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Fitish RX vs Able

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

Fitish RX vs Able: Overview

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

Fitish RX focuses on semaglutide at $219/month with a rating of 7.6/10. Able offers semaglutide at $299/month with a 6.4/10 rating.

The price difference of $80/month is significant - Fitish RX is the more budget-friendly option, while Able 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

$80/mo

Rating Difference

1.2

Winner

Fitish RX

Best For

Budget

Fitish RX

View full Fitish RX review →

Rating

7.6/10Better

Monthly Price

$219Cheaper

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

Able

View full Able review →

Rating

6.4/10

Monthly Price

$299

Medications

semaglutide

Pros

✓Pricing is published without an intake: compounded semaglutide at $299/month, discounted from a stated $344, and Bella Capsules at $149/month (checked July 28, 2026)
✓Health coaching is bundled with the medication rather than sold as an upsell
✓The site states plainly that the medications are compounded, in the first line of the product description
✓An eligibility check is available before you commit to a plan

Cons

✗A Trustpilot average of 3.0 across roughly 1,000 largely unsolicited reviews is a real warning sign, and among the lowest of any provider on this site
✗The claim of 'up to 20% weight loss within 6 months' for compounded semaglutide does not match the evidence. The STEP-1 trial of branded semaglutide found about 15% over 68 weeks; 20% is closer to the tirzepatide figure, and neither trial studied a compounded product over six months
✗Describing its medication as containing ingredients 'clinically proven to be safe and effective' borrows the approved drug's evidence for a compounded preparation that has not been evaluated by the FDA for safety, efficacy or quality
✗At $299/month for compounded semaglutide, it is among the more expensive compounded options we cover - several providers charge under $200
✗Trustpilot lists the company's location as the United Kingdom, so check service coverage before assuming US availability
✗No published phone number
✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy

Feature-by-feature comparison

Feature	Fitish RX	Able
Monthly Price	$219	$299
Rating	7.6/10	6.4/10
Medications	semaglutide	semaglutide
Insurance Accepted	No	No
Support Hours	Patient portal messaging; hours not published	Mon-Fri 9AM-6PM ET
Live Chat	No	Available
Free Shipping	Yes	Yes
Shipping Speed	Free standard shipping on all orders over $100; monthly cadence	3-5 days
Mobile App	No	Available
Dedicated Coach	Not included	Not included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Quarterly check-ins
Money-back Guarantee	None published	None published
Cancellation Policy	Not published	Cancel anytime, no fees

Which should you choose?

Choose Fitish RX if you:

→Want to save $80/month with a more affordable option
→Prefer a higher-rated service (7.6/10 vs 6.4/10)
→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

Choose Able if you:

→Value: pricing is published without an intake: compounded semaglutide at $299/month, discounted from a stated $344, and bella capsules at $149/month (checked july 28, 2026)

Get started with Able

Website previews

Fitish RX

Fitish RX website

Able

Able website

Our recommendation

Fitish RX comes out ahead with a higher rating of 7.6/10.

Get started with Fitish RX

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