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TopWeightLoss.ioTreatments Hub

Noom vs SHED: Coaching-First vs Personalized GLP-1 Treatment

Two different philosophies - behavioral coaching with medication vs fully personalized treatment plans.

By The Treatments Hub Research Team·Reviewed by Editorial Review Desk·

Last updated: Sep 1, 2026

We may earn a commission from links on this page - it never affects our rankings (how we stay objective).

The verdict

Noom is the stronger pick for most people - Full behavioral coaching program. Full reasoning, pricing and the cases where SHED wins are below.

At a glanceNoomSHED
MedicationsSemaglutide via Noom MedMultiple GLP-1 options
PrescriptionRequired - online provider reviewRequired - online provider review

Prices are the providers’ published rates at our last verification - confirm the final figure at checkout, as offers change. How we verify prices

Noom logo
Licensed US telehealth

Behavior-Based Weight Loss With Medical Support

  • Personalized treatment plans and coaching
  • Multiple medication options available
  • Designed to build sustainable habits
Visit Noom
VS
SHED logo
1,134 reviews onTrustpilot
Licensed US telehealth

Get 30% off your first month

  • Lose up to 20% of body weight
  • Science-backed GLP-1 medications
  • Multiple treatment options available
Visit SHED

The full breakdown

Noom vs SHED: a closer look at each

Both are solid GLP-1 weight loss providers, and honestly you can’t go too wrong either way. So instead of crowning a “winner,” here’s the real rundown on each - what you get, what it actually costs, and what real customers are saying - so you can pick the one that fits you.

Noom logo
Licensed US telehealth
Visit Noom

What is Noom?

Noom takes a unique approach to weight loss by combining cognitive behavioral therapy principles with personalized coaching and medical weight loss options. Their app-based platform has helped millions build sustainable habits, and their Noom Med program now offers GLP-1 medication access for eligible patients.

Read the full Noom breakdown▾

But is the combination worth it - and how does it compare to providers that focus solely on medication? We break down everything you need to know.

What you get with Noom

  • Noom Weight app: $17.42/month (12-month plan)
  • Noom Med GLP-1: from $199/month with medication included
  • Full-dose GLP-1 plans available at $279/month
  • Branded medication telehealth from $69/month (medication separate)
  • Psychology-based behavioral coaching and daily lessons
  • Personal coaching and group community support
  • Color-coded food logging system
  • Available on iOS and Android

Who Noom is best for

  • People who want to change their relationship with food, not just take medication
  • Those who benefit from daily coaching and accountability
  • Anyone looking for a holistic approach combining behavior change and medication
  • People who enjoy app-based health tracking

How much does Noom cost?

Noom offers several pricing tiers in 2026. The Noom Weight app-only plan costs $17.42/month on a 12-month subscription - this includes psychology-based lessons, food tracking, and coaching but no medication. For GLP-1 medication access, Noom Med offers compounded GLP-1 plans starting at $79 for the initial 3-week subscription plus 4 weeks of medication, then $199/month thereafter. Full-dose GLP-1 plans start at $129 initially, then $279/month with medication included. Noom also offers a telehealth-only option for branded medications (Ozempic, Wegovy, Zepbound) starting at $69/month - but medication costs are separate and depend on insurance or pharmacy pricing. All compounded medication plans include the medication in the monthly price. No long-term contracts required.

What we like about Noom

  • Evidence-based behavioral approach
  • Comprehensive app with daily engagement
  • Option to add medical weight loss
  • Large community and support network
  • Builds long-term healthy habits

Worth keeping in mind

  • Can feel time-intensive with daily lessons
  • Medication program costs extra
  • Results depend heavily on user engagement
Get started with Noom
SHED logo
1,134 reviews onTrustpilot
Licensed US telehealth
Visit SHED

What is SHED?

SHED is a telehealth weight-loss program with 150,000+ members, built around compounded GLP-1 medication - semaglutide from $199/month and tirzepatide from $299/month, both with 20% off the first month - paired with health coaching that's included in every plan rather than sold as an upsell. The whole flow is 100% online: complete a visit, and if approved your medication ships straight to your door.

Read the full SHED breakdown▾

Plans are HSA/FSA approved, and SHED backs the program with the most concrete guarantee in our ranking: lose 5% of your body weight in 120 days or your money back. On Trustpilot it averages 4.6 across 1,134 reviews, and the recent pages are dominated by praise for the human layer - 'she was amazing, VERY informative... made me feel very comfortable on my journey,' one member writes about her onboarding call - which matches the coaching-first pitch.

The honest catch is price: $199-$299/month is the highest compounded tier among our affiliate providers, so you're paying for the coaching and the guarantee, not just the medication.

5% in 120 days or money back100% online visit + checkoutHealth coaching includedHSA/FSA approved

What you get with SHED

  • Compounded semaglutide from $199/mo, tirzepatide from $299/mo
  • 20% off your first month
  • Health coaching included in every plan
  • Lose 5% of your body weight in 120 days or your money back
  • HSA/FSA approved; 150,000+ members

Who SHED is best for

  • People who want structured coaching alongside GLP-1 medication
  • Anyone who wants a concrete money-back guarantee behind the program
  • Those who plan to pay with HSA/FSA funds

How much does SHED cost?

SHED keeps pricing simple: compounded semaglutide starts at $199/month and compounded tirzepatide starts at $299/month, with 20% off your first month.

Full pricing details▾

Every plan includes the provider visit, health coaching, and medication shipped straight to your door - and it's HSA/FSA approved. SHED also backs it with a guarantee: lose 5% of your body weight in 120 days or your money back.

Compounded Semaglutide

GLP-1 injection

$199/month

Weekly

  • 20% off your first month
  • Health coaching & shipping included

Compounded Tirzepatide

GLP-1 + GIP injection

$299/month

Weekly

  • 20% off your first month
  • Dual-action GLP-1 + GIP formulation

What we like about SHED

  • Health coaching included in every plan, not an add-on
  • Real money-back guarantee: lose 5% in 120 days or your money back
  • 4.6 Trustpilot average across 1,134 reviews, heavy on coaching praise
  • 20% off the first month; HSA/FSA approved
  • 100% online visit and checkout with home delivery

Worth keeping in mind

  • Highest compounded pricing in our ranking - $199/mo semaglutide vs $49-$147 elsewhere
  • The money-back guarantee has conditions (5% in 120 days - check current terms)
  • Smaller Trustpilot base (1,134 reviews) than the five-figure rivals
  • Compounded only - no brand-name Ozempic/Wegovy/Zepbound shelf

What real SHED customers are saying

SHED logo

SHED reviews on

Trustpilot
(1,134 reviews)
Sep 23, 2026

great customer service

“Gao helped me with several issues very quickly. Very personable too. And I love Shed too”

B

BAG

US

Sep 14, 2026

Continued to charge me for months after...

“Continued to charge me for months after I stopped the medication. Exclusively AI customer support so don't expect any help. I was told to not expect a refund so I am having to go through my credit card company. Extremely shady company. Edit: in response to their reply, I already contacted support and was told that they will not refund the $1200 they took and delivered nothing.”

J

Justin J.

US

Sep 15, 2026

Your communications are excellent

“Your communications are excellent! Ethan was quick to reply to my request for clarifications. Recommended!”

B

BB

US

Sep 15, 2026

Savannah - real person

“The app & chat function are a little clunky, but improving. Once you start emailing (not chatting) with a real person, Savannah was the best. Another agent told me I was SOL, but Savannah went a step further and resolved my issue.”

R

R M

US

Sep 11, 2026

It was a nice personal touch to receive...

“It was a nice personal touch to receive a phone call from a real person instead of a robo call. Thank you for the kind follow up.”

M

Maria M.

US

Sep 2, 2026

Trinity was absolutely amazing

“Trinity was absolutely amazing! I accidentally created 2 accounts and thought the issue was resolved from previous interactions with customer service but she assisted me the whole way through and made sure I didn't lose anything that was owed to me and also set up my next follow up appointment. She is fantastic please reward her for this!”

V

Victoria C.

US

Sep 2, 2026

ShedRx has been awesome

“ShedRx has been awesome! Their service is super-fast, and they even changed my refill date so I wouldn't miss my shot days. Anytime I have an issue, a member support person reaches out right away to help.”

M

Michelle W.

US

Spoke with Tamika

“Spoke with Tamika. She was very helpful and informative. She's scheduled a coaching session. Gave me lots of good information.”

C

Cindy C.

US

Jamika was the representative that called me

“Jamika was the representative that called me and she was amazing VERY informative and nice. Asked me if I had any questions made sure I understood the entire process and made me feel very comfortable on my journey with shed!”

J

Jordan R.

US

5 star customer service

“Amber was quick to respond to my concern and offered a quick solution! Great customer service!”

J

Joyce H.

US

Get started with SHED

Shop Noom and SHED plans

Both contenders' published plans, cheapest first - conditions under every price.

Noom vs. SHED: What’s the Difference?

The key differences to consider when comparing the two providers.

NoomSHED
ApproachBehavioral coaching + medicationPersonalized medication plans
CoachingFull CBT-based coachingSupport included
MedicationsSemaglutide via Noom MedMultiple GLP-1 options
Current OfferCheck current pricing30% off first month
Daily Commitment10-15 min/dayMinimal

So which one should you pick?

Find the line that sounds like you - that’s your answer.

Full behavioral coaching programNoom
Daily lessons and food loggingNoom
Building long-term habitsNoom
Highly personalized treatment plansSHED
Multiple medication pathwaysSHED
30% off your first monthSHED

Here’s the short version

Noom and SHED take fundamentally different approaches to weight loss. Noom wraps medication in a full behavioral coaching ecosystem.

SHED focuses on highly personalized treatment plans without the coaching overhead. This comparison helps you decide which philosophy aligns with your goals.

The quick answer

Go with Noom if you want

  • Full behavioral coaching program
  • Daily lessons and food logging
  • Building long-term habits

SHED makes more sense if you want

  • Highly personalized treatment plans
  • Multiple medication pathways
  • 30% off your first month

Had to pick one for most people? Noom. The numbers and customer feedback below are why - and where SHED wins instead.

Noom vs SHED: FAQs

Which is better, Noom vs SHED?

Noom is the better choice if you want daily coaching, habit formation, and a comprehensive app experience alongside medication. SHED is the better fit if you want a personalized medication plan without the extra engagement requirements. Both deliver quality clinical oversight.

Approach: Noom or SHED?

Noom leads with behavioral psychology and adds medication. SHED leads with personalized medication protocols. Both are valid approaches backed by evidence.

Which has better customer reviews, Noom or SHED?

SHED builds treatment plans specifically around individual health goals with multiple medication pathways. Noom personalizes coaching but follows more standardized medication protocols.

Engagement: Noom or SHED?

Noom's daily lessons, food logging, and personal coaching create significantly more daily engagement. SHED's approach requires less day-to-day involvement from patients.

Sources & methodology

We built this comparison of Noom and SHED from each provider'sown published pricing, plans and policies, cross-checked against regulatory and peer-reviewed medical references, and read alongside real customer feedback. Prices and plan details were verified against the provider's published information; we do not take providers' word for their own claims without checking.

Provider information

Pricing, plans, shipping and policies, checked against each provider's own site.

  • Noom - full pricing & plan breakdown
  • SHED - full pricing & plan breakdown

Provider data checked September 2026

Customer & community feedback

Third-party signals shown on this page and in our full reviews: verified Trustpilot ratings, public Reddit discussions, and independent YouTube reviews. We report what these sources say - we never fold their ratings into our own scores.

Medical & regulatory references

  1. 1.Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1 trial) - New England Journal of Medicine, 2021
  2. 2.Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1 trial) - New England Journal of Medicine, 2022
  3. 3.FDA Approves New Drug Treatment for Chronic Weight Management (semaglutide / Wegovy) - U.S. Food & Drug Administration, 2021
  4. 4.FDA Approves New Medication for Chronic Weight Management (tirzepatide / Zepbound) - U.S. Food & Drug Administration, 2023
  5. 5.FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight Loss - U.S. Food & Drug Administration
  6. 6.Human Drug Compounding (503A pharmacy standards) - U.S. Food & Drug Administration
  7. 7.Semaglutide Injection - drug information - MedlinePlus, U.S. National Library of Medicine (NIH)

Last reviewed September 2026. We revisit comparisons when providers change their pricing or policies. This page is information only and is not medical advice - always consult a licensed clinician before starting treatment.