“I want to drink less.”
Get more control without making abstinence the only measure of success.
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.
Private doctor evaluation fee.
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.
Iceberg brings medical treatment, behavioral support, health monitoring and progress tracking together in one personalized plan.
Get a treatment plan built around your drinking, health and goals, with ongoing medical oversight.
Reduce cravings and heavy drinking with treatment selected for your individual needs.
Understand your patterns, navigate triggers and build changes that work in real life.
See how selected health markers are changing, not just how much you’re drinking.
See your progress over time and use it to help guide what comes next.
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.
Medication-focused treatment for people who want a straightforward place to begin.
Explore Essential →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 →Continue working on habits, triggers, routines and long-term change without medication when that’s the level of support you want.
Explore Coaching →
Medication isn’t necessarily a one-time decision. Depending on your response and medical eligibility, your treatment may evolve over time.
An established FDA-approved medication used to treat alcohol use disorder.
Learn about naltrexone →
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 →
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 →Your physician decides what’s appropriate based on your health history, goals and response to treatment.
All medications are prescribed based on a physician’s evaluation of your health history and needs.

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

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.
Share your goals, drinking patterns and health history.
Select the treatment and level of support that best fit what you’re looking for today.
A licensed physician reviews your health information and confirms whether your selected medication treatment is medically appropriate.
Begin treatment and use the coaching, health monitoring and progress tools included with your plan.
Level up, step down or change your treatment as your needs evolve.
Private · Takes about 2 minutes · No commitment
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.
Get more control without making abstinence the only measure of success.
Add medical treatment and support instead of relying on willpower alone.
Build a plan around stopping, with medical and behavioral support.
Start with a conversation. Your goal doesn’t have to be decided on Day 1.
Different tools, one clinical team, one connected plan.

In our highly engaged 90-day observational cohort, self-reported drinking declined early and continued to decline over time.*
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 →
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.
Mayo Clinic-trained psychiatrist specialising in addiction medicine and behavioral health.
Cornell-trained physician with over a decade of experience in internal medicine and behavioral science.
University of Minnesota-trained physician specialising in addiction medicine and patient-centred care.
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 | 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 | ✓ | Limited | Limited |
| Care in one system | ✓ | – | – |
| Drink less or quit, you choose | ✓ | Varies | Varies |
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.
Different starting points. One connected plan.
“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.”
“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.”
“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.”
“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.”
“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!”
“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.”
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.

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