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Inner Balance vs Paloma Health: Which Is Better?

Head-to-head comparison of Inner Balance 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

Paloma Health scores higher overall in our independent evaluation (57.7/100 vs 53.8/100), leading on trust & safety, value, product range, reputation.

54
Inner Balance
Below Average

Small Boise-based women's hormone telehealth brand built around a single compounded bioidentical cream, Oestra, priced at $199/mo for six months then $99.50/mo.

Visit Inner Balance
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

DimensionInner BalancePaloma Health
Overall Score53.8/10057.7/100 ✓
Trust & Safety30%55/10058/100 ✓
Value25%58/10062/100 ✓
Experience20%55/10055/100
Product Range15%45/10055/100 ✓
Reputation10%50/10055/100 ✓

At a Glance

Founded20232018
HeadquartersBoise, IDNew York, NY
Publicly tradedNoNo
Treatment categories22
Treatments listed13
Starting price$99.5/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.

CategoryInner BalancePaloma Health
Hormone Therapy$99.5–$199
Oestra Bioidentical Hormone Cream (compounded)
$20
Thyroid Care Membership

Inner Balance

+Single all-in monthly price covering the prescription, shipping and clinician messaging, with no separate consult fee
+Physician-founded (Dr. Sarah Daccarett, board-certified) with online intake and no mandatory lab draw to start
+HSA/FSA payment accepted at checkout
−Front-loaded pricing: $199/mo for the first six months before dropping to $99.50/mo, about $1,791 in year one
−Only product is a compounded cream (not FDA-approved), and the site contradicts itself on whether it comes from a 503A or 503B pharmacy
−State coverage claims conflict across the brand's own pages (43 + DC, 48, and all 50)
Read the full Inner Balance 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 →

Inner Balance vs Paloma Health — FAQ

Is Inner Balance better than Paloma Health?

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Paloma Health scores higher overall in our independent evaluation (57.7/100 vs 53.8/100), leading on trust & safety, value, product range, reputation.

Is Inner Balance or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $99.5/mo for Inner Balance). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Inner Balance and Paloma Health both offer?

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Both platforms treat Hormone Therapy. Inner Balance covers 2 treatment categories total and Paloma Health covers 2.

Still deciding?

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