Head-to-head dispatch
Fitstry 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
Fitstry is the GLP-1 weight-loss program of Weightstry, LLC, a LegitScript-certified, cash-pay telehealth practice focused on women 40+.
$179/mo (annual plan, plus a separate fee, compounded) sema · $269/mo (annual plan, compounded) tirz · Verified July 18, 2026
Marked down on: Month-to-month pricing is notably higher than the annual plan ($249 vs $179 semaglutide, $339 vs $269 tirzepatide)
Desk Score
Verified and oral-capable, but availability is limited to five states — a narrow-reach specialist.
$200/mo sema · $250/mo tirz
Marked down on: Only five states served
Optimized Health takes this head-to-head with the higher Desk Score, 78/100 (C+) against 64/100 (C) for Fitstry. Fitstry 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.
Fitstry
64/100
C
Optimized Health
78/100
C+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Fitstry | Optimized Health |
|---|---|---|
| Semaglutide | $179/mo (annual plan, plus a separate fee, compounded) | $200/mo |
| Tirzepatide | $269/mo (annual plan, compounded) | $250/mo |
| Coverage | Not listed on Fitstry's site (checked July 18, 2026) | MO, IA, KS, UT, WA |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Transparent compounded semaglutide, tirzepatide or oral GLP-1 for women 40+ with a refundable $99 intake. | Patients in MO, IA, KS, UT, or WA who want a verified, oral-capable program. |
| Desk Score | 64/100C | 78/100C+ |
The verdict
Desk pick — Optimized HealthOptimized Health takes this head-to-head with the higher Desk Score, 78/100 (C+) against 64/100 (C) for Fitstry. Fitstry still holds its ground where its strengths line up with yours.
Choose Fitstry if…
Transparent compounded semaglutide, tirzepatide or oral GLP-1 for women 40+ with a refundable $99 intake.
$179/mo (annual plan, plus a separate fee, compounded) sema · $269/mo (annual plan, compounded) tirz
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: Fitstry · 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: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- CoreAge Rx vs Fitstry
- CoreAge Rx vs Optimized Health
- Curex vs Fitstry
- Ondra Health vs Optimized Health
- Fitstry vs HealthSource
- Invigor Medical vs Optimized Health
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.