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Gala Health vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Gala 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.

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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.

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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).

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Score Breakdown

DimensionGala HealthTwentyeight Health
Overall Score66/10075/100 ✓
Trust & Safety30%60/10076/100 ✓
Value25%72/10080/100 ✓
Experience20%70/10072/100 ✓
Product Range15%68/10072/100 ✓
Reputation10%58/10070/100 ✓

At a Glance

Founded20242018
HeadquartersWilmington, DEBrooklyn, NY
Publicly tradedNoNo
Treatment categories44
Treatments listed77
Starting price$69/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.

CategoryGala HealthTwentyeight Health
Weight Loss / GLP-1$149
Compounded Tirzepatide Microdose
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Women's Health—$15–$19.99
Complete 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 →

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 →

Gala Health vs Twentyeight Health — FAQ

Is Gala 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 Gala Health or Twentyeight Health cheaper?

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

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Both platforms treat Weight Loss / GLP-1, Women's Health. Gala Health covers 4 treatment categories total and Twentyeight Health covers 4.

Still deciding?

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