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Paloma Health vs Winona: Which Is Better?

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

Our Verdict

Winona scores higher overall in our independent evaluation (74.5/100 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.

Visit Paloma Health
75
Winona
Good

Women-focused telehealth delivering personalized bioidentical hormone replacement therapy for menopause, with in-house compounding pharmacies across 33 states.

Visit Winona

Score Breakdown

DimensionPaloma HealthWinona
Overall Score57.7/10074.5/100 ✓
Trust & Safety30%58/10070/100 ✓
Value25%62/10075/100 ✓
Experience20%55/10085/100 ✓
Product Range15%55/10065/100 ✓
Reputation10%55/10080/100 ✓

At a Glance

Founded20182020
HeadquartersNew York, NYAustin, TX
Publicly tradedNoNo
Treatment categories25
Treatments listed311
Starting price$20/mo$9/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 HealthWinona
Hormone Therapy$20
Thyroid Care Membership
$9
DHEA Capsules

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 →

Winona

+Vertically integrated: in-house compounding pharmacies, proprietary EHR, employed physicians
+Strong patient satisfaction: 4.6/5 Trustpilot with 6,000+ reviews, 80% report symptom relief in 3 months
+Accessible pricing: $54-$149/mo for core HRT with free consultations and shipping
−No insurance billing — entirely out-of-pocket (though HSA/FSA accepted)
−No blood work or lab testing required before or during treatment — a clinical concern
−Limited to 33 US states and Puerto Rico — unavailable in 17 states
Read the full Winona review →

Paloma Health vs Winona — FAQ

Is Paloma Health better than Winona?

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Winona scores higher overall in our independent evaluation (74.5/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation.

Is Paloma Health or Winona cheaper?

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Winona has the lower starting price (from $9/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 Winona both offer?

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

Still deciding?

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