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Fella Health vs Lean Meds

An in-depth comparison of two leading GLP-1 Providers

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Fella Health logo

Fella Health

6.9
★★★3.5/5

Best for: bloodwork inside the $165/month rather than billed on top

Visit Fella Health
VS
Lean Meds logo

Lean Meds

9.3
★★★★4.7/5

Best for: knowing which pharmacy fills the vial — it names Belmar Pharmacy

Visit Lean Meds

Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, Lean Meds opens cheaper — $79/mo against $165, and Lean Meds finishes ahead, 9.3 to 6.9. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

Fella Health

Monthly (no commitment)Compounded
$299/mo
semaglutide
12-month prepaid commitmentCompounded
$165/mo
semaglutide
Monthly (no commitment)Compounded
$449/mo
tirzepatide
3-month prepaid commitmentCompounded
$399/mo
tirzepatide

Lean Meds

Any dose, month-to-month (same price at every dose)Compounded
$79/mo
semaglutide

Standing month-to-month rate. The advertised $69 is the 12-month prepay tier; 3-month is $76 and 6-month is $73.

Any dose, month-to-month (same price at every dose)Compounded
$109/mo
tirzepatide

Standing month-to-month rate. Prepay tiers: $105 for 3 months, $100 for 6, $95 for 12.

What’s included

Fella Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

In the price

Coaching

In the price

Lean Meds

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Fella Health

6.9/10

Overall

Lean Meds

9.3/10

Value25%

6.0A
vs
B
10.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

3.0A
vs
B
8.0

Trust & Safety15%

6.0A
vs
B
9.0

Accessibility10%

5.2A
vs
B
10.0

Support10%

10.0A
vs
B
7.0

Features & Coverage

FeatureFella HealthLean Meds
Starting Price$165/mo$79/mo
Features8 features7 features
States Available2050
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About Fella Health

Men are the only audience Fella Health builds for. Its medications are compounded, semaglutide and tirzepatide, and the program adds 1:1 health coaching at no cost plus care from board-certified clinicians. The money-back guarantee runs 6 months. Headquarters is Austin, TX.

Read our full Fella Health review →

About Lean Meds

Titrating up does not raise the rate, which is flat and monthly: $79 to start on compounded semaglutide, $109 on compounded tirzepatide, the telehealth visit and shipping absorbed into both. Clinicians come from the OpenLoop Health network. Trinity HealthCare Supply, LLC operates the service and puts names to its five dispensing pharmacies as well as to the physicians who prescribe.

Read our full Lean Meds review →

Pros & Cons

Fella Health

What we like

  • The monthly figure covers medication, consult, shipping, labs, coaching
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • Tirzepatide at $399 a month, 49% above the $267 register median for the same drug and form
  • No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
  • Coverage is published for 20 states only, so this may not reach you
  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • 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

Lean Meds

What we like

  • Semaglutide at $79 a month, 58% below the $189 median for the same drug and form across this register
  • Tirzepatide at $109 a month, 59% below the $267 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
  • The monthly figure covers medication, consult, shipping
  • Coverage is published for all 50 states
  • Names 5 dispensing pharmacies, which most sellers in this register do not do
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • 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: Lean Meds

Lean Meds takes it, 9.3 against 6.9, and it is especially strong on knowing which pharmacy fills the vial — it names Belmar Pharmacy. Fella Health is no weak second and may fit you better on bloodwork inside the $165/month rather than billed on top.

Choose Fella Health if…

You want bloodwork inside the $165/month rather than billed on top and an opening price near $165 a month.

Choose Lean Meds if…

You want knowing which pharmacy fills the vial — it names Belmar Pharmacy and an opening price near $79 a month.

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6.5

Direct Meds

Compounded semaglutide at $249/month

7.7

Try Ageless

Semaglutide at $119/month, 37% under the register median

8.8

Found

Tirzepatide at $169/month, 37% under the register median

Fella Health vs Lean Meds: FAQ

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