# SigmaMD vs EcoGym

The clearest difference is in-app purchases: SigmaMD at none against EcoGym's 2. EcoGym's advantage is update cadence (weekly vs every 3 weeks). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. EcoGym sells 2 in-app purchases, starting at $24.99 per month. SigmaMD asks for nothing beyond the download.

SigmaMD ships an update every 3 weeks, EcoGym weekly. The most recent releases landed on September 11, 2026 and September 13, 2026 respectively.

## The numbers

| Metric | SigmaMD | EcoGym |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[3.1 (34 ratings)](https://appshunter.io/ios/app/sigmamd/id1603743862/reviews)** | — |
| Number of ratings | **34** | — |
| Positive reviews | 27.3% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Weekly** |
| Monetization | Free | — |
| Size | 55 MB | 79 MB |
| Requires iOS | 15.1 | 15.1 |
| Devices | iPhone, iPod | iPhone, iPod |
| Age rating | 17+ | 4+ |
| Developer | [Sigmoid Health](https://appshunter.io/developer/1601717786) | [Yonathan Admasu](https://appshunter.io/developer/1880537893) |

## What reviewers say

### SigmaMD

[App page](https://appshunter.io/ios/app/sigmamd/id1603743862)

This app consolidates your health data from various patient portals, offering a comprehensive view of your medical history. It provides trusted health insights and facilitates secure communication with healthcare providers for appointment scheduling and payment management.

**Highlights:** Aggregate and consolidate health data, Access trusted health insights, Secure physician-patient sessions, Schedule and manage appointments, Manage payments and view invoices

**Features:** Vision Pro support

**In-app purchases:** none


### EcoGym

[App page](https://appshunter.io/ios/app/ecogym/id6781969297)

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Eco-Pass Monthly | $24.99 | per month |
| Eco-Pass Yearly | $179.99 | per year |


## Frequently asked questions

### Is SigmaMD free?

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

### Is EcoGym free?

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

### Do SigmaMD or EcoGym have ads?

Neither SigmaMD nor EcoGym shows ads.

### Which is updated more often, SigmaMD or EcoGym?

SigmaMD ships an update every 3 weeks, and EcoGym weekly. Most recently, SigmaMD was updated on September 11, 2026 and EcoGym on September 13, 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.*