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.
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
#23 of 36Best for eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge.
Visit Strut HealthTMates
#6 of 36Best 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 TMatesSide 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.
| Feature | Strut Health | TMates |
|---|---|---|
| Why each one | Compounded 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 Score | 6.2/10 | 7.8/10 |
| Headline Price | from $99/mo | from $158/mo |
| Medication Type | Compounded | Both |
| Insurance Accepted | No | Yes |
| Best For | Eligible 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 for | 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. | 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 started | Visit Strut Health | Visit 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.
- Pill decisionCompare Wegovy pill prices and accessUse the dedicated guide for dose-specific costs, required memberships and which providers currently list the FDA-approved pill.Continue
- Coverage decisionCheck your GLP-1 insurance pathLook up plan-specific coverage questions before treating a cash price or an insurance route as your final out-of-pocket cost.Continue
- Cost decisionCompare complete recurring program costsSee which prices include medication, clinical care and shipping, and which headline amounts require another fee or commitment.Continue
Reviews and pricing sources
Related comparisons
More head-to-head comparisons involving Strut Health and TMates.
Not comparing, just asking? Quick answers to the most-asked GLP-1 questions →
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- Compare Strut Health and PeterMDfrom $149/mo
- Compare TMates and Enhance MDfrom $212/mo
- Compare TMates and Sesame Carepublished $99/mo; total not verified
- Compare TMates and Embodyfrom $69/mo
Not sure which one is right for you?
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Still working out whether either one is above board? We check that separately: is Strut Health legit, with the verification evidence behind each answer.
Our pick of these two: TMates · 7.8/10

