Lttl vs Nu Image Medical: Which longevity Clinic Is Better in 2026?
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Short answer
Lttl wins overall, scoring 7.4/10 vs 6.9/10. Mainly on real monthly cost and what they can prescribe.
Lttl wins overall, scoring 7.4/10 vs 6.9/10.
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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Nu Image Medical
A Tampa telehealth company founded in 2004 that sells compounded sermorelin in three forms, NAD+ injections and B12, with supply lengths printed beside its prices but no checkout total or shipping price.
from $99/mo on a 12-month supply (compounded. Compounded medications are not FDA-approved. Prescription required; a licensed provider decides.)
Read ReviewLttl vs Nu Image Medical, side by side
| Feature | Lttl | Nu Image Medical |
|---|---|---|
| Our score | 7.4/10 | 6.9/10 |
| Starting price | $99/mo on a 12-month supply, $1,188 billed up front | $99/mo on a 12-month supply (compounded. Compounded medications are not FDA-approved. Prescription required; a licensed provider decides.) |
| Medication types | nad-injection, nad-nasal-spray, nad-liposomal, sermorelin-injection, glutathione-injection, methylene-blue, mic-b12 | sermorelin-injection, sermorelin-odt, sermorelin-nasal-spray, nad-injection, b12-injection |
| Best for | — | — |
| Overall ranking | #8 | #15 |
| Real monthly cost (25%) | 8.0 | Not scored (6.5) |
| 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, Nu Image Medical pricing verified on nuimagemedical.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)
Nu Image Medical
Pros
- + Sermorelin as an injection, a rapid-dissolve tablet or a nasal spray, more forms than most clinics we track
- + Supply length printed beside each price: NAD+ injection on a 12-month supply, B12 on a 6-month supply
- + Prescription required; a licensed provider reviews your information and decides whether to prescribe
Cons
- − Weaker on Real monthly cost (6.5/10)
- − Weaker on What they disclose (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 Nu Image Medical (6.9/10). 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 Nu Image Medical if you want this option. From $99/mo on a 12-month supply (compounded. Compounded medications are not FDA-approved. Prescription required; a licensed provider decides.).
Read Review →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
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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.