TrimRx Weight Loss Reviews – Oral GLP-1 Options With Alarming BBB Record

TrimRx (trimrx.com) is a San Diego-based telehealth provider offering both injectable and oral GLP-1 medications for weight loss. At $199/month for injectable semaglutide and $179/month for oral semaglutide, the pricing is significantly higher than top competitors. The oral semaglutide option is a genuine differentiator for needle-averse patients. However, 100 BBB complaints in just 12 months, a devastating 1.08/5 BBB customer rating, and a highly polarized Trustpilot profile (3.5/5 with 62% five-star but 25% one-star reviews) paint a troubling picture. Here's our complete analysis.

What Is TrimRx?

TrimRx is a telehealth weight loss platform based in San Diego, California that provides prescription GLP-1 medications in both injectable and oral forms. Their model includes an app with step-by-step guidance and reminders, and they offer a 3-month results guarantee promising a 100% refund of medication costs if you follow the plan and don't see results. The company became BBB-accredited in June 2025.

What makes TrimRx stand out is their oral medication options. While most GLP-1 telehealth providers only offer injectable semaglutide and tirzepatide, TrimRx provides oral semaglutide at $179/month and oral GLP-1+GIP (tirzepatide) at $330/month. For patients who are needle-averse, this is a meaningful differentiator that few competitors offer.

TrimRx also offers brand-name medications including Ozempic, Wegovy, Mounjaro, and Zepbound—though at premium prices that most patients won't find affordable. The app-based guidance system and results guarantee add to the service offering, at least on paper.

What They Offer

• Injectable Semaglutide starting at $199/month
• Oral Semaglutide at $179/month
• Injectable GLP-1+GIP (Tirzepatide) at $349/month
• Oral GLP-1+GIP at $330/month
• Brand-name options: Ozempic ($1,149/mo), Wegovy ($1,579/mo), Mounjaro/Zepbound ($1,249/mo)
• GLP-1 Daily Support supplement at $119/month
• Weight Loss Boost supplement at $149/month
• 3-Month Results Guarantee — 100% medication refund if following the plan
• App with step-by-step guidance and medication reminders
• Promotional first month: $199 (regularly $349)

TrimRx Pricing

TrimRx's pricing is notably higher than the market leaders. At $199/month for injectable semaglutide, you're paying double what CoreAge Rx charges at $99/month. That's an extra $1,200 per year for a comparable compounded semaglutide injection.

The oral semaglutide at $179/month is an interesting value proposition for needle-averse patients, since it's actually $20/month cheaper than TrimRx's own injectable option. However, it's still $80/month more than CoreAge Rx's injectable semaglutide at $99/month. Patients comfortable with injections will find much better value elsewhere.

The add-on supplements at $119/month and $149/month are particularly concerning. BBB complaints reference unexpected charges, and it's worth questioning whether these supplements are being added to orders without clear consent. At those prices, they nearly double the monthly cost of treatment.

My Experience With TrimRx

I investigated TrimRx to evaluate whether their oral GLP-1 options and results guarantee justify the premium pricing. The experience was mixed at best.

Sign-Up Process

The sign-up process funnels you through their website into a consultation flow. The app-based system provides step-by-step guidance and medication reminders, which is a nice touch. However, the promotional pricing structure is confusing—$199 for the first month sounds appealing until you realize the regular price jumps to $349/month for the GLP-1+GIP option. This kind of pricing bait-and-switch is a common complaint in BBB reviews.

The variety of plan options—injectable semaglutide, oral semaglutide, injectable tirzepatide, oral tirzepatide, plus brand-name alternatives and supplement add-ons—can feel overwhelming. While having choices is generally positive, the sheer number of pricing tiers and add-ons creates opportunities for confusion, especially when combined with promotional discounts that expire after the first month.

Customer Support — A Major Problem

This is where TrimRx falls apart. BBB complaints overwhelmingly cite an inability to reach a real person. Customers report being stuck in automated loops, receiving no response to emails, and waiting weeks for resolution on billing disputes. When you have 100 BBB complaints in just 12 months—all centered around the same issues—this isn't an isolated problem. It's a systemic failure.

The 3-month results guarantee sounds reassuring, but it becomes meaningless if you can't reach anyone to process the refund. Multiple customers report being unable to cancel their subscriptions or get refunds despite following the stated process. The guarantee is only as good as the company's willingness and ability to honor it.

Billing Issues

Billing problems are the single most cited issue in TrimRx's BBB complaints. Customers report unexpected charges, difficulty understanding what they're being billed for, automatic renewals they didn't authorize, and an inability to cancel recurring payments. Some describe being charged for supplements or services they never agreed to. This pattern is deeply concerning and suggests either deliberately misleading billing practices or dangerously inadequate billing systems.

The combination of confusing pricing tiers, promotional-to-regular price jumps, and expensive supplement add-ons ($119-$149/month each) creates a billing environment ripe for disputes. When you layer in the inability to reach customer service to resolve these issues, patients can feel trapped—being charged amounts they don't understand with no way to get answers or cancellations processed.

Pros and Cons

Is TrimRx Legit?

TrimRx is a real company that delivers real medication, but their business practices raise serious concerns. They are BBB-accredited (since June 2025) and operate out of San Diego, California. The medications they provide are legitimate GLP-1 prescriptions. On Trustpilot, 62% of their 569 reviews are five-star, indicating that a majority of customers do have positive experiences with the actual medication and weight loss results.

The positive Trustpilot reviews consistently mention effective medication, weight loss results, and smooth initial experiences. The negative reviews consistently mention billing, customer service, and cancellation. This suggests TrimRx's core medical product works—it's the business operations surrounding it that are failing customers.

However, "legit" means more than just delivering medication. The BBB record is alarming: 100 complaints filed in just 12 months, with a customer review rating of 1.08 out of 5 based on 51 reviews. The BBB has TrimRx "under review" rather than rated. The complaints paint a consistent picture of billing problems, unreachable customer service, unauthorized charges, and cancellation difficulties.

The Trustpilot profile is highly polarized—a 3.5/5 average with very little middle ground. Customers either love TrimRx (62% five-star) or have terrible experiences (25% one-star). This kind of polarization typically indicates inconsistent service delivery: when things go right, they go very right; when things go wrong, there's no safety net.

• BBB-accredited since June 2025, but under review (not rated)
• 100 BBB complaints — all filed within the past 12 months
• 1.08/5 BBB customer rating — among the worst we've reviewed
• 3.5/5 Trustpilot with 569 reviews — highly polarized distribution
• San Diego, California based — real physical business location
• Delivers legitimate GLP-1 medications — compounded and brand-name

Who Is TrimRx Best For?

TrimRx's only compelling use case is for patients who specifically need oral GLP-1 medications. If you are needle-averse and absolutely cannot do injections, TrimRx's oral semaglutide ($179/month) and oral GLP-1+GIP ($330/month) options are rare in the telehealth market. For this specific subset of patients, TrimRx fills a gap that most competitors don't address. The oral formulation removes the biggest barrier many people face with GLP-1 treatment.

Patients who value having brand-name medication options (Ozempic, Wegovy, Mounjaro, Zepbound) may also find TrimRx useful, though the premium prices ($1,149-$1,579/month) put these options out of reach for most people. The app-based guidance could benefit patients who want more structure in their weight loss journey.

For everyone else, there are better options. The injectable semaglutide at $199/month is exactly double CoreAge Rx's $99/month price with no clear quality advantage. The billing issues and customer service problems documented in 100 BBB complaints make TrimRx a risky choice when reliable alternatives exist at lower prices.

TrimRx is not the best fit if: You want the best value (CoreAge Rx is half the price), you value responsive customer service, you want billing transparency, or you need to be confident you can cancel without difficulty. The 3-month guarantee sounds attractive but is undermined by the documented inability to reach customer support.

Final Verdict: Is TrimRx Worth It?

TrimRx has appealing features on paper but a deeply troubling track record in practice. The gap between what TrimRx promises and what many customers actually experience is wider than any other provider we've reviewed.

The oral GLP-1 options are genuinely differentiating—few telehealth providers offer oral semaglutide or oral tirzepatide, and these are valuable for needle-averse patients. The 3-month results guarantee, app-based guidance, and brand-name medication availability round out what should be a competitive offering.

But the reality doesn't match the promise. One hundred BBB complaints in 12 months is an extraordinary volume for a company this size. A 1.08/5 BBB customer review rating is among the worst we've seen in the GLP-1 provider space. The consistent themes—unreachable customer service, billing surprises, cancellation nightmares—suggest structural problems, not isolated incidents. The Trustpilot profile confirms this: 62% love it, 25% hate it, with very little in between.

At $199/month for injectable semaglutide—exactly double CoreAge Rx's $99/month—TrimRx doesn't offer enough added value to justify the premium. The oral semaglutide at $179/month is the one area where TrimRx genuinely has something competitors lack, but even that advantage is dampened by the operational issues surrounding it.

My recommendation: Unless you specifically need oral GLP-1 medications and cannot find them elsewhere, skip TrimRx. CoreAge Rx offers injectable semaglutide at $99/month—half the price—with consistent service and without the billing horror stories. The oral option is appealing, but the risk of billing problems, unreachable support, and cancellation difficulties makes CoreAge Rx the safer, smarter choice.

The Bottom Line

TrimRx offers unique oral GLP-1 options that needle-averse patients will appreciate, but 100 BBB complaints in 12 months, a 1.08/5 customer rating, and widespread billing and service issues make it impossible to recommend over CoreAge Rx at $99/month. The 3-month guarantee means nothing if you can't reach anyone to claim it. If you're comfortable with injections, CoreAge Rx delivers better value at half the price with far less risk. If you need oral options, proceed with TrimRx cautiously and monitor your billing statements closely.