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Lean Meds vs Livea

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
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
VS
Livea logo

Livea

7.2
★★★3.6/5

Best for: semaglutide at $99/month, 48% under the register median

Visit Livea

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 $99, and Lean Meds finishes ahead, 9.3 to 7.2. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

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.

Livea

Standard doseCompounded
$99/mo
semaglutide

Verbatim from /glp-1/ FAQ: 'compounded semaglutide starting at $99/month.' Once-weekly injectable. Medical page discloses separate $69/mo program fee covering consultation and supervision — whether $99/mo is inclusive of or additive to the program fee is clarified at free consultation.

Standard doseCompounded
$199/mo
tirzepatide

Verbatim from /glp-1/ FAQ: 'Compounded tirzepatide starts at $199/month when available.' Availability subject to FDA compounding status — as of mid-2026 Livea states the FDA shortage end affects compounded tirz; Livea monitors and offers eligibility-based options including branded alternatives.

What’s included

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

Livea

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Charged on top

Coaching

In the price

Score breakdown

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

Lean Meds

9.3/10

Overall

Livea

7.2/10

Value25%

10.0A
vs
B
9.7

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

9.0A
vs
B
5.0

Accessibility10%

10.0A
vs
B
2.6

Support10%

7.0A
vs
B
8.5

Features & Coverage

FeatureLean MedsLivea
Starting Price$79/mo$99/mo
Features7 features8 features
States Available504
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

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 →

About Livea

Compounded semaglutide is priced from $99/mo, compounded tirzepatide from $199/mo when available. Bundled into the program: regular provider check-ins, health coaching, registered dietitian nutrition and InBody scans. Livea, a medical weight loss clinic with physician supervision, was founded in 2011, is LegitScript certified, and runs 8 clinics across MN and WI with telehealth in Florida, Iowa, MN and WI. Livea Medical, PLLC, a physician-owned practice, provides medical services. It claims 50,000+ clients and five straight Minnesota's Best Weight Loss Program wins.

Read our full Livea review →

Pros & Cons

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

Livea

What we like

  • Semaglutide at $99 a month, 48% below the $189 median for the same drug and form across this register
  • The monthly figure covers medication, consult, shipping, coaching
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
  • Billed separately from the monthly figure: labs
  • Coverage is published for 4 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

Our Verdict

Winner: Lean Meds

Lean Meds takes it, 9.3 against 7.2, and it is especially strong on knowing which pharmacy fills the vial — it names Belmar Pharmacy. Livea is no weak second and may fit you better on semaglutide at $99/month, 48% under the register median.

Choose Lean Meds if…

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

Choose Livea if…

You want semaglutide at $99/month, 48% under the register median and an opening price near $99 a month.

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Lean Meds vs Livea: FAQ

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