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Gala Health vs Paloma Health: Which Is Better?

Head-to-head comparison of Gala 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

Gala 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 $69/mo), so the better value depends on which treatment you need.

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Gala Health (Gala GLP-1) is a cash-pay telehealth brand from AI Coaching, Inc. offering flat-priced compounded semaglutide and tirzepatide, menopause HRT, and NAD+/sermorelin through OpenLoop-affiliated providers.

Visit Gala Health
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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

DimensionGala HealthPaloma Health
Overall Score66/100 ✓57.7/100
Trust & Safety30%60/100 ✓58/100
Value25%72/100 ✓62/100
Experience20%70/100 ✓55/100
Product Range15%68/100 ✓55/100
Reputation10%58/100 ✓55/100

At a Glance

Founded20242018
HeadquartersWilmington, DENew York, NY
Publicly tradedNoNo
Treatment categories42
Treatments listed73
Starting price$69/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.

CategoryGala HealthPaloma Health
Hormone Therapy$69
Menopause HRT (estradiol pill/patch, progesterone)
$20
Thyroid Care Membership

Gala Health

+Flat compounded GLP-1 pricing at every dose ($179/mo yearly, $199/mo on a 3-month plan) published before intake
+Strong Trustpilot rating (4.6/5 across ~4,200 reviews) citing fast signup and responsive support
+Menopause HRT from $69/mo with estradiol pill/patch, progesterone and non-hormonal options
−Terms state no refunds on cancellation except for medical disqualification, and cards are charged before provider review
−Recurring complaints about inconsistent dosing between shipments and shipping delays
−About 20 BBB complaints (not accredited), including cancellation loops and refund disputes
Read the full Gala 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 →

Gala Health vs Paloma Health — FAQ

Is Gala Health better than Paloma Health?

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Gala 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 $69/mo), so the better value depends on which treatment you need.

Is Gala Health or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $69/mo for Gala Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Gala Health and Paloma Health both offer?

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

Still deciding?

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