Does Lttl ship to my state?

GLP-1 weight loss: listed for all 50 states; Prescribed peptide therapy: listed for all 50 states; NAD+ programs: listed for all 50 states. This reflects Lttl's public pages as last checked by Telehealth Ledger. State rules change, so confirm your state during intake.

Does Lttl refund you if you are not prescribed?

Telehealth Ledger does not rate or endorse providers. Previously processed charges are non-refundable and prescription medications cannot be returned. This restates Lttl's published policy as checked on 15 September 2026; confirm the current terms before paying.

How fast does Lttl ship?

Product pages advertise free shipping arriving in 1-2 days. This is Lttl's own published timing as checked on 21 October 2026, not a delivery guarantee; confirm it during checkout.

Lttl

We may earn a commission if you start a program through links on this page. It doesn't change prices or how we sort them. Disclosure

Visit Lttl Affiliate link · we may earn a commissionLttl price guide

10programs cataloged

3categories

What does Lttl charge?

At a glance

Lttl lists 10 programs on Telehealth Ledger and publishes no price before intake.

Availability as stated by the provider: GLP-1 weight loss, all 50 states; Prescription peptide therapy, all 50 states; NAD+ telehealth, all 50 states.

Prices and terms were last checked 3 November 2026; each figure links to the provider page it was read from.

Standardized treatment data

Treatment programs with comparable formatscompounded (not FDA-approved)

These programs map to the same medication and format tracked across providers. Published prices use a consistent basis wherever the provider supplies one.

Lttl treatments compounded (not FDA-approved)
Treatment	Format	Visit
Semaglutide	Weekly injection, monthly subscription	VisitAffiliate link · we may earn a commission
Tirzepatide	Weekly injection, monthly subscription	VisitAffiliate link · we may earn a commission
Glutathione injection	Injection, monthly subscription	VisitAffiliate link · we may earn a commission
NAD+ injection	Injection, monthly subscription	VisitAffiliate link · we may earn a commission
NAD+ nasal spray	Nasal spray, monthly subscription	VisitAffiliate link · we may earn a commission
Sermorelin	Nightly injection, monthly subscription	VisitAffiliate link · we may earn a commission

All programs

Programs offered by Lttl

Some programs use membership charges, separate medication billing, or formats that do not belong in a ranked price table. We show their actual published price basis and treatment format instead of forcing a misleading comparison.

Microdose GLP-1compounded (not FDA-approved)

2 programs

Microdose Semaglutide
Low-dose compounded weekly injection, monthly subscription
Starting at $109/mo with a first-month discount; ongoing price not statedcompounded (not FDA-approved)Pricing status
Visit Affiliate link · we may earn a commission
Microdose Tirzepatide
Low-dose compounded weekly injection, monthly subscription
Page shows both "Starting at $109 a month" and a schema price of $199; ongoing price not statedcompounded (not FDA-approved)Pricing status
Visit Affiliate link · we may earn a commission

Longevity injectioncompounded (not FDA-approved)

2 programs

MIC + B12
Weekly compounded lipotropic MIC + B12 injection, prescription included
Starting at $79 with a first-month discount; ongoing price not statedcompounded (not FDA-approved)Pricing status
Visit Affiliate link · we may earn a commission
L-Carnitine
Compounded L-carnitine injection, 500 mg stated, prescription included
Starting at $79 with a first-month discount; ongoing price not statedcompounded (not FDA-approved)Pricing status
Visit Affiliate link · we may earn a commission

Who operates the service

The Commerce Group Holdings, LLC: Named in the terms as the company that owns and operates lttl.com; clinical services come from independent licensed clinicians or professional entities, not named.Source, checked 15 September 2026

RedRock Compounding Pharmacy: Named in the terms as a partner pharmacy (St. George, UT).Source, checked 15 September 2026

Health Warehouse: Named in the terms as a partner pharmacy (Florence, KY).Source, checked 15 September 2026 HealthWarehouse.com pharmacy profile

Precision Compounding Pharmacy: Named in the terms as a partner pharmacy (Bellmore, NY).Source, checked 15 September 2026 Precision Medicine (Precision Compounding) pharmacy profile

Triad Rx: Named in the terms as a partner pharmacy (Daphne, AL).Source, checked 15 September 2026 Triad Rx pharmacy profile

How telehealth prescriptions are filled and shipped

Billing and operations

Monthly subscription, 'starting at' prices: Plans are monthly subscriptions shown with 'starting at' prices ($89 semaglutide, $139 tirzepatide, $99 sermorelin and NAD+, $79 glutathione, $109 microdose) and a first-month discount of up to $140.Source, checked 15 September 2026 Source, checked 21 October 2026 Source, checked 15 September 2026 Source, checked 15 September 2026

Recurring until cancelled: Payment methods are charged on a recurring basis until the member cancels.Source, checked 15 September 2026

Cancel anytime before pharmacy processing: Members can cancel through the account portal or hello@lttl.com; orders already processed by the pharmacy cannot be cancelled or refunded.Source, checked 15 September 2026 Source, checked 15 September 2026

Processed charges non-refundable: Previously processed charges are non-refundable and prescription medications cannot be returned.Source, checked 15 September 2026 Source, checked 15 September 2026

50 states plus D.C.: The terms say products and services are available only in the 50 states and Washington D.C.Source, checked 15 September 2026

No insurance billing: Lttl does not bill insurance; HSA/FSA payment may be used.Source, checked 15 September 2026

Free shipping: Product pages advertise free shipping arriving in 1-2 days.Source, checked 21 October 2026

Evidence conflicts and limits

'Starting at' prices with first-month discounts: Every product shows a 'starting at' price and an up-to-$140 first-month discount; the tirzepatide page shows both $139 and 'Plans start at $89/mo', and the glutathione page shows two different discount amounts. No ongoing price is recorded.

No ongoing monthly price is published separately from 'starting at' and first-month discount wording.
No medical group or clinician entity is named.
MIC+B12, L-Carnitine, NAD+ oral liquid, methylene blue and microdose tirzepatide pages were not read.
Compounded medications are not FDA-approved and are not equivalent to FDA-approved brands.

Ratings

No third-party ratings checked yet · 10 September 2026

Regulatory records and how to read these ratings

Regulatory and legal records

No FDA, FTC, or state attorney-general record naming this company was found in our search on 10 September 2026. A search with no result is not proof of a clean record.

FDA warning letters recorded for commission-earning providers

How to read these ratings

Different platforms measure different things: Trustpilot shows a company-invited review average, BBB grades how a business answers complaints, app stores prompt at the moment of use, and a regulator's letter is a dated record. A paid PR-wire release is not a review. None of these is a score from Telehealth Ledger. How Trustpilot counts · How BBB counts

What Lttl states

US-licensed clinicians
United States only
Clinician review before prescribing
States that it follows HIPAA

These come from the company’s own public pages. We record what it says and do not audit it.

Where it operates

GLP-1 weight loss: all 50 states.

Prescribed peptide therapy: all 50 states.

NAD+ programs: all 50 states.

Support: hello@lttl.com · (888) 847-7806

Questions about Lttl

Does Lttl ship to my state?: GLP-1 weight loss: listed for all 50 states; Prescribed peptide therapy: listed for all 50 states; NAD+ programs: listed for all 50 states. This reflects Lttl's public pages as last checked by Telehealth Ledger. State rules change, so confirm your state during intake.
Does Lttl refund you if you are not prescribed?: Telehealth Ledger does not rate or endorse providers. Previously processed charges are non-refundable and prescription medications cannot be returned. This restates Lttl's published policy as checked on 15 September 2026; confirm the current terms before paying.
How fast does Lttl ship?: Product pages advertise free shipping arriving in 1-2 days. This is Lttl's own published timing as checked on 21 October 2026, not a delivery guarantee; confirm it during checkout.

Primary and independent sources

Facts above are linked to the current public records checked on the dates shown. Advertiser statements describe what the provider publishes; they are not an audit or clinical endorsement.

Visit LttlAffiliate link · we may earn a commission

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