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Head-to-head · WeighScore

1st Optimal vs Chronos Body Health & Wellness

1st Optimal
Graded #288

Higher grade

vs+3.200000000000003
Chronos Body Health & Wellness
Graded #373

Lower grade

The verdict

1st Optimal takes it — 61.6/100 to 58.4/100.

1st Optimal grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. 1st Optimal is a Michigan-based telehealth and functional-medicine platform offering GLP-1 weight loss medications, including semaglutide and tirzepatide, as once-weekly injections or daily oral tablets.

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 valueEven
45
45
Dose & formulationChronos Body Health & Wellness +2
51
53
Clinical oversightChronos Body Health & Wellness +10
77
87
Labs & monitoring1st Optimal +43
97
54
FulfillmentChronos Body Health & Wellness +5
60
65
Contract termsChronos Body Health & Wellness +4
37
41
1st Optimal · left barChronos Body Health & Wellness · right bar

The numbers

Metric1st OptimalChronos Body Health & Wellness
WeighScore61.6/10058.4/100
GradeCC
Scorecard rank#288#373
SemaglutideNot disclosedNot disclosed
TirzepatideNot disclosedNot disclosed
CoverageCoverage not published2 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
1st Optimal

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

Strengths

  • Physician-led clinic with a named team — physicians, NPs and registered nurses
  • Offers brand-name (Wegovy, Ozempic, Zepbound, Mounjaro) and compounded options
  • No upfront payment — you start with a registered nurse consult
  • Microdosing GLP-1 approach available for longer-term use

Where it loses points

  • Telehealth only in Louisiana and Texas — not nationwide
  • No upfront pricing published; cost depends on the plan after consult
  • Compounded options prescribed only when medically appropriate
  • Broader aesthetic/clinic focus, not a GLP-1-only specialist

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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