How we grade GLP-1 clinics
Every clinic we grade is scored on 100 points across seven weighted dimensions of medical legitimacy and transparency. This page is the full, versioned rubric: the weights, the caps that override a score, the verification tiers, and the guardrails we hold ourselves to. The grade is the product, and it cannot be bought.
How does GLP-1 Grades score clinics?
The seven weighted dimensions
100 points total. Weighting reflects what matters most for a legitimate medical GLP-1 provider: who is prescribing and whether they evaluate you, and what medication you are actually getting.
| # | Dimension | Pts | What earns the points |
|---|---|---|---|
| 1 | Medical oversight & prescriber credentials | 25 | A licensed prescriber (MD/DO/NP/PA) is named or verifiable; a real clinical evaluation is required before prescribing; contraindications (personal/family medullary thyroid carcinoma or MEN2) and other warnings and screening factors (pancreatitis history, pregnancy/breastfeeding, gallbladder disease) are screened. |
| 2 | Medication sourcing & traceability | 25 | Discloses brand (FDA-approved) vs. compounded; names the dispensing pharmacy; if compounded, discloses 503A vs. 503B and states plainly that compounded semaglutide/tirzepatide are not FDA-approved. |
| 3 | Clinical protocol quality | 15 | Requires baseline labs; documented titration schedule; defined follow-up cadence; side-effect management guidance; a maintenance / off-ramp plan. |
| 4 | Telehealth & licensing compliance | 10 | Honest about which states it is licensed in; synchronous evaluation where required; no auto-ship of medication without an evaluation. |
| 5 | Safety & claims honesty | 10 | No unrealistic guarantees, no “no diet or exercise needed” hype, clear risk disclosure, and a documented adverse-event / contact path. |
| 6 | Pricing transparency | 10 | Published, itemized pricing (consult, medication, labs, membership) rather than opaque “book a call for pricing,” with a clear statement of what is and isn’t included. |
| 7 | Trust signals | 5 | Verifiable physical address, real (non-astroturfed) reviews, and relevant accreditations. |
Automatic red-flag caps
Some practices are serious enough that they cap the grade no matter how many points a clinic earns elsewhere. A cap sets the maximum possible grade.
- Prescribes GLP-1s with no clinical evaluation → capped at C.
- No named prescriber or no traceable license → capped at D.
- Undisclosed medication sourcing or no named dispensing pharmacy → capped at C (D if actively obscured).
- “Guaranteed approval,” “everyone qualifies,” or a prescription-first funnel that sells before evaluating → capped at D.
- No adverse-event escalation path or no follow-up plan → capped at C.
- Material commercial relationship not clearly disclosed on the graded page → capped at D.
- Compounded product described as, or implying, FDA approval → F.
- “Research chemical / not for human consumption” framing, or selling GLP-1s as research peptides → F.
- Unrealistic weight-loss guarantees or “no lifestyle change needed” marketing → capped at D.
Verification tiers
Not every clinic in our database is graded. The tier tells you exactly how much scrutiny is behind what you see.
| Tier | What it means |
|---|---|
| Listed | Public data only. Not graded — there is not enough public information to score the clinic fairly. |
| Verified | We independently confirmed licensing and medication sourcing. |
| Graded | The full seven-dimension rubric was applied, with a dated evidence note. |
In v1 we grade only a curated set of clinics we can fully evaluate. Everything else stays Listed, not graded. We never auto-score thin data to manufacture a grade. A low grade on incomplete evidence is exactly the mistake we refuse to make. Grades scale as clinics are manually enriched, and each graded clinic gets its own dossier page: the grade, a dated score breakdown, an evidence table with sources, a reviewer byline, an explicit “what we verified / what we could not verify,” and a right-of-reply status.
What a grade means (and doesn’t)
A GLP-1 Grades score rates the strength of a clinic’s publicly documented safety, transparency, and compliance practices. It is not a measure of patient outcomes, not an endorsement, not a claim that the care is actually safe or clinically superior, and not medical advice. A high grade means transparent, medically supervised, honestly marketed care. A low grade means opacity or red flags.
- We separate observed facts from our editorial scoring judgment on every graded page.
- Every material factual claim cites a primary source or a written response from the clinic.
- We prefer “Listed / insufficient public evidence” over a low grade when the facts are thin.
- We publish a correction policy and a right-of-reply workflow, and we log clinic responses.
- Sponsorship or featured placement is firewalled from grading and would be conspicuously disclosed if it ever existed. It never changes a grade.
Grades reflect disclosed transparency and practices from public sources, are informational, and are not medical advice, an endorsement, or a guarantee of care quality or outcomes. Always verify a clinic’s credentials directly with the clinic and your state medical board. See our medical review policy for how clinical claims on this site are checked, or compare graded clinics.