Strut Health vs Sesame Care: Which GLP-1 Program Is Better? (2026)
A detailed side-by-side comparison of Strut Health and Sesame Care to help you choose the right GLP-1 weight loss program based on pricing, medications, medical support, and more.
Quick Verdict
We recommend Strut Health
Between these two providers, Strut Health is our pick for most users. It offers a higher overall rating (8.2 vs 7.2), more affordable pricing. That said, Sesame Care may be the better fit if you are looking for people who specifically want brand-name fda-approved glp-1s and will commit to a year of care — not the cheapest route, and no compounded option.
Strut Health scores 8.2/10 in our evaluation at $129/month, while Sesame Care scores 7.2/10 at $208/month. Both programs include a licensed physician consultation and ship medication directly to your door. Strut Health also offers oral GLP-1 options for patients who prefer pills over injections. Our rating considers five factors: safety and medical oversight (30%), pricing transparency (25%), cost value (20%), clinical support quality (15%), and onboarding speed (10%). We earn affiliate commissions from some providers, disclosed on this page; no provider can pay to fake safety, licensing, or hide the downsides. Prices verified April 2026.
Side-by-Side Comparison
| Feature | Strut Health | Sesame Care |
|---|---|---|
| Monthly Price | $129 | $208 |
| Rating | 8.2 / 10 | 7.2 / 10 |
| Medication Type | Compounded Only | Brand-Name Only |
| Insurance Accepted | No | Yes |
| States Available | 49 states | All 50 states |
| Consultation Fee | Free | $59/mo care subscription (12-month commitment) |
| Shipping | Free Shipping | Paid |
| Cancel Anytime | Yes | Yes |
| Medical Support | Licensed physicians, ongoing follow-ups | Licensed physicians, per-visit model |
Prices reflect starting rates without insurance. Actual costs may vary by plan and medication. Last updated April 2026.
Strut Health: Detailed Look
Strut Health
Custom-compounded semaglutide in oral lozenges and injectable forms
Pros
- Oral semaglutide lozenge option — no needles required
- Free consultations and follow-ups with no hidden fees
- 2-day express shipping on initial orders
- Cancel or pause anytime from your dashboard
Cons
- Does not accept insurance — cash-pay or HSA/FSA only
- No tirzepatide option currently available
Users who prefer a needle-free oral semaglutide option at a reasonable price
Sesame Care: Detailed Look
Sesame Care
Affordable telehealth marketplace connecting patients with doctors from $25
Pros
- Lowest consultation cost — visits from just $25
- Prescribes brand-name FDA-approved medications
- Transparent pricing: a $59/mo care subscription plus the manufacturer's own medication price
- Wide network of licensed physicians across all 50 states
Cons
- Medication cost is separate and not included in visit fee
- No compounded options — brand-name only (higher drug cost)
People who specifically want brand-name FDA-approved GLP-1s and will commit to a year of care — not the cheapest route, and no compounded option
Which Should You Choose?
The right choice depends on your specific needs and priorities. Here is a quick decision framework:
Go with Strut Health at $129/month. Compounded semaglutide $129/mo (injectable or daily oral lozenge); free physician visits, follow-ups, and shipping included..
Strut Health has the edge with a 8.2 rating.
Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.
Choose Sesame Care which exclusively prescribes brand-name medications.
Strut Health focuses on compounded medications at a lower price point.
Compare their support: Strut Health offers licensed physicians, ongoing follow-ups, while Sesame Care provides licensed physicians, per-visit model.
Sesame Care at $208/month may offer features that justify the premium.
Frequently Asked Questions
Is Strut Health better than Sesame Care?
Strut Health has a 8.2 rating while Sesame Care has a 7.2 rating. The better choice depends on your priorities — Strut Health is best for users who prefer a needle-free oral semaglutide option at a reasonable price, while Sesame Care is best for people who specifically want brand-name fda-approved glp-1s and will commit to a year of care — not the cheapest route, and no compounded option.
How much does Strut Health cost compared to Sesame Care?
Strut Health starts at $129/month (compounded semaglutide $129/mo (injectable or daily oral lozenge); free physician visits, follow-ups, and shipping included.), while Sesame Care starts at $208/month (sesame has moved to a "success by sesame" subscription: $59/mo for care (priced on a 12-month commitment) plus medication billed separately — wegovy from $149/mo brings the all-in to roughly $208/mo, and zepbound from $299/mo to roughly $358/mo. brand-name fda-approved medication only; sesame no longer offers a compounded option, so it does not appear in our compounded price ladders. sesame notes medication pricing may vary by treatment, dose, pharmacy and provider, so these are floors rather than guarantees. verified august 31, 2026.).
Do Strut Health and Sesame Care accept insurance?
Strut Health does not accept insurance. Sesame Care accepts insurance.
Which GLP-1 medications does Strut Health offer vs Sesame Care?
Strut Health offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Oral Lozenge). Sesame Care offers Wegovy, Wegovy HD, Wegovy (oral), Zepbound, Zepbound KwikPen, Foundayo.
Can I cancel Strut Health or Sesame Care at any time?
Strut Health allows cancel anytime. Sesame Care also allows cancel anytime.
Are Strut Health and Sesame Care available in my state?
Strut Health is available in 49 states. Sesame Care is available in all 50 states.
Not sure Strut Health or Sesame Care is right for you?
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