Head-to-head · WeighScore
Shape Vantage vs Steady State Health
The verdict
Steady State Health takes it — 54.9/100 to 43/100.
Steady State Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Steady State Health is a women's-health telehealth practice run by nurse practitioner Josie Cowburn, DNP, FNP-C, serving Oregon and Washington.
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 | Shape Vantage | Steady State Health |
|---|---|---|
| WeighScore | 43/100 | 54.9/100 |
| Grade | C | C |
| Scorecard rank | #499 | #452 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | $599/mo (compounded) | Not disclosed |
| Coverage | Coverage not published | 2 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #499 · C
Strengths
- $599 product price shown publicly, not gated behind intake
- Terms of Service exists and discloses the legal relationship
- Positions itself as 'Premium Weight Loss Treatment'
Where it loses points
- Homepage uses a dietary-supplement-style disclaimer, not language seen on legitimate prescription products
- Links straight to a Stripe checkout with no medical intake, consultation, or prescription gate
- Terms reserve the option to ship without prescription or provider review where not legally required
- No LegitScript, NABP, state-pharmacy, or PCAB accreditation visible
- Legal entity and state of incorporation not disclosed (only California governing law)
Graded #452 · C
Strengths
- Prescribes semaglutide or tirzepatide within a perimenopause and menopause hormone-and-metabolic care plan
- Care delivered by a named women's-health nurse practitioner (Josie Cowburn, DNP, FNP-C)
- Transparent flat program fee from $139/mo, with a $99/mo standalone GLP-1 support option
Where it loses points
- Available only to Oregon and Washington residents
- GLP-1 medication is billed separately by the pharmacy and not included in the program fee
- Dispensing pharmacy is not publicly 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.