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Fella Health vs Paloma Health: Which Is Better?

Head-to-head comparison of Fella Health 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

Fella Health scores higher overall in our independent evaluation (66/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $45/mo), so the better value depends on which treatment you need.

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
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

DimensionFella HealthPaloma Health
Overall Score66/100 ✓57.7/100
Trust & Safety30%64/100 ✓58/100
Value25%66/100 ✓62/100
Experience20%70/100 ✓55/100
Product Range15%70/100 ✓55/100
Reputation10%58/100 ✓55/100

At a Glance

Founded20212018
HeadquartersAustin, TXNew York, NY
Publicly tradedNoNo
Treatment categories42
Treatments listed93
Starting price$45/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.

CategoryFella HealthPaloma Health
Hormone Therapy$99–$149
Enclomiphene
$20
Thyroid Care Membership

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 →

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 →

Fella Health vs Paloma Health — FAQ

Is Fella Health better than Paloma Health?

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Fella Health scores higher overall in our independent evaluation (66/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $45/mo), so the better value depends on which treatment you need.

Is Fella Health or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $45/mo for Fella Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Fella Health and Paloma Health both offer?

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

Still deciding?

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