Head-to-head · WeighScore
Cielo vs Marek Health
The verdict
Cielo takes it — 69.4/100 to 66.9/100.
Cielo grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Cielo is a compounded-GLP-1-only telehealth platform offering semaglutide and tirzepatide with no brand-name drugs and no TRT, hair, or mental-health add-ons — a focused, single-purpose alternative to…
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Cielo | Marek Health |
|---|---|---|
| WeighScore | 69.4/100 | 66.9/100 |
| Grade | C | C |
| Scorecard rank | #121 | #173 |
| Semaglutide | $149/mo (all doses, compounded) | Not disclosed |
| Tirzepatide | $249/mo (all doses, compounded) | Not disclosed |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #121 · C
Strengths
- Among the lowest 3-month bundle prices in compounded GLP-1 ($115/mo semaglutide)
- Single flat price across all doses simplifies titration planning
- Corporate address (St. Petersburg, FL) and customer-service phone published
Where it loses points
- No LegitScript, NABP .pharmacy, or HIPAA badge on the home page
- Pharmacy partner not named (only 'regulated FDA pharmacy partners')
- State coverage list not published — can't verify all-50-state availability
- Clinical care runs through MD Integrations, a shared third-party network used by many brands
- No brand-name Wegovy or Zepbound option
Graded #173 · C
Strengths
- Lab panels are core: initial comprehensive labs + 6–12 week follow-up + ongoing every 6 months — rare among GLP-1 providers
- Dedicated Health Coach paired with each client alongside partnered licensed physician as standard Proactive Care Team
- All 50 US states served; 100% telehealth with routine physician check-ins every 6 months built into the program
- Human optimization framing attracts pragmatic patients; partnered physicians selected for data-driven, high-leverage mindset
- No set subscription plan — custom protocol built around client health goals with option to cancel anytime
Where it loses points
- Pricing fully gated — no published rates; intake assessment required before quotes, limiting upfront comparison shopping
- Annual in-person physical required from own PCP or urgent care (every 12 months) — not provided by Marek Health
- No LegitScript certification found; platform explicitly disclaims being a healthcare clinic, which reduces regulatory trust signals
- Weight loss is one of many services alongside TRT, hair, brain focus, sexual health — not a dedicated GLP-1 platform
- Compounded vs. brand medication details not disclosed publicly — medication type determined post-intake with partnered physician
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.