Head-to-head · WeighScore
1st Optimal vs Alternate Health Club
The verdict
Alternate Health Club takes it — 69.8/100 to 61.6/100.
Alternate Health Club grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Alternate Health Club (alternatehealthclub.com) is a LegitScript-verified compounded GLP-1 telehealth platform offering compounded semaglutide at $129/month and compounded tirzepatide at $169/month.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | 1st Optimal | Alternate Health Club |
|---|---|---|
| WeighScore | 61.6/100 | 69.8/100 |
| Grade | C | C |
| Scorecard rank | #288 | #111 |
| Semaglutide | Not disclosed | $129/mo (compounded) |
| Tirzepatide | Not disclosed | $169/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #288 · C
Strengths
- Offers both semaglutide and tirzepatide with injectable and oral formats
- Functional-medicine approach with at-home labs and blood-work interpretation
- Unlimited coaching and ongoing support included
- No long-term contracts
- Board-certified doctors and nurse practitioners referenced
Where it loses points
- No public monthly pricing disclosed
- No published state availability list
- Compounded vs branded sourcing not clarified on site
- Pricing only revealed after quiz or consultation
Graded #111 · C
Strengths
- $129/month compounded semaglutide is among the cheapest in the US market
- $169/month compounded tirzepatide is competitive with established platforms
- Complimentary workout and dietary plans bundled with medication — most peers don't
- LegitScript verified
- US-licensed clinicians
Where it loses points
- Parent company / legal entity not publicly disclosed
- State of incorporation not disclosed
- Per-state availability not listed — confirm your state ships before committing
- Pharmacy partners not publicly named
- Unclear whether lab work is included
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.