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Pros and Cons Pros 4.8 Trustpilot across 4,147+ reviews, strongest review profile on our list Multiple medication formats: injectable, sublingual drops, and tablets (rare differentiator) Customer service consistently praised with named reps across hundreds of reviews 10% weight loss guarantee (refund if you dont hit the mark, with eligibility terms) Month-to-month billing available with no signup or membership fees Free overnight shipping included HSA/FSA accepted Phone support available (888-979-9580) Compounded tirzepatide also available starting at $299/mo Cons $199/mo is higher than IvyRx ($165) or OnlineSemaglutide ($150) for injectable semaglutide BBB: B rating, 86 complaints, NOT accredited and worst BBB profile on our list Bundle pricing traps documented in multiple BBB complaints ($3,000+ surprise charges) Communication delays from medical team documented by multiple reviewers Bottom Line SkinnyRx has the best Trustpilot profile weve reviewed