Head-to-head · WeighScore
Ascend Medical vs Fitish
The verdict
Fitish takes it — 64.5/100 to 55.9/100.
Fitish grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Fitish offers compounded semaglutide ($219/28 days) and compounded tirzepatide ($339/28 days) including consultation and shipping.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Ascend Medical | Fitish |
|---|---|---|
| WeighScore | 55.9/100 | 64.5/100 |
| Grade | C | C |
| Scorecard rank | #426 | #242 |
| Semaglutide | Not disclosed | $219/mo (compounded) |
| Tirzepatide | Not disclosed | $339/mo (compounded) |
| Coverage | 2 states | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Yes |
Graded #426 · C
Strengths
- Whole-person virtual primary care that includes a medical weight loss program
- Staffed by licensed MDs, DOs, NPs and PAs
- Integrates weight loss with primary, mental health and diabetes care
- Clear state availability (Georgia and Texas)
Where it loses points
- Available only in Georgia and Texas
- Specific GLP-1 medications and branded-vs-compounded status not published
- No pricing disclosed on public pages
- Weight loss is one service among many, not a dedicated GLP-1 specialist
Graded #242 · C
Strengths
- LegitScript certified
- Ships to all US states
- Price includes consult, shipping, and medication
- Injectable and oral tablet formats
- Microdosing option available
Where it loses points
- No physical address disclosed
- Broader wellness/beauty brand — GLP-1 is one product line
- Compounded only — no brand-name options
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.