Lttl vs Ro: Which GLP-1 Clinic Is Better in 2026?
Short answer
Ro (Body by Ro) scores higher overall: 7.7/10 against 7.2/10 for Lttl, mainly on transparency and clinical oversight. Lttl costs $89/mo on the 12-month plan, billed $1,068 annually; Ro (Body by Ro) costs $74/mo membership on a plan prepaid annually, medication billed separately.
Lttl · from $89/mo on the 12-month plan, billed $1,068 annually
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A brand-name GLP-1 service that publishes both of its bills: a Ro Body membership from $74/mo on a plan prepaid annually, and medication at the manufacturer's self-pay price from $149/mo. It is rated A+ and accredited by BBB, and its terms make the paid membership fee non-refundable.
from $74/mo membership on a plan prepaid annually, medication billed separately
Read Review →LLttl
Compounded semaglutide from $89 a month on a 12-month plan billed $1,068 up front, or $99 month to month at every dose, with tirzepatide from $139. It names four partner pharmacies with addresses, but its own pages advertise 125,000 members and a 4.5-star rating that its 12-review Trustpilot profile does not support.
from $89/mo on the 12-month plan, billed $1,068 annually
Visit →Is Lttl legit?Ro (Body by Ro) vs Lttl, side by side
| Feature | Ro (Body by Ro) | Lttl |
|---|---|---|
| Our score | 7.7/10 | 7.2/10 |
| Starting price | $74/mo membership on a plan prepaid annually, medication billed separately | $89/mo on the 12-month plan, billed $1,068 annually |
| Medication types | Wegovy, Wegovy Pill, Zepbound, Foundayo, Ozempic | compounded semaglutide injection, compounded tirzepatide injection, compounded oral semaglutide, microdose semaglutide injection, microdose tirzepatide injection, microdose oral semaglutide (dissolving tablet) |
| Best for | — | — |
| Overall ranking | #8 | #27 |
| Price & Value (25%) | not scored (counted at 7.0) | 8.0 |
| Clinical Oversight (30%) | 8.5 | 7.5 |
| Medication Options (20%) | 8.0 | 8.0 |
| Transparency (25%) | 7.0 | 5.5 |
Sources: Ro (Body by Ro) pricing verified on ro.co, Lttl pricing verified on lttl.com
Ro (Body by Ro) vs Lttl: what a year costs
Ro (Body by Ro): no verified non-sale 12-month semaglutide cost with a documented billing period is recorded.
Ro (Body by Ro): no verified non-sale 12-month tirzepatide cost with a documented billing period is recorded.
To get started, Lttl asks for $99 (first payment, $99 a month on the monthly auto-refill); Ro (Body by Ro) publishes no first-month price we can set against it.
Lttl: its homepage banner offers up to $140 off the first month, with the code applied automatically, not counted here.
Sources: ro.co, read October 25, 2026; lttl.com, read October 27, 2026.
Which states Ro (Body by Ro) and Lttl treat
Ro (Body by Ro) publishes no list of states, so you have to check yours at the start of intake. Lttl: Its sign-up quiz does not accept Louisiana.
Sources: ro.co, read October 25, 2026; lttl.com, read October 27, 2026.
Medications and doses: Ro (Body by Ro) vs Lttl
Ro (Body by Ro) and Lttl have no medication in common: Ro (Body by Ro) lists Wegovy pill (oral semaglutide), Wegovy pen, Zepbound KwikPen (2.5, 5, 7.5, 10, 12.5 and 15 mg), Foundayo (orforglipron) pill (0.8, 2.5, 5.5, 9, 14.5 and 17.2 mg) and Ozempic, and Lttl lists compounded semaglutide injection, compounded tirzepatide injection, compounded oral semaglutide and microdose compounded semaglutide or tirzepatide.
Sources: ro.co, read October 25, 2026; ro.co, read October 25, 2026; lttl.com, read October 27, 2026.
Labs, fees and what Ro (Body by Ro) and Lttl include
Ro (Body by Ro) bills a $149 monthly fee separately from the medication; Lttl's plan prices include the medication.
Ro (Body by Ro) asks for labs only when the clinician needs them, and covers them; Lttl does not say whether labs are required.
Sources: ro.co, read October 25, 2026; lttl.com, read October 27, 2026; ro.co, read October 25, 2026.
Cancelling and refunds: Ro (Body by Ro) vs Lttl
To stop the next charge, Ro (Body by Ro) needs 2 days' notice; Lttl states no notice period.
If you are turned down, or cancel before a prescription is written, Ro (Body by Ro) gives a partial refund and Lttl a full refund.
Sources: ro.co, read October 25, 2026; lttl.com, read October 27, 2026; lttl.com, read October 27, 2026.
FDA warning letters: Ro (Body by Ro) and Lttl
Neither Ro (Body by Ro) nor Lttl appears as the recipient of an FDA warning letter in FDA's database, searched October 25, 2026.
We searched FDA's database for "Roman Health" and "Ro Health" (Ro (Body by Ro)) and "Lttl" and "Commerce Group Holdings" (Lttl).
Sources: fda.gov, read October 25, 2026; fda.gov, read November 4, 2026.
Independent review data: Ro (Body by Ro) vs Lttl
Trustpilot: Ro (Body by Ro), 3.9 out of 5 from 7,150 reviews (read October 14, 2026); Lttl, 4.2 out of 5 from 12 reviews (read October 27, 2026).
Better Business Bureau: Ro (Body by Ro), rated A+ (read October 14, 2026); Lttl, no reading.
Sources: trustpilot.com, read October 14, 2026; bbb.org, read October 14, 2026; trustpilot.com, read October 27, 2026.
Who each one suits
Ro (Body by Ro) suits you if
- you want Wegovy pill (oral semaglutide), Wegovy pen, Zepbound KwikPen, Foundayo (orforglipron) pill and Ozempic.
Lttl suits you if
- you want compounded semaglutide injection, compounded tirzepatide injection, compounded oral semaglutide and microdose compounded semaglutide or tirzepatide.
- you want one price that includes the medication, with no separate $149 monthly fee.
Verdict from the data
Ro (Body by Ro) comes out ahead on medication choice. Lttl comes out ahead on an all-in price.
Pick Lttl if an all-in price matters most to you. For everyone else our overall pick is Ro (Body by Ro) (7.7/10 against 7.2), a score that also weighs clinical oversight and transparency.
Pros & cons
Ro (Body by Ro)
Pros
- + Publishes all four membership plan lengths ($74, $89, $99 and $149 a month) and the starting medication price for each drug before any intake, under the heading "Two separate charges"
- + Names its own pharmacy (Roman Health Pharmacy LLC) in its terms, with care from affiliated physician practices and ongoing check-ins, provider messaging and dose adjustments described as part of the membership
- + Brand-name Wegovy® (pen and pill), Zepbound®, Foundayo® and Ozempic®, with a free insurance check and prior-authorization help for the pens
Cons
Lttl
Pros
- + Full price grid on its plans page, with the amount billed for each plan length and the same rate at every dose
- + Month to month semaglutide at $99 with no higher rate after the first month
- + Names its four partner pharmacies with street addresses and phone numbers, and its operating company
Cons
- − Not available in 1 state
- − Weaker on Transparency (5.5/10 vs 7.0)
- − Weaker on Clinical Oversight (7.5/10 vs 8.5)
The bottom line
After scoring all 61 clinics on our 4-criterion rubric (price & value, clinical oversight, medication options and transparency), Ro (Body by Ro) (7.7/10) comes out ahead of Lttl (7.2/10). But the right choice still depends on what matters most to you.
Ro (Body by Ro). From $74/mo membership on a plan prepaid annually, medication billed separately.
Read Review →Lttl. From $89/mo on the 12-month plan, billed $1,068 annually.
Visit →Editor's overall pick
Not sold on either? Our highest-rated partner clinic outside this pair is Wellorithm (7.9/10) from $247/mo after month 1. Read the review →
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Ro (Body by Ro) scores higher on our rubric. It is not one of our partners.
Frequently asked questions
Which is better, Ro (Body by Ro) or Lttl?
Ro (Body by Ro) scores higher overall (7.7/10 vs 7.2/10) on our rubric.
How much does Ro (Body by Ro) cost vs Lttl?
Ro (Body by Ro) is from $74/mo membership on a plan prepaid annually, medication billed separately and Lttl is from $89/mo on the 12-month plan, billed $1,068 annually. 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 Ro (Body by Ro) and Lttl?
Ro (Body by Ro) (7.7/10, #8 of 61) and Lttl (7.2/10, #27 of 61) are scored independently across our 4 criteria: price & value, clinical oversight, medication options and transparency. See the detailed score breakdown above for the criterion-by-criterion comparison.
Does Ro (Body by Ro) or Lttl take insurance?
Insurance terms differ by clinic and by drug: some clinics are cash-pay only, and some help with insurance for brand-name drugs. Each clinic's review says what it publishes. HSA and FSA funds are often eligible. Confirm at checkout.
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How we score: every clinic is rated on 4 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.