If you are weighing TelosRX against Levels, the most useful thing to know first is that they are not alternatives to each other. TelosRX prescribes GLP-1 medication. Levels does not prescribe anything: it is a metabolic health system built around continuous glucose monitoring, lab panels and an app. One changes your appetite signalling. The other shows you how your body responds to food. Plenty of people use both.
Levels cannot prescribe you a GLP-1, and TelosRX does not sell glucose sensors. If you want medication that reduces appetite, you want TelosRX. If you want to see how specific meals affect your glucose and get labs reviewed, you want Levels. Choosing between them only makes sense once you know which problem you are solving.
Start your intake →Quick comparison: TelosRX vs Levels
Compounded medications are not FDA-approved. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed. Individual results vary.
Can Levels replace a GLP-1?
No, and Levels does not claim it can. Levels is a measurement and behaviour-change tool. It shows you what happens to your glucose after you eat, pairs that with lab markers, and helps you adjust what and when you eat. There is no medication involved at any point.
A GLP-1 works on a different mechanism entirely. Semaglutide is a GLP-1 receptor agonist and tirzepatide is a dual GLP-1 and GIP agonist. They act on appetite and satiety signalling rather than on your awareness of what you ate. For background, see the NIH NIDDK overview and the FDA announcement on tirzepatide for weight management.
So the honest answer to "which should I pick" starts with a question about you. If your difficulty is that you know what to eat but cannot stop wanting more of it, a tracker will not solve that on its own. If your difficulty is that you genuinely do not know which foods are working against you, medication will not answer that question for you either.
What is TelosRX?
TelosRX is an online-first, LegitScript-certified telehealth service focused on GLP-1 weight management.
The process is asynchronous. You complete a short intake online, and a US-licensed provider reviews it, typically within hours. There is no appointment to schedule.
Medications are compounded by licensed US pharmacies and shipped free within 48 hours if approved. Unlimited messaging with your care team, provider-managed dose adjustments and quarterly labs are included at no extra cost. Your monthly price does not change as your dose is titrated.
Compare all four GLP-1 options side by side, or start your treatment.
What is Levels?
Levels is a metabolic health company best known for bringing continuous glucose monitoring to people without diabetes. It describes itself as helping you see how food affects your body, and it has built a genuinely strong reputation in that space.
The product is sold in three tiers. The entry tier is the app alone at $15 a month, or $80 billed annually, covering food logging, AI health insights, adaptive programs, wearable data import and uploads of past bloodwork, with glucose monitoring, labs and dietitian support available as add-ons. The middle tier, Core, is $41 a month or $499 annually and adds two essential lab panels with 28 or more markers, one month of continuous glucose monitoring, and clinician review of your health data twice a year. The top tier, Complete, is $167 a month or $1,999 annually and includes two comprehensive panels with 100 or more markers, two months of glucose monitoring and concierge support.
It is HIPAA and SOC 2 compliant, HSA and FSA eligible, and reports more than 100,000 users. For anyone who wants data rather than a prescription, it is a serious product.
Key takeaway: These solve different problems. Levels tells you what your body is doing. A GLP-1 changes what your appetite is doing. Neither substitutes for the other, and comparing them on price alone is comparing a diagnostic tool to a treatment.
Cost, compared honestly
Comparing these on price is only meaningful if you remember you are buying different things.
TelosRX publishes monthly pricing with the visit, medication, shipping, labs and support included:
- Semaglutide, injectable: as low as $99/month
- Microdosed tirzepatide: as low as $116/month
- Oral, needle-free tirzepatide: as low as $129/month
- Standard injectable tirzepatide: as low as $139/month
Levels is $15 a month for the app, $41 a month for Core, or $167 a month for Complete, with annual billing options at $80, $499 and $1,999 respectively.
Two observations worth drawing out. First, the entry Levels tier is far cheaper than any medication plan, because it is software rather than a prescription. Second, the top Levels tier at $1,999 a year is more than twelve months of TelosRX semaglutide at its lowest published rate, which is $1,188. If your budget only stretches to one of the two, that comparison is worth sitting with, and the right answer depends entirely on which problem you are trying to solve.
Both are HSA and FSA eligible, so both may be payable from pre-tax funds.
Using both together
This is the combination a lot of people actually end up with, and it is worth describing plainly.
A GLP-1 reduces appetite, which usually means eating less without much conscious effort. Glucose monitoring and lab work tell you what those smaller meals are actually doing to your metabolism, and whether your markers are moving in the right direction. The medication handles the behaviour. The tracking handles the feedback.
There is one specific reason the pairing matters. Rapid weight reduction on a GLP-1 can include loss of lean mass alongside fat, and appetite suppression can make it easy to under-eat protein without noticing. Objective data helps you catch that early rather than months later. TelosRX includes quarterly labs in every plan for exactly this reason, and some people layer more frequent tracking on top.
None of that is a claim that combining them produces a particular result. It simply means the two do different jobs and the jobs are complementary.
Safety and medical oversight
TelosRX is LegitScript-certified, works with US-licensed providers and dispenses through licensed US compounding pharmacies. Every prescription requires provider review, and approval is not guaranteed.
Levels includes clinician review of your health data on its Core and Complete tiers, but it is not a prescribing service and does not replace your own doctor. Interpreting glucose data without clinical context can be misleading, particularly for people without diabetes, where normal readings vary more than most trackers suggest.
GLP-1 medications are not right for everyone. Providers screen for issues including a personal or family history of medullary thyroid cancer, pancreatitis and pregnancy. Side effects are most often digestive, especially early on, and typically ease with gradual dose titration. Share your full medical history during intake, since approval is subject to medical review.
Which service is right for you?
Best if appetite is the obstacle and you want a prescribed GLP-1, with a choice of formats including needle-free oral tirzepatide and a microdosed protocol, quarterly labs included and a published monthly price.
Best if you want to see how specific foods affect your glucose, track lab markers over time, and change habits based on your own data rather than general advice. It will not prescribe medication.
Levels is a well-built product and is not trying to be a GLP-1 provider. If what you need is medication, it is not the place to look. If what you need is insight into your own metabolism, it is very good at that, and it sits alongside a GLP-1 rather than against it.
Frequently Asked Questions
Does Levels prescribe semaglutide or tirzepatide?
No. Levels is a metabolic health tracking system built around continuous glucose monitoring, lab panels and an app. It does not prescribe or dispense GLP-1 medication. TelosRX prescribes compounded semaglutide and tirzepatide after review by a US-licensed provider.
Is Levels cheaper than TelosRX?
Its entry tier is, at $15 a month for the app alone, because it is software rather than medication. Its top Complete tier is $167 a month or $1,999 annually, which is more than twelve months of TelosRX semaglutide at its lowest published rate of $99 a month. They are not substitutes, so the comparison matters only if you are choosing where to spend a fixed budget.
Can I use a CGM and a GLP-1 at the same time?
Many people do, and the two address different things: medication affects appetite, tracking shows how your body responds to food. Discuss any monitoring plan with your provider so the data is interpreted in clinical context.
Does TelosRX include lab testing?
Yes. Quarterly labs are included in TelosRX plans at no extra cost, alongside care-team messaging and provider-managed dose adjustments. Levels sells lab panels within its Core and Complete tiers, with 28 or more markers on Core and 100 or more on Complete.
Which one should I choose if I can only pick one?
It depends on the obstacle. If you know what to eat but struggle with appetite and cravings, a tracker will not change that and a GLP-1 addresses it directly. If you are unsure which foods are working against you and want objective data, Levels answers that and medication does not.
Are both HSA and FSA eligible?
Both state HSA and FSA eligibility. Confirm with your own plan administrator, since eligibility rules vary.
TelosRX is LegitScript-certified. Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, efficacy or quality. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed. Individual results vary. This article is not medical advice. Levels is an independent company and is not affiliated with TelosRX. Levels details, including its tiers, pricing and inclusions, were checked against its public website in August 2026 and may change.
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