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Hello Alpha vs Fitish RX

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Hello Alpha vs Fitish RX: Overview

Choosing between Hello Alpha and Fitish RX for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Hello Alpha offers both semaglutide and tirzepatide at $79/month with a rating of 8.3/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.

The price difference of $140/month is significant - Hello Alpha is the more budget-friendly option, while Fitish RX positions itself as a premium service.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$140/mo

Rating Difference

0.7

Winner

Hello Alpha

Best For

Budget

Hello Alpha

View full Hello Alpha review →

Rating

8.3/10Better

Monthly Price

$79Cheaper

Medications

semaglutidetirzepatideorforglipronmetforminbupropion

Pros

✓States explicitly that it only prescribes FDA-approved medications, so nothing here is compounded
✓The weight loss programme is $79/month, with general membership from $29/month (checked July 28, 2026)
✓It works with your insurance to find the lowest-cost medication rather than defaulting to cash-pay
✓Offers a genuine range of GLP-1 options including semaglutide, tirzepatide and the newer oral orforglipron (Foundayo), plus metformin and bupropion where appropriate
✓24/7 messaging with your provider and appointment-free online visits
✓You keep the same dedicated provider throughout rather than seeing whoever is available
✓Medications ship free if prescribed
✓Named, board-certified medical team with specialised training in women's health

Cons

✗The $79/month programme fee is separate from medication cost, so your total depends on what insurance covers
✗Women's health is the explicit focus, so it is not the right fit for men
✗General membership at $29/month and the $79 weight loss programme are different things - check which you are signing up for
✗No published phone number; contact runs through the platform
✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy

Choose Hello Alpha

Fitish RX

View full Fitish RX review →

Rating

7.6/10

Monthly Price

$219

Medications

semaglutide

Pros

✓One number, everything in it: $219 for a monthly supply including the provider consult, the medication if approved, and shipping, with no separate consult or membership fees
✓A cheaper, honestly-labelled microdose lane at $179 a month for people who want a gentler approach - and it says outright that the microdose "does not titrate up"
✓It draws the distinction between the two lanes plainly rather than upselling: full dose for "serious, sustained weight management", microdose for a "gentle, mindful, cosmetic approach"
✓The compounding disclosure is unusually complete - it names the FDA-approved alternatives (Ozempic, Wegovy, Rybelsus) and states they are commercially available
✓A licensed provider reviews every intake, and the care team stays reachable through the patient portal for dose questions at no added cost
✓Medication ships monthly from a state-licensed sterile compounding pharmacy
✓Payment plans are offered (five payments of $43.80 shown on the product page)
✓Free standard shipping on orders over $100

Cons

✗Compounded semaglutide is not FDA-approved and does not undergo FDA review for safety, effectiveness or manufacturing quality
✗The microdosing lane is marketed for cosmetic weight loss, which is not an evidence-based clinical indication - no trial has tested fixed sub-therapeutic semaglutide dosing for that purpose
✗Only semaglutide. There is no tirzepatide option, so if semaglutide does not suit you there is nowhere to go inside the service
✗No phone number is published
✗The dispensing pharmacy is described only as "a state licensed sterile compounding pharmacy" and is never named
✗No refund, cancellation or money-back policy is published on the product page
✗No insurance billing and no HSA/FSA guidance
✗Marketed specifically to women, which is a positioning choice rather than a clinical one

Choose Fitish RX

Feature-by-feature comparison

Feature	Hello Alpha	Fitish RX
Monthly Price	$79	$219
Rating	8.3/10	7.6/10
Medications	semaglutide, tirzepatide, orforglipron, metformin, bupropion	semaglutide
Insurance Accepted	Yes	No
Support Hours	24/7 messaging with your provider	Patient portal messaging; hours not published
Live Chat	Available	No
Free Shipping	Yes	Yes
Shipping Speed	Medications ship free to your door, if prescribed	Free standard shipping on all orders over $100; monthly cadence
Mobile App	No	No
Dedicated Coach	Included	Not included
Follow-up Frequency	Ongoing care with a consistent dedicated provider, 24/7 messaging	Ongoing care-team access through the patient portal at no added cost
Money-back Guarantee	None published	None published
Cancellation Policy	Membership based; terms not published	Not published

Which should you choose?

Choose Hello Alpha if you:

→Want to save $140/month with a more affordable option
→Prefer a higher-rated service (8.3/10 vs 7.6/10)
→Want more medication options to choose from
→Need insurance coverage for your treatment
→Want personalized coaching support included
→Value: states explicitly that it only prescribes fda-approved medications, so nothing here is compounded

Get started with Hello Alpha

Choose Fitish RX if you:

→Value: one number, everything in it: $219 for a monthly supply including the provider consult, the medication if approved, and shipping, with no separate consult or membership fees

Get started with Fitish RX

Website previews

Hello Alpha

Hello Alpha website

Fitish RX

Fitish RX website

Our recommendation

Hello Alpha comes out ahead with a higher rating of 8.3/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Hello Alpha

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