Head-to-head for women
Enhance MD vs Live Vital
Enhance MD and Live Vital 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.
Enhance 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 MDLive Vital
Ranked #48 for women · Grade C
Luna Fit
Best for: Women in perimenopause who want a named, menopause-credentialled physician rather than a clinician network, and who will do the arithmetic on the protocol price themselves.
Visit Live VitalThe verdict for women
Enhance MD edges out Live Vital on the Luna Fit Score, 92 to 76 (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.
Live Vital is still a genuine option — a one-physician practice whose founder is menopause-certified and has written a 40-page perimenopause guide — genuine midlife expertise, wrapped around the most misleading price presentation on the board. Weigh the six women's-health factors below against your own priorities; what we found reviewing Live Vital goes through each of them, and if neither of these two is the one, the full field we rank against Live Vital 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 | Enhance MD | Live Vital |
|---|---|---|
| Luna Fit Score | 92/100 · A− | 76/100 · C |
| Overall rank | #2 | #48 |
| Semaglutide | $212/mo | ~$128/mo ($299 per 10-week protocol; no monthly rate published) |
| Tirzepatide | $280/mo | ~$235/mo ($549 per 10-week protocol; no monthly rate published) |
| Coverage | All 50 states | All 50 states claimed |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
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
Luna Fit
Live Vital
Ranked #48 · Grade C
What we like
- Founder Dr. Patrick Taylor is a menopause-certified practitioner and lists women's health as his first specialty — a rare credential in this segment
- Publishes a free 40-page perimenopause clinical guide with 32 peer-reviewed citations, which frames peptide therapy as an adjunct to hormone therapy rather than a substitute for it
- Peptide and hormone therapy sit on the same account as GLP-1 care
The caveats
- The advertised '$99/mo' is a $299 prepaid ten-week protocol divided by three months — the real cost is closer to $128 per 30 days
- No month-to-month option exists at all; the prepaid protocol is the only way to buy
- The pricing page does not list semaglutide, tirzepatide or retatrutide anywhere — the GLP-1s sit on separate pages it does not link to
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 Enhance MD nor Live Vital is only worth comparing with the other. Enhance MD is also written up against CoreAge Rx, 1 point apart on the Luna Fit Score — see the Enhance MD–CoreAge Rx head-to-head. Live Vital is also written up against CoreAge Rx, 17 points apart — see how Live Vital and CoreAge Rx compare on the Luna Fit Score.
- Enhance MD vs CoreAge Rx
- Enhance MD vs yourEra
- Enhance MD vs Sesame Care
- Live Vital vs HealthRX
- Live Vital vs Strut Health
- Live Vital vs MadeMed
Or browse the full comparison hub.