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Alloy vs Paloma Health: Which Is Better?

Head-to-head comparison of Alloy and Paloma Health based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Alloy scores higher overall in our independent evaluation (73.3/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $23/mo), so the better value depends on which treatment you need.

Alloy

Good

Cash-pay menopause and perimenopause telehealth platform prescribing hormone therapy across multiple formats plus adjacent GLP-1, skincare, and sexual-wellness treatment.

Visit Alloy

Paloma Health

Fair

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

Visit Paloma Health

Score Breakdown

Dimension	Alloy	Paloma Health
Overall Score	73.3/100 ✓	57.7/100
Trust & Safety30%	78/100 ✓	58/100
Value25%	68/100 ✓	62/100
Experience20%	74/100 ✓	55/100
Product Range15%	75/100 ✓	55/100
Reputation10%	68/100 ✓	55/100

At a Glance

Founded	2021	2018
Headquarters	New York, NY	New York, NY
Publicly traded	No	No
Treatment categories	2	2
Treatments listed	5	3
Starting price	$23/mo	$20/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

Category	Alloy	Paloma Health
Hormone Therapy	$23 Progesterone	$20 Thyroid Care Membership

Alloy

+Cash-pay model with published starting prices across most hormone formats (pill, patch, spray/gel, vaginal cream)

+Chief Medical Advisor is a well-credentialed OB-GYN and menopause specialist, reinforcing clinical positioning

+Strong Trustpilot performance (4.3/5, 3,982 reviews) with recurring praise for consultation thoroughness

−Reviewers describe pricing as high relative to comparable HRT options, and quarterly billing can obscure the effective monthly cost

−Reports of formulation or dispensed-quantity inconsistency between refills of the same product

−Some patients describe feeling locked into a multi-month billing cycle before being able to transfer a prescription to an outside pharmacy

Read the full Alloy review →

Paloma Health

+Narrow clinical focus on hypothyroidism/Hashimoto's with endocrinologist-informed care teams and integrated at-home lab testing, nutritionist visits, and medication management in one program.

+Transparent flat membership pricing ($20/mo billed $240/yr) that bundles two test kits and two visits per year.

+One of the only brands to specialize specifically in DTC thyroid care rather than treating it as one line item among many.

−Trustpilot rating is weak (2.6/5, though based on a very small sample of 4 reviews) with recurring complaints of care that didn't match advertised 'integrative'/'holistic' positioning.

−At least one reported case of a patient with clearly abnormal labs (TSH of 58) alleging the prescribing clinician disregarded their reported symptoms before prescribing a medication that caused adverse reactions — a serious quality-of-care concern for a specialty-clinical brand.

−Reviewers report membership fees and per-visit charges stacking in ways that felt like hidden costs.

Read the full Paloma Health review →

Alloy vs Paloma Health — FAQ

Is Alloy better than Paloma Health?

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Is Alloy or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $23/mo for Alloy). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Alloy and Paloma Health both offer?

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Both platforms treat Hormone Therapy. Alloy covers 2 treatment categories total and Paloma Health covers 2.

Still deciding?

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