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Head-to-head · Cost-Efficiency Index

Gaya Wellness vs tru Weight Loss

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade C · #397

Gaya Wellness

Cost-first shoppers who want women 40+ wanting GLP-1 weight loss integrated with menopause/HRT care from an OB/GYN-led practice.

Visit Gaya Wellness
VS
Grade C · #404

tru Weight Loss

Patients comfortable committing to 3 months upfront who want a named, credentialed physician rather than an anonymous provider network.

Visit tru Weight Loss

The verdict

Too close to callGrade C vs C

Gaya Wellness and tru Weight Loss tie on the Cost-Efficiency Index at 51/100, so neither wins outright on the numbers. For most shoppers we'd start with Gaya Wellness (ranked #397, a hair above #404) — Cost-first shoppers who want women 40+ wanting GLP-1 weight loss integrated with menopause/HRT care from an OB/GYN-led practice. But tru Weight Loss is a genuine coin-flip alternative here.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Gaya Wellness.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

52
35

Price Transparency

30
86

Nationwide Access

42
24

Formulation Options

66
66

Clinical Oversight

93
76

Contract Flexibility

33
20

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecGaya Wellnesstru Weight Loss
Cost-Efficiency Index51/10051/100
Semaglutide / mo$149/mo (quarterly plan, compounded)$299/mo (3-month plan, compounded)
Tirzepatide / mo$349/mo (quarterly plan, compounded)$399/mo (3-month plan, compounded)
Semaglutide / yr (modeled)$1,788$3,588
Tirzepatide / yr (modeled)$4,188$4,788
Coverage5 statesCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank here#397#404

Gaya Wellness

51/100

Where the value is

  • Named, credentialed medical founder (board-certified OB/GYN) rather than an anonymous clinical team
  • Transparent tiered pricing that discloses both the discounted and full month-to-month rate on the same page
  • GLP-1 bundled with hormone/menopause care in one program for women 40+

The tradeoffs

  • Licensed in only 5 states (FL, NC, VA, IN, TN), sharply limiting who can actually sign up
  • Lowest advertised price requires a quarterly upfront commitment, not simple month-to-month
Visit Gaya Wellness

Full Gaya Wellness review →

tru Weight Loss

51/100

Where the value is

  • Flat, clearly stated monthly pricing with no hidden dose-tier escalation found
  • Named, credentialed medical director (Dr. Neha Grover, MD, obesity-management focus) rather than an anonymous network
  • Backed by an established local primary/urgent care practice, not a pure drop-ship telehealth startup

The tradeoffs

  • Mandatory 3-month minimum commitment before cancellation is allowed -- roughly $900-$1,200 minimum spend
  • No insurance, HSA, or FSA accepted
Visit tru Weight Loss

Full tru Weight Loss review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

Keep comparing

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