Fella Health review

What it is

Fella Health is the trading name of Aios Inc., a Delaware corporation with an office at 5900 Balcones Drive in Austin, Texas. The medical care comes from Fella Medical Group, P.A., a Florida professional medical corporation, under a direct health care membership agreement that covers obesity treatment only. Its chief executive and co-founder, Richie Cartwright, says he struggled with binge eating for six years before starting it. Its marketing is built around busy, heavier men, and the site carries a long run of before-and-after stories from male members. Beyond weight loss it sells enclomiphene for testosterone from $149 a month, metformin from $45, rapamycin from $99 and NAD⁺ from $99, each with the medication included. Its state pages cover 20 states, including California, Texas, Florida and New York, but it doesn't publish a complete list of where it can treat you. It displays a LegitScript seal.

How it works

You start with a two-minute quiz, then complete an online medical form covering your health history and past weight-loss attempts. The FAQ describes a virtual first consultation with a licensed clinician; the plan page says a board-certified physician reviews your information after checkout. A comprehensive metabolic panel is part of the assessment, and the lab work is free, either at a local lab or with an at-home kit; recent results from the past two years can be used instead. If a GLP-1 is right for you, the medication ships to your home, with most patients receiving it within one to two business days of the prescription. Prescriptions are filled by two compounding pharmacies Fella names, Strive Pharmacy in Gilbert, Arizona and Red Rock Home Pharmacy in Springville, Utah. Along the way you get a personal health coach for one-on-one video sessions every two weeks, email and text check-ins, and unlimited access to the care team. A microdose plan exists too, but Fella describes it as a separate option for people who are not seeking weight loss.

Pricing transparency

Compounded semaglutide is $299 on a month-to-month plan, $1,494 for six months paid in full ($249 a month) or $1,980 for twelve months paid in full ($165 a month), with the medication, labs and coaching included and the same price at every dose. A $100-off first month is often advertised; after it, the regular $299 applies. The Zepbound plan is $149 a month for care, with the drug bought separately from LillyDirect. Fella's membership terms say your membership renews automatically for another term of the same length, and either side can end it with 30 days' written notice. Fees are non-refundable except under its refund rules. The six-month guarantee refunds the full cost of a compounded plan, medication included, if you join on a GLP-1 plan, upload your medical form and labs within five days, take the medication weekly, track your weight in at least 21 of the first 26 weeks, start with a BMI of 30 or more and lose less than 5% anyway; you request it between day 181 and day 210. On the Zepbound plan only the membership fee is refundable. Separately, Fella offers a prorated refund if side effects stop you continuing, and a full refund if you can't start treatment after the medical review. HSA and FSA cards are accepted.

Branded vs compounded

Compounded semaglutide by weekly injection is the main option, and Fella says oral options are available if injections aren't feasible, with oral tirzepatide named among the plans that include medication cost. Brand-name Zepbound, which is FDA-approved for chronic weight management, is prescribed through LillyDirect on its own plan. Compounded drugs are not FDA-approved, and Fella's treatment page says so plainly. The company reports that members lose an average of 10% of their body weight after six months, while its plan page quotes a 12.3% average reduction over the first six months, so treat both as company figures rather than trial results. On insurance, the FAQ says Fella works with a variety of insurance providers and can help check coverage for parts of the program, but the membership agreement says the practice does not bill any health insurance, including Medicare and Medicaid. Expect to pay out of pocket. A search of the FDA warning-letter database under the Fella and Aios names returned no letters.

Pros and watch-outs

The evidence behind what Fella 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.

• 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.

• Oral tirzepatide: the honest status of a pill that does not exist yet

  There is no FDA-approved oral tirzepatide. Here is why an oral peptide is hard, what the 'oral tirzepatide' sold online really is, and the oral incretins that actually exist.

How Fella Health compares

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

• Peter MD

  GLP-1 from a men's-health provider that also covers TRT and longevity

  See Peter MD →
• Collective

  A low all-in GLP-1 cost, if you will actually keep the annual membership

  See Collective →
• Measured

  People with commercial insurance who want a brand-name GLP-1 covered, with a dietitian included and a compounded option if coverage falls through

  See Measured →

More GLP-1 telehealth reviews: AlyveRx · AM Rx · AskRx · Aspire Health · Avono Health · Balanced Hormone Health