it’s just a little overweight.” Often it’s measurable biology—hormone decline, insulin resistance, poor sleep, inflammation, or loss of lean mass. We test first, then build a plan.

Hear from the team

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Gary Paulzak
Founder & CEO
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Cade Johnson, PT, DPT
COO
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Seth Perry, MD
Co-Founder & Medical Director
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Ed Pienkosz, MS, NBC-HWC
Director of Life Coaching
our vision
Our vision is simple: personalized medicine that brings you back to strong. With hands-on clinical oversight and measured adjustments, progress becomes sustainable: more energy, better sleep, stronger performance, and long-term vitality.
Connection over control
1
Health isn’t about strict rules or endless self-discipline — it’s about awareness, rhythm, and flow. When we tune in to what the body needs instead of forcing outcomes, balance becomes natural. Connection allows us to build a relationship with our health that feels intuitive, not mechanical.
Education over confusion
2
Knowledge removes fear. When we understand how our body works, we stop guessing and start acting with purpose. Education transforms health from something we outsource to something we participate in every day. It gives us language, context, and clarity — the tools to make decisions that truly support us.
Progress over perfection
3
Lasting change doesn’t come from extremes; it grows through small, steady improvements. Each step — no matter how simple — builds trust and resilience. Perfection is a myth, but progress is real, measurable, and deeply human.

The people behind
A Better Lou

From board-certified physicians to movement and lifestyle specialists, your team is structured to optimize the systems that drive weight loss, energy, resilience, and healthy aging. We don’t chase trends — we build durable biology.
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Gary Paulzak
Founder & CEO
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Dr. Seth Perry, MD
Co-Founder & Medical Director
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Cade Johnson, PT, DPT
COO
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Brian Burnett, DNP, APRN, FNP-C
DNP, APRN, FNP-C
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Ed Pienkosz, MS, NBC-HWC
Director of Life Coaching
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Marc Hennessey
Director of Marketing
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Charles Woerner
Membership Care Coordinator
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Dianne Guevara
Executive Operations and Finance Specialist
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Daniel Gonzales
Director of IT
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Max Diamond
Creative Consultant

Better health through measurable signals. We combine symptoms with advanced bloodwork and ongoing tracking to personalize hormone and metabolic support, including GLP-1 and HRT when clinically appropriate.

The goal is simple: help you lose weight while restoring energy, strength, and clarity with a plan that’s sustainable, medically grounded, and adjusted as your biology changes.
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Your Weight is Over

Lose Weight Now
Arrow black, svg
Arrow black, svg
Compounded Semaglutide GLP-1

ABL Select One

Compounded semaglutide GLP-1 medication. Physician-led GLP-1 weight loss built around your biology. Order now to speak with a provider as soon as the same day. When prescribed, semaglutide GLP-1 medication is shipped to your door with no office visits required. Monthly price covers provider care, medication and shipping.
$199.99/month
Call (520) 428-5924
What’s Included
Same-day phone visit with a licensed provider
Your prescription the same day, when clinically appropriate
Precision-dosed GLP-1 therapy, adjusted as you go
Medication shipped to your door in plain packaging
Refills and dose changes handled by your care team
Direct phone access to your team. No clinic visits.
No long-term contract. Cancel any time.
What's Included
Pink plus sign icon on a black background.
Same-day provider evaluation
Same-day prescription available for semaglutide GLP-1, when clinically appropriate
Medication shipped to your door in discreet packaging
Call or text your Membership Care Coordinator at anytime
Precision-dosed GLP-1 therapy, adjusted as needed
Refills and dose changes handled by your ABL care team
No clinic visits necessary
Compounded semaglutide is not FDA-approved and is not Ozempic® or Wegovy®; A Better Lou is not affiliated with Novo Nordisk.
Compounded Tirzepatide GLP-1

ABL Select Two

Advanced dual-action compounded Tirzepatide GLP-1 medication. Physician-led GLP-1 weight loss built around your biology. Order now to speak with a provider as soon as the same day. When prescribed, tirzepatide GLP-1 medication is shipped to your door with no office visits required. Monthly price covers provider care, medication and shipping.
$299.99/month
Call (520) 428-5924
What’s Included
Everything in ABL Select One
Our advanced dual-action medication
Same-day phone visit with a licensed provider
Your prescription the same day, when clinically appropriate
Medication shipped to your door in plain packaging
Refills and dose changes handled by your care team
No long-term contract. Cancel any time.
What's Included
Black plus sign on a white background.
Same-day provider evaluation
Same-day prescription available for tirzepatide GLP-1, when clinically appropriate
Medication shipped to your door in discreet packaging
Call or text your Membership Care Coordinator at anytime
Precision-dosed GLP-1 therapy, adjusted as needed
Refills and dose changes handled by your ABL care team
No clinic visits necessary
Compounded tirzepatide is not FDA-approved and is not Mounjaro® or Zepbound®; A Better Lou is not affiliated with Eli Lilly.

Frequently Asked
Questions

Explore All
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How it works
How do I get started?
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Purchase one of the ABL programs available online or call us on the phone. Once your puchase is complete, a Memebership Care Coordinator will reach out for a welcome call to review your goals, and go over a brief questionnaire.
Do I need to visit a clinic?
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All care is delivered via telehealth from the comfort of your home. This way you never have to visit a clinic. If your plan includes lab work, either a self administered test is mailed to you or a licensed Nurse may come to your home for bloodwork.
Is the plan the same for everyone?
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All clinical recommendations are made individually and tailored to you. Some clients may focus solely on education and lifestyle guidance, while others may qualify for additional medical support.
Where are your services available?
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Services are delivered via telehealth to clients at the time of their appointment.
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Membership & Support
What is included in my program?
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Each program includes physician oversight. Depending on your evaluation, your plan may also include physician-prescribed therapies such as GLP-1s, testosterone support, and other targeted medicines. Every component is tailored to you and monitored throughout your journey. We also offer options for advanced diagnostics, ongoing transformation advisor sessions, telehealth physical therapy, and personalized guidance across nutrition, habits, and performance when appropriate.
Can I cancel?
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Yes. Memberships have a 3-month minimum term; early cancellation during that term is available as described in the Terms & Conditions of Service on this website. After that, your membership is month-to-month and you can cancel anytime by emailing support@abetterlou.com. Cancellation takes effect at the end of your current billing period, with no further charges and no cancellation fee. If your provider determines treatment isn't appropriate for you, you'll receive a refund as described in the Terms & Conditions of Service on this website.
How does support work?
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You will be paired with a dedicated Membership Care Coordinator who you can call, text or email at any time. Additional support may be provided via an ABL physician, transformation advisor, and physical therapist. Support is delivered through telehealth visits, secure messaging, and scheduled check-ins to review progress, adjust your plan, and ensure you stay on track. With your Membership Care Coordinator, you are never left to figure things out on your own.
How do I contact the team?
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You can call or text us anytime at 520-428-5924. You can also reach out through secure messaging in your patient portal or by emailing info@abetterlou.com. Once you become a member, you will have direct communication channels with your whole team.
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Service & Details
Will I know if I’m a good fit before committing?
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Yes. Your journey begins with a welcome call where we review your goals, health history, and expectations. This helps you understand exactly how your program works and whether our approach is appropriate for you. If we are not the right fit, we will tell you upfront.
How soon can I expect to see progress?
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Every member progresses at a different pace. Many people can begin noticing meaningful changes quickly. When prescribed, lab insights and lifestyle guidance, along with medical support, come together to help maximize your progress. Your Membership Care Coordinator is available with any questions you have about weight, energy, and overall wellbeing so that adjustments can be made along the way. The goal is steady, sustainable progress.
Which pharmacy fills prescriptions?
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If a prescription is issued, it is filled and shipped by Medivera Compounding Pharmacy (mediverarx.com), PCAB accredited and LegitScript certified.
How are medications prescribed?
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Medications are considered only after a telehealth evaluation with a licensed clinician. There is no guarantee of medication. All treatment decisions are based on clinical appropriateness for the individual.
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“Without hormone replacement therapy, I would have missed the 7 most amazing years of my life.”
Gary Paulzak
Founder of A Better Lou

Physician-led
hormone and
metabolic care

Take the first step
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Seven more years. On your terms.Seven more years. On your terms.