Head-to-head · WeighScore
AquaVita NextGen vs Balanced Hormone Health
The verdict
Balanced Hormone Health takes it — 57.8/100 to 56.3/100, but only just.
Balanced Hormone Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Balanced Hormone Health is a private-pay telehealth practice rooted in HRT/BHRT that also offers compounded GLP-1 and GLP-1/GIP weight-loss plans, prescribing compounded semaglutide and tirzepatide (often… AquaVita NextGen is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | AquaVita NextGen | Balanced Hormone Health |
|---|---|---|
| WeighScore | 56.3/100 | 57.8/100 |
| Grade | C | C |
| Scorecard rank | #415 | #388 |
| Semaglutide | $375/mo (first-month rate, compounded) | Not disclosed |
| Tirzepatide | $320/mo (starting dose, 3-month plan, compounded) | Not disclosed |
| Coverage | 5 states | Coverage not published |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Injection only |
Graded #415 · C
Strengths
- Physical address in Lake Forest CA
- Named medical director (Dr. Steve Groke)
- Both semaglutide and tirzepatide including ODT tablets
- Compounding disclaimer present on site
Where it loses points
- Only 5 states (AZ, CA, FL, TX, NV)
- No LegitScript or PCAB accreditation
- Primarily a local medspa expanding into telehealth
- Only a first-month semaglutide price ($375, originally $499) is published; ongoing monthly price and all tirzepatide pricing remain unpublished
Graded #388 · C
Strengths
- Offers compounded semaglutide and tirzepatide plus GLP-1/GIP combo plans
- Also lists a branded Zepbound prescription option
- Rooted in hormone health (HRT/BHRT) for a whole-metabolic approach
- Compounded formulas often paired with B vitamins
- Provides receipts for HSA/HRA reimbursement
Where it loses points
- Private-pay only; does not bill insurance
- Compounded GLP-1 is not an FDA-approved finished drug
- Some states excluded depending on the compounding pharmacy used
- No transparent public monthly pricing readily listed
- Pharmacy manufacturing adds roughly a week before shipment
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.