Lttl vs Sesame Care

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

Lttl vs Sesame Care: Overview

Choosing between Lttl and Sesame Care 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. Sesame Care also provides both semaglutide and tirzepatide at $59/month with a 8.7/10 rating.

The price difference of $70/month is significant - Sesame Care is the more budget-friendly option, while Lttl positions itself as a premium service.

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
$70/mo
Rating Difference
0.8
Winner
Sesame Care
Best For
Budget

Lttl

View full Lttl review →
Rating
7.9/10
Monthly Price
$129
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

Sesame Care

View full Sesame Care review →
Rating
8.7/10Better
Monthly Price
$59Cheaper
Medications
semaglutidetirzepatideorforglipron

Pros

  • Publishes cash prices dose by dose, which no other provider on this site does. Zepbound KwikPen is $299/mo at 2.5mg, $398 at 5mg, $499 at 7.5mg and $698 at 10-15mg, so you can see exactly what titrating up will cost before you start
  • The same detail applies across the range: Wegovy pill $149/mo (1.5mg, 4mg) or $299 (9mg, 25mg); Wegovy pen $199 for the first two months for new patients then $349; Foundayo from $149 to $349 depending on dose (checked July 27, 2026)
  • Every medication offered is FDA-approved and branded - no compounded product is involved
  • Insurance is accepted, and with coverage medication can drop to as low as $25/mo
  • The care programme itself - video visits, dedicated provider, labs and messaging - starts at $59/mo
  • Efficacy milestones are properly sourced, citing a study of injectable semaglutide 2.4mg with the population spelled out (BMI 30+, or 27+ with a weight-related condition, non-diabetic) and paired with lifestyle change
  • A full refund is available if you cancel at least three hours before your first visit
  • The wider marketplace lets you compare individual providers on price, with appointments from $37

Cons

  • The $59/mo headline depends on a 12-month 'Success by Sesame' commitment, and the annual fee is explicitly non-refundable once paid - cancel in month two and you do not get the remaining ten months back
  • Medication costs are not included in the programme price, which Sesame states plainly but which means the real monthly outlay is the subscription plus the drug
  • Cash prices escalate steeply with dose. Zepbound more than doubles from $299 to $698 as you titrate to a maintenance dose, so the entry price is not the price you will end up paying
  • The Wegovy pen intro rate of $199 applies to new patients only and for two months, after which it is $349
  • Monthly subscribers are not refunded for months already paid, even if unused
  • Because pricing depends on insurance status, pharmacy and dose, there is no single figure you can plan around before signing up
  • This is a general healthcare marketplace, so the weight-loss programme sits alongside urgent care and prescription refills rather than being a dedicated speciality service
Choose Sesame Care

Feature-by-feature comparison

FeatureLttlSesame Care
Monthly Price$129$59
Rating7.9/108.7/10
Medicationssemaglutide, tirzepatide, sermorelin, NAD+, glutathionesemaglutide, tirzepatide, orforglipron
Insurance AcceptedNoYes
Support HoursUnlimited 24/7 support advertisedNot published
Live ChatNoNo
Free ShippingYesNo
Shipping SpeedPrescribed and shipped within 48 hours, free shippingFilled at your pharmacy; not shipped by Sesame
Mobile AppNoAvailable
Dedicated CoachNot includedIncluded
Follow-up FrequencyUnlimited 24/7 care team support advertisedOngoing video visits, labs and messaging with a dedicated provider
Money-back GuaranteeNone. Prescription medication is non-returnable once shipped; damaged or incorrect orders replaced if reported within 7 daysFull refund if you cancel at least 3 hours before your first visit; annual fees are non-refundable once paid
Cancellation PolicyNo contracts, cancel anytime; longer commitments are billed upfront and medication already shipped is non-refundableSelf-cancel monthly or annual subscriptions any time, but past months and annual fees are not refunded

Which should you choose?

Choose Lttl if you:

  • 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 Sesame Care if you:

  • Want to save $70/month with a more affordable option
  • Prefer a higher-rated service (8.7/10 vs 7.9/10)
  • Need insurance coverage for your treatment
  • Want personalized coaching support included
  • Value: publishes cash prices dose by dose, which no other provider on this site does. zepbound kwikpen is $299/mo at 2.5mg, $398 at 5mg, $499 at 7.5mg and $698 at 10-15mg, so you can see exactly what titrating up will cost before you start

Website previews

Lttl

Lttl website

Sesame Care

Sesame Care website

Our recommendation

Sesame Care comes out ahead with a higher rating of 8.7/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Sesame Care

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