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Nu Image Medical vs Paloma Health: Which Is Better?

Head-to-head comparison of Nu Image Medical 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

Nu Image Medical scores higher overall in our independent evaluation (70.5/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation.

71

Nu Image Medical is a Tampa-based cash-pay telehealth veteran (founded 2004, online since 2008) with a wide compounded catalog spanning GLP-1s, testosterone, peptides, and men's and women's sexual health.

Visit Nu Image Medical
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

DimensionNu Image MedicalPaloma Health
Overall Score70.5/100 ✓57.7/100
Trust & Safety30%66/100 ✓58/100
Value25%74/100 ✓62/100
Experience20%62/100 ✓55/100
Product Range15%85/100 ✓55/100
Reputation10%70/100 ✓55/100

At a Glance

Founded20042018
HeadquartersTampa, FLNew York, NY
Publicly tradedNoNo
Treatment categories72
Treatments listed113
Starting price$3/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.

CategoryNu Image MedicalPaloma Health
Hormone Therapy$80
Enclomiphene RDT
$20
Thyroid Care Membership

Nu Image Medical

+Roughly 18 years of continuous online operation, far longer than most competitors in the category
+Low entry pricing published on-site: semaglutide from $99/mo (12-month supply), ED tablets from $3, enclomiphene from $80/mo
+One of the widest catalogs reviewed, spanning GLP-1s, testosterone, peptides, NAD+, hair loss, and women's sexual health (Addyi, estradiol cream, compounded gel)
−Strict all-sales-final policy with no refunds except for damaged product, plus explicit chargeback-contest language
−Headline GLP-1 price requires buying a 12-month supply; shorter-term pricing isn't shown before enrollment
−Reviewers report provider replies taking 6–8 days and little proactive follow-up
Read the full Nu Image Medical 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 →

Nu Image Medical vs Paloma Health — FAQ

Is Nu Image Medical better than Paloma Health?

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Nu Image Medical scores higher overall in our independent evaluation (70.5/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation.

Is Nu Image Medical or Paloma Health cheaper?

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Nu Image Medical has the lower starting price (from $3/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 Nu Image Medical and Paloma Health both offer?

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Both platforms treat Hormone Therapy. Nu Image Medical covers 7 treatment categories total and Paloma Health covers 2.

Still deciding?

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