Enhance MD vs Lttl

Choose Enhance MD if…

• +Publishes its full state list (39 states)
• +Baseline and ongoing metabolic labs (CMP, lipids, TSH, HbA1c) at Quest every 6 months — rare for compounded GLP-1
• +Mandatory video visit with a US-licensed MD or NP before your first prescription — not a pure questionnaire model

What to weigh up

• −About $1,257 a year more than Lttl for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
• −Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
• −Not available in 10 states: AL, AR, GA, HI, LA, MS, MO, SC, TN, WV

Choose Lttl if…

• +About $1,257 a year less than Enhance MD for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
• +Lists oral compounded semaglutide, which Enhance MD doesn't price
• +Accepts FSA/HSA cards

What to weigh up

• −No published state list; confirm yours at signup
• −Partner pharmacies are never named — the site refers only to 'a partner U.S. pharmacy' (a material disclosure gap for a YMYL purchase)
• −Headline 'Plans start at' prices ($89 semaglutide, $139 tirzepatide) are 12-month prepay rates; month-to-month is $99 and $149