Live Vital vs MEDGm
In our scoring, Live Vital edges ahead overall (7.7 vs 7.3 out of 10), and Live Vital costs less for compounded semaglutide (about $2,028 a year less).
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Key differences
- Price
- Live Vital $130/mo vs MEDGm $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $2,028 a year less with Live Vital)
- Coverage
- Live Vital 50 states; MEDGm 50 states + DC (only MEDGm: District of Columbia)
- Included
- Live Vital: medication, clinician visits, shipping; MEDGm: medication, clinician visits, shipping
Live Vital
Affiliate partnerBest for low-cost, physician-led compounded GLP-1 with peptide and hormone options
semaglutide
$130
$99 first month
Our score 7.7/10
MEDGm
Affiliate partnerAlso prices oral compounded semaglutide
semaglutide
$299
$179 first month
Our score 7.3/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
Live Vital
MEDGm
Price
Semaglutide / month
Better on this row: $130/mo
$99 first month
$299/mo
$179 first month
Semaglutide / year (modeled)
Better on this row: $1,560
$3,588
Tirzepatide / month
Better on this row: $239/mo
$183 first month
$399/mo
$279 first month
Tirzepatide / year (modeled)
Better on this row: $2,868
$4,788
Oral semaglutide / month
Not listed
$369/mo
$249 first month
Coverage
State availability
50 states
50 states + DC
Oral option listed
Not listed
Yes
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Lab work
Not required
Not disclosed
Video visit
Not required
Not disclosed
Cancel anytime
Yes
Yes
Minimum commitment
Sold as 10-week protocols
Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term
Refunds
Terms section 7: 'You may cancel at any time. Cancellation will be effective at the end of your current billing period. Refunds for consultations are provided at our discretion. Medications and lab work are generally non-refundable once ordered or dispensed.'
'The Subscription Service fee is charged upfront for the contracted term you selected and is non-refundable' — the only exception is a documented medical disqualification, refunded for the months that can no longer be delivered
Early-cancellation fee
Not disclosed
None
FDA warning letters
None on record
None on record
Provider facts checked
August 2026
September 2026
Show where they differ by stateHide state lists
Only MEDGm (DC)
- District of Columbia
Every dose and plan: Live Vital · MEDGm
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Live Vital if…
- About $2,028 a year less than MEDGm for compounded semaglutide at standing prices
- Physician-led — founded by Dr. Patrick Taylor, MD; all treatments doctor-prescribed via the clinical team
- Every plan includes doctor prescribing, licensed-pharmacy medication, and direct-to-door shipping
What to weigh up
- Not available in District of Columbia
- The advertised '/mo' rate divides a 10-week protocol by three, so a calendar month really costs about $130 or $239
Choose MEDGm if…
- Lists oral compounded semaglutide, which Live Vital doesn't price
- Serves District of Columbia, where Live Vital doesn't
- Names the molecule on every compounded product page and prints the full 3-, 6- and 12-month price ladder publicly
What to weigh up
- About $2,028 a year more than Live Vital for compounded semaglutide
- No dose ladder is published — the site never says which milligram strength you start on or how it steps up
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Live Vital
7.7/10
MEDGm
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →From $219/mo
Get started →Found
Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s
Read full review →From $169/mo
Get started →Live Vital vs MEDGm: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
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