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Fella Health vs Signos

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

Fella Health vs Signos: Overview

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

Fella Health offers both semaglutide and tirzepatide at $149/month with a rating of 8/10. Signos offers continuous glucose monitoring at $127/month with a 7.8/10 rating.

With only a $22/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

$22/mo

Rating Difference

0.2

Winner

Fella Health

Best For

Quality

Fella Health

View full Fella Health review →

Rating

8/10Better

Monthly Price

$149

Medications

semaglutidetirzepatideenclomiphenemetforminrapamycinNAD+

Pros

✓A six-month money-back guarantee, advertised in the site's top banner - by far the longest guarantee of any provider we cover
✓Adjacent treatments are priced openly with medication cost included: metformin from $45/mo, rapamycin from $99/mo, NAD+ from $99/mo and enclomiphene from $149/mo (checked July 28, 2026)
✓Roughly 1,000 Trustpilot reviews at 4.5
✓A published phone number, which many competitors omit
✓Genuinely built around men with a higher starting weight, rather than a general programme with male branding applied
✓The two-minute assessment gives a pre-approval decision before you commit
✓Medication ships with 'an uninterrupted supply' and no stated extra costs

Cons

✗GLP-1 pricing is not published anywhere. You have to complete the quiz to see it, so the figures above are for Fella's adjacent treatments rather than for the weight-loss medication itself
✗The site claims a '4.9 average rating' where the verifiable Trustpilot figure is 4.5
✗Rapamycin is offered for 'longevity' with claims including 'potential lifespan extension' and 'potential neuroprotective effects'. Rapamycin is an immunosuppressant approved for organ-transplant rejection; longevity use is off-label and not supported by human outcome trials
✗NAD+ is sold with claims of 'improved cognitive function' and 'support for DNA repair', neither of which has been demonstrated in healthy adults
✗Compounded GLP-1 medications are not FDA-approved, and the trial data for the branded drugs does not transfer to them
✗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 Fella Health

Signos

View full Signos review →

Rating

7.8/10

Monthly Price

$127Cheaper

Medications

continuous glucose monitoring

Pros

✓A genuinely different approach: a continuous glucose monitor plus an app that tells you how your own body responds to specific foods, rather than a prescription subscription
✓Published plan pricing: $127/month on the longest plan, $150/month on the mid plan and $225/month on the shortest, each discounted from a higher list price
✓Two CGM sensors per month are included in every plan
✓HSA/FSA eligible, which matters at these prices
✓Registered dietitian support is included, with in-app chat and the option of a face-to-face session
✓A 30-day results guarantee: if you do not learn something new about how your body loses weight, a senior Signos coach audits your data free, described as a $250 value
✓One membership covers the sensors, the app, the coaching and the behaviour-change programme instead of stacking separate subscriptions
✓It pairs sensibly with a GLP-1 rather than competing with one, and the company states medication costs are included in the Signos programme where applicable
✓Stress and sleep tracking are built in alongside glucose

Cons

✗This is not a GLP-1 prescribing service in the way the rest of this site is. If you came here for a semaglutide prescription, Signos is a different kind of product
✗The cheapest per-month rate requires the longest commitment, and six-month plans ship in three-month bundles
✗CGM-guided eating for weight loss in people without diabetes has far weaker evidence behind it than GLP-1 medication
✗HSA/FSA eligibility is qualified - "Possibly, but it depends on your HSA/FSA provider" - and Signos states it is not responsible for reimbursement, with the cancellation policy still applying if your provider refuses
✗The results guarantee pays out in a free data audit, not money back
✗Outcome claims reflect individual Signos patient experiences rather than published clinical studies, which the company discloses
✗Not suitable if you are on insulin without speaking to your own clinician first, which the signup flow asks you to confirm

Feature-by-feature comparison

Feature	Fella Health	Signos
Monthly Price	$149	$127
Rating	8/10	7.8/10
Medications	semaglutide, tirzepatide, enclomiphene, metformin, rapamycin, NAD+	continuous glucose monitoring
Insurance Accepted	No	No
Support Hours	Mon-Fri 9AM-7PM ET	In-app dietitian chat; hours not published
Live Chat	Available	Available
Free Shipping	Yes	Yes
Shipping Speed	3-5 days	Free shipping; six-month plans ship in three-month bundles
Mobile App	Available	Available
Dedicated Coach	Included	Included
Follow-up Frequency	Bi-weekly coaching sessions	Continuous glucose data with in-app dietitian support
Money-back Guarantee	Six-month money-back guarantee	30-day results guarantee - if you do not learn something new about how your body loses weight, a senior coach audits your data free (stated as a $250 value)
Cancellation Policy	Cancel anytime with 30-day notice	Subscription plans; cancellation terms apply even if HSA/FSA reimbursement is refused

Which should you choose?

Choose Fella Health if you:

→Prefer a higher-rated service (8/10 vs 7.8/10)
→Want more medication options to choose from
→Value: a six-month money-back guarantee, advertised in the site's top banner - by far the longest guarantee of any provider we cover

Get started with Fella Health

Choose Signos if you:

→Want to save $22/month with a more affordable option
→Value: a genuinely different approach: a continuous glucose monitor plus an app that tells you how your own body responds to specific foods, rather than a prescription subscription

Get started with Signos

Website previews

Fella Health

Fella Health website

Signos

Signos website

Our recommendation

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

Get started with Fella Health

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