Head-to-head · WeighScore
Näky vs Silhouette MD
The verdict
Silhouette MD takes it — 69.4/100 to 57.6/100.
Silhouette MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Concierge-style GLP-1 telehealth offering compounded semaglutide and tirzepatide in both injectable and oral forms, with provider oversight and full-service support included on every plan.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Näky | Silhouette MD |
|---|---|---|
| WeighScore | 57.6/100 | 69.4/100 |
| Grade | C | C |
| Scorecard rank | #394 | #123 |
| Semaglutide | Not disclosed | $149/mo (compounded) |
| Tirzepatide | Not disclosed | $299/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Yes |
Graded #394 · C
Strengths
- LegitScript Approved (verifiable for benaky.com)
- Oral semaglutide drops as a distinct product line — uncommon among compounded GLP-1 brands
- Separate GLP-1 microdose program offered
- Adds NAD+ and Sermorelin for patients wanting a longevity stack
- 3-minute online assessment with a same-day treatment plan
Where it loses points
- Ongoing monthly pricing for compounded semaglutide and tirzepatide isn't shown until intake
- Oral semaglutide drops and microdose program pricing not disclosed
- Legal entity and state of incorporation not disclosed
- Pharmacy partner not named — only a generic 'USA-based FDA-regulated' claim
- States served not listed; pricing pages return 404s
Graded #123 · C
Strengths
- Compounded semaglutide and tirzepatide in both injectable and oral formulations
- Concierge-level support — monitoring, expert guidance, and check-ins included on every plan
- Transparent, published pricing starting at $149/mo for semaglutide injection
- Prescriptions issued and fulfilled by licensed clinical partner OpenLoop Health
Where it loses points
- Tirzepatide ($299/mo) and oral options ($263–$325/mo) priced above many compounded competitors
- State availability not published
- Newer brand with limited independent review history
- Medications are compounded, not FDA-approved brand-name
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.