Head-to-head · WeighScore
ElleS vs Genesis Lifestyle Medicine
The verdict
Genesis Lifestyle Medicine takes it — 57.7/100 to 56/100, but only just.
Genesis Lifestyle Medicine grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Genesis Lifestyle Medicine is a hybrid in-office and telehealth medical spa with 18 clinic locations across 8 states, offering brick-and-mortar accountability uncommon among DTC GLP-1 providers. ElleS 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 | ElleS | Genesis Lifestyle Medicine |
|---|---|---|
| WeighScore | 56/100 | 57.7/100 |
| Grade | C | C |
| Scorecard rank | #424 | #392 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | Coverage not published | 8 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Injection only |
Graded #424 · C
Strengths
- Compounded semaglutide and tirzepatide in both injectable and oral-capsule forms, plus microdose options
- Packages bundle the telehealth visit, medication, and shipping; Registered Dietitian support included
- Full legal suite published — Terms, Privacy Policy, Privacy Practices, and Medical Consent
- Broad menu: also TRT, HRT (estradiol), sexual health, hair loss, and longevity (sermorelin, NAD+)
Where it loses points
- Pricing not shown publicly — products and costs appear only after the intake flow
- Sold as 3- and 6-month packages rather than simple monthly plans
- Compounding pharmacy partner not named ('made in licensed US facilities')
- Not LegitScript-certified (no certification displayed)
Graded #392 · C
Strengths
- 18 physical clinics allow in-person consults and injections across 8 states
- Dual modality — compounded sema/tirz plus brand-name Wegovy and Zepbound on one platform
- Med spa model lets patients combine weight loss, hormone therapy, and aesthetics
- Established brand with an 18-location footprint and patient testimonials
- Telehealth available for remote patients in served states
Where it loses points
- Pricing not disclosed publicly — gated behind the consultation flow
- Specific 503A/503B pharmacy partner not named, and the designation not specified
- No FDA compounded-medication disclaimer visible on the homepage
- Named medical director not formally disclosed (only a 'Dr. Spinoso' testimonial)
- Corporate legal entity and governing law not disclosed
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.