Totally different entities.
Tier1 is a doctors office. You work with the doctor and his number one focus is to get you optimized with a preventative Health approach . He explains what and why and you can ask questions and he will talk with you until you are satisfied and have received your answers.
With defy they are a clinic and a dispensary. Pretty much one size fits all. AI as needed . Start low then go up. Do a lab before dose changes and you pay for everything including a script to be sent to another pharmacy. They also make money on every script because you pay defy and they have the pharmacy send your stuff. High volume.
I’ve worked with Defy for my wife and my friends wife: they do not care to make you feel great ASAP. I had to ask them to increase thyroid and progesterone doses in both cases. They didn’t argue at all and said ok. It’s shcoking that a novice like me knows what the half life is and what a good starting dose is for a woman, and the doctor at defy was willing to undersose for 3 months and then do more labs and etc This happened twice. Yes both times I played husband for my wife and friend on the call.
They also never respond if you have questions that are of immediate importance. My wife was missing her period and she felt her T was very high . She called for 3 - 4 months and we never got the answer form the doctor. They just don’t give a F unless you pay for another consult. They will also screw the dose up. You cannot get the doctor to fix it because the stupid middle man won’t ask. My wife was told by the doctor she could take a specific dose starting out, and the secretary or whoever made the scripts would not do the same: we had to get angry and nasty Numerous times for her to comply. 4 dose changes in 3 months. Gets expensive man. I’ve heard of many folks having this issue.
I don’t like defy because they just don’t care about their patients. Have a question after the call with their doctor? Forget it: you will not get an answer until your next call.
With tier1 they will answer you quickly and you can communicate with the doctor and team quickly. They will optimize you out the door. They are not a dispensary. They send your script to the pharmacy and you order from them directly. They are a doctors office with a doctor who spends much time researching. This is doctor Howell and he’s got tons of experience as an expert in medical studies and hormones. They spend allot of time staying on top of hormone therapy so that they can provide their patients with the best care possible.
They have people from all over the world visiting them and you will notice his patients rarely have issues and tons of questions on these boards. This is because they get answers they didn’t know they had; they end up realizing the ya re dealing with an expert who is taking his own advice.
I especially appreciated that his story was almost exactly like mine. We are pretty much the same on terms of how our lives fell apart due to low t and thyroid issues. When I walked in his office it was a sense of relief. I left and got on the plane with my meds. I didn’t wait ten days like my wife did.
Right now during COVID you can do telemedicine with him versus having to visit . Take advantage of this before COVID is gone.
Just go watch the PCOS VIDEO On YouTube from Angie Nichols at tier1. Go watch videos form Scott Howell and Keith Nichols as well.
Read my other posts where I answered this same question.