Six SHED alternatives for 2026, from Medvi's $99 promo with a dietician to welludr's $49 semaglutide. Choose by whether you want to keep support or cut cost.
Last updated September 15, 2026
Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH · Medical Content Reviewer
Clinically checked Checked · Author: Top Weight Loss Research Team · Our review process
Key points
The best SHED alternative depends on what you are willing to give up. SHED bundles medication, coaching and a money-back guarantee, so every rival removes at least one of the three.
Work out which of those describes you, and the shortlist below does the rest.
Three telehealth providers our editors recommend, shown with the same cards as our full ranking.
Exceptional
Treatments offered
Compounded semaglutide injection (GLP-1) · Compounded tirzepatide injection (GLP-1 + GIP) · Online doctor review and prescription · Dose changes through the patient portal
Starting price
$79$69/month
*Compounded medications are not FDA-approved.
from $69/month
embody prescribes compounded semaglutide at $69/mo and tirzepatide at $119/mo online, ships in 1-2 days, and requires no insurance. Trustpilot: 3.8 from 9,604 reviews.
Read full embody review
Exceptional
Treatments offered
Compounded semaglutide injection (GLP-1) · Compounded tirzepatide injection (GLP-1 + GIP) · Brand-name Ozempic, Zepbound and Wegovy · Once-weekly injection schedule
Starting price
$199$89/month
*Compounded medications are not FDA-approved.
from $89/month
altRx sells compounded semaglutide from $89/month and tirzepatide from $149/month at a flat price per dose, plus brand-name Ozempic, Zepbound and Wegovy. Self-pay, no insurance needed.
Read full altRx review
Excellent
Treatments offered
Compounded semaglutide injection (GLP-1) · Compounded tirzepatide injection (GLP-1 + GIP) · Dosing schedule customized by your provider · Unlimited check-ins for the length of treatment
Starting price
$289$149/month
*Compounded medications are not FDA-approved.
from $149/month
TrimRx offers custom-dosed compounded semaglutide at $149/month (same at every dose) and tirzepatide at $259/month, with unlimited provider check-ins included. Trustpilot: 3.8 from 5,392 reviews.
Read full TrimRx reviewTrustpilot at a glance
SHED is rated 4.6 out of 5 from 1,134 reviews on its public Trustpilot page. We saved 10 of those reviews word for word (dated Sep 2, 2026 to Sep 23, 2026). They break down as 9 5-star and 1 1-star, so 90% give 4 or 5 stars and 10% give 1 or 2 stars. All of them appear below, the lowest-rated included, with reviewer names shortened.
Showing all 10 reviews we saved, every 1-star review included.
great customer service
“Gao helped me with several issues very quickly. Very personable too. And I love Shed too”
BAG
US
Your communications are excellent
“Your communications are excellent! Ethan was quick to reply to my request for clarifications. Recommended!”
BB
US
Savannah - real person
“The app & chat function are a little clunky, but improving. Once you start emailing (not chatting) with a real person, Savannah was the best. Another agent told me I was SOL, but Savannah went a step further and resolved my issue.”
R M
US
It was a nice personal touch to receive...
“It was a nice personal touch to receive a phone call from a real person instead of a robo call. Thank you for the kind follow up.”
Maria M.
US
1 / 10
Each review is quoted word for word from a public Trustpilot page, with the reviewer’s name shortened. It reflects one customer’s experience: a weight-loss result someone mentions is personal, not typical, and your results may differ. Trustpilot is a trademark of Trustpilot A/S, which has no affiliation with Top Weight Loss.
Medvi is the nearest substitute. It is currently $99/$166 on promotional pricing, all-inclusive and HSA/FSA eligible, with video visits, a dietician and care coaching. Medvi has no formal guarantee, but it has a public record SHED cannot match: 4.3 on Trustpilot across 14,987 reviews, many of them praising exactly that support. At the promo rate you save $100/month and swap the guarantee for a proven track record.
welludr ($49/$89) is the budget take on the same idea. Every plan includes a Medical Weight-Care Coach, and welludr offers its own weight-loss warranty, the only other results-linked promise in our ranking. It costs about 25% of SHED's price, with the best rate tied to a 12-month plan.
If price is the priority, these four sell the medication with lighter support:
| Alternative | Semaglutide | Support level | Yearly saving vs SHED |
|---|---|---|---|
| Medvi | $99/mo promo | High (video visits and dietician) | $1,200 |
| DirectMeds | $147/mo | Low | $624 |
| HealthRx | $99/mo* | Low to mid (check-ins) | $1,200 |
| altRx | $89/mo | Low | $1,320 |
| embody | $69/mo | Low to mid | $1,560 |
| welludr | $49/mo | Mid (coach and warranty) | $1,800 |
*Prepaid for the year.
The cheapest published plans, sorted from lowest price, with the terms listed under every price.
Three providers in this market attach a promise to their program, and each one covers a different risk.
Match the promise to your biggest worry. Afraid the medication will not work for you? SHED. Worried about pricing over a long commitment? welludr. Unsure you will qualify at all? embody.
GLP-1 medication is prescription-only: a licensed clinician has to decide it is appropriate, and it is not a fit for everyone. Side effects are possible, and they tend to show up in the first few weeks while your body adapts.
Results are usually best when the medication is paired with simple daily habits, such as balanced meals and regular movement.
For both safety and lasting progress, pick a provider that screens you properly before prescribing and keeps following up once treatment starts.
Stay if you are partway through the 120-day guarantee window and following the program. Walking away from an active money-back position to save on monthly cost gets the order wrong.
The better sequence: finish the 120 days, keep the result (or claim the refund), and only then move to a cheaper provider for maintenance. You can switch providers at any time, but you cannot get a guarantee period back once you leave it.
→ Not sure whether you need support or savings? Our quiz sorts it in a minute
General information only, not medical advice. Prices were accurate when we wrote this.
Which weight loss provider fits you best?
Our ranking compares the leading providers on price, clinical support and medication choices.
Zepbound vs Wegovy vs Ozempic (2026): Results, Cost, Switching
Zepbound (tirzepatide) reached up to 22.5% average weight loss in trials vs about 15% for Wegovy; Ozempic is semaglutide's diabetes label. Prices from $49/month.
ComparisonMedvi Alternatives (2026): 6 GLP-1 Options Compared
Six alternatives to Medvi's all-inclusive GLP-1 program ($99/month promo), from welludr at $49 to SHED's money-back guarantee, with the trade-off for each.
Comparisonwelludr Alternatives (2026): What $49 Doesn't Buy
No provider undercuts welludr's $49/month GLP-1 plan, so every alternative wins on something else. Six rivals compared on the one thing each does better.
SHED Cost 2026: What $199 a Month Actually Buys
Is DirectMeds Legit? Flat $147 Pricing and Drops Reviewed
Side-by-side comparisons with checked prices, the ones readers rely on most when choosing.
The medication facts on this page rest on FDA guidance and peer-reviewed clinical trials, while prices and plan terms come from what each provider publishes. Use this page as general information, not medical advice, and speak with a licensed clinician before you start any weight loss treatment.
