LMy Longevity Picks

AgelessRx vs Live Vital: Which longevity Clinic Is Better in 2026?

31 clinics scoredPrices checked weekly0 paid rankings

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Short answer

AgelessRx wins overall, scoring 7.7/10 vs 6.8/10. Mainly on what they can prescribe and what they disclose.

Our pick: AgelessRx

AgelessRx wins overall, scoring 7.7/10 vs 6.8/10.

Winner
#6 of 31

AgelessRx

7.7

A Michigan longevity telehealth service with a named medical director and the rare combination of NAD+, rapamycin with lab work included, metformin and low dose naltrexone on one menu.

from $149/mo on a 3-month plan billed in full, after a $79 first month

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#17 of 31

Live Vital

6.8

Names the physician who reviews your intake, and shows the protocol total next to the monthly price.

from $149/mo on a 3-month protocol ($447 total)

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AgelessRx vs Live Vital, side by side

FeatureAgelessRxLive Vital
Our score7.7/106.8/10
Starting price$149/mo on a 3-month plan billed in full, after a $79 first month$149/mo on a 3-month protocol ($447 total)
Medication typesmetformin, nad-injection, nad-nasal-spray, rapamycinnad-injection, glutathione-injection, peptides
Best for—Best for a named prescriber
Overall ranking#6#17
Real monthly cost (25%)7.57.5
Prescriber & follow-up (30%)7.57.0
What they can prescribe (20%)8.56.5
What they disclose (25%)7.56.0

Sources: AgelessRx pricing verified on agelessrx.com, Live Vital pricing verified on livevital.io

Pros & cons

AgelessRx

Pros

  • + Rapamycin at $65/month with "Baseline and ongoing blood work included"
  • + NAD+ injection from $79/mo on a 3-month plan; nasal spray also offered
  • + Names its CEO, Anar Isman, and its Medical Director, Dr. Jenell Decker, MD, with a published Ann Arbor address

Cons

  • − Weaker on Real monthly cost (7.5/10)
  • − Weaker on Prescriber & follow-up (7.5/10)
  • − Weaker on What they disclose (7.5/10)

Live Vital

Pros

  • + NAD+ at $149/mo and glutathione at $99/mo, each with the three-month total shown
  • + Names its reviewing physician publicly rather than referring to a network
  • + Prepared by a licensed US pharmacy, with unlimited messaging to the care team

Cons

  • − Weaker on What they disclose (6.0/10)
  • − Weaker on What they can prescribe (6.5/10)
  • − Weaker on Prescriber & follow-up (7.0/10)

The bottom line

After scoring all 31 clinics on our 4-criterion rubric (real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose), AgelessRx (7.7/10) comes out ahead of Live Vital (6.8/10). But the right choice still depends on what matters most to you.

Choose AgelessRx if you want this option. From $149/mo on a 3-month plan billed in full, after a $79 first month.

Read Review →

Choose Live Vital if you want best for a named prescriber. From $149/mo on a 3-month protocol ($447 total).

Visit →

Editor's overall pick

Not sold on either? Our highest-rated clinic overall is HealthRX (8.5/10) from $161/mo on a 1-month plan, renewing monthly. Read the review →

Ready to start longevity care?

Our verdict for this matchup is AgelessRx.

AgelessRxRead Review
Live Vital · from $149/mo on a 3-month protocol ($447 total)Visit →
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Frequently asked questions

Which is better, AgelessRx or Live Vital?
AgelessRx scores higher overall (7.7/10 vs 6.8/10) and is our recommended pick for most people. AgelessRx also has the lower starting price at $149/mo on a 3-month plan billed in full, after a $79 first month.
How much does AgelessRx cost vs Live Vital?
AgelessRx is from $149/mo on a 3-month plan billed in full, after a $79 first month and Live Vital is from $149/mo on a 3-month protocol ($447 total). Both are typically cash-pay; HSA/FSA funds are often eligible. We run an automated check against each clinic's own live pricing page every week; a price left unconfirmed for 45 days shows as unverified rather than staying marked as current.
What is the difference between AgelessRx and Live Vital?
AgelessRx (7.7/10, #6 of 31) and Live Vital (6.8/10, #17 of 31) are scored independently across our 4 criteria: real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose. See the detailed score breakdown above for the criterion-by-criterion comparison.
Does AgelessRx or Live Vital take insurance?
Neither AgelessRx nor Live Vital typically accepts insurance for longevity treatment. Both operate on a cash-pay model, though HSA and FSA funds are often eligible. Confirm at checkout.

Related comparisons

HealthRX vs AgelessRx→HealthRX vs Live Vital→MadeMed vs AgelessRx→MadeMed vs Live Vital→Ivy Rx vs AgelessRx→Ivy Rx vs Live Vital→
Ranked by score

Top picks

HealthRXfrom $161/mo on a 1-month plan, renewing monthly

Published prices on every product

Paid link · ranks 1 of 31 on our methodology either way
Visit →Read review
MadeMedfrom $169/mo on a 6-month plan billed $1,014

Best for clinical specificity

Ranks 2 of 31 · no commercial relationship
Read the MadeMed review
Ivy RxIvy Rxfrom $175 with no billing period stated

Best named clinical oversight

Ranks 3 of 31 · no commercial relationship
Read the Ivy Rx review

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How we score: every clinic is rated on five weighted criteria from documented evidence. Prices checked weekly. See each review for that clinic's own verification status. Scores are never influenced by affiliate commissions. “Visit” links may be affiliate links that support our work. Educational information only. Not medical advice.