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The alternatives

The best alternatives to Nalena

Nalena scores 79/100 (grade C, ranked #46) 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 Nalena review →

Grade C

FitFlow

FitFlow (FitFlow Health) is a 100% online compounded telehealth platform for GLP-1 weight loss - compounded semaglutide (=Wegovy) and tirzepatide (=Mounjaro).

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

Sema
From $175/mo (compounded)
Tirz
From $235/mo (compounded)
Coverage
Not disclosed
Grade C

Piper

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

Piper matches Nalena 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 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 Nalena at 79/100; our full write-up on Apex MD has the pricing conditions and the caveats in detail.

Sema
$299/mo
Tirz
$399/mo
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 Nalena's 79; the full Ageless review 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
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 Nalena at 79/100; the full StackMD review 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

Bodybuilding Health+

The Bodybuilding.com fitness brand's new compounded-telehealth arm publishes both ladders in full, and they run in opposite directions: semaglutide steps down from $179/mo to $139/mo on a 12-month prepay, while every tirzepatide bundle costs MORE per month than its $209 month-to-month rate — $286, $250 and $244 — with each badged as a saving. Wrapped in an unusually deep NAD+/sermorelin/peptide menu, but the verdict lands it near the bottom: a brand-new operator (Dynamo Group LLC, launched April 2026) selling compounded, not-FDA-approved meds on an all-sales-final policy, with the pharmacy and provider network unnamed on-site and no LegitScript listing we could verify.

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

Sema
$179/mo month-to-month, $159/mo on 3 months, $149/mo on 6 months, $139/mo on a 12-mo prepay
Tirz
$209/mo month-to-month, $286/mo on 3 months, $250/mo on 6 months, $244/mo on a 12-mo prepay (every prepay rung costs more, not less)
Coverage
Not disclosed

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.