Head-to-head · WeighScore
Lean Rx vs The Aesthetic Concierge
The verdict
The Aesthetic Concierge takes it — 60.9/100 to 60.6/100, but only just.
The Aesthetic Concierge grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. The Aesthetic Concierge is a physician-led US telehealth practice offering GLP-1 medical weight loss, led by co-founder and medical director Dr. Lean Rx 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 | Lean Rx | The Aesthetic Concierge |
|---|---|---|
| WeighScore | 60.6/100 | 60.9/100 |
| Grade | C | C |
| Scorecard rank | #318 | #310 |
| Semaglutide | $266/mo (starting dose, compounded) | $414/mo |
| Tirzepatide | $399/mo (starting dose, compounded) | Not disclosed |
| Coverage | Coverage not published | 13 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #318 · C
Strengths
- Both semaglutide and tirzepatide offered
- Three formulations: injectable, sublingual, and tablet
- Upfront pricing with no hidden fees advertised
- Semaglutide starts at a low $266/month
- Telehealth call with a licensed provider before prescribing
Where it loses points
- Compounded-only; no FDA-approved branded options
- No published state availability list
- Platform is technology only, not a healthcare provider itself
- Provider credentials not detailed on site
Graded #310 · C
Strengths
- Physician-led with a named medical director, Dr. Evan Blum, MD
- LegitScript approved with medication from an FDA 503A pharmacy partner
- Offers semaglutide, tirzepatide and microdosing
- Always-on phone, text and email support
Where it loses points
- Virtual care limited to 13 states
- Only semaglutide pricing is shown up front; tirzepatide pricing sits in the FAQs
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.