MadeMed vs Lttl: Which longevity Clinic Is Better in 2026?
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Short answer
MadeMed wins overall, scoring 8.2/10 vs 7.4/10. Mainly on prescriber & follow-up and what they disclose. If price is your priority, Lttl is cheaper at $99/mo on a 12-month supply, $1,188 billed up front.
MadeMed wins overall, scoring 8.2/10 vs 7.4/10. If price is your priority, Lttl is cheaper at $99/mo on a 12-month supply, $1,188 billed up front.
Ties the dose to a lab value, and names the marker it uses.
from $169/mo on a 6-month plan billed $1,014
Read ReviewLLttl
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 →MadeMed vs Lttl, side by side
| Feature | MadeMed | Lttl |
|---|---|---|
| Our score | 8.2/10 | 7.4/10 |
| Starting price | $169/mo on a 6-month plan billed $1,014 | $99/mo on a 12-month supply, $1,188 billed up front |
| Medication types | sermorelin-injection, sermorelin-oral, nad-injection, nad-nasal-spray, peptides | nad-injection, nad-nasal-spray, nad-liposomal, sermorelin-injection, glutathione-injection, methylene-blue, mic-b12 |
| Best for | Best for clinical specificity | — |
| Overall ranking | #2 | #8 |
| Real monthly cost (25%) | 8.0 | 8.0 |
| Prescriber & follow-up (30%) | 8.5 | 6.5 |
| What they can prescribe (20%) | 8.0 | 8.5 |
| What they disclose (25%) | 8.0 | 7.0 |
Sources: MadeMed pricing verified on mademed.com, Lttl pricing verified on lttl.com
Pros & cons
MadeMed
Pros
- + Board-certified physician consultation included in the price
- + Requires a lab test before prescribing, and doses sermorelin against your IGF-1
- + States the dose on every product. 9mg/3mL daily, NAD+ 1000mg across 8 injections a month
Cons
- − Weaker on Real monthly cost (8.0/10)
- − Weaker on What they can prescribe (8.0/10)
- − Weaker on What they disclose (8.0/10)
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)
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), MadeMed (8.2/10) comes out ahead of Lttl (7.4/10). But the right choice still depends on what matters most to you.
Choose MadeMed if you want best for clinical specificity. From $169/mo on a 6-month plan billed $1,014.
Read Review →Choose Lttl if you want this option. From $99/mo on a 12-month supply, $1,188 billed up front.
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 MadeMed.
Frequently asked questions
Which is better, MadeMed or Lttl?
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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.