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Alternatives

Alternatives to Trellis Vitality

Trellis Vitality scores 81/100 (B−) on the Desk Score. If it isn't the right fit, here are the providers we rate most highly on the same six dimensions, led by our #1-rated provider. Compare any two head-to-head.

Top alternative

One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

Marked down on: The advertised $99/$149 per month is a 12-month plan paid in full ($1,188 / $1,788 up front); no month-to-month price is published

$99/mo (12-month prepay) sema · $149/mo (12-month prepay) tirz · All 50 states · Verified August 2026

More alternatives, ranked

  • 91/100
    A−

    Compounded semaglutide from $149 a month and tirzepatide from $219 month-to-month, one price at every dose, with every dispensing pharmacy named on the site.

    Marked down on: Injectable only — no oral route

    $149/mo sema · $219/mo tirz

  • 90/100
    A−

    Compounded semaglutide from $149 a month and tirzepatide from $249, sold as a membership with nutrition coaching, a free consultation, and five named pharmacies — but no published dose ladder.

    Marked down on: No brand-name access

    From $149/mo sema · From $249/mo tirz

  • 80/100
    B−

    Precision Telemed (Precision Health Digital LLC) offers compounded semaglutide ($149/mo) and compounded tirzepatide ($199/mo) with month-to-month pricing, no subscription required.

    Marked down on: Compounded only — no brand-name options

    $149/mo sema · $199/mo tirz

  • 77/100
    C+

    A physician-prescribed telehealth brand pairing GLP-1 tirzepatide and compounded semaglutide+B12 with TRT, sermorelin, NAD+, hair-loss and ED care on one account — tirzepatide from $249/mo, semaglutide+B12 from $149/mo.

    Marked down on: Tirzepatide steps up after month one — $149 for the first month, then $249/mo billed quarterly

    $149/mo (first month only) sema · $249/mo (quarterly prepay) tirz

  • #102
    Nalena
    77/100
    C+

    Nalena is a women-focused, GLP-1-only telehealth platform offering compounded semaglutide and tirzepatide with medication included — no separate membership or visit fees.

    Marked down on: Per-dose pricing not published — only the 'starting at $149' entry price

    From $149/mo (lowest dose rung) sema · From $149/mo (lowest dose rung) tirz

See the full comparison hub or the complete ranking of 533 providers.

Pricing and verification reflect public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Not medical advice; see our disclosure.