LLttlreview
Publishes every plan length for both molecules with the amount billed, from $89/mo on a 12-month plan or $99 month to month, and names its four partner pharmacies. Its trust claims do not match the record: the site shows 4.5 stars from 125,000+ members while its Trustpilot profile has 12 reviews.
Scored 7.0/10 · ranked #25 of 49 · from $89/mo on a 12-month plan, $1,068 billed annually ($99 month to month) · Verified 2026-10-27Pick
What that price doesn’t say: $89/mo needs the 12-month plan, billed as $1,068 for the year. The 6-month plan is $93/mo, the 3-month $96/mo and month to month $99, the same at every dose. Tirzepatide runs $139 to $149/mo on the same terms. The site banner promising up to $140 off the first month does not apply to these plans: no code is added at checkout, so the price shown is the price charged. Price read 2026-10-27.
Visit →Affiliate link
Summarize this page with
Short answer
Lttl publishes $89/mo on a 12-month plan, $1,068 billed annually ($99 month to month) as its starting rate.
Lttl's plans and prices
Every plan, product and plan length Lttl lists, as we read them. Extra costs and introductory prices are their own rows. Each plan links to the clinic: affiliate links, which never change a score or a rank.
| Plan | Price | Term | What it covers |
|---|---|---|---|
| Semaglutide Injectable, 12 Month Supply (52-Week Supply)compoundedVisit → | $89/mo | 12 months, $1,068 billed annually | Includes medication, clinician visits, shipping, per Lttl |
| Semaglutide Injectable, 12 Month Supply, billed totalcompoundedVisit → | $1,068 for 12 months | 12 months, billed annually | Includes medication, clinician visits, shipping, per Lttl |
| Semaglutide Injectable, 6 Month Supply (24-Week Supply)compoundedVisit → | $93/mo | 6 months, $558 billed every 6 months | Includes medication, clinician visits, shipping, per Lttl |
| Semaglutide Injectable, 3 Month Supply (12-Week Supply)compoundedVisit → | $96/mo | 3 months, $288 billed quarterly | Includes medication, clinician visits, shipping, per Lttl |
| Semaglutide Injectable, Monthly Auto-RefillcompoundedVisit → | $99/mo | monthly auto-refill, "4-Week Supply · Cancel anytime" | Includes medication, clinician visits, shipping, per Lttl |
| Tirzepatide Injectable, 12 Month Supply (52-Week Supply)compoundedVisit → | $139/mo | 12 months, $1,668 billed annually | Includes medication, clinician visits, shipping, per Lttl |
| Tirzepatide Injectable, 6 Month SupplycompoundedVisit → | $143/mo | 6 months, $858 billed every 6 months | Includes medication, clinician visits, shipping, per Lttl |
| Tirzepatide Injectable, 3 Month SupplycompoundedVisit → | $146/mo | 3 months, $438 billed quarterly | Includes medication, clinician visits, shipping, per Lttl |
| Tirzepatide Injectable, Monthly Auto-RefillcompoundedVisit → | $149/mo | monthly auto-refill, 4-week supply | Includes medication, clinician visits, shipping, per Lttl |
| Microdose semaglutide injectable, monthly after the first monthVisit → | $149/mo | monthly | Includes medication, clinician visits, shipping, per Lttl |
| Microdose semaglutide injectable, 3 Month SupplyVisit → | $129/mo | 3 months, $387 billed quarterly | Includes medication, clinician visits, shipping, per Lttl |
| Microdose semaglutide injectable, 6 Month SupplyVisit → | $119/mo | 6 months, $714 billed every 6 months | Includes medication, clinician visits, shipping, per Lttl |
| Microdose semaglutide injectable, 12 Month SupplyVisit → | $109/mo | 12 months, $1,308 billed annually | Includes medication, clinician visits, shipping, per Lttl |
| Microdose tirzepatide injectable, monthly after the first monthVisit → | $149/mo | monthly | Includes medication, clinician visits, shipping, per Lttl |
| Microdose tirzepatide injectable, 3 Month SupplyVisit → | $129/mo | 3 months, $387 billed quarterly | Includes medication, clinician visits, shipping, per Lttl |
| Microdose tirzepatide injectable, 6 Month SupplyVisit → | $119/mo | 6 months, $714 billed every 6 months | Includes medication, clinician visits, shipping, per Lttl |
| Microdose tirzepatide injectable, 12 Month SupplyVisit → | $109/mo | 12 months, $1,308 billed annually | Includes medication, clinician visits, shipping, per Lttl |
| Microdose semaglutide oral (ODT), monthly after the first monthVisit → | $179/mo | monthly | Includes medication, clinician visits, shipping, per Lttl |
| Microdose semaglutide oral (ODT), 3 Month SupplyVisit → | $159/mo | 3 months, $477 billed quarterly | Includes medication, clinician visits, shipping, per Lttl |
| Microdose semaglutide oral (ODT), 6 Month SupplyVisit → | $149/mo | 6 months, $894 billed every 6 months | Includes medication, clinician visits, shipping, per Lttl |
| Microdose semaglutide oral (ODT), 12 Month SupplyVisit → | $139/mo | 12 months, $1,668 billed annually | Includes medication, clinician visits, shipping, per Lttl |
| Extra costs and introductory prices | |||
| Microdose semaglutide injectable, first month (introductory) | $119 first month | then $149/mo | Introductory price for the first period |
| Microdose tirzepatide injectable, first month (introductory) | $119 first month | then $149/mo | Introductory price for the first period |
| Microdose semaglutide oral (ODT), first month (introductory) | $149 first month | then $179/mo | Introductory price for the first period |
Lttl's own figures, read up to 2026-10-27 on lttl.com.
Before you sign up with Lttl
Each line is from Lttl's own pages or a public record, with the date we read it. Where we hold no reading, the line is left out rather than guessed.
- What the price covers
- Medication: included. Lttl's page: “Every Lttl plan includes your clinician visit, prescription, ongoing doctor messaging, free follow-ups, and your medication delivered discreetly to your door.” Clinician visits: included. Lttl's page: “Every Lttl plan includes your clinician visit, prescription, ongoing doctor messaging, free follow-ups, and your medication delivered discreetly to your door.” No extra fees, per Lttl: “No hidden fees, no surprises.” (lttl.com, read 2026-10-27)
- Cancelling and refunds
- Cancel by emailing hello@lttl.com; cancelling stops future charges but nothing already processed is refunded. Prescription orders are non-refundable once the intake is submitted, a full refund applies only if a provider finds you medically ineligible or for a billing error, and refund requests must be in writing within 28 days. Subscriptions renew until cancelled; the renewal cutoff is shown at checkout. (lttl.com, read 2026-10-27)
- States served
- 50 of 51. Not available in Louisiana. (lttl.com, read 2026-10-27)
- Shipping
- Shipping: included. Lttl's page: “Free and discreet, straight to your door” (lttl.com, read 2026-10-27)
- Pharmacy
- Lttl names RedRock Compounding Pharmacy (St. George, UT), Health Warehouse (Florence, KY), Precision Compounding Pharmacy (Bellmore, NY), Triad Rx (Daphne, AL). (checked 2026-10-27)
- Support
- Lttl's page: “Unlimited messaging, included in every plan” (lttl.com, read 2026-10-27)
The downsides we found
- Not available in Louisiana.
- Plans lock you in for the full term.
What the score rests on
Classified as one-ongoing-rate. See how we classify every clinic's price →
| Criterion | Weight | Score | What it rests on |
|---|---|---|---|
| Price & value | 25% weight | 8.0 | $89 a month on the 12-month plan (billed as $1,068 for the year), $93 on 6 months, $96 on 3 months and $99 month to month, the same at every dose. The month-to-month price is as low as other clinics' 12-month rates here. The site's first-month discount banner does not apply to these plans, so the price shown is what is charged. |
| Clinical oversight | 30% weight | 7.0 | Its Terms name four partner pharmacies with addresses, and unlimited messaging with the care team is included. Marked down because the prescribing clinicians are not named, the page headed "Meet the doctors behind your care" lists a pharmacist, a nurse practitioner and a physical therapist with no physician, lab work is not mentioned, and the delivery times on the sales pages are shorter than on the shipping policy. |
| Treatment options | 20% weight | 8.0 | Compounded semaglutide and tirzepatide injections, plus a lower-dose line of both and a needle-free dissolving semaglutide tablet. No brand-name product is sold on the site. |
| Transparency & trust | 25% weight | 5.0 | Every price, the operating company and the partner pharmacies are published. Marked down because the site's own trust claims do not match the record: it shows 4.5 stars from 125,000+ members while its Trustpilot profile has 12 reviews, it shows 12-month patient results for a site that archived copies show as a placeholder in March 2026, its "physicians" section lists no physician, and its first-month discount banner does not apply to the weight-loss plans. Its Terms and its pricing page also disagree on refunds when a provider declines to prescribe, and the Terms say it serves all 50 states while its intake offers Louisiana residents only brand-name drugs. |
4 of 4 criteria have a written source.
Watch out for
(1) TRUST CLAIMS THE RECORD DOES NOT SUPPORT. Lttl's pages show "4.5★ from 125,000+ Members" and "Excellent TrustPilot 125,000+ happy customers"; its claimed Trustpilot profile read 4.2 across 12 reviews on 27 October 2026, the oldest from July 2026. Archived copies show lttl.com as a logo-only page in February and March 2026, yet its product pages show "Verified Lttl patient" results over 10 to 12 months. The "Meet the doctors behind your care" section says "Our licensed physicians" and lists a pharmacist, a nurse practitioner and a physical therapist, who are an advisory board, not your prescriber; the prescribing clinicians are not named. (2) THE BANNER. "Up to $140 off your first month, code auto-applied" does not apply to the semaglutide or tirzepatide plans. (3) REFUNDS AND RENEWAL. Prescription orders are non-refundable once the intake is submitted, refund requests must be made in writing within 28 days, cancellation is by email to hello@lttl.com, and the 12-month plan is billed as $1,068 up front and renews until cancelled; the renewal cutoff is shown only at checkout. The Terms promise a full refund if a provider finds you ineligible, while the Insurance & Pricing page says consultation fees may not be refunded if a provider declines. (4) LOUISIANA. The Terms say "all 50 states plus Washington D.C." and the landing page says its GLP-1 programs are "available in all 50 states", but the intake offers Louisiana residents only brand-name drugs, none of the compounded plans priced here.
Third-party records
Better Business Bureau
No BBB profile found for Lttl (checked 2026-10-27).
A BBB rating is a third party's record of how a business handles complaints. It does not change which clinics we link to.
Alternatives to Lttl
Pickfrom $169/mo on a $2,028 prepaid yearPublishes 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.
Visit →Affiliate link
from $99/mo on a 12-month prepaid planSays outright that its headline is a monthly equivalent of annual billing, and prints the no-commitment rate beside it instead of leaving you to find it at checkout.
Read our review →Not an affiliate. We earn nothing
Pallas Healthfrom $199/moPublishes both the intro price and the ongoing one in the same breath ($139 the first month, then $199) and is one of the few here that will sell you brand-name Mounjaro® alongside compounded options.
Read our review →Not an affiliate. We earn nothing
Lttl compared, one on one
Price side by side with the unit each clinic publishes, what the figure covers, the commitment, and what one does that the other doesn’t. Every figure dated.
What changed since we last checked
No change to Lttl’s plan rows or list of states in our record since we started recording them. Changes to its starting price are in the section above.
A change can be Lttl moving a price, or us reading a page we hadn’t read before or correcting an earlier reading. Dates are when the change entered our record.
Check your state and budget
From Lttl’s own pages as recorded in its review. A monthly figure for a plan billed every few weeks or months is our arithmetic.
Compare two Lttl plans
| A: Semaglutide Injectable, 12 Month Supply (52-Week Supply) (compounded) | B: Semaglutide Injectable, 12 Month Supply, billed total (compounded) | |
|---|---|---|
| Price as published | $89/mo | $1,068 12 month total |
| Works out to a month | $89 | $89 |
| First 12 months | $1,068 ($89 × 12) | $1,068 ($1,068 for 12 months) |
| Commitment | 12 months, $1,068 billed annually | 12 months, billed annually |
| What it covers | Not stated on the row | Not stated on the row |
| Read on | Oct 27, 2026 | Oct 27, 2026 |
Twelve-month figures assume the price holds and you stay the full year; they leave out anything billed separately.
Questions to ask Lttl at intake
Each one is here because Lttl’s pages left it open when we read them.
- Do I need lab work before starting, and what does it cost? Its pages don't say whether labs are needed or what they cost.
- What will I pay each month after the introductory price ends? Lttl advertises a first-period price that differs from its ongoing rate.
- Is the longer plan charged up front, and can I switch to month-to-month later? At least one of its plans is billed for several months at once.
- Does my price change when my dose goes up? Its plan prices don't say whether they hold at higher doses.
Lttl: common questions
How much does Lttl cost?
Lttl publishes $89/mo on a 12-month plan, $1,068 billed annually ($99 month to month) as its starting rate.
What does Lttl's price include?
Medication: included. Lttl's page: “Every Lttl plan includes your clinician visit, prescription, ongoing doctor messaging, free follow-ups, and your medication delivered discreetly to your door.” Clinician visits: included. Lttl's page: “Every Lttl plan includes your clinician visit, prescription, ongoing doctor messaging, free follow-ups, and your medication delivered discreetly to your door.” No extra fees, per Lttl: “No hidden fees, no surprises.” (Read 2026-10-27.)
Can I cancel Lttl and get a refund?
Cancel by emailing hello@lttl.com; cancelling stops future charges but nothing already processed is refunded. Prescription orders are non-refundable once the intake is submitted, a full refund applies only if a provider finds you medically ineligible or for a billing error, and refund requests must be in writing within 28 days. Subscriptions renew until cancelled; the renewal cutoff is shown at checkout. (Read 2026-10-27.)
Is Lttl available in my state?
50 of 51. Not available in Louisiana. (Read 2026-10-27.)
What we found
Third-party record
Lttl displays a 4.5 rating; its own Trustpilot profile reads 4.2
Lttl's homepage shows “4.5★ from 125,000+ Members” and its product pages “Excellent TrustPilot 125,000+ happy customers”. Its own Trustpilot profile (claimed, paid subscription, domain lttl.com, 21600 Oxnard St, Woodland Hills) read 4.2 across 12 reviews on 2026-10-27: 92% five-star, 8% one-star. The newest review (16 October 2026) describes a week's wait for medication with no tracking number. The oldest review is from July 2026. Both read live 2026-10-27.
SourceChecked 2026-10-27
Everything we found across every clinic. Each with its source and the date we checked it.
24 of the 49 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.
Reviewed by Alexandru Vieru. Price read on Lttl's own pages on 2026-10-27.