Independent provider comparison

Updated October 2, 2026

Strut Health vs TMates: 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, Strut Health or TMates?

Short answer: TMates scores higher on our published rubric, 7.8/10 against 6.2/10. Published pricing is not a like-for-like monthly comparison: Strut Health is from $99/mo; TMates is from $158/mo.

Consider Strut Health if

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

Consider TMates if

Users who want commitment-discount pricing on compounded GLP-1s (semaglutide $158-$249/mo, tirzepatide $167-$297/mo, medication included) or a $99/mo clinical path to brand Wegovy or Zepbound filled at their own pharmacy.

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

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
Higher Rated
TMates logo

TMates

#6 of 36
7.8/10

Best for users who want commitment-discount pricing on compounded glp-1s (semaglutide $158-$249/mo, tirzepatide $167-$297/mo, medication included) or a $99/mo clinical path to brand wegovy or zepbound filled at their own pharmacy.

Visit TMates

Side by side

Strut Health vs TMates 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.

FeatureStrut HealthTMates
Why each oneCompounded oral semaglutide buccal lozenge from $99/mo on auto-refill, with separate oral tirzepatide and injection options; each needs clinical approval.
Two-archetype platform: (1) compounded GLP-1s with medication included and steep multi-month commitment discounts; (2) cheap $99/mo clinical service for brand Wegovy/Zepbound where you fill the prescription at your own pharmacy.
Our Score6.2/107.8/10
Headline Pricefrom $99/mofrom $158/mo
Medication TypeCompoundedBoth
Insurance AcceptedNoYes
Best ForEligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge
Users who want commitment-discount pricing on compounded GLP-1s (semaglutide $158-$249/mo, tirzepatide $167-$297/mo, medication included) or a $99/mo clinical path to brand Wegovy or Zepbound filled at their own pharmacy
Watch out forCompounded 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.
The $99/mo Wegovy or Zepbound tier buys the prescription and provider oversight only. TMates says it does not dispense or ship the drug, and no price for the medication itself appears on its product or category pages, so your own pharmacy bills you separately (checked 2026-09-03).
Ranking#23#6
Get startedVisit Strut HealthVisit TMates

Trade-offs

Strengths and cautions compared

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

TMates

Pros

  • +Clinical-service-only path to brand Wegovy and Zepbound at $99/mo, prescription goes to patient's pharmacy (you fill separately using insurance or cash)
  • +Steep multi-month commitment discounts on compounded sema, $158/mo on 12-month plan ($1,900 upfront) vs $249/mo month-to-month
  • +Same price at all dose levels for compounded, no cost escalation as you titrate up
1 more documented strengths
  • +Phentermine available at $149/mo for patients who benefit from a different appetite-suppressant approach

Cons

  • −The $99/mo Wegovy or Zepbound tier buys the prescription and provider oversight only. TMates says it does not dispense or ship the drug, and no price for the medication itself appears on its product or category pages, so your own pharmacy bills you separately (checked 2026-09-03).
  • −The best compounded rates require prepayment: $1,050 upfront for 6 months, $1,900 for 12. Start at $249 month-to-month if you want to test fit first.
  • −The intake is a 90-second quiz. Fast, but lighter screening than competitors with full medical intakes. Better suited to patients who already know GLP-1 basics.
1 more documented cautions
  • −TMates prescribes brand-name but does not dispense it, and is not affiliated with Novo Nordisk (Wegovy) or Eli Lilly (Zepbound). Your own pharmacy fills the Rx.

Our Verdict

TMates 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: Strut Health is from $99/mo; TMates is from $158/mo. TMates accepts insurance, which can significantly reduce your out-of-pocket costs. TMates offers both brand-name and compounded medications, giving you more flexibility.

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 Strut Health

Headline price: from $99/mo

Visit Strut Health

Try TMates

Headline price: from $158/mo

Visit TMates

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