Head-to-head for women
Cielo vs Enhance MD
Cielo and Enhance MD both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.
Cielo
Ranked #50 for women · Grade C
Luna Fit
Best for: Women who want a single-purpose GLP-1 program without a multi-vertical storefront attached, and who will check their own state before signing up.
Visit CieloEnhance MD
Higher scoreRanked #2 for women · Grade A−
Luna Fit
Best for: Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes.
Visit Enhance MDThe verdict for women
Enhance MD edges out Cielo on the Luna Fit Score, 92 to 73 (A− vs C). Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes. The reasoning behind that number is in the Enhance MD scorecard.
Cielo is still a genuine option — a deliberately narrow program — two GLP-1s and nothing else, no hair, no testosterone, no upsells — priced the same at every dose, but it publishes neither its coverage map nor its cancellation terms. Weigh the six women's-health factors below against your own priorities; the Cielo scorecard goes through each of them, and if neither of these two is the one, what women pick instead of Cielo widens the field.
Side-by-side on the six factors
Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.
Price, access & features
| Detail | Cielo | Enhance MD |
|---|---|---|
| Luna Fit Score | 73/100 · C | 92/100 · A− |
| Overall rank | #50 | #2 |
| Semaglutide | $139/mo month-to-month (from $89/mo on a 6-month plan), same price any dose | $212/mo |
| Tirzepatide | $189/mo month-to-month (from $129/mo on a 6-month plan), same price any dose | $280/mo |
| Coverage | Not disclosed | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Luna Fit
Cielo
Ranked #50 · Grade C
What we like
- Compounded semaglutide and tirzepatide are the entire product line, so nothing is being cross-sold alongside the prescription
- 'Same price any dose' is stated plainly on both drug pages
- Clinical care is contracted to MD Integrations, named in the terms of service rather than described vaguely
The caveats
- Coverage is not disclosed anywhere — no state count, no nationwide claim, nothing in the terms
- Cancellation, refund and auto-renewal terms are not published, which matters because the headline price needs a six-month plan
- It is not stated whether the multi-month plans are prepaid
Luna Fit
Enhance MD
Ranked #2 · Grade A−
What we like
- Unusually transparent tiered pricing — semaglutide $212/mo (first month $112), tirzepatide $280/mo, microdose $169/mo, and a combo option at $322/mo
- Dose-flat billing, so a titration up doesn't quietly raise your monthly cost
- Six-month metabolic lab testing with provider oversight — a real clinical loop, not a prescription-only handoff
The caveats
- Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
- No brand-name path and no oral or sublingual route for the needle-averse
- Licensed in all 50 states, though their own FAQ lists product as launched in 40 plus DC so far — worth confirming your state before you start
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.
More head-to-heads
Neither Cielo nor Enhance MD is only worth comparing with the other. Cielo is also written up against CoreAge Rx, 20 points apart on the Luna Fit Score — see Cielo against CoreAge Rx, factor by factor. Enhance MD is also written up against CoreAge Rx, 1 point apart — see the Enhance MD–CoreAge Rx head-to-head.
- Cielo vs CoreAge Rx
- Cielo vs yourEra
- Cielo vs Sesame Care
- Enhance MD vs HealthRX
- Enhance MD vs Strut Health
- Enhance MD vs MadeMed
Or browse the full comparison hub.