Strut Health vs TMates: Which GLP-1 Program Is Better? (2026)

A detailed side-by-side comparison of Strut Health and TMates to help you choose the right GLP-1 weight loss program based on pricing, medications, medical support, and more.

By GLP-1 Watchdog Editorial TeamIndependent Health Research
Published: March 30, 2026|Updated: March 30, 2026

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 7.8). That said, TMates may be the better fit if you are looking for users with insurance who want a coached glp-1 program with multiple medication options.

Side-by-Side Comparison

FeatureStrut HealthTMates
Monthly Price$199$199
Rating8.2 / 107.8 / 10
Medication TypeCompounded OnlyCompounded Only
Insurance AcceptedNoYes
States Available49 states45 states
Consultation FeeFreeIncluded
ShippingFree ShippingFree Shipping
Cancel AnytimeYesYes
Medical SupportLicensed physicians, ongoing follow-upsLicensed providers, SMS coaching, digital check-ins

Prices reflect starting rates without insurance. Actual costs may vary by plan and medication. Last updated March 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

TMates: Detailed Look

TMates

GLP-1 weight loss program that accepts major insurance plans

7.8/10
Good

Pros

  • One of the few GLP-1 providers that accepts major insurance
  • Flat-rate pricing includes meds, consults, coaching, and delivery
  • 24/7 SMS-based coaching and digital check-ins
  • Phentermine option for non-GLP-1 candidates

Cons

  • Relatively newer platform with limited independent reviews
  • Full program details require enrollment to verify
Best For

Users with insurance who want a coached GLP-1 program with multiple medication options

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

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

You want comprehensive medical support

Compare their support: Strut Health offers licensed physicians, ongoing follow-ups, while TMates provides licensed providers, sms coaching, digital check-ins.

Strut Health

Starting at $199/mo · Good

Visit Strut Health

TMates

Starting at $199/mo · Good

Visit TMates

Frequently Asked Questions

Is Strut Health better than TMates?

Strut Health has a 8.2 rating while TMates has a 7.8 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 TMates is best for users with insurance who want a coached glp-1 program with multiple medication options.

How much does Strut Health cost compared to TMates?

Strut Health starts at $199/month (includes consultation, medication, and shipping), while TMates starts at $199/month ($199/mo semaglutide, $297/mo tirzepatide).

Do Strut Health and TMates accept insurance?

Strut Health does not accept insurance. TMates accepts insurance.

Which GLP-1 medications does Strut Health offer vs TMates?

Strut Health offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Oral Lozenge). TMates offers Compounded Semaglutide, Compounded Tirzepatide, Phentermine.

Can I cancel Strut Health or TMates at any time?

Strut Health allows cancel anytime. TMates also allows cancel anytime.

Are Strut Health and TMates available in my state?

Strut Health is available in 49 states. TMates is available in 45 states.

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