Fella Health offers a unique approach to GLP-1 weight loss medication by focusing exclusively on men. Their compounded semaglutide program starts at $165/month with an annual commitment or $299 month-to-month, and includes everything from medical consultations to medication delivery to male-specific coaching. With a standout 6-month money-back guarantee and pricing that rivals budget-friendly competitors, Fella Health makes a compelling case for men looking for weight loss support designed specifically for their needs.

Getting Started with Fella Health

I signed up for Fella Health on a Tuesday evening after researching men-focused weight loss programs. The onboarding process felt refreshingly direct—no flowery language or overly feminine messaging that you sometimes encounter on general weight loss platforms. The intake questionnaire asked about weight history, health conditions, and weight loss goals, with sections specifically designed to address men's health concerns.

The medical consultation was scheduled within 48 hours. I had a video call with a physician who specialized in men's metabolic health. He discussed how semaglutide works, what to expect during the first few months, and how the medication fits into a broader approach to men's health. The conversation included discussion of muscle preservation during weight loss—something I appreciated as someone who works out regularly.

One unique aspect of Fella's approach is their emphasis on the psychological and social aspects of weight loss for men. The doctor mentioned that many men approach weight loss differently than women, often focusing more on performance and strength rather than just the number on the scale. This mindset was reflected throughout the program.

First Shipment and Starting Treatment

My semaglutide prescription was approved the same day as my consultation. Fella Health ships from U.S.-based 503A compounding pharmacies, ensuring the medication meets FDA quality standards even though compounded medications themselves aren't FDA-approved as finished products. The package arrived five days after approval via FedEx with temperature monitoring.

The shipment included:

• One vial of compounded semaglutide (enough for 4-5 weeks depending on dose)
• Insulin syringes with 31-gauge needles
• Alcohol prep wipes
• Sharps disposal container
• Detailed injection instructions with photos
• Access card to the Fella Health men's community platform

The packaging was discreet with no exterior labeling indicating weight loss medication—something I appreciated as someone who values privacy. Inside, everything was well-organized and professional. The injection guide was particularly helpful, with clear instructions written for someone who had never given themselves an injection before.

Month 1: Initial Adjustment (0.25mg Weekly)

I started with the standard 0.25mg weekly dose, administering the injection every Saturday morning before breakfast. The first injection was surprisingly easy—the 31-gauge needle was thin enough that I barely felt it. I injected into my abdomen as recommended, rotating sites each week.

The appetite suppression was noticeable within 48 hours. I found myself satisfied with smaller portions at meals and had virtually no interest in snacking between meals—a major change from my usual eating patterns. The reduction in "food noise" (constant thoughts about eating) was one of the most dramatic effects.

Side effects during the first month were minimal. I experienced mild nausea on days 2-3 after each injection, but it was manageable and didn't interfere with work or exercise. I had one episode of loose stools during week two, but this resolved on its own. No vomiting, severe nausea, or other concerning symptoms.

The Fella Health coaching team checked in twice during the first month—once at day 3 to see how the first injection went, and once at day 21 to assess side effects and progress. The coach was knowledgeable about managing side effects and offered practical suggestions like eating smaller, protein-rich meals and staying well-hydrated.

I lost 5 pounds during the first month. While this might seem modest, my coach explained that the initial month is typically slower as the body adjusts to the medication, and that weight loss typically accelerates as the dose increases. He emphasized that sustainable weight loss for men often means preserving muscle mass while losing fat—a goal that requires patience.

Month 2: Increased Effectiveness (0.5mg Weekly)

At the start of month two, I increased to 0.5mg weekly as prescribed. The transition was smooth with no increase in side effects. The appetite suppression became more pronounced—I often had to remind myself to eat lunch because I simply wasn't feeling hungry by midday.

One aspect I appreciated about Fella's approach was their emphasis on maintaining protein intake and resistance training during weight loss. The coaching team provided specific guidance on protein targets (aiming for 0.8-1g per pound of body weight) and encouraged me to continue strength training to preserve muscle mass.

The men's community platform became increasingly valuable during month two. I joined several discussion groups focused on topics like "Lifting While on GLP-1s" and "Meal Prep for Guys." The community felt authentic and supportive without being overly emotional or dramatic—men sharing practical strategies and honest experiences.

I lost an additional 7 pounds during month two (12 pounds total), and my energy levels remained stable. I was able to maintain my workout schedule without significant fatigue, though I did notice I needed slightly longer to recover between heavy lifting sessions. My coach assured me this was normal and recommended ensuring adequate protein and sleep.

Month 3: Sustained Progress (1mg Weekly)

Month three brought another dose increase to 1mg weekly. By this point, the injection routine was completely automatic—I barely thought about it. The medication continued to effectively suppress my appetite, though I noticed the effect was slightly less dramatic than month two. My coach explained this was normal and that focusing on sustainable habits rather than just medication effects would be important for long-term success.

One challenge during month three was navigating social situations. I had several work dinners and a bachelor party weekend, and I found it awkward to explain why I was eating so much less than usual. The Fella community had great discussions on this topic, with guys sharing strategies like ordering appetizers as main courses or simply saying "I'm not that hungry" without elaborate explanations.

I lost another 6 pounds during month three (18 pounds total over three months). My body composition was noticeably different—I was losing fat while maintaining most of my muscle mass based on my gym performance and visual changes. My waist size dropped by two inches, and I needed to buy new pants.

The coaching check-ins continued every 2-3 weeks. During month three, the focus shifted from managing side effects to building sustainable habits. My coach and I discussed strategies for maintaining weight loss after eventually discontinuing the medication, including establishing consistent meal patterns and continuing strength training.

Medication Quality and Consistency

Fella Health sources compounded semaglutide from U.S.-based 503A compounding pharmacies. These facilities are regulated by state boards of pharmacy and must follow strict quality standards, though compounded medications don't undergo the same FDA approval process as brand-name drugs like Wegovy or Ozempic.

Each monthly shipment included a vial with clearly labeled concentration and expiration date. The medication remained stable and effective throughout the month when refrigerated as directed. I experienced consistent appetite suppression and weight loss throughout treatment, suggesting the compounded medication was reliably formulated.

Fella provides detailed certificates of analysis from their compounding partners, showing that each batch is tested for potency, sterility, and purity. This transparency was reassuring and demonstrated their commitment to quality despite using compounded rather than brand-name medication.

Pricing Analysis: $165/Month Annual or $299 Month-to-Month

Fella Health offers two pricing structures:

• Annual commitment: $165/month ($1,980 paid upfront or in installments)
• Month-to-month: $299/month with no long-term commitment

Both pricing tiers are all-inclusive, covering:

• Initial medical consultation and ongoing care
• Compounded semaglutide medication (all dose levels)
• Injection supplies (syringes, needles, alcohol wipes, sharps container)
• Shipping with temperature monitoring
• Coaching support and community access
• Metabolic health tracking tools

The annual pricing at $165/month positions Fella Health as one of the most affordable options for semaglutide treatment. Let's compare:

Budget-Friendly Competitors (Compounded Semaglutide)

• Mochi Health: $79/month membership + $99/month medication = $178/month total ($13 more than Fella annual)
• Eden: $249/month all-inclusive ($84 more than Fella annual)
• Henry Meds: $297/month all-inclusive ($132 more than Fella annual)

Mid-Tier Competitors (Compounded Semaglutide)

• Hims: $199-$399/month depending on dose ($34-$234 more than Fella annual)
• Hers: $199-$399/month depending on dose ($34-$234 more than Fella annual)
• Noom Med: $149/month program + $149-$199/month medication = $298-$348 total ($133-$183 more than Fella annual)
• Found: $99/month program + $199/month medication = $298 total ($133 more than Fella annual)

Premium Competitors (Compounded or Brand-Name)

• Calibrate: $1,649/year program + medication costs = ~$300-$500/month effective ($135-$335 more than Fella annual)
• Ro: $99/month program + $149-$349/month medication = $248-$448 total ($83-$283 more than Fella annual)
• Sequence (now WeightWatchers Clinic): $49/month + $199-$349/month Wegovy = $248-$398 total ($83-$233 more than Fella annual)

With the annual commitment, Fella Health is the second-most affordable option, just $13/month more than Mochi Health's lowest-cost tier. Over 12 months, this translates to significant savings:

• vs. Eden: Save $1,008 per year
• vs. Henry Meds: Save $1,584 per year
• vs. Noom Med (mid-range): Save $1,596 per year
• vs. Ro (mid-range): Save $1,356 per year

The month-to-month pricing at $299/month is less competitive but still reasonable compared to mid-tier competitors. It offers flexibility for those who want to try the service without a 12-month commitment. However, the annual pricing is where Fella Health truly shines from a value perspective.

The 6-Month Money-Back Guarantee

Fella Health's most distinctive feature is their 6-month money-back guarantee. If you don't lose at least 15% of your starting body weight within six months while following the program as directed, Fella will refund your entire payment—no questions asked.

This is the most generous guarantee I've seen in the GLP-1 telehealth space. Most competitors offer 30-day satisfaction guarantees or prorated refunds, but Fella's full-refund policy for six months demonstrates exceptional confidence in their program's effectiveness.

The guarantee requirements are straightforward:

• Attend all scheduled medical check-ins
• Take medication as prescribed
• Track weight regularly in the Fella app
• Engage with coaching team when they reach out

These requirements are reasonable and align with what you'd naturally do when participating in a medically supervised weight loss program. The guarantee provides significant peace of mind, especially for the annual commitment pricing tier.

Men-Specific Approach

Fella Health's exclusive focus on men shapes every aspect of their service. This isn't just marketing—the differences are substantive and meaningful.

1. Male-Focused Medical Expertise

The providers on Fella's network have specific experience with men's metabolic health. My consultations included discussions of testosterone levels (obesity can suppress testosterone), muscle preservation during weight loss, and how weight loss might affect athletic performance—topics that might not be prioritized in a general weight loss program.

2. Coaching Tailored to Men's Needs

The coaching approach acknowledges that men often approach weight loss differently than women. There's an emphasis on strength, performance, and body composition rather than just the number on the scale. Coaches discuss practical strategies like meal prep, grocery shopping, and managing work stress rather than emotional processing or support groups.

3. Community Designed for Men

The Fella community platform feels distinctly different from general weight loss communities. Discussions are direct and practical—guys sharing what's working, troubleshooting challenges, and occasionally making jokes. Popular topics include lifting routines, high-protein recipes, managing business travel, and dating while losing weight.

4. Metabolic Health Beyond Weight Loss

Fella emphasizes broader metabolic health markers beyond just weight. The program tracks metrics like waist circumference, blood pressure, and energy levels. There's discussion of how weight loss might affect cholesterol, blood sugar, and cardiovascular health—concerns that disproportionately affect men.

The male-specific approach is valuable if it resonates with you. For men who have felt out of place in traditional weight loss programs, Fella offers an environment designed specifically for their needs and communication styles.

Customer Service and Communication

Fella Health's customer service is efficient and responsive, though not as comprehensive as larger, more established platforms. The coaching team responds to messages within 24 hours on weekdays, with slightly longer response times on weekends.

I had one issue during month two when a shipment was delayed due to a pharmacy backorder. I messaged the support team and received a response within 6 hours explaining the delay and providing a specific timeline for when the medication would ship. The medication arrived two days later than expected—not ideal, but the proactive communication made the delay manageable.

The medical team is available for questions between scheduled check-ins. I reached out once with concerns about persistent nausea, and received a response from a nurse practitioner within 4 hours with specific suggestions for managing the symptoms. The advice was practical and effective.

One limitation is that Fella doesn't offer 24/7 support. If you have an urgent concern outside business hours, you're directed to call your primary care physician or seek emergency care. This is reasonable for a telehealth service, but larger platforms sometimes offer more extensive after-hours support.

What Makes Fella Health Different

After three months with Fella Health and having researched dozens of GLP-1 providers, several aspects set them apart:

1. Exclusive Men's Focus

Fella is the only major GLP-1 telehealth provider focusing exclusively on men. This isn't just marketing—the entire experience from medical consultations to coaching to community is designed specifically for men's needs, communication styles, and health goals. For men who have felt out of place in general weight loss programs, this specialized approach is genuinely valuable.

2. Industry-Leading Money-Back Guarantee

The 6-month money-back guarantee is the most generous I've encountered. Full refund if you don't lose 15% of body weight while following the program demonstrates exceptional confidence in their effectiveness. This significantly reduces the financial risk of the 12-month commitment required for the best pricing.

3. Excellent Value with Annual Commitment

At $165/month with annual commitment, Fella Health offers pricing competitive with the most affordable providers while including comprehensive coaching and support. The all-inclusive model with no dose-based price increases provides predictable costs throughout treatment.

4. Muscle Preservation Focus

Unlike many weight loss programs that focus solely on the number on the scale, Fella emphasizes body composition—losing fat while preserving or building muscle. This approach is particularly valuable for men who strength train or care about athletic performance alongside weight loss.

5. Authentic Men's Community

The community platform provides genuine peer support from other men facing similar challenges. The discussions are practical, direct, and focused on problem-solving rather than emotional processing—a communication style that resonates with many men.

What Could Be Better

Despite Fella Health's many strengths, there are several areas where they could improve:

Month-to-Month Pricing Is High

At $299/month without annual commitment, Fella is significantly more expensive than budget-friendly competitors like Mochi Health ($178/month) or Eden ($249/month). While the men-specific approach and money-back guarantee add value, the month-to-month pricing limits flexibility for those who can't or won't commit to 12 months upfront.

A middle-ground option—perhaps a 3-month or 6-month commitment tier—would provide more flexibility while still offering better pricing than month-to-month. Many people want to try a service for a few months before committing to a full year.

Limited to Men Only

While the men-specific focus is Fella's core differentiator, it means half the population can't access their services. Women seeking GLP-1 treatment must look elsewhere, and couples who want to do the program together can't both use Fella. A companion women's program (perhaps under a different brand) could address this limitation while maintaining the specialized approach.

Newer Provider with Less Track Record

Fella Health is relatively new compared to established players like Ro, Calibrate, or Found. While they appear well-organized and professional, they don't have the years of track record and thousands of patient outcomes that older providers can demonstrate. Some users may prefer providers with longer operational histories.

Limited Provider Network

Fella's provider network is smaller than major platforms, which could mean longer wait times for consultations or less flexibility in scheduling. I was able to get appointments within 48 hours, but during peak times this could extend. Larger provider networks offer more scheduling flexibility and backup options if your primary provider is unavailable.

No Tirzepatide Option Yet

At the time of this review, Fella Health only offers semaglutide, not tirzepatide. Since tirzepatide (Mounjaro/Zepbound) has shown superior weight loss results in clinical trials—averaging 20-25% body weight loss versus 15-17% for semaglutide—some users may want access to this potentially more effective medication. Expanding to include tirzepatide would provide more options for patients who don't achieve adequate results with semaglutide.

Who Should Choose Fella Health?

Fella Health is an excellent choice for men who:

• Want a men-specific program: If you've felt out of place in general weight loss programs or appreciate an approach designed specifically for men's needs and communication styles, Fella's exclusive focus on men is uniquely valuable.
• Can commit to 12 months: The best pricing ($165/month) requires annual commitment. If you're ready to commit to a year of treatment and lifestyle change, Fella offers exceptional value protected by their 6-month money-back guarantee.
• Care about muscle preservation: For men who strength train or care about body composition beyond just weight loss, Fella's emphasis on maintaining muscle mass while losing fat aligns with performance-oriented goals.
• Value strong guarantees: The 6-month money-back guarantee is the best in the industry and significantly reduces financial risk, especially when combined with the annual commitment pricing.
• Want peer support from other men: The community platform provides authentic connection with other men facing similar challenges, with practical discussions rather than emotional processing.
• Prioritize value: With annual commitment, Fella is one of the most affordable comprehensive GLP-1 programs while including extensive coaching and support that budget-only providers don't offer.

Fella Health might not be the best fit if you:

• Can't commit to 12 months: Month-to-month pricing at $299 is higher than many competitors. If you want flexibility to cancel after a month or two, budget-friendly options like Mochi Health ($178/month) or Eden ($249/month) offer better value.
• Are female: Fella exclusively serves men. Women should consider alternatives like Ro Body, Calibrate, Found, or Noom Med.
• Want tirzepatide: Fella currently only offers semaglutide. If you specifically want tirzepatide (which may be more effective), you'll need to use a provider like Ro, Mochi Health, or Eden that offers both medications.
• Prefer established providers: If you want a provider with years of track record and thousands of documented patient outcomes, more established platforms like Ro (since 2017) or Calibrate (since 2020) may provide more confidence.
• Need 24/7 support: Fella's support operates during business hours. If you want round-the-clock access to medical staff, larger platforms may offer more extensive coverage.

Final Verdict

Fella Health earns 4.2 out of 5 stars for their men-focused semaglutide program. The combination of excellent pricing with annual commitment ($165/month), industry-leading money-back guarantee (6 months full refund), and genuinely differentiated men-specific approach makes Fella a compelling choice for men seeking GLP-1 weight loss treatment.

The specialized focus on men isn't just marketing—it's reflected in every aspect from medical consultations emphasizing metabolic health and muscle preservation, to coaching that prioritizes practical strategies over emotional processing, to a community where men share honest experiences and support each other. For men who have felt out of place in traditional weight loss programs, this tailored approach provides genuine value.

The 6-month money-back guarantee is remarkable and demonstrates exceptional confidence in the program's effectiveness. Combined with the annual pricing tier, this significantly reduces the financial risk of committing to 12 months of treatment. You're essentially getting six months to evaluate whether the program works for you with zero financial risk.

The limitations are real but not disqualifying for the right user. The higher month-to-month pricing means the best value requires annual commitment. The men-only focus means half the population can't use Fella, and couples can't do the program together. The newer provider status means less long-term track record compared to established competitors. And the current lack of tirzepatide limits medication options for those who might benefit from the potentially more effective GLP-1/GIP combination.

For men who can commit to 12 months, value affordability without sacrificing support, and appreciate an approach designed specifically for their needs, Fella Health is one of the best options in the GLP-1 telehealth market. The combination of competitive pricing, strong guarantees, and authentic specialization in men's health creates a compelling value proposition that few competitors can match.