Head-to-head · WeighScore
Ascend Medical vs Näky
The verdict
Näky takes it — 57.6/100 to 55.9/100, but only just.
Näky grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Näky is a LegitScript-approved telehealth platform offering compounded semaglutide and tirzepatide alongside an uncommon oral semaglutide drops product and a separate GLP-1 microdose program, plus NAD+ and… Ascend Medical 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 | Ascend Medical | Näky |
|---|---|---|
| WeighScore | 55.9/100 | 57.6/100 |
| Grade | C | C |
| Scorecard rank | #425 | #394 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | 2 states | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Yes |
Graded #425 · 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 #394 · C
Strengths
- LegitScript Approved (verifiable for benaky.com)
- Oral semaglutide drops as a distinct product line — uncommon among compounded GLP-1 brands
- Separate GLP-1 microdose program offered
- Adds NAD+ and Sermorelin for patients wanting a longevity stack
- 3-minute online assessment with a same-day treatment plan
Where it loses points
- Ongoing monthly pricing for compounded semaglutide and tirzepatide isn't shown until intake
- Oral semaglutide drops and microdose program pricing not disclosed
- Legal entity and state of incorporation not disclosed
- Pharmacy partner not named — only a generic 'USA-based FDA-regulated' claim
- States served not listed; pricing pages return 404s
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.