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Paloma Health vs Rex MD: Which Is Better?

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

Our Verdict

Rex MD scores higher overall in our independent evaluation (72.2/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation.

58

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

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72
Rex MD
Good

Rex MD is a men's-health telehealth brand — owned by publicly traded LifeMD — covering ED, premature ejaculation, TRT, hair loss, and GLP-1 treatment.

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Score Breakdown

DimensionPaloma HealthRex MD
Overall Score57.7/10072.2/100 ✓
Trust & Safety30%58/10078/100 ✓
Value25%62/10065/100 ✓
Experience20%55/10068/100 ✓
Product Range15%55/10078/100 ✓
Reputation10%55/10072/100 ✓

At a Glance

Founded20182019
HeadquartersNew York, NYNew York, NY
Publicly tradedNoNo
Treatment categories25
Treatments listed36
Starting price$20/mo$2/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 HealthRex MD
Hormone Therapy$20
Thyroid Care Membership
$79–$199
TRT (cypionate/gel/Clomid/sermorelin)

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 →

Rex MD

+Backed by LifeMD, a publicly traded parent company, giving it more financial and compliance infrastructure than an independent startup
+Strong Trustpilot rating (4.7/5, 5,259 reviews) with consistent praise for customer service staff
+Wide medication range across ED, premature ejaculation, TRT, hair loss, and GLP-1s under one account
−Recurring patient complaints about surprise auto-renewal charges not clearly disclosed at checkout
−Shipping and fulfillment issues reported, including incorrect dosing and underfilled vials
−Headline 'as low as $2/dose' pricing is a teaser rate; full pricing isn't shown until after intake
Read the full Rex MD review →

Paloma Health vs Rex MD — FAQ

Is Paloma Health better than Rex MD?

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Rex MD scores higher overall in our independent evaluation (72.2/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation.

Is Paloma Health or Rex MD cheaper?

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Rex MD has the lower starting price (from $2/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 Paloma Health and Rex MD both offer?

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Both platforms treat Hormone Therapy. Paloma Health covers 2 treatment categories total and Rex MD covers 5.

Still deciding?

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