MyStart Health vs Oak Longevity: Which GLP-1 Provider Is Better?
By Iacob Pastina, Independent Researcher
MyStart Health beats Oak Longevity overall, scoring 7.7/10 vs 7.5/10. Oak Longevity is more affordable at $130/mo vs $299/mo. Choose MyStart Health for users who value a money-back weight-loss guarantee and price. Choose Oak Longevity for budget-conscious users who want one of the cheapest compound.
A side-by-side comparison of MyStart Health and Oak Longevity covering pricing, scores, medication types, insurance, and more to help you decide.
MyStart Health
#21 of 42GLP-1 provider offering a unique money-back guarantee and price-lock protection for long-term cost certainty.
Visit MyStart HealthOak Longevity
#23 of 42Telehealth platform offering compounded semaglutide and tirzepatide at the lower end of market pricing, alongside an oral Wegovy option, brand-name FDA-approved GLP-1s, and a longevity stack (NAD+, Glutathione, Sermorelin, Tesamorelin). Distinctive non-subscription billing — patients pay each month manually rather than auto-renew.
Visit Oak Longevity| Feature | MyStart Health | Oak Longevity |
|---|---|---|
| Our Score | 7.7/10 | 7.5/10 |
| Starting Price | $299/mo | $130/mo |
| Medication Type | Compounded | Both |
| Insurance Accepted | No | No |
| Best For | Users who value a money-back weight-loss guarantee and price-lock protection | Budget-conscious users who want one of the cheapest compounded GLP-1 entries plus a no-subscription billing model and a longevity-stack add-on (NAD+, Sermorelin) |
| Ranking | #21 | #23 |
Pros & Cons Compared
MyStart Health
Pros
- +Price Lock Guarantee ensures your monthly rate never increases even as your GLP-1 dose escalates — a genuine differentiator
- +Access to 600+ board-certified doctors with unlimited clinician messaging at no additional cost
- +Competitive pricing at $149-$179/mo for compounded semaglutide with free shipping included
- +HSA/FSA eligible — can use pre-tax health savings to pay for treatment
Cons
- −Cash-pay only — no insurance accepted, which limits options for patients with GLP-1 coverage
- −Only available in select states — not all 50, and the exact state list isn't published
- −Compounded medications only — no brand-name GLP-1 options available
Oak Longevity
Pros
- +$130/mo for compounded semaglutide is among the cheapest entries on the market — Sprout Health ($99) and Sesame Care ($99) are lower, but Oak undercuts most mid-tier platforms
- +Compounded tirzepatide at $199/mo is competitively priced for a GLP-1+GIP dual agonist
- +No-subscription model — patients are not auto-charged each month, choose to renew manually. Reduces unwanted recurring charges
- +Broadest medication mix on the platform: compounded sema + tirz, oral Wegovy, brand Wegovy/Ozempic/Zepbound/Mounjaro, plus longevity peptides (NAD+, Glutathione, Sermorelin, Tesamorelin)
- +Money-back guarantee if not approved by physician — useful safety net for borderline-eligibility patients
- +Free shipping and free health coaching included in every program
Cons
- −Brand-name pricing ($1,200-$1,500/mo) is significantly above market — NovoCare direct pricing for Wegovy is $349/mo, LillyDirect Zepbound $299/mo. Never buy brand-name through Oak
- −No published lab panels, no specialty (obesity medicine) physicians disclosed — clinical depth is shallow
- −'Up to 50% cheaper than competitors' marketing claim is unverified and inconsistent — depends on which competitor and which medication tier
- −'Longevity' framing pushes users toward add-on products (NAD+, Sermorelin, Tesamorelin) that have limited clinical evidence for weight loss specifically
- −Newer brand without disclosed company history, founding date, or executive team on landing pages
- −Three-month plans are billed upfront — pricing transparency is good, but commit-up-front is a friction point for users testing the platform
Our Verdict
MyStart Health edges out Oak Longevity with a score of 7.7/10 vs 7.5/10. If budget is your priority, Oak Longevity starts at $130/mo compared to MyStart Health's $299/mo. Oak Longevity offers both brand-name and compounded medications, giving you more flexibility. Choose MyStart Health if you want: users who value a money-back weight-loss guarantee and price-lock protection. Choose Oak Longevity if you want: budget-conscious users who want one of the cheapest compounded glp-1 entries plus a no-subscription billing model and a longevity-stack add-on (nad+, sermorelin).