Lttl vs Medivive

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

Lttl vs Medivive: Overview

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

Lttl offers both semaglutide and tirzepatide at $129/month with a rating of 7.9/10. Medivive also provides both semaglutide and tirzepatide at $162/month with a 7.4/10 rating.

With only a $33/month price difference, your choice will likely come down to features, support quality, and medication options.

VERIFIED

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
$33/mo
Rating Difference
0.5
Winner
Lttl
Best For
Budget

Lttl

View full Lttl review →
Rating
7.9/10Better
Monthly Price
$129Cheaper
Medications
semaglutidetirzepatidesermorelinNAD+glutathione

Pros

  • The pricing page shows the complete ladder rather than a teaser, and says so explicitly: 'Every price. Every commitment length. No hidden fees, no starting at, no surprises'
  • Compounded tirzepatide runs $279/mo on rolling monthly billing, $249/mo over 3 months, $229/mo over 6 and $199/mo over 12, against a stated full price of $339/mo (checked July 28, 2026)
  • Weight loss plans start at $129/mo, longevity at $79/mo and microdose at $109/mo
  • 'Same price, every dose' - your rate is locked from day one and does not rise as you titrate up. That is a genuine differentiator; several competitors we cover more than double the price between the starting and top dose
  • The compounding disclosure correctly separates 'FDA-registered facility' from 'FDA-approved drug', and states plainly that the medication has not been evaluated by the FDA for safety, efficacy or quality
  • A published phone number, a real California street address, an email address and a help centre - the full set, which is unusual in this category
  • No contracts, cancel anytime, free shipping, and medication prescribed and shipped within 48 hours
  • The assessment is free, takes about two minutes and requires no card up front
  • Longevity and peptide options (sermorelin, NAD+, glutathione, MIC B12) sit alongside the GLP-1 line at lower price points

Cons

  • The advertised '4.9 from 12,000+ Members' does not match the Trustpilot profile, which showed 4.3 from 8 reviews. Displaying that figure beside a Trustpilot badge implies a source it does not have
  • 'Average Lttl members lose 32 lbs in first 6 months' and 'Top responders lose 55+ lbs in 12 months' are given without sample size, methodology or whether the weights were self-reported
  • '#1 RATED FOR RESULTS' and '62% of Lttl members choose this plan' carry no source at all
  • The 'Join 500,000+ others' figure is the company's own with no independent corroboration
  • The best rate requires committing to 12 months billed as $2,388 annually, and prescription medication cannot be returned or refunded once it ships - so that is a large non-recoverable commitment
  • Consultation fees are 'generally non-refundable once a provider has reviewed' your case, meaning you can pay and still be declined
  • Microdose plans are sold as a distinct tier at $109/mo, but microdosing is not an evidence-based protocol - the trials behind these drugs used full therapeutic doses
  • Compounded semaglutide and tirzepatide are not FDA-approved, and the weight-loss figures associated with these molecules come from trials of the branded products
  • 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
Choose Lttl

Medivive

View full Medivive review →
Rating
7.4/10
Monthly Price
$162
Medications
semaglutidetirzepatide

Pros

  • One all-in price with nothing bolted on: "Starting at $162/month. Billed monthly. One simple all-in price — medication and care included"
  • A hard commitment on the fee that catches most patients: "$0 membership fee... Many telehealth programs tack on a monthly membership fee just to stay a patient — on top of your medication. We don't. Ever."
  • Free to start, with nothing to pay until a provider has reviewed your case
  • Licensed providers in all 50 states
  • It rejects the form-filling model directly - a conversational intake that takes about two minutes rather than a long questionnaire
  • It is explicit that a clinician, not software, makes the call: "Not a chatbot, not a vending machine. A Medivive clinician reviews your history and prescribes only when it's clinically appropriate"
  • Compounded by a licensed US pharmacy with refills arriving on schedule and dose adjustments as your labs change
  • The compounded disclaimer is correctly stated: compounded medications are not FDA-approved finished drug products and are not reviewed by the FDA for safety or efficacy
  • A published support email, care@mymedivive.com
  • A published library of educational content on semaglutide, tirzepatide, how GLP-1s work and side effects

Cons

  • The medication is compounded, so it has not been evaluated by the FDA for safety, quality or efficacy
  • "Starting at $162" is a floor price and no dose ladder is published, so higher doses may cost more
  • The pharmacy is described only as "a licensed U.S. pharmacy" and is never named
  • No phone number or business address is published
  • The site references your provider adjusting treatment "as your labs change" without stating whether labs are required, who orders them or who pays
  • No insurance billing and no HSA/FSA information
  • No published refund or cancellation policy
  • A young brand with no verifiable third-party review presence yet
Choose Medivive

Feature-by-feature comparison

FeatureLttlMedivive
Monthly Price$129$162
Rating7.9/107.4/10
Medicationssemaglutide, tirzepatide, sermorelin, NAD+, glutathionesemaglutide, tirzepatide
Insurance AcceptedNoNo
Support HoursUnlimited 24/7 support advertisedNot published
Live ChatNoNo
Free ShippingYesYes
Shipping SpeedPrescribed and shipped within 48 hours, free shippingDelivered to your door; refills arrive on schedule
Mobile AppNoNo
Dedicated CoachNot includedNot included
Follow-up FrequencyUnlimited 24/7 care team support advertisedProvider adjusts treatment over time as labs change; no fixed schedule published
Money-back GuaranteeNone. Prescription medication is non-returnable once shipped; damaged or incorrect orders replaced if reported within 7 daysNothing to pay until a provider reviews your case
Cancellation PolicyNo contracts, cancel anytime; longer commitments are billed upfront and medication already shipped is non-refundableBilled monthly; cancellation terms not published

Which should you choose?

Choose Lttl if you:

  • Want to save $33/month with a more affordable option
  • Prefer a higher-rated service (7.9/10 vs 7.4/10)
  • Want more medication options to choose from
  • Value: the pricing page shows the complete ladder rather than a teaser, and says so explicitly: 'every price. every commitment length. no hidden fees, no starting at, no surprises'

Choose Medivive if you:

  • Value: one all-in price with nothing bolted on: "starting at $162/month. billed monthly. one simple all-in price — medication and care included"

Website previews

Lttl

Lttl website

Medivive

Medivive website

Our recommendation

Lttl comes out ahead with a higher rating of 7.9/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Lttl

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