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Cielo vs Trava Health

Cielo costs $4 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Cielo logo

Cielo

7.7
★★★★☆3.9/5

Best for: semaglutide at $115/month, 39% below the typical price

Visit Cielo →
VS
Trava Health logo

Trava Health

7.1
★★★★☆3.6/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit Trava Health →

If you are choosing between Cielo and Trava Health, the first difference is cost: Cielo is $4 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Cielo leads our six-part score, 7.7 to 7.1.

Cielo vs Trava Health price

Cielo is the cheaper way in: $115 a month against $119 a month at Trava Health. That is $4 less each month (3% lower), or about $48 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Cielo ($115 a month vs $119 a month); tirzepatide is cheaper at Cielo ($180 a month vs $198 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Cielo does not publish where it ships, and Trava Health lists 50 states.

Pricing

Cielo

All doses (monthly)Compounded
$149/mo
semaglutide
All doses (3-mo bundle)Compounded
$115/mo
semaglutide
All doses (monthly)Compounded
$249/mo
tirzepatide
All doses (3-mo bundle)Compounded
$180/mo
tirzepatide

Trava Health

StartingCompounded
$119/mo
semaglutide
StartingCompounded
$198/mo
tirzepatide

What each price covers

Both prices cover the medication itself.

Cielo's price also covers shipping, which Trava Health does not claim.

Trava Health's price also covers the clinician visit, which Cielo does not claim.

Cielo is silent on the clinician visit, lab work and coaching.

Trava Health is silent on shipping, lab work and coaching.

Cielo

Covered by the monthly price

Medication

In the price

Clinician visits

Not stated

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Trava Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, Cielo scores 7.7 and Trava Health 7.1 out of 10.

Cielo is stronger on value (8.4 vs 3.0).

Trava Health is stronger on trust & safety (7.5 vs 6.5), accessibility (10.0 vs 5.0) and support (5.5 vs 4.5).

Effectiveness and user experience are within half a point.

How we score

Cielo

7.7/10

Overall

Trava Health

7.1/10

Value25%

8.4A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
7.5

Accessibility10%

5.0A
vs
B
10.0

Support10%

4.5A
vs
B
5.5

FDA warning letters

Neither Cielo nor Trava Health has an FDA warning letter on record with us.

Features & Coverage

FeatureCieloTrava Health
Starting Price✓$115/mo$119/mo
Features✓8 features7 features
States AvailableNot disclosed50
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted—✓ Yes
FDA Warning LettersNoneNone

About Cielo

Cielo starts semaglutide at $115/month and tirzepatide at $180/month on a 3-month bundle, flat at every dose. It carries compounded GLP-1s only: no brand-name drugs, no TRT, hair or mental-health add-ons, which makes it a focused, single-purpose alternative to multi-vertical sellers. Clinical care is delivered through MD Integrations.

Read our full Cielo review →

About Trava Health

Trava Health is a Houston-based cash-pay telehealth seller of compounded semaglutide with B12 and compounded tirzepatide with B12, in all 50 states with no membership fee. Its own Terms and Telehealth Consent pages name six 503A compounding pharmacy partners: Postmeds/TruePill, EHT/Curexa, Apostrophe, XeCare, Wells American/Promed, and Optimal Balance/OBP. Clinical care runs through Beluga Health and Bask Health. No LegitScript badge surfaced. Its BBB rating is an F, with 2 unanswered complaints.

Read our full Trava Health review →

Pros & Cons

Cielo

What we like

  • Semaglutide costs $115 a month, 38% below the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $180 a month, 28% below the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication and shipping
  • We found no FDA warning letters issued to Cielo

Watch-outs

  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Trava Health

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication and clinician visits
  • Serves all 50 states
  • We found no FDA warning letters issued to Trava Health

Watch-outs

  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Cielo

Cielo wins this one, 7.7 to 7.1, above all for semaglutide at $115/month, 39% below the typical price. It also costs $4 less each month than Trava Health. Trava Health fits better if coverage in all 50 states, which most sellers will not confirm is your priority.

Choose Cielo if…

You want semaglutide at $115/month, 39% below the typical price and an opening price near $115 a month.

Choose Trava Health if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $119 a month.

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Moving between compounded and brand without changing seller

8.4

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Cielo vs Trava Health: FAQ

Cielo. It starts at $115 a month; Trava Health starts at $119 a month, $4 more per month.
Yes, both sell semaglutide and tirzepatide.
Cielo does not publish where it ships; Trava Health lists 50 states. Confirm your state before paying.
Both include the medication itself. Only Cielo includes shipping. Only Trava Health includes the clinician visit.
Cielo has none. Trava Health has none.
No. Neither Cielo nor Trava Health pays us anything.

Or see the full category ranking.