# UpToDate vs GestAge Eco

The clearest difference is in-app purchases: UpToDate at none against GestAge Eco's 1. GestAge Eco's advantage is update cadence (every 5 days vs every 5 weeks) and iOS requirement (15.0 vs 18.0). On price, ads and device support there is nothing between them.

Both are free to download. GestAge Eco sells 1 one-off in-app purchase. UpToDate asks for nothing beyond the download.

UpToDate ships an update every 5 weeks, GestAge Eco every 5 days. The most recent releases landed on October 21, 2026 and October 17, 2026 respectively.

## The numbers

| Metric | UpToDate | GestAge Eco |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[3.6 (583 ratings)](https://appshunter.io/ios/app/uptodate/id334265345/reviews)** | — |
| Number of ratings | **583** | — |
| Positive reviews | 28.4% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 5 weeks | **Every 5 days** |
| Monetization | Subscription | — |
| Size | 56 MB | 10 MB |
| Requires iOS | 18.0 | **15.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [UpToDate, Inc.](https://appshunter.io/developer/334265348) | [GABRIEL ENRIQUE CASTILLO MARTIN DEL CAMPO](https://appshunter.io/developer/1896526272) |

## What reviewers say

### UpToDate

[App page](https://appshunter.io/ios/app/uptodate/id334265345)

This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.

**Highlights:** Expert AI conversational guidance, Gold standard clinical content, Practice-changing updates, Patient education materials, Drug reference and interactions, Clinical calculators, Kidney dosing guidance

**Features:** Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 💎 Invaluable medical resource
- 🚀 Quick and easy to use
- 🔍 Comprehensive and up-to-date content

**What reviewers complain about**

- 🐛 Frequent crashes and freezing issues
- 🔌 Unreliable offline functionality
- 💰 Expensive subscription cost

**Reported bugs**

- Inability to download offline content
- Constant need to re-authenticate
- Incompatibility with recent iOS updates

**Requested features**

- Highlight and annotate content
- Improved institutional login support
- Dark mode and font size options


### GestAge Eco

[App page](https://appshunter.io/ios/app/gestage-eco/id6771106424)

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| GestAge Eco Lifetime | $39.99 | one-time |


## Frequently asked questions

### Is UpToDate free?

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

### Is GestAge Eco free?

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

### Do UpToDate or GestAge Eco have ads?

Neither UpToDate nor GestAge Eco shows ads.

### Which is updated more often, UpToDate or GestAge Eco?

UpToDate ships an update every 5 weeks, and GestAge Eco every 5 days. Most recently, UpToDate was updated on October 21, 2026 and GestAge Eco on October 17, 2026.

---

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