Noom vs Optavia
A detailed head-to-head comparison of Noom and Optavia — pricing, peptides, consultation models, and patient reviews.
At a Glance
RatingNo reviews
Starting PriceN/A
Peptides2
ConsultationHybrid
Lab TestingYes
Shipping3-5 business days
Pros
- Unique combination of GLP-1 medication with an established CBT-based behavior-change curriculum
- Video consultations required (more thorough clinical evaluation than async providers)
- Over a decade of behavior-change coaching experience predating the medication program
- Personal coach and group coaching included in the price
- Competitive compounded semaglutide pricing ($149/month) for what's included
Cons
- Cannot opt out of the coaching/app component to lower cost
- Noom Med is relatively new (launched 2023)
- No published clinical trial data specifically for the combined Med + coaching program
- No lab testing included
- Pricing has been volatile
RatingNo reviews
Starting PriceN/A
Peptides2
ConsultationAsync Telehealth
Lab TestingNo
Shipping3-5 business days
Pros
- Highly structured meal replacement system with decades of Medifast research behind the Fuelings products
- Coach community provides strong accountability, community, and daily behavioral support
- Combining a low-calorie structured diet with GLP-1 therapy may produce greater caloric reduction than either alone
- Fuelings system removes meal decision fatigue
- Large, established coach network with broad geographic coverage
Cons
- Coaches are not licensed clinicians
- The GLP-1 medical pathway runs through a separate third-party telehealth platform, creating a fragmented care experience where coach and prescribing clinician operate independently
- Total combined cost (Fuelings + GLP-1 medication) can exceed $600–$800/month, making this among the more expensive weight management options
- Fuelings program uses a multi-level distribution model; coach incentives are tied to product sales, which is a structural conflict of interest patients should understand
- Not suitable for patients who want a single integrated clinical program
Pros & Cons
Peptide Pricing Comparison
| Peptide | Noom | Optavia |
|---|---|---|
| Semaglutide | Price unavailable | Price unavailable |
| Tirzepatide | Price unavailable | Price unavailable |
Frequently Asked Questions
Is Noom or Optavia better?
Noom offers 2 peptides and hybrid consultations. Optavia offers 2 peptides and async telehealth consultations. The best choice depends on which peptides you need, your budget, and preferred consultation model.
Which is cheaper, Noom or Optavia?
See the pricing table above for a detailed comparison.