Head-to-head · WeighScore
Ascend Vitality vs Gaya Wellness
The verdict
Gaya Wellness takes it — 63.9/100 to 60.9/100.
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.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Ascend Vitality | Gaya Wellness |
|---|---|---|
| WeighScore | 60.9/100 | 63.9/100 |
| Grade | C | C |
| Scorecard rank | #307 | #250 |
| Semaglutide | $199/mo (compounded) | $349/mo (compounded) |
| Tirzepatide | $299/mo (compounded) | $349/mo (compounded) |
| Coverage | Coverage not published | 5 states |
| 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 #250 · 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.