United States · Telehealth platform · Compounded
Fella Health review
A men-only GLP-1 programme with free labs and a six-month money-back guarantee — which publishes no weight-loss price and is a defendant in Eli Lilly’s April 2025 suit.
Overview
Fella Health sells “The Medication Weight Loss Program For Men”, aimed at “time-crunched men” and “bigger guys”. It runs semaglutide and tirzepatide alongside a longevity shelf — enclomiphene from $149/mo, metformin from $45/mo, rapamycin from $99/mo and NAD+ from $99/mo — with medication cost included in each and “No hidden charges”.
Two things here are genuinely better than the norm. Lab work is free, “either locally at a clinic or through convenient at-home lab test kits”, where most of this tier either skips labs or charges for them. And there is a six-month money-back guarantee: complete the programme for six months and if it has not worked, or you have not lost “at least 5% of your body weight”, you can get your money back. HSA and FSA funds are accepted, with some plans needing a letter of medical necessity.
What it will not tell you is the price. Every adjacent product has a figure; the weight-loss programme itself says only “Take our quick quiz to see if you’re eligible”. It also makes a strong efficacy claim — that patients on tirzepatide “drop 22.5% of their bodyweight” on average — which sits above the 20.9% SURMOUNT-1 reported at the top dose over 72 weeks. A service average that beats the pivotal trial is a claim worth asking for the working on.
Medications and supply
The site does not state whether its semaglutide and tirzepatide are brand-name or compounded, and carries no compounding disclaimer. Eli Lilly’s suit against the company concerns compounded tirzepatide, which indicates the compounded tier; we have recorded it as compounded on that basis and flag that the company itself does not say.
- Tirzepatide
- Semaglutide
- Enclomiphene (testosterone support, not a GLP-1)
- Metformin
- Rapamycin
- NAD+
How the service works
- Consultation
- A “2-min assessment quiz to get pre-approved instantly”, then a plan choice, then delivery. Board-certified clinicians are involved and email check-ins are mentioned.
- Eligibility
- Men only, by design. Beyond that, eligibility is determined by the quiz rather than published.
- Provider involvement
- Board-certified clinicians, with free personalised health coaching included and email check-ins.
- Lab requirements
- Free — “either locally at a clinic or through convenient at-home lab test kits”. One of the few services here to include lab work at no charge.
- Pharmacy fulfilment
- Not stated in the sources we checked.
- Shipping
- Medication shipped to the home, with the company promising “an uninterrupted supply of medication”.
- Support services
- Free personalised health coaching, plus email check-ins.
What it costs
| Item | Published price | Notes |
|---|---|---|
| Weight-loss programme | Not published | The quiz is the only route to a figure |
| Enclomiphene | from $149 / month | Not a GLP-1; medication cost included |
| Metformin | from $45 / month | Not a GLP-1 |
| Rapamycin | from $99 / month | Not a GLP-1 |
| NAD+ | from $99 / month | Not a GLP-1 |
- Membership fee
- Described as a “Fella Membership” for HSA/FSA purposes; no figure published.
- Medication fee
- Stated as included — “Medication cost included”, “No hidden charges”.
- Insurance
- Not stated in the sources we checked.
- HSA / FSA
- “You can use your HSA or FSA funds to pay for your Fella Membership.” Some plans require a letter of medical necessity. Payment can be split across cards.
- Cancellation
- Not stated in the sources we checked.
- Refunds
- A six-month money-back guarantee: “If you do the program for 6 months and it hasn’t worked you can get your money back”, framed around losing at least 5% of body weight.
Pros
- Free lab work, locally or at home — genuinely unusual in this tier and clinically the right thing to include.
- A six-month money-back guarantee tied to a stated 5% weight-loss threshold.
- Medication cost included in the plan price rather than added on.
- HSA and FSA accepted, with guidance on letters of medical necessity.
- Health coaching included rather than upsold.
Cons
- No published price for the weight-loss programme, so it cannot be compared with anything without handing over your details.
- A defendant in Eli Lilly’s April 2025 suit over compounded tirzepatide.
- Claims patients average a 22.5% bodyweight drop, above the 20.9% headline from SURMOUNT-1, without published working.
- Does not say whether its GLP-1s are compounded or brand-name, and carries no compounding disclaimer.
- No pharmacy named and no cancellation terms published.
- Men only, which is a positioning choice rather than a fault but rules out half the market.
Who it may suit
A man who wants labs included and a refund guarantee, and who is willing to complete a quiz before learning the price. The free labs are a real clinical advantage. Weigh them against an unpublished price, an unnamed pharmacy and an active manufacturer suit.
Limitations
- No weight-loss price is published anywhere we could reach, so no cost comparison was possible.
- The compounded-versus-brand question is inferred from the subject of the Lilly suit rather than stated by the company.
- We have not seen the working behind the 22.5% average and report it only as the company’s claim.
- No pharmacy, cancellation policy or insurance position is published.
Questions
How much does Fella Health cost?
It does not say. Enclomiphene, metformin, rapamycin and NAD+ all carry “from” prices, but the weight-loss programme routes you to a quiz instead. That is the main reason it scores badly on our disclosure checklist.
Are the labs really free?
That is what the site says — “Free labwork, locally or at-home (if needed)”. Including lab work at no charge is unusual here and is the strongest thing on the page, since a lot of this market skips labs entirely.
What is the money-back guarantee?
Six months. “If you do the program for 6 months and it hasn’t worked you can get your money back”, framed around losing at least 5% of body weight. Read the full terms before relying on it, since we could not find them published.
Is Fella Health being sued?
Yes. Eli Lilly named Fella Health and Delilah in the April 2025 round of suits against telehealth companies selling compounded tirzepatide, alleging deceptive marketing and improper influence over prescribing. Nothing has been proved, and the detail is at the top of this page.
Do patients really lose 22.5%?
That is the company’s claim for tirzepatide patients. For context, SURMOUNT-1 reported 20.9% at the top dose over 72 weeks under trial conditions. A real-world service average exceeding the pivotal trial is unusual and we would want to see the denominator and the follow-up period before treating it as comparable.
Sources
Everything on this page traces to one of the links below, retrieved on the date shown. Prices and programme terms in this market change without notice — confirm against the provider before you buy.
- 01Fella Health — programme description, adjacent product pricing, labs, guarantee, HSA/FSAretrieved 2026-08-17
- 02Pharmaceutical Technology — Eli Lilly’s April 2025 suits naming Fella Health and Delilahretrieved 2026-08-17