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Fitish RX vs Alloy

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

Fitish RX vs Alloy: Overview

Choosing between Fitish RX and Alloy 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. Alloy also provides both semaglutide and tirzepatide at $169/month with a 8.4/10 rating.

With only a $50/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

$50/mo

Rating Difference

0.8

Winner

Alloy

Best For

Budget

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

Alloy

View full Alloy review →

Rating

8.4/10Better

Monthly Price

$169Cheaper

Medications

semaglutidetirzepatideestradiol

Pros

✓It states the full cost structure openly in the headline rather than the footnotes: 'Alloy Weight Care is $99/month plus the cost of medication. Medication starting at $70/month', so the realistic entry is about $169/month (checked July 28, 2026)
✓That transparency is the opposite of the pattern we see elsewhere, where a membership fee is disclosed only in small print beneath the price
✓Care comes from menopause-specialised doctors - 'menopause experts, not generalists' - which matters because midlife weight gain is often hormonally driven
✓Unlimited doctor messaging is included, with dosing adjusted over time
✓Menopause hormone therapy is FDA-approved rather than compounded, unlike several women's hormone providers we review
✓Roughly 4,000 Trustpilot reviews averaging 4.3
✓Free delivery and HSA/FSA eligibility across the range
✓A $50 discount on the first month of care is offered to new customers

Cons

✗The $99/month care fee buys access, not medication - your real monthly cost is the fee plus medication starting at $70, and rising with dose and product
✗The GLP-1 line is compounded and therefore not FDA-approved, even though the menopause hormone therapy is
✗Aimed specifically at midlife women, so it is not the right fit outside that group
✗No published phone number - support runs through your account
✗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	Alloy
Monthly Price	$219	$169
Rating	7.6/10	8.4/10
Medications	semaglutide	semaglutide, tirzepatide, estradiol
Insurance Accepted	No	No
Support Hours	Patient portal messaging; hours not published	Mon-Fri 9AM-7PM ET
Live Chat	No	Available
Free Shipping	Yes	Yes
Shipping Speed	Free standard shipping on all orders over $100; monthly cadence	5-7 days
Mobile App	No	No
Dedicated Coach	Not included	Included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Monthly check-ins
Money-back Guarantee	None published	None published
Cancellation Policy	Not published	Cancel anytime

Which should you choose?

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

Choose Alloy if you:

→Want to save $50/month with a more affordable option
→Prefer a higher-rated service (8.4/10 vs 7.6/10)
→Want more medication options to choose from
→Want personalized coaching support included
→Value: it states the full cost structure openly in the headline rather than the footnotes: 'alloy weight care is $99/month plus the cost of medication. medication starting at $70/month', so the realistic entry is about $169/month (checked july 28, 2026)

Get started with Alloy

Website previews

Fitish RX

Fitish RX website

Alloy

Alloy website

Our recommendation

Alloy comes out ahead with a higher rating of 8.4/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Alloy

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