North Dakota

Telehealth in North Dakota: Weight Loss, Hormones, and More

Among North Dakota's 6 most populous counties, adult obesity runs from 33.8% in Cass County to 40.4% in Williams County. Provider-reviewed online care for adults in Fargo, Bismarck, and Grand Forks and across North Dakota, with medication shipped to your door.

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Photo: 2009-0521-ND-StateCapitol (cropped) by Bobak Ha'Eri, CC BY 3.0, via Wikimedia Commons

Programs available in North Dakota

Testosterone therapy is not currently offered in this state. The first review is online.

Compounded medications are not FDA-approved. The FDA does not verify the safety, effectiveness, or quality of compounded drugs before they are marketed. Compounded medications are prepared for individual patients based on a licensed provider's prescription.

Prescription required; a licensed provider decides whether treatment is appropriate. Starting prices vary by dose and plan. Images are representative. FSA/HSA accepted.

North Dakota's biggest counties, by the numbers

Health varies a lot inside a state. Here are the 6 most populous counties in North Dakota and how common several conditions are among adults in each, from CDC PLACES.

County	Population	Obesity	Diabetes	No leisure-time activity	No insurance (18–64)
Cass County	196,362	33.8%	7.9%	17.6%	6.3%
Burleigh County	100,012	35.2%	9.3%	18.4%	6.3%
Grand Forks County	72,708	35.2%	9.1%	21.5%	7.1%
Ward County	68,332	33.9%	8.8%	22.6%	7.7%
Williams County	39,113	40.4%	8.9%	24.1%	9.5%
Morton County	33,895	38.6%	9.6%	22.5%	7.1%

Share of adults. CDC model-based estimates. Source: PLACES: County Data (GIS Friendly Format), 2025 release (BRFSS 2023/2022). Highest in red, lowest in teal.

Adult obesity is highest in Williams County (40.4%) and lowest in Cass County (33.8%) among the six biggest.
Adult diabetes is highest in Morton County (9.6%) and lowest in Cass County (7.9%) among the six biggest.
No leisure-time physical activity is highest in Williams County (24.1%) and lowest in Cass County (17.6%) among the six biggest.
Lack of health insurance (ages 18–64) is highest in Williams County (9.5%) and lowest in Cass County (6.3%) among the six biggest.

North Dakota next to its neighbors

North Dakota against the states that border it, using America's Health Rankings state estimates. A lower number is more favorable.

State	Adult obesity	Adult diabetes	Physical inactivity	Uninsured population
North Dakota	36.8%	10.6%	21.7%	6.1%
Minnesota	32.3%	10.1%	17.5%	5.1%
Montana	31.0%	8.7%	19.1%	8.8%
South Dakota	37.0%	11.8%	21.4%	8.1%

Life expectancy in North Dakota is 77.9 years (17th of 51 in the CDC's state life tables), against Minnesota 79.3, Montana 77.3, South Dakota 77.3 for its neighbors.

North Dakota's adult obesity rate was 32.2% in 2014 and is 36.8% in 2024: up 4.6 percentage points.
North Dakota's adult diabetes rate was 8.6% in 2014 and is 10.6% in 2024: up 2.0 percentage points.
North Dakota's physical inactivity rate was 21.3% in 2014 and is 21.7% in 2024: up 0.4 percentage points.

About care in North Dakota

Care in North Dakota is delivered online to adults in Fargo, Bismarck, and Grand Forks and the smaller towns in between, with medication shipped to your North Dakota address. North Dakota sits in the West North Central region and borders Minnesota, Montana, and South Dakota.

Testosterone therapy, a controlled substance, is not currently offered in North Dakota. Testosterone therapy is currently offered in 2 of those 3 neighboring states (Montana and South Dakota). The first weight-loss review in North Dakota is online.

Weight loss: Compounded semaglutide and tirzepatide for eligible adults 18–74. In North Dakota, the first review is online; a live video visit is optional.
Testosterone therapy: Not currently offered in North Dakota. Testosterone is a controlled substance and is available in only some states.

Some treatments we offer — including testosterone therapy and select peptides — are classified as controlled substances under federal law, which means additional prescribing safeguards apply no matter where you live. Your provider follows these requirements as part of every evaluation, in North Dakota and everywhere else we're licensed.

North Dakota questions

Can I get weight loss medication online in North Dakota?

Yes, for eligible adults. A licensed provider reviews your intake online before anything is prescribed.

Is testosterone therapy available in North Dakota?

What does public health data say about weight and diabetes in North Dakota?

Do I need health insurance to use Prolong Health in North Dakota?

Which of North Dakota's biggest counties has the highest adult obesity?

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Also serving nearby states

Iowa · Kansas · Minnesota · Missouri · Nebraska · South Dakota · All states

Sources

State figures retrieved 2026-10-05. These describe populations, not individual patients.

Telehealth in North Dakota: Weight Loss, Hormones, and More

Programs available in North Dakota

Semaglutide Injection

Tirzepatide Injection

Oral GLP-1

Hormone Therapy