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Fountain TRT vs Paloma Health: Which Is Better?

Head-to-head comparison of Fountain TRT 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

Fountain TRT scores higher overall in our independent evaluation (60.6/100 vs 57.7/100), leading on trust & safety, experience. Paloma Health comes out ahead on reputation. Paloma Health has the lower entry price (from $20/mo vs $150/mo), so the better value depends on which treatment you need.

61

A membership-based men's TRT and women's hormone therapy telehealth brand with a named physician medical director.

Visit Fountain TRT
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

DimensionFountain TRTPaloma Health
Overall Score60.6/100 ✓57.7/100
Trust & Safety30%68/100 ✓58/100
Value25%62/10062/100
Experience20%58/100 ✓55/100
Product Range15%55/10055/100
Reputation10%48/10055/100 ✓

At a Glance

Founded—2018
HeadquartersJacksonville, FLNew York, NY
Publicly tradedNoNo
Treatment categories22
Treatments listed53
Starting price$150/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.

CategoryFountain TRTPaloma Health
Hormone Therapy$150
TRT Pro Plan
$20
Thyroid Care Membership

Fountain TRT

+Named Chief Medical Officer (Dr. Doron Stember, board-certified urologist with fellowship training in sexual and reproductive medicine) provides clearer clinical accountability than many hormone-therapy competitors.
+Transparent, tiered membership pricing (Starter $199/4wks, Standard $167/4wks pre-paid quarterly, Pro $150/4wks pre-paid annually) that bundles labs, provider visits, and shipping.
+Offers both men's TRT and women's HRT plus a fertility-preserving alternative (enclomiphene) rather than testosterone injections alone.
−Trustpilot sample is small (76 reviews), so the strong average should be read with caution.
−Reviewers report disorganized scheduling and prescription-renewal communication, plus at least one case of the company placing the burden of an internal shipping/address error on the patient.
−At least one reviewer noted the absence of a patient portal and described the intake process as having inconsistent gatekeeping for a clinical service.
Read the full Fountain TRT 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 →

Fountain TRT vs Paloma Health — FAQ

Is Fountain TRT better than Paloma Health?

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Fountain TRT scores higher overall in our independent evaluation (60.6/100 vs 57.7/100), leading on trust & safety, experience. Paloma Health comes out ahead on reputation. Paloma Health has the lower entry price (from $20/mo vs $150/mo), so the better value depends on which treatment you need.

Is Fountain TRT or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $150/mo for Fountain TRT). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Fountain TRT and Paloma Health both offer?

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Both platforms treat Hormone Therapy. Fountain TRT covers 2 treatment categories total and Paloma Health covers 2.

Still deciding?

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