Provider Review · Updated March 2026
TMates Review 2026: Bold Claims, Thin Evidence
TMates is a Miami-based telehealth platform offering compounded semaglutide from $199/month and tirzepatide from $297/month. Their website claims 4.9 stars from 4,700+ Trustpilot reviews and 40,000+ patients. The problem: none of that checks out. Their actual Trustpilot page has one review (1 star), a secondary Trustpilot profile was removed for violating platform guidelines, there is zero Reddit discussion, and the BBB file has billing complaints. The parent company, MD Exam LLC, went through a crisis in 2023 involving 8,000 cancellations and $12 million in losses. Insurance acceptance claims are vague. Both oral and injectable GLP-1 formats are available.
Quick Facts
| Detail | TMates |
|---|---|
| Compounded Semaglutide | From $199-$225/mo |
| Compounded Tirzepatide | From $297/mo |
| Formats | Injectable and oral |
| Insurance | Claims to accept major plans (vague) |
| Lab Work | Not included or required |
| States Served | All 50 + Puerto Rico |
| Parent Company | MD Exam LLC (Miami, FL) |
| Trustpilot (actual) | 3.2/5 from 1 review |
| BBB | A- (not accredited, 3 complaints) |
| ClearScore | 35/100 |
What TMates Actually Is
TMates is operated by MD Exam LLC, founded by Sergio Padron (formerly Sergio Tarrago Padron) in Miami, FL. Padron’s background is in cloud infrastructure, not medicine. TMates is a technology platform that connects patients with independent medical providers. They do not prescribe medication directly.
Beyond weight loss, TMates also sells hair regrowth (minoxidil), skincare, and male enhancement medications. This is a broad direct-to-consumer telehealth play, not a weight loss specialist.
The company is headquartered at either 777 SW 9th Ave, Suite 102, Miami or 859 SW 8th St, Miami (both addresses appear across sources). The BBB file was opened in May 2025, which is recent for a company claiming 40,000+ patients.
The 2023 Crisis
In an interview, Padron described a crisis in March 2023 where a pharmaceutical manufacturer raised prices, shipping times went from 3 days to roughly 70 days, and the company experienced 8,000 cancellations, 5,000 chargebacks, and $12 million in losses. That is a significant operational failure, and worth knowing about if you are considering handing them your credit card and health information.
Pricing
| Treatment | Monthly Cost | Notes |
|---|---|---|
| Compounded Semaglutide | $199-$225/mo | Injectable or oral |
| Compounded Tirzepatide | $297/mo | Injectable or oral |
| Phentermine | Not listed separately | Available “when medically appropriate” |
Pricing appears all-inclusive: medication, doctor consultations, coaching, and shipping. Month-to-month billing, no long-term contracts. No initiation fees.
Some sources show $299/month as the standard semaglutide price with $199/month as a promotional rate. One Trustpilot reviewer reported paying $347 for consultation plus medication. The inconsistency across sources makes it hard to know what you will actually be charged.
At $199/month for compounded semaglutide, TMates is priced the same as Hims and Henry Meds, but more expensive than Helimeds ($99/mo) or IVY RX ($175/mo). For tirzepatide at $297/month, compare to Ro ($149/mo) or MEDVi ($179/mo).
For a full price comparison, see our cheapest GLP-1 guide.
Compare TMates pricing with other providers
Try TMates →How TMates Works
- 90-second online health quiz. Screens for eligibility based on BMI, medical history, and weight loss goals.
- Doctor review. A licensed provider reviews your answers. You can choose a video call or async review.
- Prescription issued if approved. TMates claims doctors average 15 years of experience.
- Medication ships within 2-3 days. Discreet packaging.
- Ongoing support. Regular virtual check-ins, 24/7 access to medical staff, SMS-based coaching.
No lab work is required at any point. No blood tests before prescribing, no metabolic monitoring during treatment. This is a lower standard of care than providers like Ro (includes metabolic labs at Quest) or Calibrate (insurance-based with full medical oversight).
What I Like About TMates
Both Oral and Injectable GLP-1 Options
TMates offers both oral and injectable formats for semaglutide and tirzepatide. Most telehealth GLP-1 providers only offer injections. If you specifically want an oral option, this narrows your choices, and TMates is one of the platforms that provides it.
Tirzepatide Available
Unlike Hims (which only offers compounded semaglutide and brand-name Zepbound at $1,899/mo), TMates offers compounded tirzepatide at $297/month. Tirzepatide outperformed semaglutide in the SURMOUNT-5 head-to-head trial (20.2% vs 13.7% weight loss), so having it available at a lower price point is meaningful. Still, Ro offers compounded tirzepatide at $149/month, nearly half the price.
Month-to-Month Billing
No upfront multi-month commitment required. Compare to Hims, which requires 6 months paid upfront for the $199/month rate. If you want to try a GLP-1 without locking in, month-to-month is better for flexibility.
50 States Plus Puerto Rico
Full US coverage including Puerto Rico. Most telehealth providers have state restrictions or do not serve US territories.
Refund If Not Approved
TMates offers a full refund if you are not approved for treatment after the health assessment. They also advertise a money-back guarantee if you follow the plan and do not lose weight, though the specific terms of that guarantee are not detailed on their site.
What Could Be Better
The Trustpilot Claim Does Not Check Out
TMates’ website prominently displays “4.9 stars from 4,700+ reviews” with the Trustpilot logo. Here is what actually exists:
- tmates.com on Trustpilot: 1 review, 1 star. The reviewer paid $347, could not schedule a consultation (time slots “always blocked”), and received only a partial refund with $147 retained as a “consultation fee” for a consultation that never happened.
- tmates.reviewsandbuy.com on Trustpilot: This secondary profile was rated 2.4/5 (“Poor”) and was removed by Trustpilot for violating their guidelines. Trustpilot removes profiles for issues like fake reviews, review manipulation, or deceptive business practices.
A company claiming 4,700+ positive reviews while their actual Trustpilot presence shows one 1-star review and a removed profile is a serious credibility problem. Compare to Hims (7,800+ verifiable Trustpilot reviews) or Ro (2,880+ reviews).
Zero Reddit Presence
Search Reddit for “TMates” and you get nothing. Zero threads, zero comments, zero mentions. For a company claiming 40,000+ patients, the complete absence of organic discussion on the largest health forum on the internet is unusual. Every other major telehealth GLP-1 provider (Ro, Hims, Found, Calibrate, Henry Meds) has substantial Reddit threads from real users sharing experiences.
BBB Complaints About Billing
Three BBB complaints include:
- Being charged $500 for an unwanted subscription renewal after requesting cancellation
- Paying for medication three times but only receiving it once
- Medications reported as having no effect
The BBB file was only opened in May 2025, so three complaints in under a year is a notable rate for a newer file.
No Lab Work
No metabolic panels, no blood work, no lab monitoring. For medications that affect thyroid function, blood sugar, and kidney markers, prescribing without any lab oversight is a gap. If you want labs included, Ro offers free metabolic panels at Quest, and MyStart Health includes blood work. For what to monitor during treatment, see our GLP-1 side effects guide.
Compounded Medications With Unclear Sourcing
TMates claims medications are “FDA-approved” and “sourced from trusted pharmacies.” At $199/month for semaglutide, these are almost certainly compounded medications, not brand-name Ozempic or Wegovy. Compounded medications are not FDA-approved. The wording is misleading. With FDA grace periods for compounded GLP-1 injections having ended in 2025, how TMates continues sourcing these at these prices is unclear. For more on this, see our compounded vs brand-name guide.
Cancellation Issues
Multiple reports describe continued charges after cancellation requests. One BBB complaint documents a $500 charge after explicit cancellation. If you sign up, save all cancellation correspondence and set calendar reminders before renewal dates.
Heavy Affiliate Marketing Creates Fake “Reviews”
Search for “TMates review” online and you will find dozens of articles on health sites that read like reviews but are actually sponsored affiliate placements. The overwhelming majority of positive TMates coverage online is paid content, not independent editorial. This review is one of the few independent assessments.
TMates Pricing Compared
| Provider | Compounded Semaglutide | Compounded Tirzepatide | Labs Included | Trustpilot |
|---|---|---|---|---|
| TMates | $199-$225/mo | $297/mo | No | 1 review (1 star) |
| Ro | $149/mo | $149/mo | Yes | 2,880+ reviews |
| Hims | $199/mo | Not available (compounded) | No | 7,800+ reviews |
| Found Health | $129/mo | Not available | No | 270+ reviews |
| Henry Meds | $199/mo | $349/mo | No | 1,500+ reviews |
| Helimeds | $99/mo | Not listed | No | 0 reviews |
Who TMates Is Best For
Honestly, it is hard to recommend TMates over established alternatives given what I found. The typical scenario where TMates might fit:
- You specifically want both oral and injectable GLP-1 options from one platform
- You want month-to-month billing with no upfront commitment
- You are in a state or territory where other providers are restricted
- You are comfortable with a provider that has no verifiable independent reviews
TMates is not the best fit if you want a provider with a verified track record (try Ro or Hims), if you want labs included (try Ro), if you want the cheapest compounded GLP-1 (try Found at $129/mo or Helimeds at $99/mo), or if verifiable reviews matter to you (try any of the major providers listed above).
TMates vs. the Competition
TMates vs. Ro
Ro is $50/month cheaper for compounded semaglutide ($149 vs $199), includes metabolic labs at Quest, has 2,880+ Trustpilot reviews, and offers compounded tirzepatide at $149/month (vs TMates’ $297). Ro is the better choice on nearly every dimension. The only advantage TMates has is oral GLP-1 format availability and month-to-month billing without multi-month commitments.
TMates vs. Hims
Hims charges the same $199/month for compounded semaglutide but is a publicly traded company (NYSE: HIMS) with 2 million+ subscribers and 7,800+ Trustpilot reviews. Hims has a polished app, up to 24 video visits per year, and brand-name Wegovy available. Hims requires 6-month upfront payment, while TMates is month-to-month. For compounded tirzepatide, TMates has the edge since Hims does not offer it (only brand-name Zepbound at $1,899/mo).
TMates vs. Henry Meds
Henry Meds charges $199/month for compounded semaglutide (same price) and $349/month for compounded tirzepatide (vs TMates’ $297). Henry Meds has 1,500+ Trustpilot reviews and an established track record. TMates is slightly cheaper on tirzepatide but has no verifiable review history.
The Bottom Line
TMates offers competitive pricing ($199/mo semaglutide, $297/mo tirzepatide) with month-to-month billing and both oral and injectable formats. On paper, those are reasonable features.
The problem is trust. A company that displays “4.9 stars from 4,700+ reviews” on their website when their actual Trustpilot shows one 1-star review and a removed profile is either careless or deceptive. Combined with zero Reddit presence despite claiming 40,000+ patients, BBB billing complaints, a non-medical CEO, the 2023 operational crisis, and an internet full of paid affiliate content posing as reviews, there are too many open questions.
At the same price point, Hims gives you a publicly traded company with thousands of verifiable reviews and a polished app. At a lower price point, Ro gives you labs, coaching, and an established reputation. Until TMates builds a verifiable, independent track record, those are safer choices.
Compare all options in our provider directory or see the best GLP-1 programs for 2026 ranked.
FAQ
Is TMates legitimate?
TMates is operated by MD Exam LLC, a registered company in Miami, FL. They connect patients with licensed independent medical providers. The platform is operational and ships medication. However, their claimed “4.9 Trustpilot rating from 4,700+ reviews” is not verifiable. Their actual Trustpilot page has one 1-star review, and a secondary profile was removed by Trustpilot for guideline violations. The BBB file (opened May 2025) has three complaints, including billing disputes and unfulfilled orders.
How much does TMates cost?
Compounded semaglutide from $199-$225/month. Compounded tirzepatide from $297/month. Both available as oral or injectable. Month-to-month billing. All-inclusive pricing covers medication, consultations, coaching, and shipping. Some sources show $299/month as the standard price with $199 as a promotional rate. For the cheapest GLP-1 options overall, see our cheapest GLP-1 guide.
Does TMates accept insurance?
TMates claims to accept major insurance plans including Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and select Medicare plans. However, the flat monthly pricing model suggests most customers pay out of pocket. The specific scope of insurance coverage is not clearly detailed on their site. For more on using insurance for GLP-1s, see our insurance coverage guide.
Does TMates include lab work?
No. TMates does not require or include any lab work, blood tests, or metabolic monitoring. The onboarding process is a health quiz followed by a doctor review of self-reported information. If you want a provider that includes labs, consider Ro (free metabolic panels at Quest).
Can I cancel TMates anytime?
TMates advertises month-to-month billing with no long-term contracts. However, BBB complaints include reports of being charged after cancellation requests. Save all cancellation correspondence and monitor your account for unexpected charges.
Does TMates offer tirzepatide?
Yes. Compounded tirzepatide is available from $297/month in both oral and injectable formats. For comparison, Ro offers compounded tirzepatide at $149/month and MEDVi at $179/month.
Related
Guides:
- Cheapest Way to Get GLP-1 Online (2026)
- GLP-1 Side Effects Month by Month
- Compounded vs Brand-Name GLP-1
- How to Get Insurance to Cover GLP-1 Meds
Provider Reviews: Ro Review · Hims Review · Henry Meds Review · Found Review · Helimeds Review
Compare: All Providers · Best GLP-1 Programs 2026