MyStart Health vs Fella Health: Which GLP-1 Program Is Better? (2026)

We put MyStart Health and Fella Health head-to-head — what you actually pay each month, which GLP-1 medications you can get, the level of clinician support, and where each one wins — so you can pick the cheaper, better-fit weight loss program in minutes.

Julian Caraulani
Julian Caraulani
Dr. A. Goher, MD
Medically reviewed by Dr. A. Goher, MD
Published:

Quick Verdict

We recommend MyStart Health

Between these two providers, MyStart Health is our pick for most users. It offers a higher overall rating (8.5 vs 6), availability in all 50 states, both brand-name and compounded medication options. That said, Fella Health may be the better fit if you are looking for men after a male-focused weight loss program that comes with a refund pledge.

MyStart Health scores 8.5/10 in our independent evaluation at $224/month, while Fella Health scores 6/10 at $165/month. Both programs connect you with a licensed physician and deliver medication straight to your door. Each score weighs five things: safety and medical oversight (30%), pricing transparency (25%), value for money (20%), quality of clinical support (15%), and how fast you can get started (10%). We build these comparisons ourselves — no provider buys a better rating or a higher spot. Pricing checked April 2026.

Side-by-Side Comparison

Monthly Price
MyStart Health
$224
Fella Health
$165
Rating
MyStart Health
8.5 / 10
Fella Health
6 / 10
Medication Type
MyStart Health
Brand & Compounded
Fella Health
Compounded Only
Insurance Accepted
MyStart Health
No
Fella Health
No
States Available
MyStart Health
All 50 states
Fella Health
35 states
Consultation Fee
MyStart Health
Free
Fella Health
Included
Shipping
MyStart Health
Free Shipping
Fella Health
Free Shipping
Cancel Anytime
MyStart Health
Yes
Fella Health
Yes
Medical Support
MyStart Health
U.S.-licensed doctors you can reach without any cap on clinician visits
Fella Health
Licensed doctors supported by health coaches and routine lab work

Figures show entry-level cash prices before any insurance. What you ultimately pay can change with your plan and the specific medication. Last checked April 2026.

MyStart Health: Detailed Look

MyStart Health

GLP-1 plans backed by a locked-in price and a results-or-refund pledge

8.5/10
Excellent

Pros

  • A locked rate means stepping up your dose never bumps the price
  • Drop 10% of your body weight inside four months or get your money back
  • One bundled price folds in free shipping and lab work
  • Reaches all 50 states and turns consultations around within a day

Cons

  • A handful of customers mention delays getting orders shipped out
  • Switching to tirzepatide costs a lot more at $429 a month
Best For

People who value a money-back results pledge alongside a frozen price

Fella Health: Detailed Look

Fella Health

A men's medication weight loss program that refunds you if six months don't deliver

6/10
Fair

Pros

  • Lose under 5% of your body weight in six months and they refund you fully
  • Your price holds steady even as your dose climbs
  • Lab work, coaching, and medical oversight are folded into the plan cost
  • Typical members report shedding 10.4% of their body weight by month six

Cons

  • It hasn't reached every state, so coverage isn't nationwide
  • Lately some customers cite drug shortages and slow shipping
Best For

Men after a male-focused weight loss program that comes with a refund pledge

How to Decide Between Them

There is no single winner for everyone — it comes down to what matters most to you. Match your priority to the scenarios below to see which provider fits:

You want the lowest monthly cost

Go with Fella Health at $165/month. On the 3-month plan: semaglutide $165/mo, tirzepatide $399/mo.

You want the highest-rated program

MyStart Health has the edge with a 8.5 rating.

You want affordable compounded options

Fella Health focuses on compounded medications at a lower price point.

You want comprehensive medical support

Compare their support: MyStart Health offers u.s.-licensed doctors you can reach without any cap on clinician visits, while Fella Health provides licensed doctors supported by health coaches and routine lab work.

You are willing to invest more for premium care

MyStart Health at $224/month may offer features that justify the premium.

MyStart Health

Starting at $224/mo · Excellent

Visit MyStart Health

Fella Health

Starting at $165/mo · Fair

Visit Fella Health

Frequently Asked Questions

Is MyStart Health better than Fella Health?

MyStart Health has a 8.5 rating while Fella Health has a 6 rating. The better choice depends on your priorities — MyStart Health is best for people who value a money-back results pledge alongside a frozen price, while Fella Health is best for men after a male-focused weight loss program that comes with a refund pledge.

How much does MyStart Health cost compared to Fella Health?

MyStart Health starts at $224/month (normally $299/mo; code selflove25 trims 25% off to $224/mo. meds, labs, shipping, and unlimited clinician access all included), while Fella Health starts at $165/month (on the 3-month plan: semaglutide $165/mo, tirzepatide $399/mo).

Do MyStart Health and Fella Health accept insurance?

MyStart Health does not accept insurance. Fella Health does not accept insurance.

Which GLP-1 medications does MyStart Health offer vs Fella Health?

MyStart Health offers Compounded Semaglutide, Compounded Tirzepatide, Ozempic, Wegovy. Fella Health offers Compounded Semaglutide, Compounded Tirzepatide.

Can I cancel MyStart Health or Fella Health at any time?

MyStart Health allows cancel anytime. Fella Health also allows cancel anytime.

Are MyStart Health and Fella Health available in my state?

MyStart Health is available in all 50 states. Fella Health is available in 35 states.

Not sure MyStart Health or Fella Health is right for you?

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