Precision Telemed vs Lttl: Which longevity Clinic Is Better in 2026?
Summarize this page with
Short answer
Precision Telemed wins overall, scoring 7.8/10 vs 7.4/10. Mainly on what they can prescribe 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.
Precision Telemed wins overall, scoring 7.8/10 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.
Precision Telemed
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 after a $139.99 first month
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 →Precision Telemed vs Lttl, side by side
| Feature | Precision Telemed | Lttl |
|---|---|---|
| Our score | 7.8/10 | 7.4/10 |
| Starting price | $149/mo after a $139.99 first month | $99/mo on a 12-month supply, $1,188 billed up front |
| Medication types | nad-injection, sermorelin-injection, peptides | nad-injection, nad-nasal-spray, nad-liposomal, sermorelin-injection, glutathione-injection, methylene-blue, mic-b12 |
| Best for | Best for knowing month two's price | — |
| Overall ranking | #4 | #8 |
| Real monthly cost (25%) | 8.0 | 8.0 |
| Prescriber & follow-up (30%) | 7.5 | 6.5 |
| What they can prescribe (20%) | 7.0 | 8.5 |
| What they disclose (25%) | 8.5 | 7.0 |
Sources: Precision Telemed pricing verified on precisiontelemed.com, Lttl pricing verified on lttl.com
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)
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), Precision Telemed (7.8/10) comes out ahead of Lttl (7.4/10). But the right choice still depends on what matters most to you.
Choose Precision Telemed if you want best for knowing month two's price. From $149/mo after a $139.99 first month.
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 Precision Telemed.
Frequently asked questions
Which is better, Precision Telemed or Lttl?
How much does Precision Telemed cost vs Lttl?
What is the difference between Precision Telemed and Lttl?
Does Precision Telemed or Lttl take insurance?
Related comparisons
Top picks
from $161/mo on a 1-month plan, renewing monthlyPublished prices on every product
from $169/mo on a 6-month plan billed $1,014Best for clinical specificity
Ivy Rxfrom $175 with no billing period statedBest named clinical oversight
One of these earns us a commission if you sign up. Scores are unaffected; partners are listed first at equal displayed scores. How this works →
We email you when a price we track changes.
No spam, no daily digest. Just the clinics you're comparing, when their verified price moves.
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.