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Head-to-head for women

Fitish vs He & She MD

Fitish and He & She 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.

Fitish

Higher score

Ranked #38 for women · Grade B

Best for: Women who want an oral option from a LegitScript-accredited, all-50-states provider and don't mind paying at the higher end.

FDA warning letterJune 2026Read it ↗Visit Fitish
vs

He & She MD

Ranked #25 for women · Grade B−

Best for: Women who want the GLP-1 and the hormone conversation handled by one clinician rather than split across two providers, and who will read the asterisk before choosing a plan length.

Visit He & She MD

The verdict for women

Higher Luna Fit Score: Fitish

Fitish edges out He & She MD on the Luna Fit Score, 84 to 80 (B vs B−). Women who want an oral option from a LegitScript-accredited, all-50-states provider and don't mind paying at the higher end. The reasoning behind that number is in our full Fitish review.

He & She MD is still a genuine option — the one desk here that also sells the menopause side — estradiol as a patch, a gel or a pill plus progesterone — under the same intake as its GLP-1s, and the only line on the site whose price has no term table behind it. Weigh the six women's-health factors below against your own priorities; the He & She MD scorecard goes through each of them, and if neither of these two is the one, our ranked shortlist of He & She MD alternatives 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.

Fitish He & She MD
PCOS & hormonal suitability8588
Fitish
He
Clinical oversight & labs7978
Fitish
He
Price transparency8072
Fitish
He
Nationwide access9584
Fitish
He
Ongoing support8476
Fitish
He
Cancellation fairness8380
Fitish
He

Price, access & features

DetailFitishHe & She MD
Luna Fit Score84/100 · B80/100 · B−
Overall rank#38#25
Semaglutide$219/mo$199/mo month-to-month ($1,188 once for a year is the $99/mo on the banners)
Tirzepatide$339/mo$299/mo month-to-month ($1,908 committed for the year)
CoverageAll 50 statesEvery US state except Louisiana for GLP-1s; hormone and longevity lines ship nationwide
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesYes

Fitish

Ranked #38 · Grade B

What we like

  • Offers an oral/sublingual form as well as injections
  • LegitScript-accredited and nationwide across all 50 states
  • Both molecules disclosed, tirzepatide available for insulin resistance

The caveats

  • Premium pricing — $219 semaglutide, $339 tirzepatide
  • No FDA-approved brand access; general program, not hormone-specialized

He & She MD

Ranked #25 · Grade B−

What we like

  • Sells estradiol (patch, gel and pill) and progesterone alongside its GLP-1s, so the menopause and metabolic sides run through one intake
  • Prices four commitment terms per GLP-1 molecule in public, with the amount actually charged printed beside each
  • Names the dispensing pharmacy in full — F&F Pharmacies Inc, doing business as Jungle Jim's Pharmacy, 5484 Dixie Highway, Fairfield OH 45014, with a phone number

The caveats

  • The menopause line is the one place it stops publishing terms: estradiol patch, gel and pill and the progesterone pill all show "Starting at $125/month" with no term table at all, while seven other product pages carry a full four-rung ladder
  • Every advertised GLP-1 figure is the twelve-month rung — the "$99/month" on the banners requires $1,188 paid once, and the rate you can stop after a month is $199
  • Its FAQ says the pharmacy it names is licensed in 44 states and cannot dispense sterile compounds; a weekly GLP-1 injection is a sterile compound, and a second pharmacy is named in the same answer without saying which fills what

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 Fitish nor He & She MD is only worth comparing with the other. Fitish is also written up against CoreAge Rx, 9 points apart on the Luna Fit Score — see Fitish vs CoreAge Rx for women. He & She MD is also written up against CoreAge Rx, 13 points apart — see He & She MD against CoreAge Rx, factor by factor.

Or browse the full comparison hub.