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Fitish RX vs Fella Health

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

Fitish RX vs Fella Health: Overview

Choosing between Fitish RX and Fella Health 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. Fella Health also provides both semaglutide and tirzepatide at $149/month with a 8/10 rating.

The price difference of $70/month is significant - Fella Health 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

$70/mo

Rating Difference

0.4

Winner

Fella Health

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

Fella Health

View full Fella Health review →

Rating

8/10Better

Monthly Price

$149Cheaper

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

Feature-by-feature comparison

Feature	Fitish RX	Fella Health
Monthly Price	$219	$149
Rating	7.6/10	8/10
Medications	semaglutide	semaglutide, tirzepatide, enclomiphene, metformin, rapamycin, NAD+
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	3-5 days
Mobile App	No	Available
Dedicated Coach	Not included	Included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Bi-weekly coaching sessions
Money-back Guarantee	None published	Six-month money-back guarantee
Cancellation Policy	Not published	Cancel anytime with 30-day notice

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 Fella Health if you:

→Want to save $70/month with a more affordable option
→Prefer a higher-rated service (8/10 vs 7.6/10)
→Want more medication options to choose from
→Want personalized coaching support included
→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

Website previews

Fitish RX

Fitish RX website

Fella Health

Fella Health 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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