| Who decides you should take it | An MDCN-registered doctor, after reading your history | Nobody. You decide, they ship | A doctor, after you have taken a morning off | Nobody — they dispense what you bring |
| Where the medicine came from | PCN-registered pharmacy, NAFDAC-compliant stock, batch and expiry on your delivery note | Unverifiable. This is how counterfeit GLP-1 gets into the country | Usually traceable, occasionally not | Traceable if it is a registered pharmacy |
| Kept at 2–8 °C in transit | Insulated box, gel packs, and a strip you check at your door | A padded envelope on a bike in 33 °C | You carry it home yourself | You carry it home yourself |
| What happens when week five is rough | You message your doctor. Dose held, ondansetron added, no fee | You are on your own, or you Google it | Another appointment, another fee | Nothing. There is no follow-up to have |
| What it costs to ask a question | ₦0, unlimited | Nothing, but nobody qualified answers | A repeat consultation fee | Not applicable |
| If something goes wrong | Vial replaced at our cost. Refuse the parcel if the strip tripped | The account is deleted and you have no recourse | You go back in person | No returns on prescription medicine, anywhere |
| What you pay | One published figure, everything included, unchanged as your dose rises | Cheaper — which should worry you more than it does | Consultation, then medication at a markup | Medication only, at whatever this week's price is |