ZYP Medical is a direct-pay telehealth and in-office clinic offering medical weight loss (GLP-1 therapy — compounded semaglutide, tirzepatide, and tirzepatide ODT), men's health and testosterone replacement therapy (TRT), virtual urgent care, NAD+ therapy, peptide therapy, and therapeutic phlebotomy. We also handle prescription refills for established patients.

Weight Loss TRT Urgent Care NAD+ Peptides Phlebotomy

What makes ZYP Medical different from other weight loss and men's health clinics in Omaha, Gretna, and online?

We don't spend money chasing attention, and we don't do sales pitches or push anyone into a treatment plan. People choose ZYP because we're genuine, realistic, and transparent — and because we put patient care ahead of profit.

Compared with national telehealth brands and franchised weight loss and low-T clinics in the Omaha metro, ZYP is a single-provider, direct-pay practice. You work with Josh Peterson, FNP-C every time — no rotating clinicians, call centers, or chatbots. Pricing is published up front, there are no membership fees and no insurance required, weight loss consults are free, and you can text your provider directly.

We're based in Gretna, Nebraska and serve patients in person across Omaha, Bellevue, Papillion, La Vista, Elkhorn, Lincoln, and Sarpy and Douglas counties, plus telehealth for medical weight loss (semaglutide and tirzepatide) across Nebraska, Iowa, South Dakota, Minnesota, Kansas, Colorado, and Arizona, and testosterone replacement therapy (TRT) in Nebraska, Iowa, and Arizona.

Omaha Weight Loss Omaha TRT Virtual Urgent Care

Do I need insurance to use ZYP Medical?

No. ZYP is a direct-pay, cash-pay practice — no insurance needed. Pricing is transparent and published up front, which is how we keep costs low and care personal. We accept credit/debit cards and HSA/FSA.

What states does ZYP serve?

Weight loss & urgent care (telehealth): Nebraska, Iowa, South Dakota, Minnesota, Kansas, Colorado, and Arizona.

Men's health / TRT: Nebraska, Iowa, and Arizona only — because testosterone is a controlled substance requiring DEA licensure in the patient's state.

In person: at our Gretna, Nebraska clinic near Omaha.

How much does a consultation cost?

Weight loss consults are completely free, with no commitment to start a treatment plan. We value education and transparency before anyone makes a decision about their treatment and health care, so you get real time with your provider, honest answers, and clear pricing first. Choose a 60-minute virtual consult, or a 30-minute power consult if you already have experience with GLP-1 therapy.

Men's health and TRT consults are $50 and are applied to your total lab costs (lab costs vary based on the panel and tests ordered).

A consult does not guarantee a prescription — medication is prescribed only when clinically appropriate.

How much are ZYP's treatment plans?

Weight loss: we keep costs as low as possible to help patients stay on track and hit their goals. Compounded semaglutide starts at $150/month, and compounded tirzepatide is as low as $216/month for the first 3 months of treatment. Medication is included in the monthly price; final pricing depends on your prescribed dose.

TRT: starting at $129/month for testosterone therapy, with an all-inclusive Elite plan for men who want everything bundled. Pricing is transparent with no hidden fees.

How do virtual appointments work?

Virtual visits are secure telehealth video or phone consultations with Josh Peterson, FNP-C. After booking, you'll get instructions for your visit and complete an intake form that your provider reviews in advance — so the appointment focuses on you. We often have same-day or next-day availability.

Do you prescribe controlled substances (like TRT) over telehealth?

Testosterone is a Schedule III controlled substance, and ZYP holds DEA licensure to prescribe it only in Nebraska, Iowa, and Arizona. We follow all federal and state requirements for controlled-substance prescribing, including required evaluation. We do not prescribe controlled substances outside those states or outside a proper clinical evaluation.

Can I cancel anytime? Am I locked into a contract?

No contracts — you can cancel anytime and you're never locked in. The men's health consult fee is not refundable once that visit has been completed, since it covers the provider's clinical time.

Where are you located, and who is the provider?

Our clinic is at 11922 Standing Stone Dr, STE 200, Gretna, NE 68028 — just outside Omaha, convenient to Bellevue, Papillion, La Vista, and the rest of Sarpy County. Care is provided by Josh Peterson, FNP-C, a board-certified Family Nurse Practitioner who offers personalized, one-on-one care with direct text access.

Important Disclaimers

When to go to the Emergency Room

ZYP Medical is not equipped for emergencies. If you are experiencing any life-threatening symptoms, go to your nearest emergency room or call 911 immediately.

Seek emergency care immediately if you experience:

Chest pain or pressure, or suspected heart attack
Severe difficulty breathing or shortness of breath
Uncontrolled bleeding or severe burns
Sudden weakness, numbness, or stroke symptoms (facial drooping, arm weakness, speech difficulty)
Severe abdominal pain
Loss of consciousness or altered mental status
Severe allergic reaction (anaphylaxis)
Seizures (first-time or prolonged)
Thoughts of harming yourself or others

Scope of care: ZYP treats non-emergent, minor medical issues, medical weight loss, men's health, and general health consultations. We cannot treat acute emergencies or conditions requiring immediate, intensive intervention. When in doubt, always err on the side of caution and seek emergency care.

Chronic conditions — care limitations

ZYP specializes in non-emergent, minor medical issues, medical weight loss, men's health, and general consultations. Our services are not designed to manage chronic conditions requiring ongoing, intensive monitoring. Exception: we do provide long-term management for medical weight loss and TRT when clinically appropriate.

If you have conditions such as diabetes, uncontrolled hypertension, heart disease, kidney or liver disease, or autoimmune disorders, please establish care with a specialist or primary care physician for comprehensive ongoing management. ZYP is ideal for minor acute conditions like cold and flu symptoms, minor infections, non-severe allergic reactions, and minor skin conditions or injuries.

Questions about whether we can treat your condition? Contact us at (402) 407-2847 or info@zypmed.com before scheduling.

Weight-loss medication disclaimer

Compounded medications: Compounded semaglutide and tirzepatide are NOT FDA-approved and are prescribed off-label, when clinically appropriate, by a licensed provider through licensed compounding pharmacies. FDA-approved brand-name GLP-1 medications are recommended as first-line treatment when available and covered.

Individual results vary: Effectiveness depends on health conditions, metabolism, adherence, diet, exercise, genetics, and other factors. ZYP does not guarantee any specific weight-loss outcome, and some patients experience weight regain after stopping therapy.

Risks & side effects: Common effects include nausea, vomiting, diarrhea, constipation, abdominal pain, headache, and fatigue. More serious risks may include pancreatitis, gallbladder disease, kidney problems, low blood sugar, and thyroid tumors. GLP-1s are contraindicated in patients with a personal or family history of medullary thyroid carcinoma or MEN-2, and in pregnancy or breastfeeding.

Ongoing care: Regular follow-up and monitoring are required for safe, effective treatment, and medications work best alongside diet, activity, and behavioral changes. Not all patients qualify. Medication costs are typically not covered by insurance; pricing is transparent and discussed before treatment.

Men's health & testosterone therapy (TRT) disclaimer

Controlled substance: Testosterone is a Schedule III controlled substance. ZYP can prescribe TRT only in states where it holds DEA licensure — Nebraska, Iowa, and Arizona — and only following required evaluation through licensed pharmacies.

Off-label use: TRT may be prescribed off-label for age-related testosterone decline and is not FDA-approved for low-normal testosterone. FDA approval is limited to diagnosed hypogonadism from specific medical conditions. Treatment decisions are individualized based on symptoms, labs, history, and overall health.

Required evaluation: Before starting, patients undergo medical history review, evaluation, and lab testing (including total and free testosterone, CBC, comprehensive metabolic panel, lipids, and PSA for men over 40).

Risks & side effects may include cardiovascular events, polycythemia (elevated red blood cell count), worsening sleep apnea, infertility and testicular atrophy, gynecomastia, mood changes, acne, and prostate effects. TRT is contraindicated in men with prostate or breast cancer, uncontrolled heart failure, untreated severe sleep apnea, high red blood cell count, or who are trying to conceive.

Ongoing monitoring with regular labs is mandatory for safe therapy, and discontinuation may require supervision. Individual results vary, and ZYP does not guarantee specific outcomes. TRT is typically not covered by insurance; pricing starts at $129/month.

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© 2026 ZYP Medical, LLC. All rights reserved. Telehealth weight loss and urgent care across NE, IA, SD, MN, KS, CO & AZ; testosterone therapy in NE, IA & AZ. The information on this website is for general informational purposes and is not a substitute for professional medical advice, diagnosis, or treatment — always talk with your healthcare provider about your health.

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