Head-to-head · WeighScore
ElixaMD vs Tru2u
The verdict
Tru2u takes it — 64.4/100 to 63.5/100, but only just.
Tru2u grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Tru2u is a US direct-to-consumer telehealth and wellness store offering provider-guided compounded GLP-1 weight-loss therapy alongside hair, skincare, and supplement lines. ElixaMD 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 | ElixaMD | Tru2u |
|---|---|---|
| WeighScore | 63.5/100 | 64.4/100 |
| Grade | C | C |
| Scorecard rank | #257 | #244 |
| Semaglutide | $179/mo (starting dose, first-month rate, compounded) | $225/mo |
| Tirzepatide | Not disclosed | $345/mo |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Yes |
Graded #257 · C
Strengths
- Compounded semaglutide from $179 first month with free shipping, no membership, no contract, and no insurance required
- Genuinely all-inclusive: 1:1 physician guidance, free dietician visits and care coaching, 24/7 support, and an all-in-one patient portal
- Names its compounding pharmacies (RedRock Pharmacy, Beaker Pharmacy) — more transparent than most compounded sellers
- HSA/FSA eligible; full legal suite (Terms, Privacy, Privacy Practices, Refund, Medical Consent, California Bill of Rights)
Where it loses points
- $179 is a first-month/intro price — ongoing monthly cost is higher (tiers to ~$249-$299)
- Compounded semaglutide is not FDA-approved (the site discloses this) — not brand Wegovy or Ozempic
- Appears to offer compounded semaglutide only — tirzepatide is not advertised
- Displays a generic LegitScript Certified badge but no verifiable seal/listing; state-availability list not published
Graded #244 · C
Strengths
- Offers compounded semaglutide and tirzepatide plus a combined GLP Squared injection
- Both injectable and oral GLP-1 tablet options available
- Transparent upfront monthly pricing with free shipping
Where it loses points
- No compounding pharmacy publicly named and no LegitScript seal shown
- Tirzepatide at 345 dollars per month is higher than many compounded competitors
- States served are not published; site states US-only availability
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.