Head-to-head for women
Fitish vs Sesame Care
Fitish and Sesame Care 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
Ranked #38 for women · Grade B
Luna Fit
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 FitishSesame Care
Higher scoreRanked #4 for women · Grade B
Luna Fit
Best for: Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program.
Visit Sesame CareThe verdict for women
Sesame Care edges out Fitish on the Luna Fit Score, 85 to 84 (B vs B). Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program. The reasoning behind that number is in the Sesame Care scorecard.
Fitish is still a genuine option — an accredited, women-friendly brand offering an oral route nationwide — the trade-off is premium pricing on both molecules. Weigh the six women's-health factors below against your own priorities; our full Fitish review goes through each of them, and if neither of these two is the one, the alternatives to Fitish we rank for women 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 | Fitish | Sesame Care |
|---|---|---|
| Luna Fit Score | 84/100 · B | 85/100 · B |
| Overall rank | #38 | #4 |
| Semaglutide | $219/mo | Care $59/mo only on the 12-month prepay, otherwise $99 billed every 28 days (13 charges a year) — plus the drug: brand Wegovy pill from $149/mo at 1.5 and 4 mg only, $299/mo at 9 and 25 mg |
| Tirzepatide | $339/mo | Care $59/mo on the 12-month prepay, otherwise $99 per 28 days — plus the drug: brand Zepbound vial $299/mo (2.5 mg), $399 (5 mg), $449 (7.5–15 mg); KwikPen $299 / $399 / $499 / $699 (10–15 mg) |
| Coverage | All 50 states | Nationwide marketplace |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Yes |
Luna Fit
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
Luna Fit
Sesame Care
Ranked #4 · Grade B
What we like
- Real FDA-approved brand-name access — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and Rybelsus
- Established platform (operating since 2018) with LegitScript, BBB accreditation and large third-party review volume
- You choose the provider and see the price up front — genuine marketplace transparency
The caveats
- A generalist marketplace, not a dedicated weight-loss program — lighter ongoing hand-holding than a specialist desk
- Two-part cost (a platform subscription plus the medication) makes the true monthly total harder to compare
- Brand-name cash prices can run high without insurance
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 Sesame Care 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. Sesame Care is also written up against CoreAge Rx, 8 points apart — see Sesame Care against CoreAge Rx, factor by factor.
- Fitish vs CoreAge Rx
- Fitish vs Enhance MD
- Fitish vs yourEra
- Sesame Care vs HealthRX
- Sesame Care vs MadeMed
- Sesame Care vs Trimi
Or browse the full comparison hub.