A Noom GLP-1 alternative built around your shot, not a course

It's the morning after your shot. Today's Noom lesson is waiting, and that's fine, but the thing on your mind is whether the queasy feeling is worse than last week, and whether your next injection goes in the left or the right side.

A quick note: this page is written by the team behind Holt. Noom details come from its App Store page and website, checked on November 1, 2026.

Why do people look for a Noom GLP-1 alternative?

Noom has built a lot around GLP-1 medication. Its App Store listing describes Noom Med, which connects eligible members with clinicians and GLP-1 prescriptions, and a GLP-1 Companion Program with protein tracking, Muscle Defense workouts, coaching and mini courses on side effects. For some people, that's the whole appeal. Others come looking for something narrower:

• They already have a prescriber. What they need is a record of the week, not a second care plan.
• They want shot day in focus. The Noom pages we checked don't describe an estimated medication-level chart, injection-site tracking or an appointment report.
• They want the app in their language, or on an older iPhone. Noom's listing shows 4 languages and requires iOS 18.2 or later.

Why people switch to Holt

Holt is built only for GLP-1 weeks. It starts from your dose day and lines everything else up against it.

• Shot day, handled. A Live Activity puts "It's shot time" on your lock screen. The treatment screen shows an estimated medication-level chart and a countdown to your next dose.
• Your next injection site, suggested. Log arm, stomach or thigh, left or right, and Otto suggests the next spot in your rotation.
• Side effects you can measure. Slide nausea, constipation, heartburn, food noise, appetite or fatigue to a severity, right beside your dose days.
• Meals in one photo. Holt estimates calories, protein, fiber, carbs and fat, so eating enough on a quiet appetite is easy to check.
• A report for whoever prescribes. A doctor-visit PDF covering 30 days, 90 days or your full history, with suggested questions. In any of 15 languages, on iOS 17 or later.

What changes when you switch?

You keep meal logging with protein, weight trends, reminders and Apple Health sync.

What changes is the shape of the app. Instead of a daily course with a coach and a plan, you get a tracker built around your shot: estimated levels, a next-site suggestion, side effects with a severity, and a report you can bring to your prescriber. There's no program fee, just an optional subscription for some features.

What you'd leave behind is Noom's lessons, coaching, workout classes, body scans, community and any Noom Med clinical care. Holt doesn't offer those. If your prescription comes through Noom Med, Holt can sit alongside it rather than replace it.

Stay with Noom if…

You want daily lessons on habits, a coach, a workout library or a community, or you get your medication through Noom Med. A tracker can't replace any of that. If what you want is a focused record of your GLP-1 weeks, Holt is worth one dose cycle.

What we'd track in your first two weeks with Holt

1. Every dose and site, letting Otto suggest the next spot.
2. Side effects with a severity, especially the two days after a shot.
3. A photo of most meals, watching protein and fiber against your goals.
4. Weight two or three mornings a week, as a trend rather than a daily verdict.
5. One doctor-visit report before your next appointment, whoever your prescriber is.

Try Holt alongside your current care

Holt records what you were prescribed and how you felt. Questions about the dose itself belong with your prescriber or pharmacist.