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Oak Longevity vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Oak Longevity 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 60.3/100), leading on trust & safety, value, experience, product range, reputation.

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Oak Longevity ('Oak Loves You') is a small cash-pay telehealth brand selling compounded GLP-1s, ED medication and NAD+/sermorelin. Headline prices require multi-month plans, and orders become non-refundable once sent to the pharmacy.

Visit Oak Longevity
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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).

Visit Twentyeight Health

Score Breakdown

DimensionOak LongevityTwentyeight Health
Overall Score60.3/10075/100 ✓
Trust & Safety30%55/10076/100 ✓
Value25%66/10080/100 ✓
Experience20%64/10072/100 ✓
Product Range15%62/10072/100 ✓
Reputation10%52/10070/100 ✓

At a Glance

Founded20242018
Headquarters—Brooklyn, NY
Publicly tradedNoNo
Treatment categories34
Treatments listed57
Starting price$79/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.

CategoryOak LongevityTwentyeight Health
Weight Loss / GLP-1$130–$235
Compounded Semaglutide
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Sexual Health$79
OakMax (tadalafil)
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Oak Longevity

+Compounded semaglutide from about $130/mo on multi-month plans, flat across doses
+Positive Trustpilot base (4.4/5, 54 reviews) citing fast approvals and responsive messaging
+Range spans GLP-1s, ED (tadalafil), NAD+ and sermorelin under one account
−Homepage 'from $89/mo' pricing is well below the ~$235/mo (semaglutide) and ~$285/mo (tirzepatide) one-month checkout prices
−Orders become non-refundable once sent to the pharmacy; mandatory arbitration and class-action waiver
−Opaque structure: three legal entity names, a Vancouver, BC BBB registration, and unnamed pharmacies and leadership
Read the full Oak Longevity 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 →

Oak Longevity vs Twentyeight Health — FAQ

Is Oak Longevity better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 60.3/100), leading on trust & safety, value, experience, product range, reputation.

Is Oak Longevity or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/mo vs $79/mo for Oak Longevity). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Oak Longevity and Twentyeight Health both offer?

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Both platforms treat Weight Loss / GLP-1, Sexual Health. Oak Longevity covers 3 treatment categories total and Twentyeight Health covers 4.

Still deciding?

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