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Head-to-head for women

Fitish vs Vaylen

Fitish and Vaylen 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 #15 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.

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vs

Vaylen

Higher score

Ranked #7 for women · Grade B+

Best for: Women who want maximum optionality — injectable or oral, compounded or brand — from an accredited, all-50-states provider.

Visit Vaylen

The verdict for women

Higher Luna Fit Score: Vaylen

Vaylen edges out Fitish on the Luna Fit Score, 87 to 86 (B+ vs B). Women who want maximum optionality — injectable or oral, compounded or brand — from an accredited, all-50-states provider.

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.

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 Vaylen
PCOS & hormonal suitability8586
Fitish
Vaylen
Clinical oversight & labs8788
Fitish
Vaylen
Price transparency8084
Fitish
Vaylen
Nationwide access9595
Fitish
Vaylen
Ongoing support8484
Fitish
Vaylen
Cancellation fairness8383
Fitish
Vaylen

Price, access & features

DetailFitishVaylen
Luna Fit Score86/100 · B87/100 · B+
Overall rank#15#7
Semaglutide$219/mo$179/mo
Tirzepatide$339/mo$239/mo
CoverageAll 50 statesAll 50 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesYes

Fitish

Ranked #15 · 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

Vaylen

Ranked #7 · Grade B+

What we like

  • Offers an oral/sublingual route as well as injections — real choice for the needle-averse
  • FDA-approved brand access plus compounded on both molecules
  • LegitScript-accredited and available in all 50 states

The caveats

  • Mid-tier pricing rather than the cheapest tiers
  • Broad program rather than a dedicated PCOS/hormone clinic

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Luna Fit Score. 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

Keep comparing Fitish and Vaylen against other providers we review for women.

Or browse the full comparison hub.