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Head-to-head · WeighScore

1st Optimal vs BodyLogicMD

1st Optimal
Graded #291

Lower grade

vs+1.5
BodyLogicMD
Graded #263

Higher grade

The verdict

BodyLogicMD takes it — 63.1/100 to 61.6/100, but only just.

BodyLogicMD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. BodyLogicMD is a US telehealth and clinic network (operating since 2003) best known for bioidentical hormone replacement therapy, now offering medically supervised GLP-1 weight management alongside it. 1st Optimal is close behind and may still be the better fit — see the factor split below.

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.

Cost valueBodyLogicMD +28
45
73
Dose & formulation1st Optimal +11
51
40
Clinical oversight1st Optimal +1
77
76
Labs & monitoring1st Optimal +33
97
64
FulfillmentEven
60
60
Contract termsBodyLogicMD +24
37
61
1st Optimal · left barBodyLogicMD · right bar

The numbers

Metric1st OptimalBodyLogicMD
WeighScore61.6/10063.1/100
GradeCC
Scorecard rank#291#263
SemaglutideNot disclosedNot disclosed
TirzepatideNot disclosedNot disclosed
CoverageCoverage not publishedCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
1st Optimal

Graded #291 · 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
BodyLogicMD

Graded #263 · C

Strengths

  • Established since 2003 with board-certified specialists and a national network of local clinics plus telehealth
  • Integrates GLP-1 weight management with bioidentical hormone therapy and lab-based, whole-person protocols
  • Transparent $79/month membership, no insurance required, cancel anytime

Where it loses points

  • GLP-1 medication cost is not published — only the $79 membership fee is shown; drug type (compounded vs brand) not stated
  • Weight loss is secondary to the hormone-therapy core; not a GLP-1-first telehealth
  • State availability and dispensing pharmacy are not disclosed on the marketing site

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.

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