Inner Balance vs Midi Health
Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey
Inner Balance vs Midi Health: Overview
Choosing between Inner Balance and Midi Health for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.
Inner Balance offers both semaglutide and tirzepatide at $199/month with a rating of 6.8/10. Midi Health also provides both semaglutide and tirzepatide at $164/month with a 8.6/10 rating.
With only a $35/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.
At a glance
Price Difference
$35/mo
Rating Difference
1.8
Winner
Midi Health
Best For
Budget
Inner Balance
View full Inner Balance review →Rating
6.8/10
Monthly Price
$199
Medications
bioidentical estradiolmicronized progesteroneNAD+topical finasteridetretinoin
Pros
- ✓Pricing is published openly on the treatment page rather than hidden behind the quiz: $199/month for the first 6 months, then $99.50/month ongoing (checked July 28, 2026)
- ✓The refund policy is unusually generous and clearly written - a 6-month guarantee on Oestra covering up to six months of subscription fees, which almost no compounded-hormone brand offers
- ✓Free shipping, unlimited clinical follow-up, dose adjustments and cancellation at any time are all included in the subscription price, with no separate consultation fee
- ✓HSA/FSA eligible, and the refund policy explicitly confirms HSA/FSA purchases can still be refunded
- ✓The Oestra treatment page states plainly that the product is 'Compounded in a Licensed U.S. Pharmacy' from a 503A pharmacy with NABP, LegitScript and PCAB certification - clearer than most competitors manage
- ✓Combining estradiol and micronized progesterone in one daily vaginal cream is a genuine convenience over stacking a patch plus a separate progesterone capsule
- ✓Physician-founded by a named individual who appears publicly and on camera, rather than an anonymous brand
- ✓Addresses perimenopause, menopause, PCOS and endometriosis - areas where women are frequently dismissed and where demand for care is real
Cons
- ✗The FAQ states Oestra 'contains estradiol and progesterone - bioidentical hormones that are FDA-approved for use in treating hormone deficiency'. The active ingredients are FDA-approved in other products; Oestra itself is a compounded 503A preparation and is not FDA-approved, not reviewed for safety or efficacy, and not evaluated for this formulation. The treatment page gets this right while the FAQ blurs it
- ✗Asked 'Does HRT cause cancer?', the FAQ answers flatly 'No' and adds that bioidentical hormones 'may, in some cases, be protective'. That is not a supportable claim - the WHI trial found increased breast cancer risk with combined estrogen-progestin therapy, and there is no long-term safety data on compounded BHRT specifically. This is the single biggest problem on the site
- ✗The FAQ says Oestra is 'safe to use while breastfeeding' without qualification. Estrogen-containing therapy is conventionally cautioned during lactation because it can reduce milk supply, so this contradicts standard guidance and needs a clinician's input, not a FAQ's
- ✗No bloodwork is required before starting systemic hormone therapy - the site says 'Labs are optional' and argues that symptoms matter more than 'chasing numbers'. That removes a baseline safety check most prescribers consider standard
- ✗The advertised '4.9/5' does not match the 3.1 from 15 reviews on Trustpilot, and the source of the 4.9 is not disclosed
- ✗Headline efficacy figures - '90% of patients saw improvement within 10-14 days' and 'wrinkle depth and pore size decreasing by 61-100%' - are footnoted only as 'based on internal data', with no sample size, methodology or control group
- ✗The homepage places 'Estrogen is one of the most effective longevity interventions for women' directly above the attribution 'FDA ANNOUNCEMENT, NOVEMBER 2025'. That framing reads as an FDA endorsement of a longevity claim the FDA has not made
- ✗The FAQ calls the partner pharmacy '503A FDA-regulated' and 'inspected by the FDA'. 503A compounders are primarily overseen by state boards of pharmacy and are exempt from FDA premarket approval; it is 503B outsourcing facilities that register with and are routinely inspected by the FDA
- ✗'No synthetics, ever' appears on the homepage, while the FAQ concedes bioidentical hormones are 'technically created in a lab'
- ✗The page titled 'The Science' contains no citations, references or study links - only product descriptions
- ✗Refunds are limited to one per customer for life, must be requested through account chat rather than processed on cancellation, and must be submitted within 14 days of cancelling
- ✗The first six months cost double the ongoing rate, so the cheap $99.50 figure only applies after you have already spent $1,194
Midi Health
View full Midi Health review →Rating
8.6/10Better
Monthly Price
$164Cheaper
Medications
compounded GLP-1compounded GLP-1/GIPbrand-name GLP-1s
Pros
- ✓The GLP-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked July 28, 2026)
- ✓Compounded GLP-1 injectable runs $165.90 for the lowest doses, $270.90 in the mid range and $355.00 at the top; the dual-action GLP-1/GIP injectable runs $210.00 to $434.00, all for a 4-week supply
- ✓Sublingual options are offered as well, from $164.00 for GLP-1 and $209.00 for dual-action GLP-1/GIP, for people who will not inject
- ✓Its partner compounding pharmacies are 503B-accredited. 503B outsourcing facilities register with the FDA, are subject to current good manufacturing practice requirements and are FDA-inspected - a materially higher standard than the 503A pharmacies most competitors use
- ✓There is no membership fee. You pay for care and medication only
- ✓Visits are insurance-covered for qualifying patients, and HSA/FSA funds can be used for copays and services
- ✓Midi will also prescribe brand-name GLP-1s sent to a pharmacy of your choice, so you are not locked into compounded product if you would rather have the approved drug
- ✓The efficacy claim is the best-sourced in this category. Midi reports patients lost an average of 16 lbs after six or more months, and footnotes it to a retrospective analysis of 6,958 patients who completed two or more weight management visits between 1 May 2025 and 30 April 2026, while stating plainly that weight data were self-reported and results are not guaranteed
- ✓Care is genuinely whole-person for midlife women - perimenopause, menopause, weight, mood and memory, sexual wellness, hair and skin, sleep, and cancer survivorship - with lab orders and lifestyle support included where appropriate
- ✓Available in all 50 states
Cons
- ✗The compounded products are still not FDA-approved. 503B accreditation raises the manufacturing standard considerably but does not mean the FDA has reviewed these preparations for safety or efficacy
- ✗Midi never names the active drug anywhere in its pricing. Everything is labelled 'GLP-1' or 'GLP-1/GIP'. The dose ladders shown - 0.25 through 2.5 mg, and 2.5 through 15 mg - match the standard semaglutide and tirzepatide titrations exactly, but you should confirm with the clinician what you are actually being prescribed
- ✗Microdosing is offered from $34 a week for eligible patients. Microdosing is not an evidence-based protocol - the trials behind these drugs used full therapeutic doses, and the 16 lb outcome figure covers patients on 'a range of treatments', not microdosing specifically
- ✗Medicaid and Medi-Cal patients cannot be treated at all, even if they offer to pay cash
- ✗Medicare does not cover Midi, and beneficiaries cannot submit claims for visits, medications or associated services
- ✗Prices rise steeply as you titrate up. Injectable GLP-1 more than doubles from $165.90 to $355.00, and the dual-action sublingual runs from $209.00 to $460.00, so the entry price is not what you will pay long term
- ✗The 16 lb average comes from self-reported weights in a retrospective chart review with no control group - well documented, but not a controlled trial
- ✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy. Pancreatitis and gallbladder disease are recognised risks
Feature-by-feature comparison
| Feature | Inner Balance | Midi Health |
|---|---|---|
| Monthly Price | $199 | $164 |
| Rating | 6.8/10 | 8.6/10 |
| Medications | bioidentical estradiol, micronized progesterone, NAD+, topical finasteride, tretinoin | compounded GLP-1, compounded GLP-1/GIP, brand-name GLP-1s |
| Insurance Accepted | No | Yes |
| Support Hours | Not published | Not published |
| Live Chat | Available | No |
| Free Shipping | Yes | Yes |
| Shipping Speed | Free and fast shipping included in the subscription price | Discreet shipping included in every quoted medication price |
| Mobile App | No | No |
| Dedicated Coach | Not included | Not included |
| Follow-up Frequency | Unlimited clinical follow-up included; dose changes guided by symptoms rather than labs | Continued care visits with the same clinician, covered by insurance for qualifying patients |
| Money-back Guarantee | 6-month guarantee on Oestra covering up to six months of fees; must be requested within 6 months of the original order and within 14 days of cancellation, self-pay only, one refund per customer | None published |
| Cancellation Policy | Cancel anytime; refunds are not automatic on cancellation and must be requested through account messaging | No membership fee and no subscription lock-in; you pay for care and medication only |
Which should you choose?
Choose Inner Balance if you:
- →Want more medication options to choose from
- →Value: pricing is published openly on the treatment page rather than hidden behind the quiz: $199/month for the first 6 months, then $99.50/month ongoing (checked july 28, 2026)
Choose Midi Health if you:
- →Want to save $35/month with a more affordable option
- →Prefer a higher-rated service (8.6/10 vs 6.8/10)
- →Need insurance coverage for your treatment
- →Value: the glp-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked july 28, 2026)
Website previews
Inner Balance
Midi Health
Our recommendation
Midi Health comes out ahead with a higher rating of 8.6/10. It also provides multiple medication options including both semaglutide and tirzepatide.
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