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Paloma Health vs Shameless Care: Which Is Better?

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

Our Verdict

Shameless Care scores higher overall in our independent evaluation (66/100 vs 57.7/100), leading on trust & safety, value, experience, product range. Paloma Health has the lower entry price (from $20/mo vs $63/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
66

Shameless Care is an Illinois sexual-health telehealth company selling ED and female-arousal medications, comprehensive STI testing, DoxyPEP and UTI/BV/yeast treatment as one-time purchases.

Visit Shameless Care

Score Breakdown

DimensionPaloma HealthShameless Care
Overall Score57.7/10066/100 ✓
Trust & Safety30%58/10068/100 ✓
Value25%62/10068/100 ✓
Experience20%55/10066/100 ✓
Product Range15%55/10066/100 ✓
Reputation10%55/10055/100

At a Glance

Founded20182022
HeadquartersNew York, NYSt. Charles, IL
Publicly tradedNoNo
Treatment categories24
Treatments listed310
Starting price$20/mo$63/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 HealthShameless Care
Primary Care$75–$99
At-Home Thyroid Test Kit
$279
14-Panel STI Testing

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 →

Shameless Care

+One-time purchases with no auto-renewal, which avoids the recurring-charge complaints common in the category
+Every price is posted on the site, all-in with consult, prescription and shipping (e.g. UTI treatment $63, Shameless Duo from $130)
+Covers men's and women's sexual health, including STI testing, DoxyPEP, herpes suppression and female arousal treatments, which most ED-focused brands don't
−Two of its three named partner pharmacies (Curexa, Belmar) received FDA compounding warning letters in 2023
−Review evidence is mostly the brand's own on-site testimonials; little independent Trustpilot or Reddit footprint
−Compounded ED troches cost about $7–11 per dose, well above generic sildenafil or tadalafil tablets
Read the full Shameless Care review →

Paloma Health vs Shameless Care — FAQ

Is Paloma Health better than Shameless Care?

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Shameless Care scores higher overall in our independent evaluation (66/100 vs 57.7/100), leading on trust & safety, value, experience, product range. Paloma Health has the lower entry price (from $20/mo vs $63/mo), so the better value depends on which treatment you need.

Is Paloma Health or Shameless Care cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $63/mo for Shameless Care). 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 Shameless Care both offer?

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Both platforms treat Primary Care. Paloma Health covers 2 treatment categories total and Shameless Care covers 4.

Still deciding?

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