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Lttl vs MEDGm

In our scoring, MEDGm edges ahead overall (7.3 vs 7.2 out of 10), and Lttl costs less for compounded semaglutide (about $2,301 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).

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

Key differences

Price
Lttl $99/mo vs MEDGm $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $2,301 a year less with Lttl · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
Coverage
MEDGm 50 states + DC (Lttl doesn't publish a state list)
Included
Lttl: medication, clinician visits, shipping; MEDGm: medication, clinician visits, shipping

How we compare providers

Lttl logo

Lttl

Affiliate partner

Best for every commitment tier priced openly, plus a low-dose microdose option

semaglutide

$99/mo

billed every 4 weeks

Our score 7.2/10

MEDGm logo

MEDGm

Affiliate partner

Publishes its full state list (50 states + DC)

semaglutide

$299/mo

$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.

Lttl

MEDGm

Price

Semaglutide / month

Better on this row: $99/mo

billed every 4 weeks

$299/mo

$179 first month

Semaglutide / year (modeled)

Better on this row: $1,287

13 charges

$3,588

Tirzepatide / month

Better on this row: $149/mo

billed every 4 weeks

$399/mo

$279 first month

Tirzepatide / year (modeled)

Better on this row: $1,937

13 charges

$4,788

Oral semaglutide / month

Better on this row: $179/mo

$149 first month

$369/mo

$249 first month

Oral semaglutide / year (modeled)

Better on this row: $2,148

$4,428

Coverage

State availability

List not published

50 states + DC

Oral option listed

Yes

Yes

Included in the price

Medication, clinician visits, shipping

Medication, clinician visits, shipping

FSA/HSA accepted

Yes

Not listed

Terms & safety

Price shown

Before intake

Before intake

Cancel anytime

Yes

Yes

Minimum commitment

None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates

Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term

Refunds

Not disclosed

'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

October 2026

September 2026

Every dose and plan: Lttl · 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.

Lttl logo

Choose Lttl if…

  • About $2,301 a year less than MEDGm for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
  • Accepts FSA/HSA cards
  • Publishes the full price matrix — every medication, form and commitment length — on a public /plans page before checkout

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)
MEDGm logo

Choose MEDGm if…

  • Publishes its full state list (50 states + DC)
  • Names the molecule on every compounded product page and prints the full 3-, 6- and 12-month price ladder publicly
  • Every product page states 'Same price, any dose', so titrating up does not raise the bill

What to weigh up

  • About $2,301 a year more than Lttl for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
  • 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.

Lttl

7.2/10

Overall

MEDGm

7.3/10

Value25%

7.0A
vs
B
7.5

Effectiveness25%

7.5A
vs
B
7.5

User Experience15%

8.0A
vs
B
7.0

Trust & Safety15%

6.5A
vs
B
6.5

Accessibility10%

6.5A
vs
B
7.5

Support10%

7.0A
vs
B
7.5

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Compounded GLP-1 in both injection and oral forms

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Lttl vs MEDGm: FAQ

For compounded semaglutide, Lttl costs less: about $2,301 less a year at the standing price, with no prepay or separate membership listed (not a first-month promo); one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost. See Costs & coverage above for each medication side by side.
MEDGm scores higher overall at 7.3/10 versus 7.2/10, and is particularly strong for brand Wegovy, Zepbound or Ozempic access alongside cheaper compounded GLP-1. That said, Lttl is a better fit if you want every commitment tier priced openly, plus a low-dose microdose option.
Both Lttl and MEDGm are affiliate partners, meaning we may earn a commission if you sign up through our links. Our scores are assigned editorially using the same six-dimension framework for every provider — partnership never changes a score. We disclose every commercial relationship.
Lttl: $99 (billed every 4 weeks, 13 charges a year), about $1,287 a year. MEDGm: $299, about $3,588 a year; first month $179. Lttl costs about $2,301 less a year at these prices.
Lttl doesn't publish a state list. MEDGm publishes 50 states + DC. Where a list isn't published, confirm your state during sign-up before paying.
Lttl: cancel anytime — yes; minimum commitment — None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates; early-cancellation fee — not disclosed. MEDGm: cancel anytime — yes; minimum commitment — Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term; early-cancellation fee — none. Check the provider's own terms before you buy.

Key terms, explained

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Continue exploring Lttl and MEDGm head-to-heads in the same category.

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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.