Strut Health review

The hardest part of taking a fraction of a dose is measuring it, and Strut sells a needle-free daily version of both drugs: a buccal lozenge for semaglutide and an oral tirzepatide. On semaglutide the needle-free format is the cheaper one, about a quarter below the weekly injection. On tirzepatide it runs the other way, and the oral version costs about a third more. Either way the price is per plan, not per dose, so a smaller dose does not lower the bill. The physician visit, shipping and follow-up care are included rather than billed alongside, and you can pause or cancel from your account with 48 hours' notice. It is asynchronous by design: some states require no phone consultation, so you may not speak to the prescriber unless you ask. It does not ship to Arkansas, the headline rates require auto-refill, and there is no published lab or monitoring program.

Vs median

$70/mo below the $169 median across the 261 of 407 programs here that publish a plain monthly rate

Market

$59–$1,300/mo is the full published spread on this site

Structure

Standard plan, self-directed low dose

Consult

Included in the price

Dietitian

Not included

Labs

Not required

Pricing

Varies by dose, plan or tier

Start with Strut Health↗

Strut Health does not publicly identify the pharmacy that fills its prescriptions. No bloodwork is required before you start. A clinician review is included in the price.

Asynchronous telehealth: a U.S.-licensed physician reviews an online intake, and some states require no phone consultation, though a call with the physician can be arranged on request. For a low-dose reader the draw is format: both molecules come as a daily lozenge as well as a weekly injection, for anyone who would rather not inject. Semaglutide is a buccal lozenge, held between cheek and gum, at $99 a month on auto-refill against $129 for the injection; tirzepatide runs the other way, $199 for the sublingual lozenge against $149 for the injection. Free physician visits, follow-up care and shipping are included rather than billed separately, and a subscription can be paused, delayed or canceled from your account with 48 hours' notice before the next order processes. It ships to every state except Arkansas, and some medications are not available in every state.

See how Strut Health works↗

Every headline price requires auto-refill — the semaglutide pages say auto-refill saves 21% and 13%, so a one-off order costs more

• Compounded GLP-1s are not FDA-approved, and intentional microdosing is off-label and unproven
• Tirzepatide by lozenge costs $50 a month more than the injection
• No microdose product and no lower price for a lower dose
• Asynchronous by design: some states require no phone consultation, so you may not speak to the prescriber unless you ask for a call
• Does not ship to Arkansas, and no published lab or monitoring program
• Canceling a subscription takes 48 hours' notice before the next order processes, and nothing is refunded once the pharmacy has processed an order

Strut Health is one of 407 low-dose GLP-1 programs compared on this site, and 261 of them publish a monthly rate you can read before signing up. The full list puts every published price in one place, with the companies that pay us listed first — something we state there, on the page it applies to.

Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.

• Sublingual troches and drops
• Microdosing semaglutide
• What the evidence actually shows
• Microdose & reconstitution calculator
• Titration planner