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The alternatives

The best alternatives to FitFlow

FitFlow scores 79/100 (grade C, ranked #45) on The Verdict Score. Here are the top-rated GLP-1 providers we'd weigh against it — same six-factor rubric, and no score is adjusted for payment.

Read our full FitFlow review →

Grade C

Apex MD

Apex MD is a US virtual telemedicine platform licensed in all 50 states that prescribes compounded GLP-1 medications for weight loss.

Apex MD matches FitFlow at 79/100; our Apex MD ruling in full has the pricing conditions and the caveats in detail.

Sema
$299/mo
Tirz
$399/mo
Coverage
All 50 states
Grade C

Nalena

Nalena is a women-focused, GLP-1-only telehealth platform offering compounded semaglutide and tirzepatide with medication included — no separate membership or visit fees.

Nalena matches FitFlow at 79/100; our Nalena ruling in full has the pricing conditions and the caveats in detail.

Sema
From $149/mo (starting dose, compounded)
Tirz
From $149/mo (starting dose, compounded)
Coverage
All 50 states
Grade C

StackMD

A WooCommerce storefront that publishes an exact price for every dose strength, then makes every one of those sales final.

StackMD matches FitFlow at 79/100; our full write-up on StackMD has the pricing conditions and the caveats in detail.

Sema
From $125/mo (1mg); $225 at 10mg
Tirz
From $199/mo (5mg); $449 at 30mg
Coverage
All 50 states
Grade C

Piper

Telehealth weight loss provider offering competitively priced compounded GLP-1 medications.

Piper matches FitFlow at 79/100; the full Piper review has the pricing conditions and the caveats in detail.

Sema
From $135/mo (starting dose, compounded)
Tirz
From $199/mo (starting dose, compounded)
Coverage
All 50 states
Grade B−

Elara Health and Wellness

Elara Health and Wellness is a physician-guided weight-loss platform offering compounded semaglutide and tirzepatide injections across all 50 states plus DC.

Elara Health and Wellness scores 80/100 to FitFlow's 79; our Elara Health and Wellness ruling in full has the pricing conditions and the caveats in detail.

Sema
From $183/mo (compounded)
Tirz
From $267/mo (compounded)
Coverage
All 50 states
Grade C

Ageless

An unusually deep compounded menu under one roof — GLP-1, NAD+, sermorelin and TRT, injectable and sublingual — but every figure it advertises is a twelve-month prepay, the month-to-month rate is $279 semaglutide and $349 tirzepatide, and FDA issued a warning letter to its named operator in September 2025.

Ageless scores 76/100 to FitFlow's 79; our full write-up on Ageless has the pricing conditions and the caveats in detail.

Sema
$279/mo injectable month-to-month, $249/mo on 3 months, $219/mo on 6 months, $199/mo on a 12-mo prepay
Tirz
$349/mo injectable month-to-month, $329/mo on 3 months, $299/mo on 6 months, $249/mo on a 12-mo prepay; sublingual drops $199/mo month-to-month, $159/mo on a 12-mo prepay
Coverage
Varies by state

See the complete rankings or head to the comparison hub.

Pricing, states and verification reflect each provider's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Not medical advice; see our disclosure.