LMy Longevity Picks

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

31 clinics scoredPrices checked weekly0 paid rankings

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Short answer

Live Vital wins overall, scoring 6.8/10 vs 6.4/10. Mainly on what they can prescribe and real monthly cost.

Our pick: Live Vital

Live Vital wins overall, scoring 6.8/10 vs 6.4/10.

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

#23 of 31

Peter MD

6.4

NAD+ as injection or capsule, plus sermorelin and metformin, priced by supply rather than by month.

from $369 for an 8 to 10 week supply (2 vials)

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Winner
#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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Peter MD vs Live Vital, side by side

FeaturePeter MDLive Vital
Our score6.4/106.8/10
Starting price$369 for an 8 to 10 week supply (2 vials)$149/mo on a 3-month protocol ($447 total)
Medication typesnad-injection, nad-capsule, sermorelin-injection, metformin, bloodworknad-injection, glutathione-injection, peptides
Best forNAD+ in two forms, plus metforminBest for a named prescriber
Overall ranking#23#17
Real monthly cost (25%)6.57.5
Prescriber & follow-up (30%)6.57.0
What they can prescribe (20%)8.06.5
What they disclose (25%)5.06.0

Sources: Peter MD pricing verified on getpetermd.com, Live Vital pricing verified on livevital.io

Pros & cons

Peter MD

Pros

  • + NAD+ as both injection and capsule, plus sermorelin and metformin
  • + Publishes the states it cannot ship to, on the product page itself
  • + Comprehensive bloodwork sold openly alongside treatment

Cons

  • − Not available in 2 states
  • − Weaker on What they disclose (5.0/10)
  • − Weaker on Real monthly cost (6.5/10)

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), Live Vital (6.8/10) comes out ahead of Peter MD (6.4/10). But the right choice still depends on what matters most to you.

Choose Peter MD if you want nad+ in two forms, plus metformin. From $369 for an 8 to 10 week supply (2 vials).

Read Review →

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

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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 Live Vital.

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

Which is better, Peter MD or Live Vital?
Live Vital scores higher overall (6.8/10 vs 6.4/10) and is our recommended pick for most people.
How much does Peter MD cost vs Live Vital?
Peter MD is from $369 for an 8 to 10 week supply (2 vials) 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 Peter MD and Live Vital?
Peter MD (6.4/10, #23 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 Peter MD or Live Vital take insurance?
Neither Peter MD 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 Live Vital→HealthRX vs Peter MD→MadeMed vs Live Vital→MadeMed vs Peter MD→Ivy Rx vs Live Vital→Ivy Rx vs Peter MD→
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.