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LDN Doctor vs Paloma Health: Which Is Better?

Head-to-head comparison of LDN Doctor 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

LDN Doctor scores higher overall in our independent evaluation (60.2/100 vs 57.7/100), leading on trust & safety, value, experience, reputation. Paloma Health comes out ahead on product range.

LDN Doctor is a small physician practice (H Handler MD Inc) that prescribes low-dose naltrexone by paid video consult, with the medication bought separately from a pharmacy.

Visit LDN Doctor

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

DimensionLDN DoctorPaloma Health
Overall Score60.2/100 ✓57.7/100
Trust & Safety30%60/100 ✓58/100
Value25%72/100 ✓62/100
Experience20%58/100 ✓55/100
Product Range15%45/10055/100 ✓
Reputation10%58/100 ✓55/100

At a Glance

Founded—2018
Headquarters—New York, NY
Publicly tradedNoNo
Treatment categories12
Treatments listed13
Starting price$17/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.

CategoryLDN DoctorPaloma Health
Primary Care$17–$30
Low-Dose Naltrexone Consult + 6-month Rx
$75–$99
At-Home Thyroid Test Kit

LDN Doctor

+Pay-per-visit model with published fees ($220 first visit, $130 returning) and no recurring membership
+Each consult covers a 6-month prescription, keeping the all-in cost near $35–$65/month including pharmacy
+Long-running, LDN-focused practice claiming 10,000+ patients
−All fees are non-refundable, including when the prescriber declines to prescribe LDN
−Prescribers and dispensing pharmacies are not named on the site
−LDN use for autoimmune and pain conditions is off-label, with a limited evidence base
Read the full LDN Doctor 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 →

LDN Doctor vs Paloma Health — FAQ

Is LDN Doctor better than Paloma Health?

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LDN Doctor scores higher overall in our independent evaluation (60.2/100 vs 57.7/100), leading on trust & safety, value, experience, reputation. Paloma Health comes out ahead on product range.

Is LDN Doctor or Paloma Health cheaper?

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LDN Doctor has the lower starting price (from $17/mo vs $20/mo for Paloma Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do LDN Doctor and Paloma Health both offer?

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Both platforms treat Primary Care. LDN Doctor covers 1 treatment category total and Paloma Health covers 2.

Still deciding?