Head-to-head for women
Live Vital vs Sesame Care
Live Vital 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.
Live 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 VitalSesame 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 Live Vital on the Luna Fit Score, 85 to 76 (B vs C). 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.
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 | Live Vital | Sesame Care |
|---|---|---|
| Luna Fit Score | 76/100 · C | 85/100 · B |
| Overall rank | #48 | #4 |
| Semaglutide | ~$128/mo ($299 per 10-week protocol; no monthly rate published) | From $149/mo (brand Wegovy pill) |
| Tirzepatide | ~$235/mo ($549 per 10-week protocol; no monthly rate published) | Brand Zepbound (price varies) |
| Coverage | All 50 states claimed | Nationwide marketplace |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
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
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 Live Vital nor Sesame Care is only worth comparing with the other. Live Vital is also written up against CoreAge Rx, 17 points apart on the Luna Fit Score — see how Live Vital and CoreAge Rx compare on the Luna Fit Score. Sesame Care is also written up against CoreAge Rx, 8 points apart — see Sesame Care against CoreAge Rx, factor by factor.
- Live Vital vs CoreAge Rx
- Live Vital vs Enhance MD
- Live Vital vs yourEra
- Sesame Care vs HealthRX
- Sesame Care vs Strut Health
- Sesame Care vs MadeMed
Or browse the full comparison hub.