Head-to-head · WeighScore
Fitish vs Gaya Wellness
The verdict
Fitish takes it — 64.7/100 to 63.9/100, but only just.
Fitish grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Fitish offers compounded semaglutide ($219/28 days) and compounded tirzepatide ($339/28 days) including consultation and shipping. Gaya Wellness 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 | Fitish | Gaya Wellness |
|---|---|---|
| WeighScore | 64.7/100 | 63.9/100 |
| Grade | C | C |
| Scorecard rank | #235 | #248 |
| Semaglutide | $219/mo (compounded) | $349/mo (compounded) |
| Tirzepatide | $339/mo (compounded) | $349/mo (compounded) |
| Coverage | All 50 states | 5 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #235 · C
Strengths
- LegitScript certified
- Ships to all US states
- Price includes consult, shipping, and medication
- Injectable and oral tablet formats
- Microdosing option available
Where it loses points
- No physical address disclosed
- Broader wellness/beauty brand — GLP-1 is one product line
- Compounded only — no brand-name options
Graded #248 · 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.