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Fitish RX vs TMates

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

Fitish RX vs TMates: Overview

Choosing between Fitish RX and TMates 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. TMates also provides both semaglutide and tirzepatide at $249/month with a 7.8/10 rating.

With only a $30/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

$30/mo

Rating Difference

0.2

Winner

TMates

Best For

Quality

Fitish RX

View full Fitish RX review →

Rating

7.6/10

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

TMates

View full TMates review →

Rating

7.8/10Better

Monthly Price

$249

Medications

semaglutidetirzepatide

Pros

✓Both price ladders are published in full and the arithmetic is correct at every tier. Semaglutide runs $249 for one month, $217/mo over three ($650), $175/mo over six ($1,050) and $158/mo over twelve ($1,900), checked July 27, 2026
✓Tirzepatide is laid out the same way: $297 monthly, $267/mo over three ($800), $217/mo over six ($1,299) and $167/mo over twelve ($1,999)
✓Every advertised saving checks out - the 13%, 30%, 37%, 10%, 27% and 44% figures all match the underlying numbers
✓One price across all doses, from 0.25mg to 2.4mg semaglutide and 2.5mg to 15mg tirzepatide, so titrating up never costs more
✓Possible side effects are listed openly on the product page - nausea, injection site reactions, decreased appetite and gastrointestinal discomfort - with a note that most are mild and temporary
✓Both injectable and oral formats are offered at the same published prices
✓Medication, provider review, personalised dosing and ongoing support are all included in the price, with free shipping and cancel-anytime terms

Cons

✗We could not find an explicit statement that the compounded medications are not FDA-approved. The site explains what compounding is but omits the disclosure nearly every competitor makes
✗Trustpilot has exactly one review of this domain, so there is effectively no independent evidence about the service against a claim of 2,400+ patients
✗Tirzepatide is billed as the 'Most powerful GLP-1 medication available' - a superiority claim made about a compounded preparation that has not been trialled against anything
✗The 'up to 15% of their body weight in a year' figure is presented as what TMates has seen in its own patients, with no published data behind it
✗The lowest advertised rates require paying for a full year upfront - $1,900 for semaglutide or $1,999 for tirzepatide
✗The site is behind bot protection and will not load without JavaScript, so pricing is invisible to anyone browsing with scripts disabled
✗No published customer phone number, support email or support hours
✗No BBB profile or complaint record to check

Feature-by-feature comparison

Feature	Fitish RX	TMates
Monthly Price	$219	$249
Rating	7.6/10	7.8/10
Medications	semaglutide	semaglutide, tirzepatide
Insurance Accepted	No	No
Support Hours	Patient portal messaging; hours not published	Not published
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Free standard shipping on all orders over $100; monthly cadence	Free shipping; timeframe not published
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Ongoing provider support included
Money-back Guarantee	None published	None published
Cancellation Policy	Not published	Cancel anytime, but multi-month plans are paid upfront

Which should you choose?

Choose Fitish RX if you:

→Want to save $30/month with a more affordable option
→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 TMates if you:

→Prefer a higher-rated service (7.8/10 vs 7.6/10)
→Want more medication options to choose from
→Value: both price ladders are published in full and the arithmetic is correct at every tier. semaglutide runs $249 for one month, $217/mo over three ($650), $175/mo over six ($1,050) and $158/mo over twelve ($1,900), checked july 27, 2026

Get started with TMates

Website previews

Fitish RX

Fitish RX website

TMates

TMates website

Our recommendation

TMates comes out ahead with a higher rating of 7.8/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with TMates

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