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AlphaMD vs Paloma Health: Which Is Better?

Head-to-head comparison of AlphaMD 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

AlphaMD scores higher overall in our independent evaluation (64.6/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $50/mo), so the better value depends on which treatment you need.

65

AlphaMD is a small Washington-based TRT platform with published, commitment-tiered pricing from $98/mo, plus HCG, enclomiphene, female TRT, sermorelin, and NAD+.

Visit AlphaMD
58

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

DimensionAlphaMDPaloma Health
Overall Score64.6/100 ✓57.7/100
Trust & Safety30%66/100 ✓58/100
Value25%72/100 ✓62/100
Experience20%60/100 ✓55/100
Product Range15%60/100 ✓55/100
Reputation10%58/100 ✓55/100

At a Glance

Founded—2018
HeadquartersLynnwood, WANew York, NY
Publicly tradedNoNo
Treatment categories42
Treatments listed63
Starting price$50/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.

CategoryAlphaMDPaloma Health
Hormone Therapy$50
At-Home Testosterone Test
$20
Thyroid Care Membership

AlphaMD

+Published TRT pricing with medication and supplies included: $98/mo annual, $109/mo semi-annual, $129/mo on a 3-month commitment
+20% discount for active military, veterans, and first responders
+Names its compounding pharmacy (AnazaoHealth, Tampa) and starts patients with a free at-home hormone test kit
−Every TRT plan carries a minimum commitment of at least 3 months
−Small review base (52 Trustpilot reviews), with complaints about unreturned calls and onboarding taking over a month
−Narrow catalog centered on testosterone; no weight-loss, hair-loss, or standalone ED program is published
Read the full AlphaMD 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 →

AlphaMD vs Paloma Health — FAQ

Is AlphaMD better than Paloma Health?

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AlphaMD scores higher overall in our independent evaluation (64.6/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $50/mo), so the better value depends on which treatment you need.

Is AlphaMD or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $50/mo for AlphaMD). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do AlphaMD and Paloma Health both offer?

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Both platforms treat Hormone Therapy. AlphaMD covers 4 treatment categories total and Paloma Health covers 2.

Still deciding?

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