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Head-to-head · WeighScore

AquaVita NextGen vs Gaya Wellness

AquaVita NextGen
Graded #415

Lower grade

vs+7.600000000000001
Gaya Wellness
Graded #248

Higher grade

The verdict

Gaya Wellness takes it — 63.9/100 to 56.3/100.

Gaya Wellness grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Gaya Wellness is a virtual, OB/GYN-led telehealth practice focused on women 40+ for menopause, hormone replacement, and weight loss.

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 valueGaya Wellness +9
23
32
Dose & formulationAquaVita NextGen +11
75
64
Clinical oversightGaya Wellness +7
82
89
Labs & monitoringGaya Wellness +44
53
97
FulfillmentEven
62
62
Contract termsAquaVita NextGen +6
47
41
AquaVita NextGen · left barGaya Wellness · right bar

The numbers

MetricAquaVita NextGenGaya Wellness
WeighScore56.3/10063.9/100
GradeCC
Scorecard rank#415#248
Semaglutide$375/mo (first-month rate, compounded)$349/mo (compounded)
Tirzepatide$320/mo (starting dose, 3-month plan, compounded)$349/mo (compounded)
Coverage5 states5 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
AquaVita NextGen

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semaglutide price ($375, originally $499) is published; ongoing monthly price and all tirzepatide pricing remain unpublished
Gaya Wellness

Graded #248 · C

Strengths

  • OB/GYN-led care designed for women 40+ and menopause overlap
  • Includes a 50+ biomarker lab panel and weekly physician check-ins
  • HSA/FSA eligible with a GLP-1 plus bioidentical HRT bundle option
  • Transparent tiered pricing published online

Where it loses points

  • Weight loss is one vertical alongside menopause and hormone care
  • Medication-included tiers ($349+/mo) are pricier than many compounders
  • Available in only five states (FL, NC, VA, IN, TN)

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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