Strut Health vs Zealthy: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher

48 providers verified independently·Independent researchHow we rank →

Strut Health beats Zealthy overall, scoring 8.4/10 vs 7.2/10. Strut Health is more affordable at $149/mo vs $286/mo. Choose Strut Health for users who prefer a needle-free oral semaglutide option at a . Choose Zealthy for users who want the option to switch between compounded and b.

A side-by-side comparison of Strut Health and Zealthy covering pricing, scores, medication types, insurance, and more to help you decide.

Higher Rated

Strut Health

#4 of 48
8.4/10

Oral-focused GLP-1 provider offering needle-free semaglutide options for users who prefer pills over injections.

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Zealthy

#42 of 48
7.2/10

Flexible GLP-1 provider allowing patients to switch between compounded and brand-name medications as needed.

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FeatureStrut HealthZealthy
Our Score8.4/107.2/10
Starting Price$149/mo$286/mo
Medication TypeCompoundedBoth
Insurance AcceptedNoNo
Best ForUsers who prefer a needle-free oral semaglutide option at a reasonable priceUsers who want the option to switch between compounded and brand-name GLP-1s
Ranking#4#42

Pros & Cons Compared

Strut Health

Pros

  • +Specializes in oral compounded semaglutide — the go-to for patients who absolutely won't do injections
  • +$199/mo for a fully needle-free GLP-1 program including medication, consultations, and shipping
  • +Clear educational content about oral semaglutide absorption and how to maximize effectiveness
  • +Simple enrollment: online questionnaire, async provider review, medication shipped to your door

Cons

  • Oral compounded semaglutide only — no injectables, no tirzepatide, no brand-name options
  • Oral compounded semaglutide has lower bioavailability than injectable, meaning potentially less weight loss

Zealthy

Pros

  • +Dedicated insurance coordinators handle prior authorizations — potentially bringing brand-name GLP-1 costs to $25/mo
  • +Multi-month supply options (3, 6, or 12 months) — unique convenience most monthly-shipping competitors can't match
  • +Both compounded and brand-name (Wegovy, Zepbound) available with clinician-guided selection
  • +LegitScript certified with 4.5-star Review.io rating

Cons

  • $135 membership fee on top of medication cost makes cash-pay total ~$286/mo for semaglutide — above average
  • Young company (founded 2023) with a relatively small review base — less track record than established platforms
  • Prescription products are non-refundable for any reason once ordered

Our Verdict

Strut Health edges out Zealthy with a score of 8.4/10 vs 7.2/10. If budget is your priority, Strut Health starts at $149/mo compared to Zealthy's $286/mo. Zealthy offers both brand-name and compounded medications, giving you more flexibility. Choose Strut Health if you want: users who prefer a needle-free oral semaglutide option at a reasonable price. Choose Zealthy if you want: users who want the option to switch between compounded and brand-name glp-1s.

Still undecided? Editor's #1 Overall Pick

Eden Health GLP-1

$249/mo · 8.9/10 · Both

If neither Strut Health nor Zealthy feels like the right fit, our overall #1 pick across all 48 GLP-1 telehealth providers is Eden Health GLP-1 — strongest balance of clinical oversight, transparent pricing, and verified availability.

Try Strut Health

Starting at $149/mo

Visit Strut Health

Try Zealthy

Starting at $286/mo

Visit Zealthy

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Affiliate links — we earn a commission at no extra cost to you. Selection reflects what readers convert through, not editorial endorsement. Full ranking + methodology at glp1picks.com.