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compounded GLP-1

TelosRX vs Fella Health: GLP-1 Weight Loss Compared

By TelosRX Team July 07, 2026
Man sitting on concrete pavement, representing mens health and wellness

TelosRX and Fella Health both offer compounded GLP-1 medications through fully asynchronous telehealth, but Fella Health focuses exclusively on men, while TelosRX serves both men and women. Pricing structure and included support also differ meaningfully between the two.

The short answer

TelosRX starts as low as $99/mo, with microdosed tirzepatide as low as $116/mo, and serves all patients, not just men. Fella Health starts at $165/mo on a 12-month commitment (up to $299-399/mo month-to-month), is men-only, and backs its program with a 6-month money-back guarantee tied to a 5% body-weight-loss threshold. If you want the lowest published starting price and quarterly labs regardless of gender, TelosRX is the more complete option; if you specifically want a men-only program with a weight-loss guarantee, Fella Health is worth a look.

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Quick comparison: TelosRX vs Fella Health

Feature TelosRX Fella Health
Model ✓ Online-first, asynchronous, serves all patients Async intake quiz, clinician review, men-only
GLP-1 medications Compounded tirzepatide and semaglutide, incl. oral and microdosed tirzepatide Compounded semaglutide and tirzepatide
Starting price ✓ From $99/mo $165/mo (12-mo commitment) to $299-399/mo month-to-month
Who it serves ✓ Men and women Men only (sister brand Delilah serves women)
Guarantee Quarterly labs, dose adjustments 6-month money-back guarantee (5% body-weight-loss threshold)
Support ✓ Unlimited care-team messaging Coaching/email check-ins, unlimited messaging
Shipping ✓ Free 48-hour shipping Home delivery
Cancel ✓ Cancel anytime 12-month commitment for lowest rate

Compounded medications are not FDA-approved. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed.

What is TelosRX?

TelosRX is an online-first, asynchronous telehealth pharmacy service open to all patients. You complete a short online intake, roughly 5 minutes. A US-licensed provider reviews it asynchronously, often within hours.

TelosRX focuses on compounded GLP-1 medications, including tirzepatide and semaglutide. These are prepared by licensed US pharmacies. If you're approved, you get free 48-hour shipping, unlimited care-team messaging, quarterly labs, and dose adjustments.

Pricing is published upfront. Plans are FSA/HSA eligible. TelosRX is LegitScript-certified. You can review oral tirzepatide and microdosed tirzepatide, then start your treatment.

What is Fella Health?

Fella Health (fellahealth.com), based in Austin, Texas, is a Y Combinator-backed, men-only telehealth brand offering compounded GLP-1 medications. It also runs a sister brand called Delilah for women.

Fella Health offers compounded semaglutide and tirzepatide. Pricing runs $165/mo on a 12-month commitment, up to $299-399/mo billed month-to-month, with add-ons like enclomiphene, metformin, and NAD+ available from $45-149/mo.

The intake process is an async quiz reviewed by a clinician, followed by coaching or email check-ins and unlimited messaging. Fella Health backs its program with a 6-month money-back guarantee tied to reaching a 5% body-weight-loss threshold.

Medications: what each program offers

Semaglutide is a GLP-1 medication. Tirzepatide works on two pathways, GLP-1 and GIP. Both are used for weight management under provider supervision, and results vary by individual.

TelosRX offers compounded tirzepatide and semaglutide, including needle-free oral tirzepatide and a microdosed plan, open to all patients. Fella Health offers compounded semaglutide and tirzepatide specifically for men, with optional add-ons like enclomiphene and NAD+. For general background on these medications, see the NIH NIDDK and the FDA.

Key takeaway: TelosRX starts lower and serves all patients regardless of gender. Fella Health is men-only, starts higher, but backs its plan with a 6-month money-back guarantee.

Pricing and transparency

TelosRX lists its prices openly:

  • As low as $99/mo for semaglutide.
  • As low as $116/mo for microdosed tirzepatide.
  • As low as $129/mo for needle-free oral tirzepatide.
  • As low as $139/mo for standard tirzepatide.

Fella Health's pricing runs from $165/mo on a 12-month commitment up to $299-399/mo month-to-month, with add-ons priced separately from $45-149/mo. Start your intake with TelosRX to see your published price in minutes.

How the process works

With TelosRX, you complete a roughly 5-minute online intake, reviewed asynchronously by a licensed provider, often within hours. If approved, your medication ships with free 48-hour shipping.

Fella Health uses an async intake quiz reviewed by a clinician, followed by coaching or email check-ins and unlimited messaging. Any medication is subject to medical approval by a licensed provider.

Support and guarantees

TelosRX includes unlimited care-team messaging, dose adjustments, and quarterly labs as part of every plan.

Fella Health backs its program with a 6-month money-back guarantee tied to a 5% body-weight-loss threshold, plus coaching and unlimited messaging, which may appeal to men who want that specific assurance built in.

Safety and medical oversight

Both services are provider-gated. A licensed provider reviews your intake and decides whether a GLP-1 medication is appropriate. Approval is subject to medical review and is not guaranteed.

GLP-1 medications aren't right for everyone. Providers screen for a personal or family history of medullary thyroid cancer, a history of pancreatitis, and pregnancy, among other factors. Common side effects can include nausea and other digestive symptoms. TelosRX includes quarterly labs to support ongoing monitoring. Share your full medical history during intake so your provider can make a safe decision.

Which service is right for you?

Recommended
TelosRX

Best for patients of any gender who want the lowest published starting price with quarterly labs built in.

Fella Health

Best for men who want a dedicated men's-health program with a money-back weight-loss guarantee.

If you want the lowest published starting price regardless of gender, TelosRX is a strong fit. If a men-only program with a money-back guarantee matters most, Fella Health may suit you better. Either way, a licensed provider decides what's appropriate.

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Frequently Asked Questions

Is TelosRX legitimate?

Yes. TelosRX is a LegitScript-certified telehealth pharmacy service. A US-licensed provider reviews every intake, and medications are prepared by licensed US pharmacies. Any prescription is subject to medical approval by a licensed provider.

Are the GLP-1 medications FDA-approved?

TelosRX and Fella Health both offer compounded tirzepatide and semaglutide, and compounded medications are not FDA-approved. They are prepared by licensed US pharmacies under federal compounding regulations. A provider decides which option, if any, is appropriate for you.

How much does TelosRX cost vs Fella Health?

TelosRX publishes prices upfront, as low as $99/mo, with microdosed tirzepatide as low as $116/mo. Fella Health starts at $165/mo on a 12-month commitment, up to $299-399/mo month-to-month.

Is TelosRX fully online?

Yes. TelosRX is an online-first, asynchronous service open to all patients. You complete a roughly 5-minute online intake from anywhere, and a US-licensed provider reviews it, often within hours.

Can I switch from Fella Health to TelosRX?

Many people compare services before choosing. To explore TelosRX, complete the online intake and share your full medical history, including any current medications. A licensed provider then decides what's appropriate. Approval is subject to medical review and is not guaranteed, so never stop a current medication without provider guidance.

How fast is provider review?

TelosRX is built for speed. After you finish the roughly 5-minute online intake, a US-licensed provider reviews it asynchronously, often within hours. If approved, your medication ships with free 48-hour shipping.

TelosRX is LegitScript-certified. Compounded medications are not FDA-approved and are prepared under federal compounding regulations. Approval is subject to evaluation by a licensed provider; approval is not guaranteed. Individual results vary. TelosRX operates as an online-first, asynchronous telehealth service.

Start your private evaluation at TelosRX.

Related research

Compounded medications are compounded, not FDA-approved. Prescriptions are never automatic or guaranteed. TelosRX operates under LegitScript-certified telehealth standards as an online-first, asynchronous telehealth service.

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