LMy Longevity Picks

Precision Telemed vs Live Vital: Which longevity Clinic Is Better in 2026?

25 clinics scoredPrices checked weekly0 paid rankings

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Short answer

Precision Telemed wins overall, scoring 7.8/10 vs 6.8/10 — mainly on what they disclose and real monthly cost.

Our pick: Precision Telemed

Precision Telemed wins overall, scoring 7.8/10 vs 6.8/10.

Winner
#4 of 25

Precision Telemed

7.8

Publishes what you pay in month two, next to what you pay in month one — the one disclosure almost nothing else here makes.

from $149/mo

Visit Precision Telemed
#13 of 25

Live Vital

6.8

Names the physician who reviews your intake, and shows the protocol total next to the monthly price.

from $149/mo

Visit Live Vital

Precision Telemed vs Live Vital, side by side

FeaturePrecision TelemedLive Vital
Our score7.8/106.8/10
Starting price$149/mo$149/mo
Medication typesnad-injection, sermorelin-injection, peptidesnad-injection, glutathione-injection, peptides
Best forBest for knowing month two's priceBest for a named prescriber
Overall ranking#4#13
Real monthly cost (25%)8.07.5
Prescriber & follow-up (30%)7.57.0
What they can prescribe (20%)7.06.5
What they disclose (25%)8.56.0

Sources: Precision Telemed pricing verified on precisiontelemed.com, Live Vital pricing verified on livevital.io

Pros & cons

Precision Telemed

Pros

  • + States the ongoing rate beside the entry rate on every product page: NAD+ $139.99 then $149/mo, sermorelin $149.99 then $179.99/mo
  • + Compounded in 503A and 503B pharmacies, with board-certified physician oversight included in the price
  • + No membership fee, free shipping, cancel anytime, and no dose-based price increases

Cons

  • Weaker on What they can prescribe (7.0/10)
  • Weaker on Prescriber & follow-up (7.5/10)
  • Weaker on Real monthly cost (8.0/10)

Live Vital

Pros

  • + NAD+ at $149/mo and glutathione at $119/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 25 clinics on our 4-criterion rubric (real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose), Precision Telemed (7.8/10) comes out ahead of Live Vital (6.8/10) — but the right choice still depends on what matters most to you.

Choose Precision Telemed if you want best for knowing month two's pricefrom $149/mo.

Visit Precision Telemed

Choose Live Vital if you want best for a named prescriberfrom $149/mo.

Visit Live Vital

Editor's overall pick

Not sold on either? Our highest-rated clinic overall is HealthRX (8.5/10) from $161/mo — read the review →

Ready to start longevity care?

Our verdict for this matchup is Precision Telemed.

Frequently asked questions

Which is better, Precision Telemed or Live Vital?
Precision Telemed scores higher overall (7.8/10 vs 6.8/10) and is our recommended pick for most people. Precision Telemed also has the lower starting price at $149/mo.
How much does Precision Telemed cost vs Live Vital?
Precision Telemed is from $149/mo and Live Vital is from $149/mo. 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 Precision Telemed and Live Vital?
Precision Telemed (7.8/10, #4 of 25) and Live Vital (6.8/10, #13 of 25) 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 Precision Telemed or Live Vital take insurance?
Neither Precision Telemed 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 Precision TelemedHealthRX vs Live VitalMadeMed vs Precision TelemedMadeMed vs Live VitalIvy Rx vs Precision TelemedIvy Rx vs Live Vital
Ranked by score

Top picks

HealthRXfrom $161/mo

Best for published pricing

Paid link · ranks 1 of 25 on our methodology either way
Go to HealthRXRead review
MadeMedfrom $169/mo

Best for clinical specificity

Ranks 2 of 25 · no commercial relationship
Read the MadeMed review
Ivy Rxfrom $175/mo

Best named clinical oversight

Ranks 3 of 25 · 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”/“Try” links may be affiliate links that support our work. Educational information only — not medical advice.