Lttl vs Live Vital: Which longevity Clinic Is Better in 2026?
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Short answer
Lttl wins overall, scoring 7.4/10 vs 6.8/10. Mainly on what they can prescribe and what they disclose.
Lttl wins overall, scoring 7.4/10 vs 6.8/10.
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
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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)
Visit →Lttl vs Live Vital, side by side
| Feature | Lttl | Live Vital |
|---|---|---|
| Our score | 7.4/10 | 6.8/10 |
| Starting price | $99/mo on a 12-month supply, $1,188 billed up front | $149/mo on a 3-month protocol ($447 total) |
| Medication types | nad-injection, nad-nasal-spray, nad-liposomal, sermorelin-injection, glutathione-injection, methylene-blue, mic-b12 | nad-injection, glutathione-injection, peptides |
| Best for | — | Best for a named prescriber |
| Overall ranking | #8 | #17 |
| Real monthly cost (25%) | 8.0 | 7.5 |
| Prescriber & follow-up (30%) | 6.5 | 7.0 |
| What they can prescribe (20%) | 8.5 | 6.5 |
| What they disclose (25%) | 7.0 | 6.0 |
Sources: Lttl pricing verified on lttl.com, Live Vital pricing verified on livevital.io
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)
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), Lttl (7.4/10) comes out ahead of Live Vital (6.8/10). 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 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 Lttl.
Frequently asked questions
Which is better, Lttl or Live Vital?
How much does Lttl cost vs Live Vital?
What is the difference between Lttl and Live Vital?
Does Lttl or Live Vital 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.