A couple laughing together on the sofa at home
100% online. 100% private.

Drink less orquit drinking.Without pausing your life.

Physician-led online care designed around your goals, with medication options and support that can evolve with you.

2-Minute Online Assessment No commitment 100% private
Licensed doctorsin all 50 states
Same-day consultationsOften within hours
Discreet deliveryUnmarked packaging
Private & secureFrom start to finish
Our team of physiciansin all 50 states
Mayo Clinic-trainedclinical leadership
70%*less drinking by Day 30
30,000+people helped
4.5 ★★★★★Trustpilot, 300+ reviews
HIPAA secure& private

*Based on model-estimated, self-reported drinking data from a highly engaged observational CYH cohort (N=386). Individual results vary.

A woman on her sofa, starting online from her phone

How Choose Your Horizon works

Start online. A physician builds your plan. Medication, if it’s right for you, arrives discreetly at your door, with coaching and check-ins when you want them.

▶Watch the 45-second overview
Why people choose us

Care that earns the trust it asks for

  • ✓Care led by our own team of physicians
  • ✓Treatment that adapts as your goals and needs change
  • ✓Evidence-based medication, prescribed when appropriate
  • ✓Coaching, health monitoring and progress tracking available
  • ✓Private care designed around your life
★★★★★

“It was really easy to get started, I liked that there was no judgement, it was private, professional and I could choose the level of help I needed without disrupting my life.”

Neil · Verified Trustpilot review · January 2026
Real progress

Less drinking. Fewer heavy days.
More alcohol-free days.

In our highly engaged 90-day observational cohort, self-reported drinking declined early and continued to decline over time.*

  1. Week 1~40%less drinking
  2. Week 250%+less drinking
  3. Day 30~70%less drinking
  4. Day 90~80%less drinking
75%+less likely to have a heavy-drinking dayBy Day 30
Before
After 30 days
Heavy-drinking dayOther day
Change starts early

Many people see meaningful reductions within the first two weeks.

By two weeks, modeled daily drinking was more than 50% lower, reaching approximately 70% lower by Day 30.*

Explore our results →

*Based on an observational analysis of 386 Choose Your Horizon patients with approximately 90 days of follow-up. Drinking outcomes are statistical model estimates based on self-reported drinking data. The analyzed cohort had high engagement and may not represent all CYH patients. No untreated control group was included, and the analysis does not establish that treatment caused the observed changes. Individual results vary. View methodology →

Find the plan that fits your life

Every option includes physician-led care and ongoing support. You start where you like and adjust from there.

Naltrexone HCl on a bedside table in morning light

Essential naltrexone

A simple, proven place to start.

FDA-approved naltrexone helps reduce alcohol cravings and the reward from drinking. Prescribed and monitored by our physicians, with ongoing support when you need it.

Explore naltrexone →
Naltrexone, oral GLP-1 and the at-home blood test kit beside a coaching call on a home desk

The Iceberg Program

More support, working together.

Medication, one-to-one coaching, at-home health testing and progress tracking, all built around you. For people who want a more complete approach to lasting change.

Explore the Iceberg Program →
Oral GLP-1 drops on a kitchen counter in morning light

GLP-1 support

Another option when cravings are hard to shift.

An oral compounded semaglutide option that may help support changes in alcohol cravings and drinking patterns.*

Explore GLP-1 support →

Prescribed off-label. Not FDA-approved to treat alcohol use disorder or reduce alcohol use.

Start with one option. Adjust as your needs change.Your goals and treatment can evolve over time. Our team evolves your care with you.

1Start where you are→ 2Adjust as needed→ 3Keep moving forward
The physicians behind your care

Expert physicians. Actually involved in your care.

Our medical leaders don’t sit on the sidelines. They develop our programs, see patients and help oversee care across Choose Your Horizon.

Dr. Daniel Montville

Daniel Montville, MD

Practicing Psychiatrist · Chief Medical Officer
Mayo Clinic-trained
Psychiatry Addiction medicine

Mayo Clinic-trained psychiatrist specialising in addiction medicine and behavioral health.

Dr. Emill Levasseur Sanchez

Emill Levasseur, MD

Practicing Physician · Senior Medical Advisor
Cornell-trained
Internal & Obesity Medicine
Internal medicine Obesity medicine

Cornell-trained physician with over a decade of experience in internal medicine and behavioral science.

Dr. Jessica Sanchez

Jessica Sanchez, MD

Practicing Addiction Physician · Medical Advisor
University of Minnesota-trained
Addiction medicine Behavioral health

University of Minnesota-trained physician specialising in addiction medicine and patient-centred care.

You're not just another case.You're a person with a plan.
Physician reviewedEvery plan is reviewed and approved by a licensed doctor.
Evidence-based careWe use treatments with real clinical evidence behind them.
Ongoing oversightYour progress is monitored and your plan evolves.
Whole-person supportMedication, coaching and health tracking, together.
From real members

Trusted by people like you.

★★★★★ 4.5 out of 5
Based on 300+ verified Trustpilot reviews.
Read more reviews →
★★★★★

“I was exhausted from feeling like I had to keep starting over. This felt different. It was private, straightforward, and actually fit into my life.”

MichaelVerified Trustpilot review · January 2026
★★★★★

“My goal was never to stop drinking. But the effect of naltrexone is significant. It does reduce and curb the desire to drink.”

DKWVerified Trustpilot review · October 2025
★★★★★

“Danielle and naltrexone were the one-two punch I needed for a reset. The non judgmental environment she creates helped me want to make a change.”

Mark GorenaVerified Trustpilot review · March 2026
Our approach

More than just a pill.

Medication is only one part of the picture. Your physician, coaching, health monitoring and progress tracking work together in one plan that can evolve with you.

Your plan can change with you

Start with the support that feels right today. As your goals, progress or needs change, your physician can adjust your treatment without starting over.

  • 01

    Physicians who know your plan

    Your care is reviewed and managed by our medical team, with ongoing oversight as your needs change.

    A physician on a video consultation
  • 02

    Human support, when you want it

    Work one-to-one with a coach, join group sessions, or get support through the app. Choose what helps and skip what doesn’t.

    A member messaging their coach
  • 03

    Health monitoring from home

    At-home testing helps your physician monitor important health markers and make informed decisions about your care.

    At-home liver test kit
  • 04

    Medication personalized to you

    Access evidence-based medication options prescribed when appropriate, with your treatment adjusted based on your goals and progress.

    Everything that arrives
  • 05

    Progress you can see

    Track drinks, medication, cravings and progress in the app, giving you and your care team a clearer picture of what’s changing.

    Progress charts in the Choose Your Horizon app
★★★★★

“At first I was skeptical with starting something new. I didn't think anything would take the alcohol cravings away. I've now walked through the grocery store w/o needing to stop and get a bottle of wine or a case of beer. I'm 2 months in and alcohol no longer controls every day of my life.”

Amber · Verified Trustpilot review · October 2025
See how Choose Your Horizon compares

More than one approach. One place for your care.

Medication-only programs solve one part of the problem. Coaching-only programs solve another. Choose Your Horizon brings physician-led medical care, medication options and ongoing support together, so your care can evolve with you.

Features that matter Choose Your Horizon Medication-only
programs
Coaching-only
programs
Physician-led treatment plan✓✓–
Multiple medication options✓Limited–
Treatment can evolve with you✓Limited–
1:1 coaching available✓–✓
Progress tracking & ongoing support✓LimitedLimited
At-home health monitoring available*✓Rare–
Drink less or quit, you choose✓VariesVaries
Why people choose Choose Your Horizon

Instead of asking you to choose between medication or coaching, we combine physician-led medical care, evidence-based medication when appropriate, coaching, and progress tracking into one program that can evolve with you. Some people begin with medication alone. Others benefit from coaching or additional treatment over time. Your physician helps determine the right level of support based on your goals.

30,000+people supported
4.5 ★on Trustpilot · 300+ reviews

*When included in your program or recommended by your physician.

Questions

Questions people ask before getting started

Why choose Choose Your Horizon over another online alcohol program?

Many online programs stop at a prescription or focus on coaching alone. Choose Your Horizon was built to bring those pieces together.

Every treatment plan is reviewed by a licensed physician and personalized around your goals. If medication is appropriate, your physician reviews your selected treatment for medical appropriateness and may discuss other options based on your health, goals and response to treatment.

Beyond medication, you have access to coaching, progress tracking, and ongoing clinical support that can adapt as your needs change. You can start with a simple medication plan and add more support over time, or begin with a more comprehensive program from day one.

Our goal isn’t simply to prescribe medication. It’s to help you build lasting change with a treatment plan designed around your life.

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Watch the answer0:47
Do I have to quit drinking completely?

No.

Many people come to Choose Your Horizon because they want to drink less, not necessarily quit altogether. During your consultation, your physician will discuss your goals and recommend a treatment plan that’s appropriate for you.

Some people choose moderation. Others eventually decide they’d rather stop drinking completely. Both are valid paths, and your plan can evolve as your goals change.

Our focus is helping you make healthier, more sustainable progress, not forcing a one-size-fits-all outcome.

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Watch the answer0:37
How does treatment actually help me drink less?

Medication can play an important role in changing drinking patterns, but lasting change can involve more than a prescription.

That’s why Choose Your Horizon combines physician-led care with behavioral support, coaching, progress tracking, and ongoing clinical oversight. Your physician follows your progress over time and your treatment can evolve if your needs change.

Think of medication as one part of a larger plan, not the entire solution.

▶
Watch the answer0:34
Which treatment or program is right for me?

That depends on your goals, your health history, and how much support you’re looking for.

Many people begin with our Essential program, which includes physician care and medication when appropriate.

Others choose the Iceberg Program for additional coaching, progress tracking, liver health monitoring, and more comprehensive support.

For some patients, your physician may recommend additional evidence-based treatment options, including GLP-1 medications when clinically appropriate.

You choose where to start. Your physician confirms that your selected treatment is medically appropriate, and your plan can change over time based on how you’re responding.

▶
Watch the answer0:39
Can GLP-1 medications help with alcohol cravings?

Early research is exploring whether GLP-1 medications may affect alcohol cravings and drinking behavior, but the science is still emerging.

Choose Your Horizon offers compounded semaglutide in an oral form that may be prescribed when a licensed physician determines it is medically appropriate. No semaglutide product is FDA-approved to treat alcohol use disorder or reduce alcohol use, so this use is off-label.

Published alcohol-related research has primarily studied other formulations, including FDA-approved injectable semaglutide, and those findings may not apply to compounded oral semaglutide.

▶
Watch the answer0:27
Will I actually have a doctor involved in my care?

Yes.

Every treatment plan is reviewed by a licensed physician. Depending on your treatment and the requirements in your state, your consultation may take place through a secure online medical assessment or a live video visit.

Either way, a physician reviews your health information, confirms that your selected treatment is medically appropriate, and prescribes medication when appropriate.

Your care doesn’t stop after approval. Your treatment can be reviewed and adjusted over time based on how you’re responding and whether your goals or needs change.

This is physician-led healthcare, designed to fit into real life.

▶
Watch the answer0:40
Is Choose Your Horizon private and discreet?

Absolutely.

Everything happens online from the privacy of your home. There are no waiting rooms, no in-person clinic visits, and medications arrive in discreet packaging.

Your care is protected using the same privacy standards expected of modern healthcare providers, so you can focus on your health, not on worrying about who might know.

▶
Watch the answer0:33
How quickly could I start noticing a difference?

Everyone’s experience is different, but our observational patient data shows meaningful changes can begin within the first few weeks.

In a highly engaged 90-day cohort of 386 Choose Your Horizon patients, modeled self-reported drinking was:

  • 50%+ lower within two weeks*
  • ~70% lower by Day 30*
  • ~80% lower by Day 90*

Patients were also 75%+ less likely to have a heavy-drinking day by Day 30.*

The goal isn’t a quick fix. Your treatment can evolve over time as you learn what works for you.

*Based on an observational analysis of 386 CYH patients with approximately 90 days of follow-up. Outcomes are statistical model estimates based on self-reported drinking data. No untreated control group was included. The highly engaged analyzed cohort may not represent all CYH patients. Individual results vary.

▶
Watch the answer0:32
What happens after I get started?

Getting started takes just a few minutes.

You’ll complete a private online medical assessment. A licensed physician will review your information and selected treatment. Depending on your treatment and state requirements, your consultation may be completed through the secure online assessment or a live video visit.

If medically appropriate, your physician can prescribe treatment and your medication is delivered discreetly to your home.

Your treatment doesn’t end after one appointment. That’s when it begins.

▶
Watch the answer0:42
How much does treatment cost?

Treatment starts with a $49 physician evaluation.

If you’re medically approved, the cost depends on the treatment and level of support you choose. Our Essential plan starts at $267 per quarter, while our most comprehensive plans can cost up to $499 per month.

You’ll see exactly what’s included and what you’ll pay before completing your purchase. There are options ranging from straightforward medication treatment to more comprehensive care with additional support, coaching and health monitoring.

▶
Watch the answer0:50
In your pocket

Your progress, in your pocket.

A 20-second daily check-in helps you track drinking, cravings and how you’re feeling. Your care team can use that progress to help guide your plan over time.

4.8 on the App Store
Daily check-insCraving tracking Message your coach
The Choose Your Horizon app

Start where you are, today

Tell us where you are and where you’d like to go. It takes about two minutes, it’s completely private, and there’s no commitment.

Start Assessment