# LeanMD vs Pacaso

The clearest difference is monetization model: LeanMD at free against Pacaso's paid. LeanMD also leads on iOS requirement (15.1 vs 17.0). Pacaso's advantage is rating (4.6 vs 4.1) and update cadence (every 3 days vs every 3 weeks). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Pacaso holds the better App Store score, 4.6 against 4.1. That said, the two scores are not equally well evidenced: Pacaso has 86 ratings behind it against 10, so its average is the more settled of the two. Written reviews point the same way: 67% of LeanMD's written reviews are positive against 81% of Pacaso's.

LeanMD ships an update every 3 weeks, Pacaso every 3 days. The most recent releases landed on October 5, 2026 and October 12, 2026 respectively.

## The numbers

| Metric | LeanMD | Pacaso |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.1 (10 ratings)](https://appshunter.io/ios/app/leanmd/id1402111548/reviews) | **[4.6 (86 ratings)](https://appshunter.io/ios/app/pacaso/id1511528945/reviews)** |
| Number of ratings | 10 | **86** |
| Positive reviews | 66.7% of reviews | **81.5% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Every 3 days** |
| Monetization | **Free** | Paid |
| Size | 70 MB | 86 MB |
| Requires iOS | **15.1** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 4+ | 4+ |
| Developer | [Lean Md, Inc.](https://appshunter.io/developer/1402111547) | [Pacaso Inc.](https://appshunter.io/developer/1504533854) |

## What reviewers say

### LeanMD

[App page](https://appshunter.io/ios/app/leanmd/id1402111548)

This app supports a medically supervised weight loss program by offering tools for tracking meals, hydration, and supplements. It provides access to program information, recipes, and HIPAA-compliant messaging for seamless communication with your provider.

**Highlights:** Third-Party Integration with Apple Health, HIPAA Compliant Messaging & Scheduling, Progress Tracking, Hydration & Supplement Tracking, Meal Logging, Digital Content Access

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### Pacaso

[App page](https://appshunter.io/ios/app/pacaso/id1511528945)

Discover and purchase fractional ownership of luxury vacation homes. This platform offers managed co-ownership, simplifying the process of buying, owning, and selling second homes. Enjoy hassle-free vacations with professional management and an intuitive booking system.

**Highlights:** Luxury vacation home co-ownership, Fully managed LLC ownership, Smart scheduling system, Professional home management, Shop curated luxury listings, Manage ownership and bookings, Refer friends and contact management

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is LeanMD free?

LeanMD is free to download, with no in-app purchases.

### Is Pacaso free?

Pacaso is free to download, with no in-app purchases.

### Which has better reviews, LeanMD or Pacaso?

Pacaso is rated higher. LeanMD averages 4.1 out of 5 from 10 ratings, while Pacaso averages 4.6 from 86 ratings.

### Do LeanMD or Pacaso have ads?

Neither LeanMD nor Pacaso shows ads.

### Which is updated more often, LeanMD or Pacaso?

LeanMD ships an update every 3 weeks, and Pacaso every 3 days. Most recently, LeanMD was updated on October 5, 2026 and Pacaso on October 12, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*