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bmiMD vs Lttl

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

bmiMD vs Lttl: Overview

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

bmiMD offers both semaglutide and tirzepatide at $129/month with a rating of 8/10. Lttl also provides both semaglutide and tirzepatide at $129/month with a 7.9/10 rating.

With only a $0/month price difference, your choice will likely come down to features, support quality, and medication options.

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

$0/mo

Rating Difference

0.1

Winner

bmiMD

Best For

Quality

bmiMD

View full bmiMD review →

Rating

8/10Better

Monthly Price

$129

Medications

semaglutidetirzepatidemetformin

Pros

✓The full price ladder is published on the product page, not hidden behind a quiz: compounded semaglutide is $129 billed monthly, $119/mo on 3 months ($357), $109/mo on 6 months ($654) and $99/mo on 12 months ($1,188), checked July 26, 2026
✓You are not charged until a licensed provider confirms you are eligible. bmiMD authorises your card, releases the hold if you do not qualify, and states you 'won't incur any charges'
✓A 100% money-back guarantee if you are not approved for treatment, including the assessment
✓Unusually broad catalogue beyond GLP-1s: microdose semaglutide and tirzepatide, metformin from $19/mo, MIC + B12 from $69/mo, naltrexone/bupropion, sermorelin and NAD+
✓Free shipping on every subscription order and 24/7 clinician access included in the plan price
✓The compounded disclosure is explicit and specific, naming FDA-registered facilities while stating the drugs are not FDA-approved
✓Subscriptions can be cancelled or paused from your account rather than only by email

Cons

✗A $50 non-refundable cancellation fee applies if you cancel after your intake is approved but before the pharmacy processes the order - a charge most competitors do not levy
✗Once the prescription reaches the pharmacy, all sales are final: 'we do not offer refunds for partially used subscription periods'
✗The site runs constant price-increase pressure - a sitewide 'Prices increase soon, lock in today's rate before it goes up' banner, a 'Price increases in' countdown, 'LIMITED TIME' on every plan tier and 'Lock This Price Now' on every product
✗The homepage contradicts itself on tirzepatide, listing it at 'Starting as low as $149/mo' in one block and 'As low as $139/month' in another
✗The $99 headline requires committing to 12 months and paying $1,188 upfront; month to month is $129
✗This offer is not available in Alabama, Arkansas, California, Kentucky, Louisiana, Mississippi, North Carolina, North Dakota or South Carolina
✗No BBB profile and a relatively small Trustpilot sample mean limited independent history to check
✗No published customer phone number, and the compounded disclosure sits on product pages rather than the landing page

Lttl

View full Lttl review →

Rating

7.9/10

Monthly Price

$129

Medications

semaglutidetirzepatidesermorelinNAD+glutathione

Pros

✓The pricing page shows the complete ladder rather than a teaser, and says so explicitly: 'Every price. Every commitment length. No hidden fees, no starting at, no surprises'
✓Compounded tirzepatide runs $279/mo on rolling monthly billing, $249/mo over 3 months, $229/mo over 6 and $199/mo over 12, against a stated full price of $339/mo (checked July 28, 2026)
✓Weight loss plans start at $129/mo, longevity at $79/mo and microdose at $109/mo
✓'Same price, every dose' - your rate is locked from day one and does not rise as you titrate up. That is a genuine differentiator; several competitors we cover more than double the price between the starting and top dose
✓The compounding disclosure correctly separates 'FDA-registered facility' from 'FDA-approved drug', and states plainly that the medication has not been evaluated by the FDA for safety, efficacy or quality
✓A published phone number, a real California street address, an email address and a help centre - the full set, which is unusual in this category
✓No contracts, cancel anytime, free shipping, and medication prescribed and shipped within 48 hours
✓The assessment is free, takes about two minutes and requires no card up front
✓Longevity and peptide options (sermorelin, NAD+, glutathione, MIC B12) sit alongside the GLP-1 line at lower price points

Cons

✗The advertised '4.9 from 12,000+ Members' does not match the Trustpilot profile, which showed 4.3 from 8 reviews. Displaying that figure beside a Trustpilot badge implies a source it does not have
✗'Average Lttl members lose 32 lbs in first 6 months' and 'Top responders lose 55+ lbs in 12 months' are given without sample size, methodology or whether the weights were self-reported
✗'#1 RATED FOR RESULTS' and '62% of Lttl members choose this plan' carry no source at all
✗The 'Join 500,000+ others' figure is the company's own with no independent corroboration
✗The best rate requires committing to 12 months billed as $2,388 annually, and prescription medication cannot be returned or refunded once it ships - so that is a large non-recoverable commitment
✗Consultation fees are 'generally non-refundable once a provider has reviewed' your case, meaning you can pay and still be declined
✗Microdose plans are sold as a distinct tier at $109/mo, but microdosing is not an evidence-based protocol - the trials behind these drugs used full therapeutic doses
✗Compounded semaglutide and tirzepatide are not FDA-approved, and the weight-loss figures associated with these molecules come from trials of the branded products
✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy. Pancreatitis and gallbladder disease are recognised risks

Feature-by-feature comparison

Feature	bmiMD	Lttl
Monthly Price	$129	$129
Rating	8/10	7.9/10
Medications	semaglutide, tirzepatide, metformin	semaglutide, tirzepatide, sermorelin, NAD+, glutathione
Insurance Accepted	No	No
Support Hours	24/7 clinician access claimed	Unlimited 24/7 support advertised
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Free shipping on subscription orders; timeframe not published	Prescribed and shipped within 48 hours, free shipping
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	24/7 clinician access with refills delivered on subscription	Unlimited 24/7 care team support advertised
Money-back Guarantee	100% refund if you are not approved for treatment; otherwise all sales are final once the prescription reaches the pharmacy	None. Prescription medication is non-returnable once shipped; damaged or incorrect orders replaced if reported within 7 days
Cancellation Policy	Cancel or pause from your account any time, but a $50 non-refundable fee applies after intake approval and there are no refunds for partially used periods	No contracts, cancel anytime; longer commitments are billed upfront and medication already shipped is non-refundable

Which should you choose?

Choose bmiMD if you:

→Prefer a higher-rated service (8/10 vs 7.9/10)
→Value: the full price ladder is published on the product page, not hidden behind a quiz: compounded semaglutide is $129 billed monthly, $119/mo on 3 months ($357), $109/mo on 6 months ($654) and $99/mo on 12 months ($1,188), checked july 26, 2026

Get started with bmiMD

Choose Lttl if you:

→Want more medication options to choose from
→Value: the pricing page shows the complete ladder rather than a teaser, and says so explicitly: 'every price. every commitment length. no hidden fees, no starting at, no surprises'

Get started with Lttl

Website previews

bmiMD

bmiMD website

Lttl

Lttl website

Our recommendation

bmiMD comes out ahead with a higher rating of 8/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with bmiMD

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