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Silhouette MD vs Trinity Meds

Silhouette MD and Trinity Meds both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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

Silhouette MD

6.3
★★★☆☆3.2/5

Best for: an oral route if you will not self-inject

Visit Silhouette MD →
VS
Trinity Meds logo

Trinity Meds

8.4
★★★★☆4.2/5

Best for: compounded semaglutide at $149/month

Visit Trinity Meds →

If you are choosing between Silhouette MD and Trinity Meds, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Trinity Meds leads our six-part score, 8.4 to 6.3.

Silhouette MD vs Trinity Meds price

Silhouette MD and Trinity Meds start at the same figure, $149 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $149 a month; tirzepatide is cheaper at Trinity Meds ($199 a month vs $299 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Silhouette MD does not publish where it ships, and Trinity Meds lists 50 states.

Pricing

Silhouette MD

InjectionCompounded
$149/mo
semaglutide

Lowest advertised tier ('as low as').

InjectionCompounded
$299/mo
tirzepatide

Lowest advertised tier ('as low as').

OralCompounded
$263/mo
semaglutide

Oral formulation; lowest advertised tier.

OralCompounded
$325/mo
tirzepatide

Oral formulation; lowest advertised tier.

Trinity Meds

Injectablecompounded injection
$149/mo
semaglutide

All-inclusive flat rate, same price every dose; as low as $129/mo on the 6-month plan

Injectablecompounded injection
$199/mo
tirzepatide

All-inclusive flat rate (reg $299); as low as $149/mo on the 12-month plan

What each price covers

Both prices cover the clinician visit and the medication itself.

Trinity Meds' price also covers shipping, which Silhouette MD does not claim.

Silhouette MD is silent on shipping and lab work.

Trinity Meds is silent on lab work and coaching.

Silhouette MD

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

Charged on top

Trinity 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

Where each one scores higher

Overall, Trinity Meds scores 8.4 and Silhouette MD 6.3 out of 10.

Trinity Meds is stronger on user experience (8.0 vs 3.0), trust & safety (9.0 vs 4.0), accessibility (10.0 vs 5.0) and support (7.0 vs 5.5).

Value and effectiveness are within half a point.

How we score

Silhouette MD

6.3/10

Overall

Trinity Meds

8.4/10

Value25%

6.6A
vs
B
6.6

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

3.0A
vs
B
8.0

Trust & Safety15%

4.0A
vs
B
9.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

5.5A
vs
B
7.0

FDA warning letters

Neither Silhouette MD nor Trinity Meds has an FDA warning letter on record with us.

Features & Coverage

FeatureSilhouette MDTrinity Meds
Starting Price$149/mo$149/mo
Features5 features✓6 features
States AvailableNot disclosed50
Compounded✓ Yes—
Brand Name——
FSA/HSA Accepted—✓ Yes
FDA Warning LettersNoneNone

About Silhouette MD

OpenLoop Health, the licensed clinical partner here, both writes the prescription and fulfills it. Every plan carries provider oversight plus full-service support, with no higher tier to buy. Two compounded GLP-1 molecules are stocked, semaglutide and tirzepatide, each available as a shot or taken by mouth. The positioning is concierge-style.

Read our full Silhouette MD review →

About Trinity Meds

Trinity Meds charges an all-inclusive flat rate of $149/month for compounded semaglutide and $199/month for tirzepatide, the same price at every dose, with free shipping and no insurance; multi-month plans drop the price further. The program is aimed at military women, spouses and veterans. You take a short online assessment and a CareValidate Health clinician reviews eligibility and prescribes if appropriate. The named entity is Trinity Meds Inc, but it publishes no terms page, names no pharmacies, and lists no states.

Read our full Trinity Meds review →

Pros & Cons

Silhouette MD

What we like

  • Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
  • The monthly price includes the medication and clinician visits
  • We found no FDA warning letters issued to Silhouette MD

Watch-outs

  • Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • Not included in the monthly price: coaching
  • 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

Trinity Meds

What we like

  • Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $199 a month, 20% 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 includes the medication, clinician visits and shipping
  • Serves all 50 states
  • Names 4 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Trinity Meds

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: Trinity Meds

Trinity Meds wins this one, 8.4 to 6.3, above all for compounded semaglutide at $149/month. Silhouette MD fits better if an oral route if you will not self-inject is your priority.

Choose Silhouette MD if…

You want an oral route if you will not self-inject and an opening price near $149 a month.

Choose Trinity Meds if…

You want compounded semaglutide at $149/month and an opening price near $149 a month.

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Silhouette MD vs Trinity Meds: FAQ

Neither on the entry price: Silhouette MD and Trinity Meds both start at about $149 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Silhouette MD does not publish where it ships; Trinity Meds lists 50 states. Confirm your state before paying.
Both include the clinician visit and the medication itself. Only Trinity Meds includes shipping.
Silhouette MD has none. Trinity Meds has none.
No. Neither Silhouette MD nor Trinity Meds pays us anything.

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