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Head-to-head · WeighScore

tru Weight Loss vs ZipHealth

tru Weight Loss
Graded #356

Higher grade

vs+3.299999999999997
ZipHealth
Graded #438

Lower grade

The verdict

tru Weight Loss takes it — 58.9/100 to 55.6/100.

tru Weight Loss grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. tru Weight Loss (truhealthnow) is a physician-directed telehealth program prescribing compounded semaglutide and tirzepatide, shipped from US-licensed compounding pharmacies.

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 valueZipHealth +7
38
45
Dose & formulationtru Weight Loss +27
72
45
Clinical oversighttru Weight Loss +1
76
75
Labs & monitoringtru Weight Loss +20
72
52
FulfillmentZipHealth +6
62
68
Contract termsZipHealth +35
20
55
tru Weight Loss · left barZipHealth · right bar

The numbers

Metrictru Weight LossZipHealth
WeighScore58.9/10055.6/100
GradeCC
Scorecard rank#356#438
Semaglutide$299/mo (all doses, 3-month plan, compounded)Not disclosed
Tirzepatide$399/mo (all doses, 3-month plan, compounded)Not disclosed
CoverageCoverage not publishedCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only
tru Weight Loss

Graded #356 · C

Strengths

  • Flat, transparent pricing (299/mo semaglutide, 399/mo tirzepatide)
  • All-inclusive: consult, lab work, medication delivery, nutritionist and behavioral coaching
  • Directed by a named physician (Neha Grover, MD) from a physical clinic

Where it loses points

  • Requires a 3-month commitment before you can cancel
  • States served are not specified and the dispensing pharmacy is not named
  • Does not accept insurance, HSA, or FSA
ZipHealth

Graded #438 · C

Strengths

  • LegitScript certified with a named in-house US-licensed pharmacy
  • Transparent clinical team including a board-certified MD and PharmD
  • Same-day prescriptions and express overnight discreet shipping
  • Lowest-price guarantee, no insurance required
  • 230,000+ customers with a 4.4/5 Trustpilot rating

Where it loses points

  • GLP-1 offering limited to compounded liraglutide (a daily injection)
  • Monthly pricing not posted on public pages
  • State availability not enumerated publicly
  • No branded semaglutide or tirzepatide confirmed

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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