Lttl vs EverSlim
An in-depth comparison of two leading GLP-1 Providers
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Lttl
Best for: shoppers who want every commitment tier priced openly, plus a low-dose microdose option
Visit Lttl →EverSlim
Best for: budget-minded patients wanting flat-price compounded glp-1 care shipped nationwide
Visit EverSlim →Lttl and EverSlim 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, EverSlim starts lower at $127/mo versus $149/mo, and EverSlim edges ahead overall (8.3 vs 7.2 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
Lttl
Month-to-month 'Monthly Auto-Refill' rate, was $249. Commitment ladder published on /plans: $169/mo billed $507 quarterly, $149/mo billed $894 every 6mo, $129/mo billed $1,548 annually. Promo is a one-time 'First Month Special' at $149 ('$149 - first month only'). The homepage 'Plans start at $129/mo' headline is the 12-month prepay rate.
Month-to-month rate, was $339. Ladder: $249/mo billed $747 quarterly, $229/mo billed $1,374 every 6mo, $199/mo billed $2,388 annually. One-time First Month Special $199. The '$199 per month' figure advertised on /weight-loss is the 12-month prepay rate.
Needle-free oral option. Month-to-month, was $279. Ladder: $199 quarterly, $179 every 6mo, $159 annually. First Month Special $179.
Low-dose line marketed for tolerability. Month-to-month, was $179. Ladder: $129 quarterly, $119 every 6mo, $109 annually. First Month Special $119.
Low-dose GLP-1 + GIP. Same ladder as microdose semaglutide: $129 quarterly, $119 every 6mo, $109 annually. First Month Special $119.
Month-to-month, was $209. Ladder: $159 quarterly, $149 every 6mo, $139 annually. First Month Special $149.
EverSlim
Flat monthly price; medication, provider visit, and shipping included
Flat monthly price; dual-action GLP-1 and GIP
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What’s included
Lttl
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Not disclosed
EverSlim
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.
Lttl
7.2/10
EverSlim
8.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Lttl | EverSlim |
|---|---|---|
| Starting Price | $149/mo | ✓$127/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 51 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | ✓ Yes | — |
| FDA Warnings | None | None |
About Lttl
Lttl (pronounced 'little') is a direct-to-consumer telehealth brand offering compounded semaglutide and tirzepatide, a low-dose 'microdose' line, and longevity peptides. It publishes its full price matrix — every medication, form and commitment length — before checkout, and bills one flat rate regardless of dose. Month-to-month compounded semaglutide is $199/mo and tirzepatide $279/mo, dropping to $129 and $199 on a 12-month prepay.
Read our full Lttl review →About EverSlim
EverSlim is a US telehealth program offering doctor-prescribed, compounded GLP-1 weight-loss medication delivered to your door. It provides compounded semaglutide from 127 dollars a month and compounded tirzepatide from 183 dollars a month, a flat monthly price that includes the provider visit, prescription, and free shipping, with no insurance or membership required. Care is delivered by licensed US providers through the DrTelx medical group and filled by named LegitScript-approved US compounding pharmacies. Available in all 50 states and DC. Compounded meds are not FDA-approved.
Read our full EverSlim review →Pros & Cons
Lttl
What we like
- Publishes the full price matrix — every medication, form and commitment length — on a public /plans page before checkout
- Flat dose pricing: 'Same price at every dose,' so moving to a higher dose does not raise the monthly bill
- States plainly that its compounded GLP-1s 'are not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality'
- Microdose line prices low-dose semaglutide or tirzepatide at $149/mo month-to-month for people sensitive to side effects
- Oral ODT semaglutide offered for members who want to avoid injections
- Cancel anytime with no contract, plus a full refund if a provider finds you medically ineligible at the initial consultation
- Free shipping with cold-chain packaging and tracking; HSA and FSA funds accepted
Watch-outs
- Partner pharmacies are never named — the site refers only to 'a partner U.S. pharmacy' (a material disclosure gap for a YMYL purchase)
- The advertised 'Plans start at $129/mo' is the 12-month prepay rate; true month-to-month is $199 semaglutide and $279 tirzepatide
- No public list of states served — eligibility depends on where unnamed 'partner providers are licensed'
- Site banner promises 'Prescribed and shipped within 48 hours' while the shipping policy states 2-5 business days to process plus 3-7 to deliver
- Medications cannot be returned or refunded once they ship from the pharmacy
- Does not bill insurance; consultation and medication are entirely out of pocket
- Terms impose mandatory individual arbitration and waive class actions
- Footer links to LegitScript but no certification record is published for the domain
EverSlim
What we like
- Transparent flat pricing from 127 dollars a month for compounded semaglutide; medication, provider visit, and shipping included with no insurance.
- Names its pharmacy partners (EPIQ Scripts, Foothills, Emerald) and DrTelx medical group; LegitScript-approved and NABP-accredited.
- Available in all 50 states and DC, with asynchronous care in 44 states and live-visit access in the rest.
- Offers both semaglutide and tirzepatide, plus care-team messaging between visits.
Watch-outs
- Compounded medications are not FDA-approved, and no brand-name Wegovy, Ozempic, or Zepbound options are offered.
- Site discloses that some imagery and content may be AI-generated and some ad figures are actors, not real clinicians.
- Newer brand with limited independent, third-party review history.
Our Verdict
EverSlim edges out Lttl with a higher overall score of 8.3/10 and is particularly strong for budget-minded patients wanting flat-price compounded glp-1 care shipped nationwide. Lttl remains a solid alternative, especially if you're looking for shoppers who want every commitment tier priced openly, plus a low-dose microdose option.
Choose Lttl if…
You want shoppers who want every commitment tier priced openly, plus a low-dose microdose option and a starting price around $149/mo.
Choose EverSlim if…
You want budget-minded patients wanting flat-price compounded glp-1 care shipped nationwide and a starting price around $127/mo.
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DudeMeds
Men seeking no-fee GLP-1 access with oral and injectable options
From $175/mo
Get started →Oak
Compounded semaglutide and tirzepatide at a flat monthly price
From $119/mo
Get started →Bodybuilding Health+
Fitness-brand compounded GLP-1 with hormone and performance programs
From $179/mo
Get started →Lttl vs EverSlim: 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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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.