Head-to-head · WeighScore
Knownwell vs LeanDose
The verdict
LeanDose takes it — 67.1/100 to 66.9/100, but only just.
LeanDose grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. LeanDose is a doctor-guided compounded GLP-1 telehealth service for eligible adults, with transparent all-inclusive first-month pricing: compounded semaglutide from $159 and tirzepatide from $279. Knownwell 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 | Knownwell | LeanDose |
|---|---|---|
| WeighScore | 66.9/100 | 67.1/100 |
| Grade | C | C |
| Scorecard rank | #172 | #167 |
| Semaglutide | Not disclosed | $159/mo (first-month rate, compounded) |
| Tirzepatide | $349/mo (brand Zepbound) | $279/mo (first-month rate, compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #172 · C
Strengths
- Co-founded by obesity-medicine specialist Dr. Angela Fitch
- Branded FDA-approved GLP-1s (Wegovy, Zepbound, Ozempic, Saxenda)
- Official LillyDirect provider and Novo Wegovy-pill telehealth partner
- Accepts insurance, copays as low as $25 for covered patients
- Weight-inclusive care with dietitians and health coaches
Where it loses points
- Specific self-pay monthly medication prices not transparently posted
- In-person clinics limited to four metro areas
- Branded-only focus can mean higher cost than compounded routes
Graded #167 · C
Strengths
- Transparent all-inclusive first-month pricing (compounded semaglutide from $159, tirzepatide from $279)
- Verifiable LegitScript certification (seal ID 49840868) and an FDA-registered compounding pharmacy
- Doctor-prescribed and supervised, with personalized care plans and multi-state clinical support
- Convenient at-home delivery; compounded semaglutide and tirzepatide options
- Honest, modest social proof — 119 five-star patient reviews
Where it loses points
- Compounded medications are not FDA-approved — not brand Wegovy, Ozempic, Zepbound, or Mounjaro
- Headline rates are first-month pricing; your ongoing monthly cost may be higher
- Available in multiple states but the full list is not published on the homepage
- The compounding pharmacy is FDA-registered but not named
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.