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Head-to-head · WeighScore

Alternate Health Club vs Onyx Weight Loss

Alternate Health Club
Graded #111

Higher grade

vs+11
Onyx Weight Loss
Graded #359

Lower grade

The verdict

Alternate Health Club takes it — 69.8/100 to 58.8/100.

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.

Cost valueAlternate Health Club +41
84
43
Dose & formulationEven
64
64
Clinical oversightAlternate Health Club +2
77
75
Labs & monitoringOnyx Weight Loss +11
52
63
FulfillmentAlternate Health Club +17
70
53
Contract termsEven
55
55
Alternate Health Club · left barOnyx Weight Loss · right bar

The numbers

MetricAlternate Health ClubOnyx Weight Loss
WeighScore69.8/10058.8/100
GradeCC
Scorecard rank#111#359
Semaglutide$129/mo (compounded)$228/mo (starting dose, compounded)
Tirzepatide$169/mo (compounded)$280/mo (starting dose, compounded)
CoverageCoverage not published8 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only
Alternate Health Club

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
Onyx Weight Loss

Graded #359 · C

Strengths

  • Competitive entry pricing: semaglutide from $228/mo and tirzepatide from $280/mo with medication + supplies included
  • Nurse-practitioner-led care: founder Tasha Vangile FNP-C (20+ years) and Stephanie Robison APRN-CNP (27 years experience)
  • Low-cost $99/mo GLP-1 microdosing option for patients who prefer a gradual titration start
  • Strive Pharmacy partnership implies compounded 503A-quality supply chain from a known pharmacy
  • Multi-modal clinic: GLP-1 + peptides + HRT + nutrition coaching available under one provider team

Where it loses points

  • Only 8 states (NC, CO, ME, VT, VA, IA, NH, PA) — excludes the majority of the US
  • No LegitScript certification; credentialing evidence limited to local 2025 Best of Iredell award
  • Specific drug names (semaglutide/tirzepatide) never stated on website; compounded status inferred, not disclosed
  • Labs not included or mentioned; no baseline bloodwork protocol published
  • Pricing shown as 'Starting at' with no dose-escalation tier pricing disclosed publicly

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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