50 Stars Health review

What it is

50 Stars Health is the trading name of LIVV Care LLC. It describes itself as a technology platform that connects patients with independent, state-licensed providers and licensed pharmacies, and says it doesn't practice medicine or pharmacy itself. Its terms name SevenCells as its designated fulfillment pharmacy unless you choose or are allowed another. The product pages feature Dr. Gidon Akler, MD, board-certified in medical genetics and genomics. Beyond weight loss, the catalog covers longevity (NAD⁺ injections and nasal spray, glutathione, rapamycin, metformin and methylene blue), hormone treatments for men, sermorelin, sexual health, hair growth and pain relief. It's cash-pay only and doesn't bill Medicare, Medicaid or private insurance. Support is by email or phone, and you must be 18 or older to sign up.

How it works

You start with an online intake the site says takes about two minutes, covering your health history and goals, and you aren't charged unless you're approved. An independent licensed provider reviews it, usually within two days, and decides whether treatment is appropriate and at what dose; you don't pick your own dose. If you're prescribed, the order is compounded and processed in about five business days and then shipped free and discreetly, with the product pages describing two-day delivery. Your provider can add anti-nausea or anti-constipation medication if side effects call for it, and those add-ons are reviewed at a three-month follow-up. Between visits you can message the care team in the patient portal as often as you need, and your provider can adjust your dose at any time. The portal also tracks weight and daily habits.

Pricing transparency

Each GLP-1 has three subscription plans, and every dose strength is priced the same. Compounded semaglutide is $146 a month on the monthly plan, $133 a month on a three-month plan and $124 a month on a six-month plan. Compounded tirzepatide is $220, $201 and $183 a month on the same plans. The price includes the first consultation, follow-up visits, ongoing support, shipping and supplies, with no membership fee on top. Plans renew automatically, and you're charged a day before each billing cycle begins, even if you haven't completed the steps needed to keep your prescription active. To avoid the next charge, cancel in the patient portal at least two days before your billing date; cancellation takes effect at the end of the paid period. Refunds aren't usually offered, though a partial refund for a portion that hasn't been dispensed is at the company's discretion, and shipped medication can't be returned. Damaged or wrong shipments have to be reported within 48 hours.

Branded vs compounded

50 Stars Health prescribes compounded semaglutide, which it compounds with vitamin B12, in doses from 0.2 mg to 1.2 mg, and compounded tirzepatide in doses from 2 mg to 14 mg, both as injections. It says each batch is tested by its pharmacy partners for sterility, endotoxins, pH and potency. Its product pages state plainly that compounded medications are not FDA-approved and aren't reviewed by the FDA for safety, effectiveness or manufacturing. Brand-name Wegovy, Ozempic, Zepbound and Mounjaro aren't offered, and there's no oral GLP-1. NAD⁺ injections and sermorelin are sold on their own plans. The site links to LegitScript's search page but shows no certification seal. A search of the FDA warning-letter database under the company's name, legal entity and web address returned no letters to it.

Pros and watch-outs

The evidence behind what 50 Stars Health prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• What the semaglutide weight-loss trials actually showed

  STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.

• Tirzepatide vs semaglutide for weight loss: what the trials actually support

  Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.

• Compounded vs branded GLP-1: regulatory status, sourcing and the evidence

  Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.

• NAD+ injections: benefits, side effects, cost and what the evidence says

  Subcutaneous NAD+ is sold as a cheaper, at-home alternative to the IV drip, through “near me” clinics or telehealth shipped to your door. It’s compounded, not FDA-approved, and has no outcome trials; oral NR/NMN precursors are the route with the human data.

• Sermorelin benefits: does it work? What the trials show

  A real GHRH drug, read against the anti-aging pitch: an approved growth-hormone-releasing analog with a pediatric track record, and a longevity case built more on biomarkers than outcomes.

How 50 Stars Health compares

A few alternatives worth a look, depending on what you’re optimizing for.

• MadeMed

  GLP-1 paired with NAD⁺ and sermorelin under one account

  See MadeMed →
• Shed

  A wide range of GLP-1 formats (injection, drops, lozenges, microdose)

  See Shed →
• KIN Health

  Cash buyers who want a low monthly compounded GLP-1 with named pharmacies and a monthly check-in, and may add NAD⁺ or sermorelin later

  See KIN Health →

More GLP-1 telehealth reviews: Direct Meds · Strut Health · CoreAge Rx · Oak Longevity · SnagRx · HumeCare+