Strut Health review
The short answer: Strut Health lists compounded tirzepatide from $219 a month on auto-refill, with the doctor visit and shipping included. Higher-dose prices aren't printed, so ask first.
By LongevityGLP1 desk, Publisher
Strut Health is a partner: if you join through a link on this page, we may be paid. How we make money
Strut Health by the numbers
- From
- $219/mo · starting dose, month to month
- Prescribes
- Compounded semaglutide · Compounded tirzepatide
- Prescriber
- A clinician reviews your answers online
- Pharmacy
- Not named on its site
- States
- 49 states
- Healthspan Score
- 63 out of 100
Our take on Strut Health
Strut Health sells compounded tirzepatide from $219 a month and compounded semaglutide from $129, both on auto-refill. That figure already covers the online physician visit, follow-up messages and shipping, and there's no membership on top. So the number on the product page is close to what you pay each month. The catch is the phrase "as low as." Strut doesn't print what a higher dose costs, and it doesn't print a price without auto-refill. If you expect to move up in dose over the first few months, ask for that figure in writing before you start. The compounded tirzepatide guide explains what the drug is and how it differs from Zepbound.
The menu is wider than most. Each molecule comes two ways: a weekly injection, or a daily lozenge that dissolves under the tongue or against the cheek. The tirzepatide lozenge runs $199 a month. If needles are a dealbreaker, that matters. Strut also says compounded tirzepatide is only for people who can't use, or haven't done well on, the brand GLP-1s, so expect intake questions about what you've tried before.
Care runs through Titan Medical Group, a physician group Strut names in its terms. You fill out a short online questionnaire, a U.S. board-certified doctor reviews it, and in many states that happens without a call. Messaging and follow-ups are included. What Strut doesn't say is which pharmacy fills your order. Its pages say only that a licensed U.S. pharmacy compounds the drug. The FDA letter shown on this page concerns how Strut pictured and described its compounded GLP-1s online, including labels that carried the Strut name.
Refunds are strict. Once the pharmacy processes an order, Strut won't refund it, so cancel at least 48 hours before a refill if you want out. To see how Strut sits against other programs, the compounded tirzepatide lineup sorts every one by Healthspan Score, and what compounded tirzepatide costs breaks down the monthly math.
What Strut Health costs
| Product | Real monthly cost | |
|---|---|---|
| Compounded semaglutideInjection | $129/mo | $129/mo |
| Compounded tirzepatideSublingual | $199/mo | $199/mo |
| Compounded tirzepatideInjection | $219/mo | $219/mo |
Prices are taken from Strut Health's own site and current as of this update. Real monthly cost folds in required fees and turns four-week billing into calendar months; that's our math.
Compounded semaglutide skips FDA approval: no one at the FDA judges whether it is safe, whether it works, or how well it was made before a pharmacy sends it out.
Want Strut Health's current price for your dose?
Your monthly price is the same through our link.
What signing up looks like
Pick a treatment
Choose the injection or the lozenge and answer an online health questionnaire that takes about five minutes.
A physician reviews it
A U.S. board-certified doctor from Titan Medical Group reads your answers and prescribes if it's appropriate. Some states need a phone call first.
A U.S. pharmacy compounds it
The prescription goes to a licensed U.S. pharmacy Strut works with. Strut doesn't publish the pharmacy's name.
Shipped, then refilled
Orders ship free in plain packaging, and auto-refill sends the next month unless you pause, delay or cancel in your account.
Who prescribes, and the pharmacy
U.S. board-certified physicians with Titan Medical Group prescribe, usually after an online questionnaire, with a phone consult where a state requires one. Strut says a licensed U.S. pharmacy compounds and ships the medication, but its terms, privacy policy and FAQ don't name that pharmacy or say whether it is a 503A or 503B facility.
Where Strut Health does well
- One price covers the physician visit, follow-ups and shipping, with no separate membership fee.
- Tirzepatide and semaglutide each come as a weekly injection or a daily lozenge.
- Every compounded product is labeled as not FDA-approved, right under the price.
- You can pause, delay or cancel a refill from your account.
- Optional lab panels carry printed prices, so you know the cost before you order one.
What to check first
- Prices are "as low as" auto-refill rates and higher doses aren't priced. Ask what your dose costs before you start.
- Strut doesn't name the pharmacy that fills your order. Ask which one ships it before your first refill.
- No refunds once the pharmacy processes an order. Cancel at least 48 hours before the next refill.
- Compounded tirzepatide is limited to people who can't use brand GLP-1s. Have your medication history ready.
- Two of its pages show different oral semaglutide prices. Confirm the figure at checkout before you pay.
It fits you if
You want a compounded GLP-1 with the doctor visit and shipping folded into one monthly price, and you'd like the option of a lozenge instead of a needle.
Look elsewhere if
You want every dose priced up front, a named pharmacy, or refunds on an order that has already shipped. Strut also doesn't serve Arkansas.
How Strut Health scored
on the compounded tirzepatide lineup
63out of 100
- Price23 of 35
$219 a month at the starting dose, month to month, fees folded in. Full points at $140 or less, none at $380 or more.
- Care15 of 25
- Shown: Who prescribes
- Shown: A clinician reviews your intake
- Shown: Labs and who pays
- Not shown: Follow-up schedule
- Not shown: Dose changes at no new fee
- Pharmacy10 of 25
- Not shown: Pharmacy named
- Not shown: Pharmacy state or type
- Shown: Brand or compounded is clear
- Shown: No "FDA-approved" claim for a compounded drug
- Clarity15 of 15
- Shown: Price before the intake questions
- Shown: Cancel and refund terms
- Shown: States served
Other lineups: Compounded semaglutide 69
Also on these lineups: Tirzepatide programs that also treat menopause: 4 of 17 · Semaglutide programs that also treat menopause: 4 of 19 · Semaglutide programs that also treat low testosterone: 7 of 36 · Tirzepatide programs that also treat low testosterone: 12 of 34 · Compounded tirzepatide under $250 a month: 29 of 36 · Compounded semaglutide under $200 a month: 22 of 41
Three more providers to weigh
CoreAge Rx
PartnerFrom $199/mo
Gala GLP-1
PartnerFrom $299/mo
WePeptideRx
From $199/mo
FDA warning letter
The FDA sent a warning letter to the company behind Strut Health on February 20, 2026. A letter is a public notice, not a ban, and it isn't part of the score. Read it and decide for yourself.
- Letter 721448, February 20, 2026 · Read the letter on the FDA's site
Questions about Strut Health
- How much does Strut Health cost a month?
- Compounded tirzepatide starts at $219 a month and compounded semaglutide at $129, both on auto-refill. The doctor visit, follow-ups and shipping are included. Strut doesn't print prices for higher doses.
- Is there a membership fee?
- No. Strut says the product price includes the physician consultation, follow-ups and free shipping, and it lists no separate membership.
- Can I get tirzepatide without injections?
- Yes. Strut sells a compounded tirzepatide lozenge taken once a day, at $199 a month on auto-refill. Your physician decides whether it suits you.
- Can I cancel or get a refund?
- You can pause, delay or cancel from your account, with 48 hours' notice before a refill processes. Strut doesn't refund an order once the pharmacy has processed it.
- Which states does Strut serve?
- Strut says it serves every state except Arkansas, and that some medications aren't available in every state. Check yours during the intake.
Read next
Picked for the same drugs and questions as this page.
- ResearchMicrodosing tirzepatide: the idea, the evidence gap and the risks
Online programs sell "microdose" tirzepatide for smaller goals, fewer side effects or a lower bill. Here's what the label and trials actually cover, where the risks sit, and what to ask before you start.
- Drug guideTirzepatide: the dual-hormone drug behind Mounjaro and Zepbound
Tirzepatide is a weekly injection that acts on two hormone receptors, GIP and GLP-1, to lower blood sugar and appetite. Eli Lilly sells it as Mounjaro for type 2 diabetes and as Zepbound for weight management and obstructive sleep apnea. In its main obesity trial, people on the top dose lost 20.9% of body weight in 72 weeks.
- Side by sideCompounded tirzepatide vs Zepbound: what's the same and what isn't
Both contain tirzepatide. Only one has an FDA approval, a tested device and trial results behind it. Here is the comparison, row by row, with current prices.
- ResearchGLP-1 drugs and blood pressure: the drop in trials, and the low-pressure risk
Blood pressure fell in the big Zepbound and Wegovy weight trials. But neither drug is approved for it, and both labels report the opposite problem too. Here are the numbers.
Still weighing Strut Health?
Where this review comes from
- Strut Health compounded tirzepatide product pages
- Strut Health compounded semaglutide product pages
- Strut Health FAQ
- Strut Health terms and conditions
- Strut Health refund policy
- FDA warning letter to Strut Health (MARCS-CMS 721448) (February 20, 2026)
Every fact here comes from Strut Health's own public pages. Partner fees aren't one of the four checks.