MyStart Health vs Zealthy: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher

48 providers verified independently·Independent research·How we rank →

MyStart Health beats Zealthy overall, scoring 7.7/10 vs 7.2/10. Zealthy is more affordable at $286/mo vs $299/mo. Choose MyStart Health for users who value a money-back weight-loss guarantee and price. Choose Zealthy for users who want the option to switch between compounded and b.

A side-by-side comparison of MyStart Health and Zealthy covering pricing, scores, medication types, insurance, and more to help you decide.

Higher Rated

MyStart Health

#23 of 48

7.7/10

GLP-1 provider offering a unique money-back guarantee and price-lock protection for long-term cost certainty.

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Zealthy

#42 of 48

7.2/10

Flexible GLP-1 provider allowing patients to switch between compounded and brand-name medications as needed.

Visit Zealthy

Feature	MyStart Health	Zealthy
Our Score	7.7/10	7.2/10
Starting Price	$299/mo	$286/mo
Medication Type	Compounded	Both
Insurance Accepted	No	No
Best For	Users who value a money-back weight-loss guarantee and price-lock protection	Users who want the option to switch between compounded and brand-name GLP-1s
Ranking	#23	#42

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

Zealthy

Pros

+Dedicated insurance coordinators handle prior authorizations — potentially bringing brand-name GLP-1 costs to $25/mo
+Multi-month supply options (3, 6, or 12 months) — unique convenience most monthly-shipping competitors can't match
+Both compounded and brand-name (Wegovy, Zepbound) available with clinician-guided selection
+LegitScript certified with 4.5-star Review.io rating

Cons

−$135 membership fee on top of medication cost makes cash-pay total ~$286/mo for semaglutide — above average
−Young company (founded 2023) with a relatively small review base — less track record than established platforms
−Prescription products are non-refundable for any reason once ordered

Our Verdict

MyStart Health edges out Zealthy with a score of 7.7/10 vs 7.2/10. If budget is your priority, Zealthy starts at $286/mo compared to MyStart Health's $299/mo. Zealthy 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 Zealthy if you want: users who want the option to switch between compounded and brand-name glp-1s.

Still undecided? Editor's #1 Overall Pick

Eden Health GLP-1

$249/mo · 8.9/10 · Both

If neither MyStart Health nor Zealthy feels like the right fit, our overall #1 pick across all 48 GLP-1 telehealth providers is Eden Health GLP-1 — strongest balance of clinical oversight, transparent pricing, and verified availability.

Visit Eden Health GLP-1→Read our full Eden Health GLP-1 review