Head-to-head · WeighScore
Ascend Vitality vs Clinic Secret
The verdict
Too close to call — both grade 60.9/100 (C).
Ascend Vitality and Clinic Secret land on the same WeighScore, so neither clears the other on our six graded dimensions. Ascend Vitality sits one line higher on the board (#307 vs #308) on the underlying tiebreak, but it's a genuine coin-flip — pick on the factors and prices that matter most to you below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Ascend Vitality | Clinic Secret |
|---|---|---|
| WeighScore | 60.9/100 | 60.9/100 |
| Grade | C | C |
| Scorecard rank | #307 | #308 |
| Semaglutide | $199/mo (compounded) | $196/mo (starting dose, compounded) |
| Tirzepatide | $299/mo (compounded) | $196/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #307 · C
Strengths
- Both injectable and needle-free oral tablet forms of semaglutide and tirzepatide
- LegitScript certified
- Transparent cash-pay pricing with cancel-anytime subscription
- Legal entity and address publicly disclosed (Ascend Vitality LLC, Sheridan, WY)
Where it loses points
- All medications are compounded — FDA does not review compounded drugs for safety/effectiveness
- No named compounding pharmacy partner disclosed
- No public state-by-state availability list (homepage cites exclusions: LA, MS, KS, NM, WV)
- Per-dose/titration pricing not published; only 'starting at' prices shown
Graded #308 · C
Strengths
- Low entry price starting at $49/week with no membership fees
- Monthly price does not increase as dosage rises
- Fast nationwide shipping in about three days
- Asynchronous intake available in some states (no required video call)
- Money-back guarantee tied to weight-loss goals
Where it loses points
- Newly launched (late 2025); limited independent track record
- Compounded medications only; no FDA-approved brand options
- Named compounding pharmacy not disclosed
- State availability not published
- No insurance accepted
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.