# GatewayMD vs 121 Health

The clearest difference is in-app purchases: GatewayMD at none against 121 Health's 2. GatewayMD also leads on rating (5.0 vs 4.8) and review sentiment (100% vs 91%). 121 Health's advantage is ratings volume (73 vs 10). On price, update cadence and ads there is nothing between them.

Both are free to download. 121 Health sells 2 in-app purchases, starting at $10.00 per month. GatewayMD asks for nothing beyond the download.

GatewayMD holds the better App Store score, 5.0 against 4.8. That said, the two scores are not equally well evidenced: 121 Health has 73 ratings behind it against 10, so its average is the more settled of the two. Written reviews point the same way: 100% of GatewayMD's written reviews are positive against 91% of 121 Health's.

GatewayMD ships an update every 4 days, 121 Health every 3 days. The most recent releases landed on October 15, 2026 and October 19, 2026 respectively.

## The numbers

| Metric | GatewayMD | 121 Health |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (10 ratings)](https://appshunter.io/ios/app/gatewaymd/id1480240976/reviews)** | [4.8 (73 ratings)](https://appshunter.io/ios/app/121-health/id6476523494/reviews) |
| Number of ratings | 10 | **73** |
| Positive reviews | **100.0% of reviews** | 90.7% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 4 days | **Every 3 days** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 79 MB | 131 MB |
| Requires iOS | **15.0** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 4+ | 17+ |
| Developer | [gatewaymd, llc](https://appshunter.io/developer/1480240825) | [121Health LLC](https://appshunter.io/developer/1712903051) |

## What reviewers say

### GatewayMD

[App page](https://appshunter.io/ios/app/gatewaymd/id1480240976)

This platform offers remote patient monitoring for blood pressure management. It provides a connected blood pressure cuff, a dedicated care team, and regular communication to help users maintain healthy readings and coordinate with their doctors.

**Highlights:** Remote patient monitoring, Connected blood pressure cuff, Dedicated care nurse and Nurse Practitioner, Daily BP tracking, Guidance and doctor coordination, Monthly communication

**Features:** macOS Compatibility

**In-app purchases:** none


### 121 Health

[App page](https://appshunter.io/ios/app/121-health/id6476523494)

This platform analyzes your wearable data using AI to provide personalized longevity plans and health insights. It offers detailed biometric tracking, daily readiness scores, and weekly longevity scores based on extensive scientific research.

**Highlights:** Personalized longevity plans, 100+ longevity-based metrics, Real-time data computation, Daily sleep, activity, and readiness scores, Weekly longevity score, AI-powered biometric chat

**Features:** macOS Compatibility

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Pro (Monthly) | $10.00 | per month |
| Pro (Yearly) | $100.00 | per year |

**What reviewers like**

- 💡 Comprehensive health analysis
- 👍 Integrates multiple health data sources
- 🚀 Provides actionable recommendations
- ✨ Innovative longevity score
- 👍 User-friendly interface

**What reviewers complain about**

- 🐛 App crashes frequently
- ❓ Confusing interface
- ⚠️ Longevity score seems bugged
- 🛒 Analysis leads to product purchases
- 🤔 Suspiciously high number of 5-star reviews

**Reported bugs**

- Cannot log in after latest update
- App opens but cannot get past sign-in page
- Blank pages after update
- Sign-in loop after update
- App tends to crash

**Requested features**

- Add widgets for Home Screen
- More social features
- More journeys
- More chat features beyond text
- More insight into longevity score calculation


## Frequently asked questions

### Is GatewayMD free?

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

### Is 121 Health free?

121 Health is free to download, with in-app purchases available.

### Which has better reviews, GatewayMD or 121 Health?

GatewayMD is rated higher. GatewayMD averages 5.0 out of 5 from 10 ratings, while 121 Health averages 4.8 from 73 ratings.

### Do GatewayMD or 121 Health have ads?

Neither GatewayMD nor 121 Health shows ads.

### Which is updated more often, GatewayMD or 121 Health?

GatewayMD ships an update every 4 days, and 121 Health every 3 days. Most recently, GatewayMD was updated on October 15, 2026 and 121 Health on October 19, 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.*