Lttl vs Enhanced: Which longevity Clinic Is Better in 2026?
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Short answer
Lttl wins overall, scoring 7.4/10 vs 7.1/10. Mainly on what they can prescribe and real monthly cost.
Lttl wins overall, scoring 7.4/10 vs 7.1/10.
Lttl · from $99/mo on a 12-month supply, $1,188 billed up front
LLttl
Prices every plan with the amount billed up front and names its four pharmacies, but the review rating on its pages does not match its Trustpilot record and its refund pages contradict each other.
from $99/mo on a 12-month supply, $1,188 billed up front
Visit →
Enhanced
Prices NAD+, sermorelin and GHK-Cu by supply length on its own pages, but sends you to a third-party telehealth platform for its prescribers, pharmacies and states.
from $143/mo on a 6-month supply
Visit →Lttl vs Enhanced, side by side
| Feature | Lttl | Enhanced |
|---|---|---|
| Our score | 7.4/10 | 7.1/10 |
| Starting price | $99/mo on a 12-month supply, $1,188 billed up front | $143/mo on a 6-month supply |
| Medication types | nad-injection, nad-nasal-spray, nad-liposomal, sermorelin-injection, glutathione-injection, methylene-blue, mic-b12 | nad-injection, sermorelin-injection, ghk-cu |
| Best for | — | — |
| Overall ranking | #8 | #13 |
| Real monthly cost (25%) | 8.0 | 7.5 |
| Prescriber & follow-up (30%) | 6.5 | 7.0 |
| What they can prescribe (20%) | 8.5 | 7.5 |
| What they disclose (25%) | 7.0 | 6.5 |
Sources: Lttl pricing verified on lttl.com, Enhanced pricing verified on enhanced.com
Pros & cons
Lttl
Pros
- + Every plan priced with the amount charged: NAD+ $149 a month month to month, $417 a quarter, $774 for 6 months or $1,188 for 12 months
- + Names its four partner pharmacies with addresses in its Terms, each with no FDA warning letter on file
- + Three NAD+ forms (injection, nasal spray, liposomal oral liquid) plus sermorelin, glutathione and methylene blue, at one price for every dose
Cons
- − Not available in 1 state
- − Weaker on Prescriber & follow-up (6.5/10)
- − Weaker on What they disclose (7.0/10)
Enhanced
Pros
- + Every price is published by supply length: NAD+ $169, $159 or $143 a month for 1, 3 or 6 months
- + States the dose (NAD+ 300 to 500 mg a week, sermorelin 250 to 400 mcg nightly) and what the price includes: medication, clinician and ongoing care
- + Names its legal entity with an address (Enhanced US LLC, New York) and the telehealth groups that provide care
Cons
- − Weaker on What they disclose (6.5/10)
- − Weaker on Prescriber & follow-up (7.0/10)
- − Weaker on Real monthly cost (7.5/10)
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), Lttl (7.4/10) comes out ahead of Enhanced (7.1/10). But the right choice still depends on what matters most to you.
Choose Lttl if you want this option. From $99/mo on a 12-month supply, $1,188 billed up front.
Visit →Choose Enhanced if you want this option. From $143/mo on a 6-month supply.
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 Lttl.
Frequently asked questions
Which is better, Lttl or Enhanced?
How much does Lttl cost vs Enhanced?
What is the difference between Lttl and Enhanced?
Does Lttl or Enhanced take insurance?
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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.