Head-to-head · WeighScore
1st Optimal vs ClickSlim
The verdict
1st Optimal takes it — 61.6/100 to 49.9/100.
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.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | 1st Optimal | ClickSlim |
|---|---|---|
| WeighScore | 61.6/100 | 49.9/100 |
| Grade | C | C |
| Scorecard rank | #291 | #490 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | $349/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
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
Graded #490 · C
Strengths
- Both the introductory and the ongoing price are published, so the step-up is visible before you buy
- States plainly that it is not a pharmacy or a drug manufacturer and that medication is dispensed by a licensed third party
- Text support line published with stated hours
- LegitScript certification verified against the issued seal, not just the badge
Where it loses points
- Its own NAD+ product card is labelled CONTAINS TIRZEPATIDE, which contradicts the product it is selling
- No state list is published; the site says only that services are available in most States
- Prices are among the highest in the category, at $349 ongoing for tirzepatide
- Registered at a Sheridan, Wyoming suite address commonly used as a mail-forwarding and registered-agent address
- Terms set arbitration in San Diego under California law while the company address is in Wyoming
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.