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Defy Medical vs Fay: Which Is Better?

Head-to-head comparison of Defy Medical and Fay based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Defy Medical scores higher overall in our independent evaluation (71.9/100 vs 61.9/100), leading on trust & safety, experience, product range, reputation. Fay comes out ahead on value.

Defy Medical logo
72

Physician-led telemedicine hormone clinic offering TRT, women's HRT, peptides, GLP-1s, and sexual-health treatments, dispensed through three named partner pharmacies.

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Fay logo
62
Fay
Fair

Insurance-billed marketplace for virtual registered-dietitian care (weight management, diabetes, GLP-1 support, PCOS); it does not prescribe medication.

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Score Breakdown

DimensionDefy MedicalFay
Overall Score71.9/100 ✓61.9/100
Trust & Safety30%72/100 ✓66/100
Value25%60/10070/100 ✓
Experience20%78/100 ✓62/100
Product Range15%78/100 ✓40/100
Reputation10%80/100 ✓62/100

At a Glance

Founded20112022
HeadquartersTampa, FLSchaumburg, IL
Publicly tradedNoNo
Treatment categories32
Treatments listed41
Starting price$150/mo—

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryDefy MedicalFay
Weight Loss / GLP-1$150–$250
GLP-1 Weight Loss (Semaglutide/Tirzepatide)
Free–$150
Registered Dietitian Sessions

Defy Medical

+15 years in operation (founded 2011) — one of the longest-running cash-pay hormone-therapy telehealth brands, with a named Medical Director (Dr. Justin Saya)
+Trustpilot rating of 4.8/5 across 4,144 reviews, and the company responds to 94% of negative reviews, typically within 24 hours
+Broad treatment range from a single provider — TRT, women's HRT, peptides, GLP-1s, sexual dysfunction, and hair loss — dispensed through named partner pharmacies (Empower, APS, Hallandale) with labs required before prescribing
−Pricing is not published on the website; patients must complete a roughly $250 consult before learning treatment costs, a transparency gap versus competitors that post pricing upfront
−Some patients report delays of a week or more between consult and medication fulfillment
−Mobile app quality lags the web experience, per patient feedback
Read the full Defy Medical review →

Fay

+Registered dietitians only, in-network with 700+ plans; many members pay $0 per session
+Pre-booking price estimator based on the member's insurance benefits
+Large clinician bench (3,400+ RDs) covering 30+ specialties including diabetes, PCOS and GLP-1 nutrition support
−No prescribers: Fay cannot prescribe or supply GLP-1s or any other medication
−Insurance estimates are unreliable per reviewers, with '$0 copay' visits later billed at $230 up to $1,400
−Reports of unexpected recurring charges and charges continuing after cancellation
Read the full Fay review →

Defy Medical vs Fay — FAQ

Is Defy Medical better than Fay?

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Defy Medical scores higher overall in our independent evaluation (71.9/100 vs 61.9/100), leading on trust & safety, experience, product range, reputation. Fay comes out ahead on value.

What do Defy Medical and Fay both offer?

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Both platforms treat Weight Loss / GLP-1. Defy Medical covers 3 treatment categories total and Fay covers 2.

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