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Head-to-head · WeighScore

Options Medical Weight Loss vs Tru2u

Options Medical Weight Loss
Graded #218

Higher grade

vs+1.0999999999999943
Tru2u
Graded #241

Lower grade

The verdict

Options Medical Weight Loss takes it — 65.5/100 to 64.4/100, but only just.

Options Medical Weight Loss grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Options Medical Weight Loss offers telehealth medical weight-loss programs built around compounded GLP-1 — semaglutide starting around $239/month and tirzepatide from $299/month, plus NAD+ injections at… Tru2u is close behind and may still be the better fit — see the factor split below.

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.

Cost valueTru2u +2
54
56
Dose & formulationTru2u +6
77
83
Clinical oversightOptions Medical Weight Loss +13
81
68
Labs & monitoringOptions Medical Weight Loss +2
53
51
FulfillmentTru2u +1
67
68
Contract termsEven
55
55
Options Medical Weight Loss · left barTru2u · right bar

The numbers

MetricOptions Medical Weight LossTru2u
WeighScore65.5/10064.4/100
GradeCC
Scorecard rank#218#241
Semaglutide$199/mo (compounded)$225/mo
Tirzepatide$399/mo (compounded)$345/mo
CoverageCoverage not publishedCoverage not published
Brand-name accessYesCompounded only
Oral / sublingualInjection onlyYes

Strengths

  • LegitScript certified with clear, upfront program pricing
  • Compounded semaglutide (~$239) and tirzepatide (from $299), plus NAD+
  • Structured metabolic-health program with provider support and accountability
  • HSA/FSA eligible with flexible payment options

Where it loses points

  • Doesn't clearly publish which states its telehealth covers
  • Tirzepatide tiers climb to $339-$399/month
  • More program structure (and cost) than medication-only sellers
  • Compounded GLP-1 only online — no brand-name options noted
Tru2u

Graded #241 · C

Strengths

  • Offers compounded semaglutide and tirzepatide plus a combined GLP Squared injection
  • Both injectable and oral GLP-1 tablet options available
  • Transparent upfront monthly pricing with free shipping

Where it loses points

  • No compounding pharmacy publicly named and no LegitScript seal shown
  • Tirzepatide at 345 dollars per month is higher than many compounded competitors
  • States served are not published; site states US-only availability

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.

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