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Head-to-head for women

Sesame Care vs Effecty

Sesame Care and Effecty 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.

Sesame Care

Ranked #8 for women · Grade B+

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 Care
vs

Effecty

Ranked #6 for women · Grade B+

Best for: Women who want the flexibility of both compounded and FDA-approved brand medication from a LegitScript-accredited, nationwide provider.

Visit Effecty

The verdict for women

Sesame Care and Effecty tie on the Luna Fit Score at 87/100 apiece, so neither runs away with it. The right pick comes down to the factors that matter most to you — compare them below.

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.

Sesame Care Effecty
PCOS & hormonal suitability8486
Sesame
Effecty
Clinical oversight & labs8888
Sesame
Effecty
Price transparency8085
Sesame
Effecty
Nationwide access9295
Sesame
Effecty
Ongoing support8284
Sesame
Effecty
Cancellation fairness8583
Sesame
Effecty

Price, access & features

DetailSesame CareEffecty
Luna Fit Score87/100 · B+87/100 · B+
Overall rank#8#6
SemaglutideFrom $149/mo (brand Wegovy pill)$160/mo
TirzepatideBrand Zepbound (price varies)$240/mo
CoverageNationwide marketplaceAll 50 states
Brand-name accessYesYes
Oral / sublingualYesInjection only

Sesame Care

Ranked #8 · 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

Effecty

Ranked #6 · Grade B+

What we like

  • FDA-approved brand access plus compounded, both molecules
  • LegitScript-accredited — a meaningful oversight signal when hormones are involved
  • Nationwide across all 50 states

The caveats

  • No oral/sublingual form
  • Not a hormone-specialty program; PCOS framing is general

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 Sesame Care and Effecty against other providers we review for women.

Or browse the full comparison hub.