Head to head
LIV Body vs TMates: GLP-1 Programs Compared (2026)
Compare LIV Body and TMates on real cost over 12 months, medication type, price stability and support. Independent 2026 analysis, no first-month gimmicks.
Published · Pricing as published in our provider dataset, synced · Editorial scores 7.0 and 7.0 out of 10
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Two platforms, one drug class, and a difference in annual cost most people do not notice until month four. That is the LIV Body versus TMates question.
LIV Body's case rests on a weight loss guarantee behind the program and unlimited access to physicians and nurses. TMates's rests on one flat $199 that survives every titration step, with doctors rather than a message queue behind it. Those are different bets about what patients actually need.
What follows is a like-for-like read of both programs: entry pricing, maintenance pricing, formulary, support model and the terms attached to each. Where a figure is not published, that is stated rather than estimated.
The short answer
- Lowest 12-month cost
- TMates — $2,388 against $2,988 at LIV Body, on each provider's own best published pricing.
- Most predictable bill
- LIV Body — Flat rate at every dose, so titration does not change what you are charged.
- Quickest to start
- TMates — Virtual check-in appointments, then medication formulated in U.S. facilities.
- Most support included
- LIV Body — 24/7 unlimited messaging with physicians and nurses.
LIV Body vs TMates: the specification
Every figure below is the provider's own published number. The blank spaces are theirs, not ours.
| LIV Body | TMates | |
|---|---|---|
| Advertised price | $249/mo flat at every dose | $199/mo at every dose, no step-up fees |
| Rate after promotions | $249/mo | $199/mo |
| Pricing structure | Flat rate at every dose | Flat rate at every dose |
| Medication | Compounded semaglutide | Compounded semaglutide |
| State coverage | Not published | All 50 states |
| How fast you start | Online intake | Virtual check-in appointments |
| Membership fee | None | None |
| Payment options | Card only, no financing published | Card only, no financing published |
| Patient reviews | 125,000 | 21,970 |
| eRxDoctor score | 7.0/10 | 7.0/10 |
What LIV Body and TMates actually cost over a year
Trial data runs to 68 and 72 weeks; the pricing people compare runs to 30 days. Below, both are carried out to six and twelve months so the comparison holds at the point it matters.
| LIV Body | TMates | |
|---|---|---|
| First month | $249 | $199 |
| Months 2 onward | $249/mo | $199/mo |
| 6-month total | $1,494 | $1,194 |
| 12-month total | $2,988 | $2,388 |
| Best published plan | No multi-month discount published | No multi-month discount published |
The twelve-month spread is $600. That is the number to hold LIV Body against: it has to justify roughly $50 extra every month.
The difference that actually decides it
LIV Body leads with a weight loss guarantee behind the program and unlimited access to physicians and nurses. TMates leads with one flat $199 that survives every titration step, with doctors rather than a message queue behind it. Both are true, and neither is the reason most people end up unhappy with a GLP-1 program.
The reasons they do are duller: a price that moved, a support queue that did not answer, or a medication that was not available at the dose they needed. On those, LIV Body is exposed on one thing ($249 flat is well above the cheapest compounded competitors) and TMates on another (semaglutide only, and $199 is well above the cheapest compounded options).
Both programs work for the patient they are built for. The failure mode is choosing the one built for somebody else.
Inside the LIV Body program
LIV Body is a flat-rate compounded semaglutide program at $249/month with 24/7 unlimited messaging, a weight loss guarantee, and 125,000+ members. In this pairing, its distinguishing feature is a weight loss guarantee behind the program and unlimited access to physicians and nurses.
Intake is online intake. Fulfillment is home delivery. The commercial terms are flat rate at every dose, published upfront.
Support: 24/7 unlimited messaging with physicians and nurses. The medications on offer are compounded semaglutide.
LIV Body pros
- 24/7 unlimited messaging with physicians and nurses
- Flat-rate pricing, the same price at every dose with no hidden fees
- Weight loss guarantee backing the program
LIV Body cons
- Uses compounded GLP-1 medications, not brand-name FDA-approved drugs
- At $249/mo it is well above the cheapest compounded competitors
Set beside TMates, the thing to weigh: $249 flat is well above the cheapest compounded competitors.
A closer look at TMates
The pitch is one flat $199 that survives every titration step, with doctors rather than a message queue behind it. $199/month, every dose, no step-up fees
Practically: virtual check-in appointments, medication formulated in U.S. facilities, and a pricing model that is flat rate at every dose.
Ongoing care is 24/7 access to U.S.-based doctors, not just messaging, and the medication list runs to compounded semaglutide.
TMates pros
- Virtual check-in appointments for ongoing medical oversight
- Flat $199/month at every dose, no step-up fees as dosage escalates
- 24/7 access to U.S.-based doctors, not just messaging support
- Licensed coverage in all 50 states
TMates cons
- Compounded semaglutide only, limited public detail on tirzepatide availability
- $199/month is higher than the cheapest compounded options
- No branded Ozempic, Wegovy, or Zepbound
Where it gives ground to LIV Body: semaglutide only, and $199 is well above the cheapest compounded options.
Who each program is actually built for
Choose LIV Body if:
- delivery works the way you want it to: home delivery
- you want to start on their timeline: online intake
- you would rather use the platform with the longer public record (125,000 reviews)
- you want the price you sign up at to survive titration
Choose TMates if:
- the level of clinical contact suits you: 24/7 access to U.S.-based doctors, not just messaging
- what it leads on is worth paying for in your case: one flat $199 that survives every titration step, with doctors rather than a message queue behind it
- delivery works the way you want it to: medication formulated in U.S. facilities
- you want to start on their timeline: virtual check-in appointments
Where each program concedes something
On price. TMates is the cheaper program at $199/mo against $249/mo. What TMates gives up for that is semaglutide only, and $199 is well above the cheapest compounded options; what LIV Body charges for is a weight loss guarantee behind the program and unlimited access to physicians and nurses.
On commitment. Neither publishes a multi-month discount, so both are month-to-month decisions and neither asks you to prepay for a response you have not had yet. Neither publishes financing options, so plan for the full amount each month.
On predictability. Both run on flat rate at every dose, so neither has an advantage here. The more predictable structure is worth a premium to anyone who has been surprised by a telehealth invoice before.
On access. LIV Body advertises online intake and home delivery; TMates advertises virtual check-in appointments and medication formulated in U.S. facilities. Coverage differs too — not published against all 50 states — which decides the question before price does if you are in a restricted state.
The clinical evidence, separated from the marketing
Weight loss percentages quoted in telehealth marketing come from trials neither LIV Body nor TMates ran. Here is the source material, and what regulators say alongside it.
In the STEP 1 trial, weekly semaglutide 2.4 mg produced a mean body-weight change of −14.9% at 68 weeks against −2.4% on placebo, per NEJM, STEP 1.
The STEP 1 extension found participants regained roughly two-thirds of the weight they had lost within a year of stopping semaglutide, per Diabetes, Obesity and Metabolism.
None of that settles which of these two to use. It does mean the drug is doing the work, and you are choosing who supplies it and on what terms.
LIV Body vs TMates: common questions
Which costs less over a year, LIV Body or TMates?
TMates, at roughly $2,388 for twelve months against $2,988 at LIV Body, using each provider's own best published pricing. Those totals cover medication and program fees as published; they exclude anything a provider bills separately, and they assume you stay on the same plan for the full year.
Is TMates cheaper than LIV Body?
Yes, on the ongoing rate. TMates runs $199/mo once promotional pricing ends, against $249/mo at LIV Body — a difference of 25%. Compare the first-month offers separately, because both providers discount entry differently from the rate you will actually be paying by month three.
Can I switch from LIV Body to TMates later?
Nothing stops you. The friction is administrative rather than clinical: a new intake, a new prescriber, and a delivery gap if you time it badly. Move while you still have two weeks of medication in the fridge.
Do LIV Body and TMates prescribe the same medication?
Both dispense compounded GLP-1 preparations. LIV Body lists compounded semaglutide and TMates lists compounded semaglutide, so the molecules overlap even where the formulary does not match exactly.
What happens if I stop taking the medication?
Both programs are month to month, which makes stopping easy and makes the consequence of stopping the thing to plan for: published extension data shows most of the lost weight returns within about a year. That is an argument for choosing on annual cost rather than entry price.
Is LIV Body or TMates better for a first GLP-1 prescription?
First-timers usually get more from clinical access than from a lower rate, because the first two months are where most people stop. On that basis LIV Body has the stronger case; after month three, cost should take over.
The verdict
TMates is the cheaper year by $600, and for a straightforward course of treatment that settles it.
The case for LIV Body is a weight loss guarantee behind the program and unlimited access to physicians and nurses. That is worth $50 a month to some patients and nothing at all to others — be honest about which you are.
Both platforms are legitimate routes to a GLP-1 prescription. The decision is commercial, and it should be made with the twelve-month figure in front of you rather than the first-month one.
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Disclaimers and methodology
Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.
Some links are affiliate links and may generate commission at no extra cost to you.
Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.
eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by LIV Body or TMates, and does not sell treatment. Read our ranking methodology.