# AlignMD vs Pulseva

The clearest difference is rating: AlignMD at 5.0 against Pulseva's 4.4. AlignMD also leads on in-app purchases (none vs 3) and update cadence (every 5 days vs every 2 weeks). Pulseva's advantage is ratings volume (16 vs 2). On price, ads and device support there is nothing between them.

Both are free to download. Pulseva sells 3 in-app purchases, starting at $6.99 per 7 days. AlignMD asks for nothing beyond the download.

AlignMD holds the better App Store score, 5.0 against 4.4. That said, the two scores are not equally well evidenced: Pulseva has 16 ratings behind it against 2, so its average is the more settled of the two.

AlignMD ships an update every 5 days, Pulseva every 2 weeks. The most recent releases landed on October 3, 2026 and October 2, 2026 respectively.

## The numbers

| Metric | AlignMD | Pulseva |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (2 ratings)](https://appshunter.io/ios/app/alignmd/id6755938617/reviews)** | [4.4 (16 ratings)](https://appshunter.io/ios/app/pulseva-heart-rate-tracker/id6761457348/reviews) |
| Number of ratings | 2 | **16** |
| Positive reviews | — | 0.0% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 5 days** | Every 2 weeks |
| Monetization | **Free** | Ad-supported |
| Size | 19 MB | 126 MB |
| Requires iOS | **12.0** | 17.0 |
| Devices | **iPhone, iPod** | iPhone |
| Age rating | 4+ | 12+ |
| Developer | [AlignMD Health Technologies LLC](https://appshunter.io/developer/1828682923) | [Khac Duy Nguyen](https://appshunter.io/developer/1889784516) |

## What reviewers say

### AlignMD

[App page](https://appshunter.io/ios/app/alignmd/id6755938617)

This app acts as a comprehensive digital health companion, offering daily progress tracking for sleep, cycles, and wellness. It provides instant explanations for lab results, a symptom checker, and health guidance, alongside tools for mental health and lifestyle support.

**Highlights:** Daily health progress tracking, Sleep, Cycle, and Wellness trackers, Instant lab result explanations, Symptom checker and health chat, Mental health check-ins, Pediatric health suite, Evidence-based health information

**Features:** macOS Compatibility

**In-app purchases:** none


### Pulseva

[App page](https://appshunter.io/ios/app/pulseva-heart-rate-tracker/id6761457348)

Monitor your heart rate, blood pressure, and blood sugar with daily tracking and reminders. Features AI-powered calorie estimation, hydration goals, and a step counter to support an active lifestyle. Access health insights and guidance.

**Highlights:** Heart rate and variability tracking, Blood pressure and sugar logging, Daily health reminders, Built-in step counter, AI calorie estimation, Hydration goal management, Health articles and AI advice

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

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Weekly Premium Heart Access | $6.99 | per 7 days |
| Weekly Premium Heart Access | $6.99 | per 7 days |
| Yearly Premium Heart Access | $39.99 | per year |


## Frequently asked questions

### Is AlignMD free?

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

### Is Pulseva free?

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

### Which has better reviews, AlignMD or Pulseva?

AlignMD is rated higher. AlignMD averages 5.0 out of 5 from 2 ratings, while Pulseva averages 4.4 from 16 ratings.

### Do AlignMD or Pulseva have ads?

Neither AlignMD nor Pulseva shows ads.

### Which is updated more often, AlignMD or Pulseva?

AlignMD ships an update every 5 days, and Pulseva every 2 weeks. Most recently, AlignMD was updated on October 3, 2026 and Pulseva on October 2, 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.*