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24hrDOC vs Alegro Health

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
24hrDOC logo

24hrDOC

7.1
★★★3.6/5

Best for: Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatide

Visit 24hrDOC
VS

Alegro Health

6.5
★★★☆☆3.3/5

Best for: beginners wanting a low-cost 8-week compounded semaglutide starter with b12

Visit Alegro Health

24hrDOC and Alegro Health are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, 24hrDOC starts lower at $149/mo versus $199/mo, and 24hrDOC edges ahead overall (7.1 vs 6.5 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

24hrDOC

0.25-2 mg titrated, once weeklyCompounded
$149/mo
semaglutide
Oral semaglutide tabletsCompounded
$309/mo
semaglutide
StartingCompounded
$239/mo
tirzepatide

Tirzepatide $239/mo sale (regular $339/mo); semaglutide $149/mo

Alegro Health

StarterCompounded
$199/mo
semaglutide

199 dollars total for the full 8-week starter with B12 (about two months), select states, no monthly fees

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What’s included

24hrDOC

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Alegro Health

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

24hrDOC

7.1/10

Overall

Alegro Health

6.5/10

Value25%

7.5A
vs
B
7.0

Effectiveness25%

7.0A
vs
B
6.5

User Experience15%

7.0A
vs
B
6.5

Trust & Safety15%

6.8A
vs
B
6.0

Accessibility10%

7.0A
vs
B
6.0

Support10%

7.4A
vs
B
6.5

Features & Coverage

Feature24hrDOCAlegro Health
Starting Price$149/mo$199/mo
Features8 features5 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About 24hrDOC

24hrDOC is a fast cash-pay telehealth service that prescribes compounded GLP-1 medications for weight loss, including once-weekly semaglutide injections, oral semaglutide tablets, and tirzepatide. Compounded semaglutide runs about 149 dollars per month (from 249), with a 100 dollar first-order discount and doses titrated from 0.25 mg to 2 mg. The model emphasizes speed: a roughly 10-minute assessment, prescriptions within about 45 minutes, unlimited messaging, and discreet shipping from licensed pharmacies. Self-pay only, no insurance, operating 24/7. States served are not listed online.

Read our full 24hrDOC review →

About Alegro Health

Alegro Health is a HIPAA telehealth practice based in McKinney, Texas that offers a low-cost compounded semaglutide weight-loss starter. Its headline offer is a semaglutide 8-week starter with B12 for 199 dollars, available in select states, shipped directly with no monthly fees. Care is delivered online after selecting your state, with a patient portal for follow-up. Alegro currently advertises semaglutide only; tirzepatide is not listed. Compounded medications are not FDA-approved. Support is available by phone.

Read our full Alegro Health review →

Pros & Cons

24hrDOC

What we like

  • Low compounded semaglutide price, around 149 per month
  • Fast model: 10-minute assessment, Rx within 45 minutes
  • Injectable and oral semaglutide plus tirzepatide options
  • 24/7 availability with unlimited provider messaging

Watch-outs

  • Compounded only, not FDA-approved branded GLP-1s
  • Self-pay only, no insurance accepted
  • States served not disclosed on the site
  • Fast-prescribing model offers less in-depth clinical workup

Alegro Health

What we like

  • Low-cost entry point: 199 dollars for a full 8-week semaglutide starter with B12
  • Direct shipping with no recurring monthly fees
  • Operates from a physical Texas medical practice with a published phone number

Watch-outs

  • Semaglutide only; no tirzepatide offered
  • Available in select states only, which are not enumerated
  • Thin public information and compounding pharmacy not named on the site

Our Verdict

Winner: 24hrDOC

24hrDOC edges out Alegro Health with a higher overall score of 7.1/10 and is particularly strong for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatide. Alegro Health remains a solid alternative, especially if you're looking for beginners wanting a low-cost 8-week compounded semaglutide starter with b12.

Choose 24hrDOC if…

You want Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatide and a starting price around $149/mo.

Choose Alegro Health if…

You want beginners wanting a low-cost 8-week compounded semaglutide starter with b12 and a starting price around $199/mo.

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7.4

MadeMed

Compounded GLP-1 in both injection and oral forms

8.3

Found

Mainstream telehealth GLP-1 access

7.4

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Compounded GLP-1 access with named prescribers and 4-pharmacy network

24hrDOC vs Alegro Health: FAQ

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