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Paloma Health vs ProlongMD: Which Is Better?

Head-to-head comparison of Paloma Health and ProlongMD based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

ProlongMD scores higher overall in our independent evaluation (60.1/100 vs 57.7/100), leading on value, product range. Paloma Health comes out ahead on trust & safety, reputation. Paloma Health has the lower entry price (from $20/mo vs $25/mo), so the better value depends on which treatment you need.

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
60

Small, veteran-owned cash-pay telehealth practice offering compounded GLP-1s, TRT, enclomiphene, women's hormones, ED, hair loss and peptides after a $79 video consult.

Visit ProlongMD

Score Breakdown

DimensionPaloma HealthProlongMD
Overall Score57.7/10060.1/100 ✓
Trust & Safety30%58/100 ✓52/100
Value25%62/10074/100 ✓
Experience20%55/10055/100
Product Range15%55/10070/100 ✓
Reputation10%55/100 ✓45/100

At a Glance

Founded20182025
HeadquartersNew York, NYPhoenix, AZ
Publicly tradedNoNo
Treatment categories28
Treatments listed313
Starting price$20/mo$25/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.

CategoryPaloma HealthProlongMD
Hormone Therapy$20
Thyroid Care Membership
$89–$119
Testosterone Cypionate (200 mg/mL)
Primary Care$75–$99
At-Home Thyroid Test Kit
$79
Consultation (30-min video, credited toward treatment)

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 →

ProlongMD

+Low published prices: compounded semaglutide/B12 from $99/mo and tirzepatide/B12 from $149/mo, with no membership fee
+$79 video consult is credited toward the first treatment purchase, and a written price-match policy covers comparable injectable programs
+Names its prescribing clinicians (two physicians, two nurse practitioners) and runs synchronous video visits
−Sells BPC-157/TB-500 and GHK-Cu/BPC-157/KPV/TB-500 'peptide blends', compounds the FDA has flagged for safety concerns and which have no approved drug form
−Dispensing pharmacies are not named, and the states served are not published (visible reviews come only from TX and CO)
−Very new (LLC formed August 2025) with no independent review footprint; several on-site star ratings have no review text
Read the full ProlongMD review →

Paloma Health vs ProlongMD — FAQ

Is Paloma Health better than ProlongMD?

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ProlongMD scores higher overall in our independent evaluation (60.1/100 vs 57.7/100), leading on value, product range. Paloma Health comes out ahead on trust & safety, reputation. Paloma Health has the lower entry price (from $20/mo vs $25/mo), so the better value depends on which treatment you need.

Is Paloma Health or ProlongMD cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $25/mo for ProlongMD). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Paloma Health and ProlongMD both offer?

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Both platforms treat Hormone Therapy, Primary Care. Paloma Health covers 2 treatment categories total and ProlongMD covers 8.

Still deciding?

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