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Head-to-head for women

CoreAge Rx vs Trellis Vitality

CoreAge Rx and Trellis Vitality 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 score

Ranked #1 for women · Grade A−

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.

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vs

Trellis Vitality

Ranked #30 for women · Grade C

Best for: Mothers who want the lowest honest monthly price with the compounding pharmacy actually named, and who don't need a brand-name or oral option.

Visit Trellis Vitality

The verdict for women

Higher Metabolic-Fit Score: CoreAge Rx

CoreAge Rx edges out Trellis Vitality on the Metabolic-Fit Score, 92 to 61 (A− vs C). 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.

Trellis Vitality is still a genuine option — trellis Vitality is the cheapest genuinely-disclosed option on this page: $150 a month for compounded semaglutide and $199 for tirzepatide, month to month, with every dosage available at the same price and no membership fee, no consult fee and a $0 assessment. Commit for three or six months and those fall to $140/$133 and $189/$179. It names the pharmacy that compounds the medication — Vials Rx, described as a US state-licensed, cGMP-compliant facility — which is the disclosure most of its cheaper competitors skip, and it covers all 50 states with board-certified clinicians reviewing intake. The caveats are about what it doesn't sell and doesn't say. There is no FDA-approved brand option, no oral formulation, and none of its pricing appears on the homepage at all — you have to reach the GLP-1 product page to find a single number, which makes it look more opaque than it actually is. There is also no postpartum, breastfeeding or PCOS content anywhere. 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.

CoreAge Rx Trellis Vitality
Postpartum & breastfeeding guidance9030
CoreAge
Trellis
PCOS & hormonal fit9142
CoreAge
Trellis
Clinical oversight & labs9274
CoreAge
Trellis
True monthly cost9588
CoreAge
Trellis
Ongoing support9374
CoreAge
Trellis
Cancellation fairness9572
CoreAge
Trellis

Price, access & features

DetailCoreAge RxTrellis Vitality
Metabolic-Fit Score92/100 · A−61/100 · C
Overall rank#1#30
Semaglutide$99/mo$150/mo
Tirzepatide$149/mo$199/mo
CoverageAll 50 statesAll 50 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only

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

Trellis Vitality

Ranked #30 · Grade C

What we like

  • The lowest month-to-month prices on this page from a provider that names its pharmacy — $150 semaglutide, $199 tirzepatide
  • Names its compounding pharmacy (Vials Rx) and describes it as US state-licensed and cGMP-compliant
  • Every dosage at the same price, with no membership fee and no consult cost

The caveats

  • No prices appear on the homepage at all — you have to find the GLP-1 product page to see a single figure
  • Compounded only, with no FDA-approved brand option and no oral formulation
  • Compounded medication is not FDA-approved as a finished product, which Trellis states plainly

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 Trellis Vitality against other providers we review for women.

Or browse the full comparison hub.