Independent provider comparison

Updated October 2, 2026

Enhance MD vs Strut Health: Which GLP-1 provider is better?

A side-by-side look at total cost, medication format, care, commitment and the situations where each option makes more sense.

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
36 providers verified independently·Independent researchHow we rank →

The decision

Which should you choose, Enhance MD or Strut Health?

Short answer: Enhance MD scores higher on our published rubric, 7.8/10 against 6.2/10. Published pricing is not a like-for-like monthly comparison: Enhance MD is from $212/mo; Strut Health is from $99/mo.

Consider Enhance MD if

Cash-pay shoppers who want the monthly price to stay flat as the dose goes up, and who will do a lab draw and a video visit to get it.

Consider Strut Health if

Eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge.

Scores follow our published methodology. Partnership status does not change the score or the factual comparison.

Cost

First charge, renewal and commitment

Treatment

Medication, form and approval status

Care

Clinical review and ongoing support

Terms

Cancellation and material cautions

Higher Rated
Enhance MD logo

Enhance MD

#8 of 36
7.8/10

Best for cash-pay shoppers who want the monthly price to stay flat as the dose goes up, and who will do a lab draw and a video visit to get it.

Visit Enhance MD
Strut Health logo

Strut Health

#23 of 36
6.2/10

Best for eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge.

Visit Strut Health

Side by side

Enhance MD vs Strut Health at a glance

Compare the price unit as well as the number. A medication-only price, prepaid monthly equivalent and complete recurring program are not the same thing.

FeatureEnhance MDStrut Health
Why each oneThe most affordable platform offering both medication types plus unique combination therapies (GLP-1 + B12, GLP-1 + NAD+) that no other major provider offers at this price.
Compounded oral semaglutide buccal lozenge from $99/mo on auto-refill, with separate oral tirzepatide and injection options; each needs clinical approval.
Our Score7.8/106.2/10
Headline Pricefrom $212/mofrom $99/mo
Medication TypeCompoundedCompounded
Insurance AcceptedNoNo
Best ForCash-pay shoppers who want the monthly price to stay flat as the dose goes up, and who will do a lab draw and a video visit to get it
Eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge
Watch out forThe $212/mo headline is the 12-month plan, billed every 48 weeks. Paying month to month costs $249/mo on the GLP-1 Core pricing page (verified 2026-09-03)
Compounded only, no brand-name Wegovy or Zepbound. Strut does not publish formulation-specific pharmacokinetic or comparative outcome evidence for its oral lozenges, so their absorption and weight-loss results versus approved injections are unknown.
Ranking#8#23
Get startedVisit Enhance MDVisit Strut Health

Trade-offs

Strengths and cautions compared

Enhance MD

Pros

  • +Same price at every dose, so titrating up does not raise the monthly bill. GLP-1 Core is $212/mo on the 12-month plan and $249/mo month to month (verified 2026-09-03)
  • +The monthly price covers lab work, the video visit with a provider, medication from a partner pharmacy and 2-day shipping, with no separate consultation fee
  • +Support is staffed seven days a week, Monday to Friday 8:00 AM to 8:00 PM EDT and Saturday to Sunday 9:00 AM to 5:00 PM EDT, by phone and email
1 more documented strengths
  • +Four compounded GLP-1 options including a capped 1mg microdosing tirzepatide plan at $169/mo, plus a full refund of the initial payment if a provider finds you ineligible during onboarding

Cons

  • −The $212/mo headline is the 12-month plan, billed every 48 weeks. Paying month to month costs $249/mo on the GLP-1 Core pricing page (verified 2026-09-03)
  • −Compounded only. Every GLP-1 product page states the formulation is not FDA-approved and is compounded under federal Section 503A guidelines, and no brand-name product is sold
  • −Not nationwide. The FAQ lists 40 states plus DC and leaves out Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina and Tennessee
1 more documented cautions
  • −Cash pay with no same-day start: a Quest Diagnostics blood draw and a scheduled video visit both come before a prescription, and no insurance option is shown on the site's pricing, FAQ or terms pages (rendered check 2026-09-03)

Strut Health

Pros

  • +A needle-free compounded semaglutide buccal lozenge is available if a clinician determines it is appropriate
  • +Published auto-refill options: oral semaglutide from $99/mo, injectable semaglutide from $129/mo, injectable tirzepatide from $149/mo and oral tirzepatide from $199/mo; confirm the selected plan at checkout
  • +Current semaglutide product pages include physician consultations and free shipping in the advertised price
1 more documented strengths
  • +Simple enrollment: online questionnaire, async provider review, medication shipped to your door

Cons

  • −Compounded only, no brand-name Wegovy or Zepbound. Strut does not publish formulation-specific pharmacokinetic or comparative outcome evidence for its oral lozenges, so their absorption and weight-loss results versus approved injections are unknown.
  • −Compounded oral semaglutide is not FDA-approved as a finished product or established as bioequivalent to approved oral or injectable semaglutide; do not infer equivalent dosing or results

Our Verdict

Enhance MD edges out Strut Health with a score of 7.8/10 vs 6.2/10. Published pricing is not a like-for-like monthly comparison: Enhance MD is from $212/mo; Strut Health is from $99/mo.

Keep narrowing the decision

What should you compare next?

Use the unresolved part of this choice, not a generic related article. These guides own the broader medication, coverage or complete-cost question.

Try Enhance MD

Headline price: from $212/mo

Visit Enhance MD

Try Strut Health

Headline price: from $99/mo

Visit Strut Health

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Still working out whether either one is above board? We check that separately: is Enhance MD legit and is Strut Health legit, with the verification evidence behind each answer.