Head-to-head dispatch
Bionomy Health vs Optimized Health
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Bionomy Health is a physician-led, direct-to-consumer men's telehealth service selling compounded GLP-1 weight-loss medication alongside testosterone, peptides and longevity protocols.
Marked down on: The $189 is a starting rate, not a flat one: the page says 'From', the product card says 'Starter', and doses are titrated every four weeks with no published price for the dose you end up on
Desk Score
Verified and oral-capable, but availability is limited to five states — a narrow-reach specialist.
Marked down on: Only five states served
Optimized Health takes this head-to-head with the higher Desk Score, 78/100 (C+) against 75/100 (C) for Bionomy Health. Bionomy Health still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Bionomy Health
75/100
C
Optimized Health
78/100
C+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Bionomy Health | Optimized Health |
|---|---|---|
| Semaglutide | $189/mo (starting dose, compounded) | $200/mo |
| Tirzepatide | $249/mo (compounded) | $250/mo |
| Coverage | 48 states | MO, IA, KS, UT, WA |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Readers who want men seeking physician-led compounded glp-1 weight loss with trt and longevity add-ons. | Patients in MO, IA, KS, UT, or WA who want a verified, oral-capable program. |
| Desk Score | 75/100C | 78/100C+ |
The verdict
Desk pick — Optimized HealthOptimized Health takes this head-to-head with the higher Desk Score, 78/100 (C+) against 75/100 (C) for Bionomy Health. Bionomy Health still holds its ground where its strengths line up with yours.
Choose Bionomy Health if…
Readers who want men seeking physician-led compounded glp-1 weight loss with trt and longevity add-ons.
$189/mo (starting dose, compounded) sema · $249/mo (compounded) tirz · 48 states
Choose Optimized Health if…
Patients in MO, IA, KS, UT, or WA who want a verified, oral-capable program.
$200/mo sema · $250/mo tirz · MO, IA, KS, UT, WA
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Bionomy Health · Optimized Health.
Also here
CoreAge Rx tops every dispatch at 94/100
Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.
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Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.