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Fem Excel vs Paloma Health: Which Is Better?

Head-to-head comparison of Fem Excel 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

Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 57.7/100), leading on trust & safety, experience, reputation. Paloma Health comes out ahead on value. Paloma Health has the lower entry price (from $20/mo vs $108/mo), so the better value depends on which treatment you need.

64

Women's bioidentical hormone therapy arm of Excel Medical (sister brand of Male Excel), pairing a $99/mo membership with separately billed compounded estradiol, progesterone, testosterone and thyroid.

Visit Fem Excel
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

DimensionFem ExcelPaloma Health
Overall Score63.9/100 ✓57.7/100
Trust & Safety30%66/100 ✓58/100
Value25%60/10062/100 ✓
Experience20%72/100 ✓55/100
Product Range15%55/10055/100
Reputation10%64/100 ✓55/100

At a Glance

Founded—2018
HeadquartersCharlotte, NCNew York, NY
Publicly tradedNoNo
Treatment categories22
Treatments listed53
Starting price$108/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.

CategoryFem ExcelPaloma Health
Hormone Therapy$114–$149
Testosterone for Women (compounded)
$20
Thyroid Care Membership

Fem Excel

+Medication prices are published per drug ($50/mo core hormones, testosterone from $15/mo, metformin from $24/mo)
+Full women's hormone menu including testosterone and thyroid, plus metformin and spironolactone for PCOS
+Consistent patient sentiment (4.5/5 Trustpilot on about 820 reviews) and the company answers 95% of negative reviews
−Mandatory $99/mo membership stacks on top of medication, so a two-hormone regimen is about $199/mo before shipping
−Medications are billed every two months, doubling each charge
−Unavailable in AK, AR, CT, HI, ID, LA, MS, NH and RI
Read the full Fem Excel 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 →

Fem Excel vs Paloma Health — FAQ

Is Fem Excel better than Paloma Health?

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Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 57.7/100), leading on trust & safety, experience, reputation. Paloma Health comes out ahead on value. Paloma Health has the lower entry price (from $20/mo vs $108/mo), so the better value depends on which treatment you need.

Is Fem Excel or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $108/mo for Fem Excel). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Fem Excel and Paloma Health both offer?

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

Still deciding?

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