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Head-to-head · WeighScore

Ascend Vitality vs Welling Health

Ascend Vitality
Graded #307

Lower grade

vs+7.100000000000001
Welling Health
Graded #158

Higher grade

The verdict

Welling Health takes it — 68/100 to 60.9/100.

Welling Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Welling Health is a clinician-led metabolic clinic offering compounded GLP-1 therapy on one transparent flat monthly rate: semaglutide from $190/month and tirzepatide from $275/month, with all doses,…

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Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueWelling Health +5
50
55
Dose & formulationAscend Vitality +11
75
64
Clinical oversightWelling Health +15
74
89
Labs & monitoringWelling Health +2
52
54
FulfillmentWelling Health +28
65
93
Contract termsWelling Health +18
37
55
Ascend Vitality · left barWelling Health · right bar

The numbers

MetricAscend VitalityWelling Health
WeighScore60.9/10068/100
GradeCC
Scorecard rank#307#158
Semaglutide$199/mo (compounded)$190/mo (compounded)
Tirzepatide$299/mo (compounded)$275/mo (compounded)
CoverageCoverage not publishedAll 50 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
Ascend Vitality

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
Welling Health

Graded #158 · C

Strengths

  • Transparent flat monthly rate — $190 semaglutide / $275 tirzepatide, all doses, no insurance or hidden fees
  • LegitScript-certified 503A pharmacy with US-licensed clinicians in all 50 states and a named legal entity
  • Streak discounts cut up to 30% — semaglutide as low as $133/month for logging meals consistently
  • Free shipping, free AI macro-tracker app, and 24-hour intake review

Where it loses points

  • Tirzepatide at $275/month is higher than the cheapest compounded competitors
  • The streak discount requires daily in-app meal logging — miss days and you pay full rate
  • The compounding pharmacy partner is described as a LegitScript-certified 503A but not named
  • Only two medications — compounded semaglutide and tirzepatide; no oral or non-GLP 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.

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