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Fella Health vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Fella Health and Twentyeight 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

Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 66/100), leading on trust & safety, value, experience, product range, reputation.

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

Brooklyn-based women's telehealth service covering birth control, emergency contraception, UTI/BV/yeast and herpes treatment, prescription skincare and branded GLP-1s under a $19.99/mo membership ($0 in-network).

Visit Twentyeight Health

Score Breakdown

DimensionFella HealthTwentyeight Health
Overall Score66/10075/100 ✓
Trust & Safety30%64/10076/100 ✓
Value25%66/10080/100 ✓
Experience20%70/10072/100 ✓
Product Range15%70/10072/100 ✓
Reputation10%58/10070/100 ✓

At a Glance

Founded20212018
HeadquartersAustin, TXBrooklyn, NY
Publicly tradedNoNo
Treatment categories44
Treatments listed97
Starting price$45/mo$15/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 HealthTwentyeight Health
Weight Loss / GLP-1$165–$299
GLP-1 Program: Compounded Semaglutide
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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 →

Twentyeight Health

+Low entry cost: $19.99/mo membership ($0 when in-network), birth control from $16/pack cash and often $0 with insurance
+Accepts most commercial insurance and Medicaid in multiple states, which few D2C telehealth brands do
+One membership covers contraception, EC, UTI/BV/yeast, herpes, skincare and weight care, and urgent-care prescriptions are ready for pickup in 4–6 hours
−Medications are billed separately from the membership, which some reviewers say caused unexpected charges
−Weight care (branded Wegovy/Zepbound only) is limited to about 22 states, and skincare to a subset of states
−21% of Trustpilot reviews are 1-star, citing billing discrepancies and support communication problems
Read the full Twentyeight Health review →

Fella Health vs Twentyeight Health — FAQ

Is Fella Health better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 66/100), leading on trust & safety, value, experience, product range, reputation.

Is Fella Health or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/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 Twentyeight Health both offer?

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Both platforms treat Weight Loss / GLP-1. Fella Health covers 4 treatment categories total and Twentyeight Health covers 4.

Still deciding?