Fella Health made a bold strategic bet: be the only telehealth provider exclusively for men. No women's services. No general primary care. Just men's weight loss, testosterone support, and metabolic optimization.
That positioning creates a distinctive experience—and a very specific set of trade-offs. This review covers who Fella Health serves well, who should look elsewhere, and what their 2025 pivot to brand-name-only medications means for patients.
The Big Change: Brand-Name Only
In late 2025, Fella Health stopped offering compounded GLP-1 medications entirely. They now prescribe only brand-name Wegovy and Zepbound.
This pivot was driven by the FDA's compounding crackdown following the resolution of semaglutide and tirzepatide shortages. Rather than navigate the regulatory uncertainty, Fella made a clean break from compounding entirely.
What this means for patients:
- Higher medication costs: Brand-name Wegovy and Zepbound list at $1,000+/month. Even with manufacturer savings programs, expect significantly higher costs than compounded alternatives offered elsewhere.
- Insurance relevance: Unlike compounded medications, brand-name drugs may be partially covered by insurance if you have obesity or diabetes-related coverage.
- FDA-approved safety: You're getting tested, regulated products from Novo Nordisk and Eli Lilly—not pharmacy-compounded versions with variable quality.
- Lower regulatory risk: The company won't suddenly lose access to medications due to compounding enforcement actions.
Current Pricing Structure
Fella Health uses all-inclusive pricing that bundles consultation, physician access, and care management. Medication costs are separate and depend on your insurance situation and manufacturer programs.
Program fees:
- 6-month commitment: $165-199/month for the program itself
- 3-month commitment: Higher per-month rate
- Month-to-month: Highest rate, around $299/month
Medication costs (in addition to program fee):
- With insurance coverage: Copay varies widely ($25-500+/month)
- Cash pay with savings programs: Eli Lilly and Novo Nordisk offer manufacturer cards that can reduce costs to ~$500-600/month for eligible patients
- Full cash pay: $1,000+/month without assistance
The total monthly cost ranges from ~$200/month (if insurance covers medication well) to $1,200+/month (full cash pay). This is a significant range—understanding your insurance situation is critical before committing.
The 6-Month Weight Loss Guarantee
Fella Health offers a money-back guarantee: lose at least 5% of your body weight within 6 months, or receive a refund on your program fees.
What this actually means:
- The guarantee covers program fees only, not medication costs
- 5% weight loss is a relatively low bar—clinical trials show 14-22% average weight loss with these medications
- You must follow the program as prescribed to qualify for the guarantee
Strategic assessment: The guarantee is more marketing tool than financial protection. The 5% threshold is deliberately achievable—Fella rarely pays out because most compliant patients exceed this easily. It's a confidence signal, not a significant financial backstop.
The Enclomiphene Angle
Beyond GLP-1s, Fella Health offers enclomiphene—a selective estrogen receptor modulator (SERM) that stimulates testosterone production without shutting down your natural hormone axis.
Why this matters for men:
- Fertility preservation: Unlike testosterone replacement therapy (TRT), enclomiphene doesn't suppress sperm production. Men trying to conceive can boost testosterone without harming fertility.
- Natural axis support: Enclomiphene signals your body to produce more testosterone rather than replacing it with external hormones.
- Less regulatory burden: Enclomiphene isn't a controlled substance like testosterone, simplifying prescription and shipping.
For men who want testosterone support alongside GLP-1 therapy but want to preserve fertility or avoid the commitment of TRT, this combination may be uniquely appealing.
Trustpilot Rating: 4.7 Stars
Fella Health maintains a 4.7-star rating from approximately 1,100 reviews—strong but notably lower than Hone Health's 5.0.
Common praise:
- Male-focused experience feels tailored rather than generic
- Physician consultations are thorough
- App and communication are user-friendly
Common complaints:
- 2025 supply disruptions frustrated some patients during the compounding transition
- Brand-name medication costs are higher than expected
- Some patients felt the 6-month commitment was too long
The lower rating compared to Hone likely reflects growing pains from the business model transition rather than fundamental service quality issues.
Who Fella Health Works Best For
Men with insurance coverage: If your insurance covers obesity medications or you qualify for cardiovascular risk reduction (SELECT trial indication), Fella's brand-name approach becomes cost-competitive. The program fee is reasonable; the medication cost is the variable.
Men prioritizing FDA-approved products: If the regulatory uncertainty around compounding concerns you, Fella offers certainty. You're getting Wegovy or Zepbound—period.
Men wanting testosterone support without TRT: The enclomiphene option provides a middle path that competitors often don't offer.
Men who prefer male-focused care: Some men feel more comfortable in spaces designed specifically for them. Fella's positioning eliminates the "weight loss clinic for women (and also men)" dynamic present elsewhere.
Who Should Look Elsewhere
Budget-conscious patients without insurance: Without insurance or manufacturer savings, Fella's brand-name approach is significantly more expensive than compounding-based competitors. If you need to minimize cost, Henry Meds or Hims offer lower price points.
Patients seeking compounded medications: If you specifically want compounded semaglutide or tirzepatide, Fella no longer offers this. Period.
Patients needing TRT (not just testosterone support): Fella offers enclomiphene but not full TRT (testosterone cypionate injections). Men with severely low testosterone who need replacement therapy should consider Hone Health or a dedicated TRT provider.
Patients wanting short commitments: The 6-month commitment structure may feel constraining if you want more flexibility.
The Onboarding Process
Step 1: Online assessment. Health history questionnaire designed specifically for men. Takes 5-10 minutes.
Step 2: Consultation. Video call with a licensed physician who reviews your situation and discusses treatment options. Fella emphasizes this isn't a rubber-stamp process—physicians will decline patients who don't meet criteria.
Step 3: Insurance navigation. If pursuing insurance coverage, Fella's team assists with prior authorization paperwork. This can take 1-3 weeks depending on your insurer.
Step 4: Medication access. Brand-name medications fill through a pharmacy (typically retail or specialty). Expect standard pharmacy timelines.
Strengths Summary
- Male-exclusive focus: Unique positioning in telehealth
- Brand-name certainty: FDA-approved products, no compounding risk
- Enclomiphene option: Fertility-preserving testosterone support
- Insurance navigation: Active support for coverage
- 6-month guarantee: Low-risk trial (on program fees)
Weaknesses Summary
- Brand-name costs: Significantly higher than compounded alternatives
- No TRT: Only enclomiphene for testosterone support
- No compounding option: Eliminated entirely in 2025
- Commitment required: 6-month minimum for best pricing
The Verdict
Fella Health's brand-name pivot was strategically sound—it reduces regulatory risk and positions them as a premium, compliant provider. But it fundamentally changes their value proposition.
If you have insurance coverage or qualify for manufacturer savings, Fella delivers a male-focused experience with FDA-approved medications at competitive total costs. If you're paying cash without assistance, you're likely overpaying compared to compounding-based alternatives.
The male-exclusive positioning is genuinely different, not just marketing. Some men find real value in that. Others won't care. Know which camp you're in before committing.