# Upright vs SiggyMD

The clearest difference is monetization model: Upright at free against SiggyMD's freemium. Upright also leads on update cadence (every 3 weeks vs every 2 months) and ratings volume (5 vs 1). On price, rating, ads and in-app purchases there is nothing between them.

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

On the App Store both sit at effectively the same score — 5.0 for Upright against 5.0 for SiggyMD. That said, the two scores are not equally well evidenced: Upright has 5 ratings behind it against 1, so its average is the more settled of the two.

Upright ships an update every 3 weeks, SiggyMD every 2 months. Both last shipped on October 24, 2026.

## The numbers

| Metric | Upright | SiggyMD |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (5 ratings)](https://appshunter.io/ios/app/upright-csf-leak-tracker/id6760313860/reviews) | [5.0 (1 ratings)](https://appshunter.io/ios/app/siggymd/id6760939716/reviews) |
| Number of ratings | **5** | 1 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 2 months |
| Monetization | **Free** | Freemium |
| Size | 28 MB | 82 MB |
| Requires iOS | **15.1** | 16.4 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 4+ | 17+ |
| Developer | [Andrew Callen](https://appshunter.io/developer/1883783037) | [Sigmind Inc.](https://appshunter.io/developer/1867192250) |

## What reviewers say

### Upright

[App page](https://appshunter.io/ios/app/upright-csf-leak-tracker/id6760313860)

This app helps individuals track symptoms related to suspected or diagnosed spinal cerebrospinal fluid (CSF) leaks. It allows users to log treatments, medications, and daily symptom check-ins, generating PDF summaries for physicians. Educational resources are also provided.

**Highlights:** Track symptoms and upright tolerance, Record treatments (blood patches, surgery), Log medications and daily check-ins, Generate PDF summaries for physicians, Educational resources on CSF leak imaging and diagnosis

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

**In-app purchases:** none


### SiggyMD

[App page](https://appshunter.io/ios/app/siggymd/id6760939716)

Access a dedicated mental health team for therapy and medication management. Licensed clinicians, supported by AI, provide continuous care and personalized treatment plans. Get daily support and medication adjustments quickly.

**Highlights:** Licensed clinicians on call, Evidence-based therapy (CBT, motivational interviewing), 24/7 AI-supported daily check-ins, Rapid medication management and adjustments, Evolving personalized care plans, HIPAA compliant and encrypted

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

**In-app purchases:** none


## Frequently asked questions

### Is Upright free?

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

### Is SiggyMD free?

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

### Which has better reviews, Upright or SiggyMD?

Upright and SiggyMD are both rated 5.0 out of 5 on the App Store, from 5 and 1 ratings respectively.

### Do Upright or SiggyMD have ads?

Neither Upright nor SiggyMD shows ads.

### Which is updated more often, Upright or SiggyMD?

Upright ships an update every 3 weeks, and SiggyMD every 2 months. Most recently, Upright was updated on October 24, 2026 and SiggyMD on October 24, 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.*