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A couple laughing over a picnic at a clifftop overlook at sunset
Iceberg Program

More than a prescription. A complete plan for changing your drinking.

Drink less or quit with a personalized plan that brings medication, medical care, coaching and health monitoring together, with the flexibility to change your level of support over time.

$34 $49 Save 30%

Private doctor evaluation fee.

2-Minute Online Assessment No commitment 100% private
Our physiciansLicensed in all 50 states
1:1 coachingReal human support
Health monitoringTrack your progress
100% Private& Confidential
LegitScript Approved LegitScriptVerified healthcare merchant
4.5 ★★★★★300+ Trustpilot reviews
Drinking isn’t always the whole story

What you see is only the tip of the iceberg.

Drinking is the part you can see. But what happens around it can be shaped by cravings, habits, stress, sleep, social situations and your health.

The Iceberg Program looks at the whole picture, so your care can address more than the number of drinks.

Above waterWhat you see: drinking, cravings, heavy-drinking days.
Below waterWhat can influence it: stress, habits and routines, triggers, sleep, social situations, health, goals.
What you see DrinkingCravingsHeavy-drinking days What can influence it StressHabits & routinesTriggers SleepSocial situationsHealth Goals
One connected plan

Treat the whole picture. Not just the drinking.

Iceberg brings medical treatment, behavioral support, health monitoring and progress tracking together in one personalized plan.

A physician in a bright clinic room

Physician-led care

Get a treatment plan built around your drinking, health and goals, with ongoing medical oversight.

Naltrexone bottle on a side table at home

Medication options

Reduce cravings and heavy drinking with treatment selected for your individual needs.

A woman at home on a video session with her coach

1:1 coaching

Understand your patterns, navigate triggers and build changes that work in real life.

The at-home blood test kit on a side table

Health monitoring

See how selected health markers are changing, not just how much you’re drinking.

The Choose Your Horizon app showing progress over time

Progress tracking

See your progress over time and use it to help guide what comes next.

Personalized treatment

Start with what fits. Adjust when you need to.

You don’t have to commit to the highest level of care from day one. Start with the treatment and support that fit your goals today, then level up or down as your needs change. Your physician reviews your health and medication selection to make sure treatment is medically appropriate.

  • Start where it fits todayPick the treatment and support that match your goals right now.
  • Level up or step downChange your level of support as your needs change, without starting over.
  • Physician-reviewedYour physician confirms your selected treatment is medically appropriate before anything starts.
Your level of care
  1. Essential

    Start simple.

    Medication-focused treatment for people who want a straightforward place to begin.

    Explore Essential →
  2. All Access

    The complete Iceberg experience.

    Our most comprehensive level of care. Start with naltrexone, with the ability to move to GLP-1 treatment when medically appropriate, alongside 1:1 coaching, health monitoring and progress tracking.

    $499/month Explore All Access →
  3. Coaching

    Keep the support.

    Continue working on habits, triggers, routines and long-term change without medication when that’s the level of support you want.

    Explore Coaching →
Get more support when you need it. Less when you don’t.
Real life

What changing your drinking can look like.

A woman unwinding on the sofa at the end of the day

A stressful day without automatically reaching for a drink.

Friends laughing over dinner, sparkling water on the table

Dinner out without losing track of your goal.

A couple at a Saturday farmers market

A weekend that doesn’t revolve around alcohol.

A man lacing up running shoes at sunrise

Getting back on track after a difficult day.

Medication options

Treatment that can change with you.

Medication isn’t necessarily a one-time decision. Depending on your response and medical eligibility, your treatment may evolve over time.

Choose Your Horizon naltrexone tablets

Naltrexone

FDA-approved

An established FDA-approved medication used to treat alcohol use disorder.

Learn about naltrexone →
Choose Your Horizon oral GLP-1 drops

GLP-1 Support

Off-label · compounded

Compounded oral semaglutide may be prescribed off-label when medically appropriate.

Not FDA-approved to treat alcohol use disorder. Compounded medications are not FDA-approved. Learn about GLP-1 support →
Naltrexone tablets and oral GLP-1 drops together

Combination Treatment

When appropriate

For some patients, a physician may determine that naltrexone and GLP-1 treatment can be used together.

Your physician determines what’s appropriate for you. How it’s decided →
Medication is one part of your plan.

Your physician decides what’s appropriate based on your health history, goals and response to treatment.

Compare medication options →

All medications are prescribed based on a physician’s evaluation of your health history and needs.

Two women talking over coffee at a sunlit kitchen table
Support for real life

Medication can change the pull. Coaching helps change the pattern.

Our coaches work with you on the real-world situations that influence your drinking, from social settings and stress to routines, relationships and setbacks.

  • Identify and manage triggers
  • Build healthier routines
  • Stay accountable
  • Navigate challenging situations
  • Support for long-term change
The Choose Your Horizon at-home health monitoring kit
Health monitoring

Your drinking can change. Your health can tell another part of the story.

At-home testing gives you and your clinician visibility into selected liver and metabolic health markers, helping you understand what’s happening beyond the number of drinks.

  • 1
    Understand your starting pointSee selected health markers related to your overall health.
  • 2
    Track change over timeRepeat testing can help show how those markers are changing.
  • 3
    Review it with your clinicianYour results become another piece of information your care team can use.
Your Iceberg plan

Start with where you are. Build from there.

01

Tell us about yourself

Share your goals, drinking patterns and health history.

02

Choose where to start

Select the treatment and level of support that best fit what you’re looking for today.

03

Your physician reviews your treatment

A licensed physician reviews your health information and confirms whether your selected medication treatment is medically appropriate.

04

Start and track

Begin treatment and use the coaching, health monitoring and progress tools included with your plan.

05

Adjust when you need to

Level up, step down or change your treatment as your needs evolve.

Private · Takes about 2 minutes · No commitment

Who the Iceberg Program is for

You don’t have to hit rock bottomto want something different.

Maybe you want to drink less. Maybe you’ve tried before. Maybe you’re not even sure what your goal should be yet. Iceberg meets you there.

Hands holding a phone at a sunlit kitchen table, with a test kit and notebook nearby
Different tools. One connected plan. Start, track, learn, adjust, keep going.
A man at a backyard dinner raising a glass of sparkling water with friends

“I want to drink less.”

Get more control without making abstinence the only measure of success.

A woman lacing up her running shoes on her front step at dawn

“I’ve tried before.”

Add medical treatment and support instead of relying on willpower alone.

A man making tea in a bright kitchen in the evening

“I think I may want to quit.”

Build a plan around stopping, with medical and behavioral support.

A woman on her sofa with a notebook and tea, thinking

“I’m not sure yet.”

Start with a conversation. Your goal doesn’t have to be decided on Day 1.

An integrated approach. Support that works together.

Different tools, one clinical team, one connected plan.

Start Assessment
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 →

Real medical care

Your care is led by practicing physicians.

Iceberg isn’t a coaching program with medication added on. Your treatment is built and overseen by licensed medical providers, with clinical leadership across addiction medicine, psychiatry, internal medicine and obesity medicine.

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.

Why the Iceberg Program

One piece can help. Iceberg connects the pieces.

Medication can address cravings. Coaching can address patterns. Health monitoring can give you more information. Iceberg brings them together around one goal: helping you change your relationship with alcohol.

Features that matter Choose Your Horizon Medication-only
care
Coaching-only
care
Physician-led treatment plan✓✓–
Multiple medication options✓Limited–
Treatment can evolve with you✓Limited–
1:1 coaching available✓–✓
At-home health monitoring✓Rare–
Progress tracking & ongoing support✓LimitedLimited
Care in one system✓––
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 health monitoring into one program that can evolve with you. Your physician helps determine the right level of support based on your goals.

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

People just like you.

Different starting points. One connected plan.

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

“AA meetings never worked for me. Choose Your Horizon offered a wide variety of options. Liver test, coaching one on one, and what most amazed me is the naltrexone pill, which is a life changing drug! Finally I have a sober head and clear thinking. ONLY 2 months changed my relationship with alcohol.”

Marianna TuraiVerified Trustpilot review · August 2026
★★★★★

“My goal was to reduce my drinking to one or two drinks per day, and I’ve reached that goal over the past two months. That’s a significant reduction. The CYH program interacts with me daily, keeping me on target, encouraging me, and offering skilled live counseling. If you want to reduce—or quit—drinking, this program will help if you stick with it.”

Dr. Bill CreasyVerified Trustpilot review · September 2026
★★★★★

“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
★★★★★

“In my case my physician was very attentive, listened to what my goals were and the timeline I was working with, and made recommendation based on that. Regular follow-up was also great! The support team was also very attentive, and extremely quick at resolving any issues/questions I had.”

RASVerified Trustpilot review · July 2026
★★★★★

“The meds you sent me are helping to squash the cravings. Even in Vegas for a week and stayed sober! I do think about alcohol sometimes... but remember how my 90 days of sobriety has played out. I’m PRESENT!! If I can do it anyone can. I promise you life will change. Relationships will change... for the very best. I promise!”

DebbieVerified Trustpilot review · March 2026
★★★★★

“Absolutely an amazing experience, very informative when or if you have any questions. I recommend the program to anyone and everyone I can. It’s life changing.”

C DVerified Trustpilot review · January 2025
Common questions

Straight answers about the Iceberg Program.

What is the Iceberg Program?

The Iceberg Program is Choose Your Horizon’s comprehensive approach to changing your relationship with alcohol. It brings together physician-led medical care, medication options, 1:1 coaching, health monitoring and progress tracking in one connected program.

The idea behind Iceberg is simple: drinking is the part you can see, but cravings, habits, routines, health and everyday situations can all influence what happens next. Iceberg gives you more tools to work on the whole picture, not just the number of drinks.

Do I have to quit drinking to join?

No. Your goal does not have to be complete abstinence.

Some people start because they want to drink less, have fewer heavy-drinking days or feel more in control. Others want to take a break from alcohol or quit completely.

You choose the goal that makes sense for you, and that goal can change over time.

What medications are available?

Choose Your Horizon offers several treatment approaches, including naltrexone, GLP-1 support and combination treatment.

You choose the starting plan that best matches what you’re looking for. A licensed medical provider then reviews your health information and confirms whether your selected medication is medically appropriate before prescribing.

Naltrexone is FDA-approved for alcohol use disorder. GLP-1 medications are being studied for their potential effects on alcohol cravings and consumption. Their use for alcohol is off-label and is not FDA-approved for alcohol use disorder.

How do I choose which treatment to start with?

You can compare the available treatment options and choose the plan that feels like the best fit for your goals.

Once you’ve selected a plan, you’ll complete a medical assessment. A licensed provider reviews your health history and eligibility before any medication is prescribed.

And your first choice doesn’t have to be permanent. If your needs change or you’re not getting the results you want, you can discuss other treatment options with your care team.

Can I switch treatments if my first choice isn’t working for me?

Yes. You choose where you want to start, but you’re not locked into that choice.

If you’re not getting the results you hoped for, you can talk with your care team about your options. Depending on your response, health and clinical needs, that could include adjusting your dose or switching to another treatment approach when medically appropriate.

The goal is to find what works for you, not keep you on the plan you happened to choose on Day 1.

Can my treatment change over time?

Yes. Iceberg is designed to evolve with you.

Your drinking, goals and response to treatment can change. Your care can change too. Depending on your progress and medical needs, your treatment may include dose adjustments, a different medication approach or changes to the support around your treatment.

Start with what fits today. Adjust as you learn what works.

What if medication alone isn’t enough?

That’s one of the reasons we created Iceberg.

Medication can help with cravings and the effects of alcohol, but drinking can also be influenced by habits, stress, routines, social situations and other parts of everyday life.

Iceberg can bring together medication with 1:1 coaching, health monitoring and progress tracking, giving you additional support around the parts of changing your drinking that a prescription alone may not address.

What’s included in 1:1 coaching?

Coaching helps you put the changes you’re making into practice in everyday life.

Your coach can help you understand your drinking patterns and triggers, navigate social situations, build healthier routines, set realistic goals, stay accountable and get back on track when things don’t go as planned.

It’s practical, personalized support built around your life and your goals.

What does health monitoring include?

Depending on your plan, at-home health testing may be available to give you and your care team additional information about selected liver and metabolic health markers.

You collect a small sample at home and receive your results securely online. This gives you another way to understand what’s happening with your health alongside changes in your drinking.

Health testing isn’t intended to diagnose every liver or metabolic condition, and your clinician may recommend additional testing or medical care when appropriate.

How do I track my progress?

Choose Your Horizon makes it easy to check in on your drinking and see how your patterns change over time.

Progress doesn’t have to mean simply “drinking” or “not drinking.” It can mean fewer drinks, fewer heavy-drinking days, more alcohol-free days and greater control over your drinking.

Tracking those changes can also help you and your care team understand what’s working and whether your plan needs to change.

Will I actually speak with a medical provider?

Yes. Your medical treatment is overseen by licensed healthcare providers.

After you choose your starting plan and complete your medical assessment, a provider reviews your health information and determines whether the medication you’ve selected is appropriate for you.

If prescribed, your treatment can then be monitored and adjusted based on your response and clinical needs.

Is the Iceberg Program rehab?

No. Iceberg is private, outpatient care delivered online and designed to fit around everyday life.

You don’t need to leave work, move into a facility or put your life on hold. Medical care, medication when prescribed, coaching and other support can be accessed from home.

If your clinician believes you need a higher level of care, they may recommend a different or more intensive treatment setting.

Do I have to consider myself an “alcoholic” to get treatment?

No. You don’t need to use a particular label to decide you want to change your drinking.

People come to Choose Your Horizon for many different reasons, from wanting a little more control to wanting to stop drinking altogether.

If alcohol is taking up more space in your life than you’d like, that’s enough reason to explore your options.

What if I’m not sure whether I want to drink less or quit?

That’s okay. You don’t have to decide your ultimate goal before you start.

You might begin by drinking less, decide you want to stop later, or simply start paying closer attention to your drinking and see how you feel.

Your goal can evolve just like your treatment can.

How quickly can I start?

Getting started begins with a short online assessment and choosing the treatment plan that feels right for you.

A licensed medical provider then reviews your information and determines whether your selected treatment is medically appropriate. If medication is prescribed, it can be shipped discreetly to your home.

Is treatment private and confidential?

Yes. Choose Your Horizon is designed around private, discreet care.

Your health information and treatment are handled through secure systems, and prescribed medication is delivered discreetly to your home.

Can I get naltrexone without joining the full Iceberg Program?

Yes. If you’re primarily looking for medication, Choose Your Horizon also offers a more streamlined naltrexone treatment option.

Iceberg is designed for people who want a more comprehensive approach, bringing together medication with additional support such as 1:1 coaching, health monitoring and progress tracking.

A person sitting on a hilltop at sunset looking out over the valley
What’s your horizon?

Imagine alcohol taking up less space in your life.

Fewer heavy nights. More alcohol-free days. More control over what happens next. Build a treatment plan around the life you actually want.

About 2 minutesPhysician-led 100% Online and private
One plan. One team. Your terms.
  • Licensed physicians, in all 50 states
  • Medication when clinically appropriate
  • One-on-one coaching and optional health monitoring
  • Private, from home, no meetings required

Cancel any time