Head-to-head for women
CoreAge Rx vs Sesame
CoreAge Rx and Sesame 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 Metabolic-Fit Score — our women's-health rubric.
CoreAge Rx
Higher scoreRanked #1 for women · Grade A−
Metabolic-Fit / 100
Best for: Mothers who want a fixed monthly price, a real clinician rather than an intake quiz, and uninterrupted nationwide access to both semaglutide and tirzepatide while they work out the timing around pregnancy or weaning.
Visit CoreAge RxSesame
Ranked #9 for women · Grade B−
Metabolic-Fit / 100
Best for: Mothers who want an FDA-approved, on-label GLP-1 and a live clinician they choose, and who would rather pay a membership for real oversight than chase the cheapest compounded vial.
Visit SesameThe verdict for women
CoreAge Rx edges out Sesame on the Metabolic-Fit Score, 92 to 81 (A− vs B−). Mothers who want a fixed monthly price, a real clinician rather than an intake quiz, and uninterrupted nationwide access to both semaglutide and tirzepatide while they work out the timing around pregnancy or weaning.
Sesame is still a genuine option — a real telehealth marketplace with a video visit and a clinician you pick — now brand-first, so you get on-label Wegovy or Zepbound with the manufacturer's own pregnancy labeling, if you can absorb a membership fee stacked on the drug price. 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.
Price, access & features
| Detail | CoreAge Rx | Sesame |
|---|---|---|
| Metabolic-Fit Score | 92/100 · A− | 81/100 · B− |
| Overall rank | #1 | #9 |
| Semaglutide | $149/mo | Brand from $149/mo + membership |
| Tirzepatide | $349/mo | Brand (Zepbound/Mounjaro, self-pay) |
| Coverage | All 50 states | All 50 states + DC |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Metabolic-Fit / 100
CoreAge Rx
Ranked #1 · Grade A−
What we like
- A single flat monthly rate — no teaser first month that jumps at the first refill
- A prescriber reviews your history and will actually talk through timing if you're postpartum, nursing, or planning another pregnancy
- Semaglutide and tirzepatide on one chart, so switching molecules doesn't mean switching providers
The caveats
- Not the lowest sticker price — a couple of budget compounders come in under it
- Compounded only; there's no FDA-approved brand Wegovy or Zepbound lane here
- A general metabolic program, not a dedicated OB or hormone practice
Metabolic-Fit / 100
Sesame
Ranked #9 · Grade B−
What we like
- A live video visit with a clinician you select — genuine oversight, not an intake quiz
- Brand-name Wegovy, Ozempic and Zepbound with the manufacturer's own pregnancy and lactation labeling
- Nationwide across all 50 states and DC; strong BBB and Trustpilot standing
The caveats
- A subscription fee (~$59–$99) stacks on top of the medication cost
- The compounded semaglutide it launched with is no longer listed — the low-cost compounded route is gone
- Brand tirzepatide self-pay is very expensive without insurance
Some outbound links earn MomMetabolic a referral fee at no added cost to you, walled off from the Metabolic-Fit Score. Pricing, states and verification reflect each provider's public disclosures at last review; the Metabolic-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 CoreAge Rx and Sesame against other providers we review for women.
- CoreAge Rx vs Eden
- CoreAge Rx vs Form Health
- CoreAge Rx vs Ro
- Sesame vs Gala Health
- Sesame vs Hers
- Sesame vs Enhance MD
Or browse the full comparison hub.