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.

Eduard Cristea
Eduard Cristea
Dr. A. Goher, MD
Medically reviewed by Dr. A. Goher, MD
Published:

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 users with insurance who want cheap doctor visits — medication costs are separate and not included.

Strut Health scores 8.2/10 in our independent evaluation at $199/month, while Sesame Care scores 7.2/10 at $225/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%). This comparison was independently produced — neither provider pays for placement or higher ratings. Prices verified April 2026.

Side-by-Side Comparison

FeatureStrut HealthSesame Care
Monthly Price$199$225
Rating8.2 / 107.2 / 10
Medication TypeCompounded OnlyBrand & Compounded
Insurance AcceptedNoYes
States Available49 statesAll 50 states
Consultation FeeFree$25-75
ShippingFree ShippingPaid
Cancel AnytimeYesYes
Medical SupportLicensed physicians, ongoing follow-upsLicensed 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

8.2/10
Good

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
Best For

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

7.2/10
Good

Pros

  • Lowest consultation cost — visits from just $25
  • Prescribes brand-name FDA-approved medications
  • Transparent per-visit pricing with no subscriptions
  • 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)
Best For

Users with insurance who want cheap doctor visits — medication costs are separate and not included

Which Should You Choose?

The right choice depends on your specific needs and priorities. Here is a quick decision framework:

You want the lowest monthly cost

Go with Strut Health at $199/month. Includes consultation, medication, and shipping.

You want the highest-rated program

Strut Health has the edge with a 8.2 rating.

You have insurance coverage

Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.

You want affordable compounded options

Strut Health focuses on compounded medications at a lower price point.

You want comprehensive medical support

Compare their support: Strut Health offers licensed physicians, ongoing follow-ups, while Sesame Care provides licensed physicians, per-visit model.

You are willing to invest more for premium care

Sesame Care at $225/month may offer features that justify the premium.

Strut Health

Starting at $199/mo · Good

Visit Strut Health

Sesame Care

Starting at $225/mo · Good

Visit Sesame Care

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 users with insurance who want cheap doctor visits — medication costs are separate and not included.

How much does Strut Health cost compared to Sesame Care?

Strut Health starts at $199/month (includes consultation, medication, and shipping), while Sesame Care starts at $225/month ($25-75 per visit + medication at pharmacy prices ($200-1,400/mo). total starting cost ~$225/mo with insurance savings cards. medication not included in visit fee.).

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 Ozempic, Wegovy, Mounjaro, Zepbound, Rybelsus.

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.