South Dakota

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

Among South Dakota's 6 most populous counties, adult obesity runs from 30.4% in Meade County to 37.4% in Minnehaha County. Provider-reviewed online care for adults in Sioux Falls, Rapid City, and Aberdeen and across South Dakota, with medication shipped to your door.

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Photo: Falls Park and Downtown 09-17-23 by Maxpower2727, CC BY-SA 4.0, via Wikimedia Commons

Programs available in South Dakota

Testosterone therapy is offered here to eligible men 25 and older. 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.

South Dakota's biggest counties, by the numbers

Health varies a lot inside a state. Here are the 6 most populous counties in South 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)
Minnehaha County	206,930	37.4%	10.6%	23.3%	8.8%
Pennington County	115,903	33.7%	12.1%	23.3%	8.5%
Lincoln County	73,238	34.9%	8.8%	17.6%	6.7%
Brown County	37,733	35.1%	11.2%	24.4%	8.2%
Brookings County	35,980	35.7%	8.5%	18.4%	7.3%
Meade County	30,954	30.4%	9.5%	21.4%	8.4%

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 Minnehaha County (37.4%) and lowest in Meade County (30.4%) among the six biggest.
Adult diabetes is highest in Pennington County (12.1%) and lowest in Brookings County (8.5%) among the six biggest.
No leisure-time physical activity is highest in Brown County (24.4%) and lowest in Lincoln County (17.6%) among the six biggest.
Lack of health insurance (ages 18–64) is highest in Minnehaha County (8.8%) and lowest in Lincoln County (6.7%) among the six biggest.

South Dakota next to its neighbors

South 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
South Dakota	37.0%	11.8%	21.4%	8.1%
Iowa	36.6%	11.4%	21.8%	5.4%
Minnesota	32.3%	10.1%	17.5%	5.1%
Montana	31.0%	8.7%	19.1%	8.8%
North Dakota	36.8%	10.6%	21.7%	6.1%
Nebraska	37.6%	10.5%	21.6%	7.1%
Wyoming	32.5%	10.1%	21.0%	10.3%

Life expectancy in South Dakota is 77.3 years (25th of 51 in the CDC's state life tables), against Iowa 77.9, Minnesota 79.3, Montana 77.3, North Dakota 77.9, Nebraska 78.3, Wyoming 76.8 for its neighbors.

South Dakota's adult obesity rate was 29.8% in 2014 and is 37.0% in 2024: up 7.2 percentage points.
South Dakota's adult diabetes rate was 9.1% in 2014 and is 11.8% in 2024: up 2.7 percentage points.
South Dakota's physical inactivity rate was 21.2% in 2014 and is 21.4% in 2024: up 0.2 percentage points.

About care in South Dakota

Care in South Dakota is delivered online to adults in Sioux Falls, Rapid City, and Aberdeen and the smaller towns in between, with medication shipped to your South Dakota address. South Dakota sits in the West North Central region and borders Iowa, Minnesota, Montana, North Dakota, Nebraska, and Wyoming.

Testosterone therapy, a controlled substance, is currently offered in South Dakota to eligible men 25 and older. Testosterone therapy is currently offered in 3 of those 6 neighboring states (Iowa, Montana, and Nebraska). The first weight-loss review in South Dakota is online.

Weight loss: Compounded semaglutide and tirzepatide for eligible adults 18–74. In South Dakota, the first review is online; a live video visit is optional.
Testosterone therapy: Available in South Dakota to men 25 and older, with a biomarker assessment included.

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 South Dakota and everywhere else we're licensed.

South Dakota questions

Can I get weight loss medication online in South Dakota?

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

Is testosterone therapy available in South Dakota?

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

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

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

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Also serving nearby states

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

Sources

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

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

Programs available in South Dakota

Semaglutide Injection

Tirzepatide Injection

Oral GLP-1

Injectable TRT