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Defy Medical vs Fella Health: Which Is Better?

Head-to-head comparison of Defy Medical and Fella 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

Defy Medical scores higher overall in our independent evaluation (71.9/100 vs 66/100), leading on trust & safety, experience, product range, reputation. Fella Health comes out ahead on value. Fella Health has the lower entry price (from $45/mo vs $150/mo), so the better value depends on which treatment you need.

72

Physician-led telemedicine hormone clinic offering TRT, women's HRT, peptides, GLP-1s, and sexual-health treatments through its own 503B pharmacy.

Visit Defy Medical
66

Fella Health is an Austin-based, men-only medical weight-loss program that pairs flat-priced compounded GLP-1s with free labs and coaching, and adds enclomiphene, TRT and longevity prescriptions.

Visit Fella Health

Score Breakdown

DimensionDefy MedicalFella Health
Overall Score71.9/100 ✓66/100
Trust & Safety30%72/100 ✓64/100
Value25%60/10066/100 ✓
Experience20%78/100 ✓70/100
Product Range15%78/100 ✓70/100
Reputation10%80/100 ✓58/100

At a Glance

Founded20112021
HeadquartersTampa, FLAustin, TX
Publicly tradedNoNo
Treatment categories34
Treatments listed49
Starting price$150/mo$45/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.

CategoryDefy MedicalFella Health
Hormone Therapy$150–$250
Women's Bioidentical HRT
$99–$149
Enclomiphene
Weight Loss / GLP-1$150–$250
GLP-1 Weight Loss (Semaglutide/Tirzepatide)
$165–$299
GLP-1 Program: Compounded Semaglutide

Defy Medical

+15 years in operation (founded 2011) — one of the longest-running cash-pay hormone-therapy telehealth brands, with a named Medical Director (Dr. Justin Saya)
+Trustpilot rating of 4.8/5 across 4,144 reviews, and the company responds to 94% of negative reviews, typically within 24 hours
+Broad treatment range from a single provider — TRT, women's HRT, peptides, GLP-1s, sexual dysfunction, and hair loss — dispensed through its own 503B-registered pharmacy with labs required before prescribing
−Pricing is not published on the website; patients must complete a roughly $250 consult before learning treatment costs, a transparency gap versus competitors that post pricing upfront
−Some patients report delays of a week or more between consult and medication fulfillment
−Mobile app quality lags the web experience, per patient feedback
Read the full Defy Medical review →

Fella Health

+Medication, labs (local or at-home) and health coaching are bundled into one price that does not rise with dose
+Long-prepay pricing is competitive: compounded semaglutide works out to $165/mo on a 12-month plan
+Covers men's hormone and longevity needs alongside weight loss: enclomiphene from $99–149/mo, oral TRT (Kyzatrex) $150–199/mo, rapamycin $99/mo, metformin $45/mo
−BBB rating of D- (not accredited) with 13 complaints closed in the past three years
−GLP-1 plan prices are not shown on the treatment pages, only a 'less than $10 per day' claim until the quiz is done
−Money-back guarantee needs 21 of 26 weekly weigh-ins, less than 5% loss, BMI ≥30 and a claim filed in days 181–210; returning members and early cancellers are excluded
Read the full Fella Health review →

Defy Medical vs Fella Health — FAQ

Is Defy Medical better than Fella Health?

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Defy Medical scores higher overall in our independent evaluation (71.9/100 vs 66/100), leading on trust & safety, experience, product range, reputation. Fella Health comes out ahead on value. Fella Health has the lower entry price (from $45/mo vs $150/mo), so the better value depends on which treatment you need.

Is Defy Medical or Fella Health cheaper?

▾

Fella Health has the lower starting price (from $45/mo vs $150/mo for Defy Medical). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Defy Medical and Fella Health both offer?

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Both platforms treat Hormone Therapy, Weight Loss / GLP-1. Defy Medical covers 3 treatment categories total and Fella Health covers 4.

Still deciding?

Defy Medical alternativesFella Health alternativesTake the Match Quiz