MEDGm vs Sesame
Both clinics sit in our top 10, so this page exists for readers already comparing them here. It is not written for search and is not submitted for indexing. Every figure below is read from the clinic's own page, with the date.
26 of the 51 clinics we rank are an affiliate partner. Scores come only from our published methodology. At equal displayed scores, active affiliate partners are listed first. What it changes is which clinic a promoted button points at, and every such link carries a PICK badge in the table so you can see it before you click.
PickPublishes every plan length with its total billed and its per-month rate on each product page, and covers more routes than any clinic here. But the $169/mo headline is $2,028 charged up front and non-refundable.
from $169/mo on a $2,028 prepaid year
Verified 2026-09-16
Visit →Affiliate link
PickA clinician marketplace rather than a clinic. You see who treats you before booking, it dispenses FDA-approved GLP-1s only, and it says outright that medication is billed separately.
from $208/mo combined ($59 care + $149 medication, on a 12-month commitment)
Verified 2026-09-30
Visit →Affiliate link
| MEDGm | Sesame | |
|---|---|---|
| Price | from $169/mo on a $2,028 prepaid yearTheir page, read 2026-09-16 | from $208/mo combined ($59 care + $149 medication, on a 12-month commitment)Their page, read 2026-09-30 |
| Price shape | one-ongoing-rate | membership-excludes-medication |
| What the price doesn’t say | $169/mo only exists on the 12-month plan, and the $2,028 is charged up front and non-refundable. Month to month is $299, or $179 for a first month with the published code. | This is two charges added together, not one bill: a care fee plus medication from $149/mo billed separately. Sesame publishes three care fees. $59/mo is care on a 12-month commitment ("*Based on a 12-month Success by Sesame commitment"). $99/mo is care on the Month-to-Month Plan ("Billed every month at $99 per month"), which the same page's billing answer says is "Billed every 28 days", so 13 cycles a year rather than 12. $43/mo appears only on Sesame's medication pages, as "Ongoing care" that "Includes video visits, labs, unlimited chat & more", "From $43 per /mo.", and the page does not explain it: no plan or term is attached, and the same Ozempic page says the subscription "starts as low as $59 per month". We use the $59 and $99 the weight-loss page explains, so the no-commitment floor is $248/mo. |
| What it covers | 12 months of compounded semaglutide at any dose, labs and metabolic report, provider consultation, dose adjustments, side-effect medications and shippingTheir page, read 2026-09-16 | Not published. The page does not say what the figure covers.Their page, read 2026-09-30 |
| Billed on top | Nothing on the compounded plans. Labs, shipping and side-effect medication are included. On the three brand-name routes the published figure is a membership only ($99 Zepbound/Wegovy, $171 Ozempic) and the medication cost is not published.Their page, read 2026-09-16 | The $59/mo care fee excludes medication entirely; medication starts at $149/mo and is billed separately.Their page, read 2026-09-30 |
| Commitment | Committed term. The rate applies on a $2,028 prepaid year. Billed up front on that term. What happens after the first period: Publishes a full term grid with the first month priced separately: "$597 → $199/mo billed every 3 months", "$1,134 → $189/mo billed every 6 months", "$2,028 → $169/mo billed every 12 months", alongside "First month $179". The ongoing rate is the tier, and the entry price is labelled as the entry price. (Read at source 2026-09-18.).Their page, read 2026-09-16 | Committed term. The rate applies combined ($59 care + $149 medication, on a 12-month commitment). What happens after the first period: Explicit renewal language: "then $349/mo after", plus the billing terms. "Billed every month at $99 per month", "Billed every 3 months", "Billed every 6 months". (Read at source 2026-09-18.).Their page, read 2026-09-30 |
| Routes | compounded semaglutide, compounded tirzepatide, compounded semaglutide tablet, brand-name Zepbound, brand-name Wegovy pill, brand-name Wegovy pen, brand-name Ozempic | brand-name GLP-1 injection, brand-name oral GLP-1 |
| Score | 7.9 | 6.6 |
What one does that the other doesn’t
MEDGm
Offers semaglutide, tirzepatide where Sesame does not.
Sesame
Offers glp-1 (molecule unnamed) where MEDGm does not.
Who each one suits
Every line below is a difference we can measure, with the field or criterion it comes from. Where a side is empty, nothing in what we record favours it. We would rather say that than invent a reason.
MEDGm
- Lower published entry figure of the two.Basis: published entry price, each in its own billing unit
- Only one of the two offering: semaglutide, tirzepatide.Basis: published treatments, by drug and route
- Scores clearly higher on clinical (8.5 vs 7.5).Basis: our published scoring rubric
- Scores clearly higher on transparency (7.5 vs 6.0).Basis: our published scoring rubric
- Scores clearly higher on treatment (8.5 vs 6.0).Basis: our published scoring rubric
Sesame
- Only one of the two offering: glp-1 (molecule unnamed).Basis: published treatments, by drug and route