LLttlreview
That is what PICK marks. A commercial relationship, not a ranking position. It does not affect the score or where Lttl sits: Lttl is #8 of 31 on the same methodology as every other clinic here. How this works
Short answer
Lttl scores 7.4/10 (#8 of 31 clinics). $99/mo on a 12-month supply, $1,188 billed up front is the lowest tier Lttl lists, but the page doesn't spell out the commitment behind it. Treat it as a floor, not a quote for what you'd actually pay. There is also a flagged concern. See Is Lttl legit? below.
Is Lttl legit?
What we checked before publishing this page.
- ✓ A U.S.-licensed clinician reviews your case before anything is prescribed
- ✓ Intake includes a real medical questionnaire, not a rubber stamp
- ✓ Named price on their own site ($99/mo on a 12-month supply, $1,188 billed up front), verified 2026-10-27
- ✓ Ranked by the rubric on our editorial policy page. Payout status never enters into it
Watch out for
Six things to check before you pay. (1) The $99 a month figure needs a 12-month supply billed as $1,188 up front; month to month, NAD+ and sermorelin cost $99 for the first 4 weeks and then $149 a month. (2) Its Terms make an order non-refundable once the medical intake is submitted, except when a provider finds you medically ineligible or Lttl makes a billing error, while its Returns page says consultation fees are generally non-refundable even when no prescription is issued. (3) Plans renew until you cancel by email to hello@lttl.com, and the renewal cadence and cutoff are shown only at checkout. (4) Its homepage shows a Trustpilot rating of 4.5 "from 125,000+ Members"; Trustpilot itself shows 4.2 from 12 reviews on a claimed profile with a paid subscription (27 October 2026), the "Forbes Health's Best Provider of 2026" banner could not be checked, and the same NAD+ testimonial appears on two of its pages under two different patient names. (5) Every price is shown as a saving against a $229 list price we have not seen charged. Its medical advisory board is a nurse practitioner, a physical therapist and a pharmacist, and the prescribing clinicians are not named. (6) We list Louisiana as not served. Lttl's own intake configuration says "Louisiana: does not qualify for compounded medications", and its sign-up for its other product line offers Louisiana residents brand-name drugs only; the treatments reviewed here are compounded too. Its longevity sign-up has no such rule and says its longevity programs "are offered in all 50 states", as do its Terms, so ask before you pay if you live in Louisiana (read 27 October 2026). No FDA warning letter names Lttl (fda.gov, searched 27 October 2026).
Cost
What Lttl actually costs
One recorded check so far. We record a dated point each time this clinic's published price changes, so this becomes a series rather than a claim.
Lttl's plans and prices
Every plan, product and plan length Lttl lists, as we read them. Extra costs and introductory prices are their own rows. Each plan links to the clinic: affiliate links, which never change a score or a rank.
| Plan | Price | Term | What it covers |
|---|---|---|---|
| NAD+ injectable, month to monthinjectionVisit → | $149/mo | billed monthly, after a $99 first 4 weeks | Includes clinician visits, per Lttl |
| NAD+ injectable, 3 Month SupplyinjectionVisit → | $139/mo | 3 months, $417 billed quarterly | Includes clinician visits, per Lttl |
| NAD+ injectable, 6 Month SupplyinjectionVisit → | $129/mo | 6 months, $774 billed every 6 months | Includes clinician visits, per Lttl |
| NAD+ injectable, 12 Month SupplyinjectionVisit → | $99/mo | 12 months, $1,188 billed annually | Includes clinician visits, per Lttl |
| Sermorelin injectable, 12 Month SupplyinjectionVisit → | $99/mo | 12 months, $1,188 billed annually | Includes clinician visits, per Lttl |
| Sermorelin injectable, month to monthinjectionVisit → | $149/mo | billed monthly, after a $99 first 4 weeks | Includes clinician visits, per Lttl |
| Glutathione injectable, 12 Month SupplyinjectionVisit → | $79/mo | 12 months, $948 billed annually | Includes clinician visits, per Lttl |
| Glutathione injectable, month to monthinjectionVisit → | $119/mo | billed monthly, after an $89 first 4 weeks | Includes clinician visits, per Lttl |
| Methylene blue oral, 12 Month SupplyVisit → | $79/mo | 12 months, $948 billed annually | Includes clinician visits, per Lttl |
| Extra costs and introductory prices | |||
| NAD+ injectable, First Month Specialinjection | $99 first 4 weeks | then $149 a month | Introductory price for the first period |
Lttl's own figures, read up to 2026-10-27 on lttl.com, lttl.com, lttl.com, lttl.com.
Lttl’s starting price over time
When we first checked on Oct 27, 2026, the starting price was $99, and it hasn’t changed since.
A change can be the clinic moving its price or us correcting an earlier reading. The full series for every clinic is in price-history.csv.
What changed since we last checked
- Oct 27, 2026
- States it can't serve: added LA.
A change can be Lttl moving a price, or us reading a page we hadn’t read before or correcting an earlier reading. Dates are when the change entered our record.
Before you sign up with Lttl
Each line is from Lttl's own pages or a public record, with the date we read it. Where we hold no reading, the line is left out rather than guessed.
- What the price covers
- Clinician visits: included. Lttl's page: “What's included in your plan An asynchronous medical assessment reviewed by a U.S.-licensed provider” No membership fee, per Lttl: “You pay a straightforward subscription price with no hidden fees, no monthly membership traps, and no prior authorization delays.” (lttl.com, read 2026-10-27)
- Cancelling and refunds
- Cancel by emailing hello@lttl.com; cancelling stops future shipments and charges, and orders already processed by the pharmacy are not cancelled or refunded. Its Terms make an order non-refundable once the medical intake is submitted, with a full refund only when a provider finds you medically ineligible at the first consultation or after a billing error, requested in writing within 28 days. Subscriptions renew until cancelled; the cadence and cutoff are shown at checkout. (lttl.com, read 2026-10-27)
- States served
- 50 of 51. Not available in Louisiana. (lttl.com, read 2026-10-27)
- Lab work
- Before you start: Lttl's pages don't say. Follow-up: Lttl's pages don't say. (lttl.com, read 2026-10-27)
- Pharmacy
- Lttl names RedRock Compounding Pharmacy, Health Warehouse, Precision Compounding Pharmacy, Triad Rx. (checked 2026-10-27)
- Support
- Lttl's page: “Contact us (888) 847-7806 hello@lttl.com Access your patient portal for 24/7 support” (lttl.com, read 2026-10-27)
The downsides we found
- Not available in Louisiana.
- Plans lock you in for the full term.
Check your state and budget
From Lttl’s own pages as recorded in its review. A monthly figure for a plan billed every few weeks or months is our arithmetic.
Compare two Lttl plans
| A: NAD+ injectable, month to month (injection) | B: NAD+ injectable, 3 Month Supply (injection) | |
|---|---|---|
| Price as published | $149/mo | $139/mo |
| Works out to a month | $149 | $139 |
| First 12 months | $1,788 ($149 × 12) | $1,668 ($139 × 12) |
| Commitment | billed monthly, after a $99 first 4 weeks | 3 months, $417 billed quarterly |
| What it covers | Not stated on the row | Not stated on the row |
| Read on | Oct 27, 2026 | Oct 27, 2026 |
Over the first 12 months, B costs $120 less than A, by the arithmetic shown.
Twelve-month figures assume the price holds and you stay the full year; they leave out anything billed separately.
Questions to ask Lttl at intake
Each one is here because Lttl’s pages left it open when we read them.
- Do I need lab work before starting, and what does it cost? Its pages don't say whether labs are needed or what they cost.
- What will I pay each month after the introductory price ends? Lttl advertises a first-period price that differs from its ongoing rate.
- Is the longer plan charged up front, and can I switch to month-to-month later? At least one of its plans is billed for several months at once.
- Does my price change when my dose goes up? Its plan prices don't say whether they hold at higher doses.
Our verdict
Who Lttl is for
Lttl earns 7.4/10 and ranks #8 of 31 online longevity clinics we've scored. 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.
Summarize this page with
Pricing details
$99/mo on a 12-month supply, $1,188 billed up front is the lowest tier Lttl lists, but the page doesn't spell out the commitment behind it. Treat it as a floor, not a quote for what you'd actually pay.
Every plan is priced on Lttl's own pages with the amount billed (read 27 October 2026). NAD+ (injection, nasal spray or liposomal oral liquid) and sermorelin: $149 a month month to month after a $99 first 4 weeks, $139 a month on a 3-month supply ($417 a quarter), $129 on 6 months ($774) and $99 on 12 months ($1,188 a year). Glutathione and methylene blue: $119 a month month to month after an $89 first 4 weeks, then $99, $89 and $79 a month on 3, 6 and 12 months ($297, $534 and $948). Each tier is shown against a struck-through list price ($229, or $145) under a banner saying a code is applied automatically; whether checkout takes anything further off is shown only after the medical intake. We score the 12-month rate with its up-front bill and record the $149 month-to-month rate beside it.
Classified as “"From" price”. See how we classify every clinic's price →
Sources: Pricing verified on lttl.com
Third-party records
What we found outside Lttl's own site. Its Better Business Bureau record.
Better Business Bureau
No BBB profile found for Lttl (checked 2026-10-27).
Choose Lttl if
- + You want this kind of clinic
- + You're looking for nad-injection
- + You're looking for nad-nasal-spray
Skip Lttl if
- − Not available in Louisiana
- − Plans lock you in for the full term
Lttl pros & cons
What we like
- + 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
What could be better
- − Not available in Louisiana
- − Plans lock you in for the full term
Quick facts
| Our score | 7.4/10 |
| Starting price | $99/mo on a 12-month supply, $1,188 billed up front |
| Treatment types | nad-injection, nad-nasal-spray, nad-liposomal, sermorelin-injection, glutathione-injection, methylene-blue, mic-b12 |
| Availability | 50 of 51 states |
| Overall rank | #8 of 31 |
| Price status | Verified 2026-10-27 |
Score breakdown
Sources: Full scoring methodology
How Lttl works
- 1. Online intake. Complete a medical questionnaire and eligibility check (often BMI-based) covering your health history.
- 2. Clinician review. A licensed clinician reviews your information and, if appropriate, prescribes NAD+ or sermorelin with a dose-titration plan.
- 3. Delivery & monitoring. Your medication ships discreetly to your door, with check-ins and dose adjustments along the way.
About the treatments Lttl offers
Sermorelin
Every clinic we review that offers sermorelin, with its price
NAD+
Every clinic we review that offers NAD+, with its price
- How Much Does NAD+ Therapy Cost?
- NAD+ Injection Side Effects: What Is Known
- NAD+ Nasal Spray: What It Is, What the Research Shows, and What Clinics Charge vs Injection
- NAD+ Supplement vs Clinic Protocol
- NMN vs NR: Cost Per Gram Compared
- NMN vs NAD: Supplements, Injections and Evidence
- Best NAD Supplement: NR, NMN and NAD+ Compared
Glutathione
Every clinic we review that offers glutathione, with its price
Methylene blue
Frequently asked questions
How much does Lttl NAD+ cost?
$149 a month month to month after a $99 first 4 weeks, $139 a month on a 3-month supply ($417 a quarter), $129 on 6 months ($774) and $99 on 12 months ($1,188 a year), on Lttl's own pages (read 27 October 2026). NAD+ injection, nasal spray and oral liquid and sermorelin are priced the same.
Can I get a refund from Lttl?
Only in two cases under its Terms: a provider finds you medically ineligible at the first consultation, or Lttl made a billing error, and the request must reach hello@lttl.com in writing within 28 days of the payment. Once the medical intake is submitted the order is non-refundable, and cancelling stops future charges only.
Which states does Lttl serve?
Its Terms say "all 50 states plus Washington D.C." and its longevity sign-up says the same for longevity programs. We list Louisiana as not served: the intake configuration behind Lttl's sign-up for its other product line says "Louisiana: does not qualify for compounded medications" and offers Louisiana residents brand-name drugs only, and NAD+, sermorelin and glutathione are compounded too (read 27 October 2026). Every other state is listed as served.
Which pharmacies fill Lttl prescriptions?
Its Terms name four partner pharmacies: RedRock Compounding Pharmacy (St. George, Utah), Health Warehouse (Florence, Kentucky), Precision Compounding Pharmacy (Bellmore, New York) and Triad Rx (Daphne, Alabama). None had an FDA warning letter in fda.gov's database when we searched on 27 October 2026.
How much does Lttl cost?
Lttl starts at $99/mo on a 12-month supply, $1,188 billed up front (verified 2026-10-27). Final cost depends on the treatment and dose.
What does Lttl's price include?
Clinician visits: included. Lttl's page: “What's included in your plan An asynchronous medical assessment reviewed by a U.S.-licensed provider” No membership fee, per Lttl: “You pay a straightforward subscription price with no hidden fees, no monthly membership traps, and no prior authorization delays.” (Read 2026-10-27.)
Can I cancel Lttl and get a refund?
Cancel by emailing hello@lttl.com; cancelling stops future shipments and charges, and orders already processed by the pharmacy are not cancelled or refunded. Its Terms make an order non-refundable once the medical intake is submitted, with a full refund only when a provider finds you medically ineligible at the first consultation or after a billing error, requested in writing within 28 days. Subscriptions renew until cancelled; the cadence and cutoff are shown at checkout. (Read 2026-10-27.)
Does Lttl require lab work?
Before you start: Lttl's pages don't say. Follow-up: Lttl's pages don't say. (Read 2026-10-27.)
Is Lttl available in my state?
50 of 51. Not available in Louisiana. (Read 2026-10-27.)
How do I reach Lttl once I've started?
Lttl's page: “Contact us (888) 847-7806 hello@lttl.com Access your patient portal for 24/7 support” (Read 2026-10-27.)
How do I qualify for online longevity treatment?
You complete a medical questionnaire. A licensed clinician reviews it and, if appropriate, prescribes. There's no questionnaire-only prescription without clinician review.
Alternatives to Lttl
HealthRX
8.5from $161/mo on a 1-month plan, renewing monthly · nad-injection, nad-nasal-spray
MadeMed
8.2from $169/mo on a 6-month plan billed $1,014 · sermorelin-injection, sermorelin-oral
Precision Telemed
7.8from $149/mo after a $139.99 first month · nad-injection, sermorelin-injection
Helpful tools
Compare Lttl vs other clinics
Ready to get started with Lttl?
7.4/10 · from $99/mo on a 12-month supply, $1,188 billed up front · 50 of 51 states
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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 →
Price status: Verified 2026-10-27.Scores are derived from our documented methodology and are never influenced by affiliate commissions. “Visit” links may be affiliate links that support our work. Educational information only. Not medical advice.