GLP Watchdog

Lttl vs Sprout Health

Sprout Health has an open FDA warning letter dated September 9, 2025. Lttl has none. On compounded tirzepatide injection, Lttl costs $799 less a year at standing rates: $149 a month against $199 a month (billed every 4 weeks) at Sprout Health. It is one of two products the two sell at comparable terms.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

Lttl / Sprout Health

Lttl logo

Lttl

8.4/10

Sprout Health logo

Sprout Health

8.0/10

FDA warning letters
None on record
Pharmacy
None named in our record
Lowest standing price
$99/moCompounded semaglutide injection, billed every 4 weeks
$149/moCompounded semaglutide injection, billed every 4 weeks
States
No state list published
44 states
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit LttlFull review
Visit Sprout HealthFull review

Both Lttl and Sprout Health are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Lttl 8.4, Sprout Health 8.0). How we are paid

What the record shows

  1. 01

    Sprout Health has an open FDA warning letter dated September 9, 2025. Lttl has none.

  2. 02

    Sprout Health names two pharmacies, all 503A. Lttl names no compounding pharmacy in our record.

  3. 03

    On compounded tirzepatide injection, Lttl costs $799 less a year at standing rates: $149 a month against $199 a month (billed every 4 weeks) at Sprout Health. It is one of two products the two sell at comparable terms.

  4. 04

    Sprout Health lists 44 states. Lttl publishes no state list.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

Lttl

Sprout Health

Compounded semaglutide injection

$99/moLower

$1,287 a year, 13 charges

$149/mo

$1,937 a year, 13 charges

Compounded tirzepatide injection

$149/moLower

$1,788 a year

$199/mo

$2,587 a year, 13 charges

Price includes
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Cancel any time
Yes, stated
Yes, stated
Minimum term
None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates
None on 4-week plans; the 12-month plan is paid up front
Refunds
Full refund if a provider finds you medically ineligible at the initial consultation; medications are non-returnable and non-refundable once shipped
Full refund before the prescription is sent to the pharmacy; none after
Early-exit fee
Not stated
None stated

Read off each seller’s own pages. Lttl: October 17, 2026. Sprout Health: October 17, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Lttl

8.4/10
  • No FDA warning letter on record
  • $650 a year less on compounded semaglutide injection
  • $799 a year less on compounded tirzepatide injection
  • Names no compounding pharmacy
  • Publishes no state list
Visit Lttl

The case for Sprout Health

8.0/10
  • Names its compounding pharmacy
  • Open FDA warning letter, September 9, 2025
Visit Sprout Health

Scores

Lttl 8.4 · Sprout Health 8.0 out of 10. Six weighted parts.

Value25%

10.0A
vs
B
7.1

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
6.0

Accessibility10%

5.0A
vs
B
9.0

Support10%

7.0A
vs
B
7.0

The score is the same formula for every seller. Payment does not enter it. Method

Lttl vs Sprout Health: questions

Sprout Health has an open FDA warning letter dated September 9, 2025. Lttl has none. Letters are matched to a seller by company, domain and address, never by a similar name.
Sprout Health names two pharmacies, all 503A. Lttl names no compounding pharmacy in our record. A 503A pharmacy compounds for named patients on a prescription; a 503B outsourcing facility is registered with FDA and inspected under federal manufacturing rules.
Lttl, by $650 a year at standing rates. Lttl: $99 a month (billed every 4 weeks), about $1,287 a year. Sprout Health: $149 a month (billed every 4 weeks), about $1,937 a year.
Lttl states you can cancel at any time; refunds: full refund if a provider finds you medically ineligible at the initial consultation; medications are non-returnable and non-refundable once shipped. Sprout Health states you can cancel at any time; refunds: full refund before the prescription is sent to the pharmacy; none after.
Both Lttl and Sprout Health are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Lttl 8.4, Sprout Health 8.0).

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register