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Aminoscope
PartnerUpdated October 2026

Strut Health review

Generalist menu, priced products

A broad generalist where compounded semaglutide is $129 a month and tirzepatide $149, with the physician visit included. The prices sit on the product pages, not the homepage.

Our verdict

Strut is close to a family doctor's office with a shipping department. One account covers weight loss, testosterone, sexual health, hair, skin, peptides, menopause and at-home lab testing, the founder is a named physician who practiced in emergency rooms before building it, and the terms are plain: free online MD visit, free follow-up care, free shipping, month to month, cancel with no fee. On auto-refill, the compounded semaglutide injection is $129 a month and the compounded tirzepatide injection $149, with the consultation inside that figure. Those are genuinely competitive numbers, but you will not find them on the homepage, which sells the categories and prices none of them. Strut also carries an FDA warning letter from February 2026, disclosed below with a link to the letter itself. A letter is a public compliance record, not a disqualification, and it belongs in front of you either way.

Disclosure: Aminoscope is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.

FDA warning letter on record — public record, does not change our verdict.

At a glance

Category
GLP-1 telehealth
Medications
Semaglutide · Tirzepatide · Oral
Insurance
Cash-pay, no insurance
Visit
Async intake
LegitScript
Claimed by provider

Partner alternative

Enhance MD

Lab-guided treatment under ongoing physician oversight

Check Enhance MD availability →

What it is

A broad men's and women's telehealth service, founded by Dr. Simal Patel, MD, who describes years as a physician in emergency rooms, clinics and telemedicine before starting it, and who is quoted by name, as founder and CEO, on the semaglutide page. The company, Strut Health, LLC, publishes a street address at 701 Commerce St, Dallas, Texas, which a surprising number of competitors omit. Weight loss is one of eight categories rather than the whole business, and the site says it prescribes established generics alongside compounded preparations, adjusting dose, ingredients and format per patient. Strut says it holds LegitScript accreditation; ask for the certificate number if that matters to you.

How it works

Mostly asynchronous. You complete a short online questionnaire about your health, a U.S. board-certified physician reviews it, and if treatment is appropriate the prescription is filled by a licensed U.S. pharmacy and shipped free in discreet packaging; the FAQ says orders typically arrive within two business days of shipping. Some states require a phone consultation, and the FAQ says physicians can treat by secure chat, phone or video, with physician messaging available from your account. Strut ships to every state except Arkansas, and notes that certain medications are not available in all states. Four commitments are stated flatly rather than hedged: the online MD visit costs nothing, follow-up care and dose adjustments cost nothing extra, shipping is free with no exceptions, and plans run month to month with no cancellation fee. That last point matters more than it sounds in a category where the cheapest headline prices are usually annual prepayments. The trade-off is the model itself: no scheduled appointment by default, and a generalist rather than an obesity-medicine specialist reading your intake.

Pricing transparency

The homepage prices nothing; the product pages price everything. Compounded semaglutide is $129 a month as a once-weekly injection and compounded tirzepatide $149 a month, both on the auto-refill plan, which the product pages say saves 13% and 14% against a one-off order. The oral semaglutide lozenge is shown two ways: "as low as $99/mo" on auto-refill on its own page, and $199 for a 30-day supply on the semaglutide overview, so confirm which applies at checkout. A daily oral tirzepatide is $199. Strut states that the price includes physician consultations and free shipping, so there is no second charge sitting behind the first, and auto-refill is a monthly plan you can pause, delay or cancel. The FAQ asks for 48 hours' notice before an order is processed, and the refund policy says nothing can be refunded once the pharmacy has processed the order; only defective or damaged items are replaced, if reported within two weeks. What the pricing costs you is a click: a reader who stops at the homepage sees the categories and no prices at all.

Branded vs compounded

Compounded semaglutide in two formats, a once-weekly subcutaneous injection and a daily buccal lozenge that dissolves between cheek and gum, plus compounded tirzepatide as a weekly injection or a daily oral form. A PeptideVite supplement is sold to pair with a GLP-1, and it is a supplement, not a prescription drug. Strut's disclaimer is unambiguous and appears at the foot of its own pages: compounded drug products are not approved or evaluated for safety, effectiveness or quality by the FDA. The semaglutide page publishes the common side effects plainly, including nausea, vomiting, diarrhea, constipation, abdominal pain, decreased appetite, fatigue, headache and injection-site reactions. Beyond the GLP-1s the same account carries enclomiphene and testosterone care, a four-active ED tablet, dutasteride and oral minoxidil for hair, tretinoin for skin, and sermorelin ($119 a month injectable, $99 oral) and NAD⁺ on the peptide side, none of which carry the GLP-1s' outcome evidence. At-home lab panels start at $89 for key hormones and $189 for 55-plus biomarkers.

FDA warning letter on record

The FDA issued a warning letter naming Strut Health LLC, the company behind Strut Health.

We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove Strut Health from this site, and it does not change our verdict — read the letter and decide for yourself.

Pros and watch-outs

What we like

  • $129 a month for compounded injectable semaglutide and $149 for injectable tirzepatide on monthly auto-refill, with the physician consultation and shipping included
  • Free online MD visit, free follow-up care and dose adjustments, and no cancellation fee — all stated plainly rather than qualified
  • A named founding physician, Dr. Simal Patel, MD, with a stated clinical background
  • A published street address in Dallas
  • Ships to every state except Arkansas
  • Eight care categories under one account, so a GLP-1 conversation that turns into a testosterone or menopause conversation does not start over
  • Needle-free options for readers who will not inject: a buccal semaglutide lozenge and a daily oral tirzepatide
  • States plainly that compounded products are not approved or evaluated by the FDA for safety, effectiveness or quality
  • Publishes the common side-effect list on the product page rather than behind the intake

Watch-outs

  • No price appears anywhere on the homepage; the $129 and $149 are on the product pages
  • The oral semaglutide lozenge carries two prices on two pages: $99 on auto-refill and $199 for a 30-day supply
  • Carries an FDA warning letter issued in February 2026, disclosed with a link below
  • GLP-1 care is one of eight categories, not a specialty, and the reviewing clinician is a generalist
  • Mostly asynchronous, with no scheduled prescriber appointment unless your state requires a phone consult
  • No compounding pharmacy is named
  • No refunds once the pharmacy has processed an order, and cancellation needs 48 hours' notice
  • Compounded only — no FDA-approved branded GLP-1
  • LegitScript accreditation is the company's own claim

Best for

People who want one telehealth account for a GLP-1 plus the rest of their routine care, on a month-to-month price with the visit and follow-ups included and no term to escape from.

Who should look elsewhere

Anyone who wants a dedicated obesity-medicine program with a live prescriber visit, branded medication, or the compounding pharmacy named before they order.

The evidence behind what Strut Health prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

How Strut Health compares

A few alternatives worth a look, depending on what you’re optimizing for.

  • HealthRX

    Low-cost compounded GLP-1 with overnight shipping and physician review

    See HealthRX →
  • Direct Meds

    Straightforward compounded GLP-1 without an insurance requirement

    See Direct Meds →
  • Telos RX

    Choice of GLP-1 formats, including needle-free sublingual tirzepatide

    See Telos RX →
Compare all providers side by side →

Head-to-head: Strut Health vs Ro · Strut Health vs Mochi Health · Strut Health vs LifeMD · Strut Health vs Form Health · Strut Health vs PlushCare

More GLP-1 telehealth reviews: Remedy MedsOrderlyMedsTrinity MedsMEDViRed Mountain Weight LossAllara Health

NF
Nadia Feldman

Access & cost

How we assessed this. This review reflects Aminoscope’s own read of Strut Health’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

How much does Strut Health's GLP-1 cost?
On monthly auto-refill, compounded semaglutide is $129 a month as a once-weekly injection and compounded tirzepatide $149. The daily oral semaglutide lozenge is shown at $99 a month on auto-refill on its own page but $199 for a 30-day supply on the semaglutide overview, and oral tirzepatide is $199. Strut states that the price includes physician consultations and free shipping, and that plans run month to month with no cancellation fee, so there is no separate membership charge and no annual commitment holding the headline down. The figures are on the product pages, not the homepage.
What is the FDA warning letter about Strut Health?
The FDA issued warning letter 721448 to Strut Health LLC on February 20, 2026, identifying Strut Health's website. The letter and its full text are linked on this page. A warning letter is a public compliance record worth reading before you buy. It is not, by itself, a verdict on the service. Read it and decide for yourself.
Does Strut Health require a video visit?
Usually not. Strut runs a mostly asynchronous model: you complete a short online questionnaire and a U.S. board-certified physician reviews it without a scheduled appointment. Some states require a phone consultation, and the FAQ says physicians can also treat by phone or video, and that you can arrange to speak with your doctor through customer service. The visit itself costs nothing, and follow-up messaging and dose adjustments are included at no extra charge.
Is Strut Health only for weight loss?
No, and that is the main reason to consider it. The same account covers sexual health, testosterone, menopause, hair loss, skin, peptides and at-home lab testing alongside weight loss, with established generics as well as compounded preparations. The flip side is that GLP-1 care is one lane of eight rather than a specialty, so if you want obesity medicine specifically, a dedicated program will read your intake with more context.
Is Strut Health legit?
FDA has a warning letter on record against Strut Health LLC, the company behind Strut Health, issued February 20, 2026 as letter 721448; it is linked further down this page. A warning letter is a public record worth reading. It doesn't by itself mean you can't use this provider. Strut Health is a GLP-1 telehealth service you reach through an online intake a clinician reviews. The medications it names are Semaglutide, Tirzepatide and an oral form. It is cash-pay and states it does not bill insurance. It shows a LegitScript seal. Ask the company for its certificate number before you rely on it. Before you pay, ask in writing about which states it serves and a single monthly price you can check before an intake.