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

By Iacob Pastina, Independent Researcher

52 providers verified independently·Independent research·How we rank →

Strut Health beats Zealthy overall, scoring 8.2/10 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 insured users who want dedicated coordinators handling prior.

A side-by-side look at Strut Health and Zealthy to help you decide. We compare them on:

•Starting price per month
•Our overall score, out of 10
•Medication type, brand-name or compounded
•Whether they accept insurance
•Who each one is best for

Higher Rated

Strut Health

#5 of 52

8.2/10

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

Visit Strut Health

Zealthy

#41 of 52

7.2/10

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

Visit Zealthy

Feature	Strut Health	Zealthy
Our Score	8.2/10	7.2/10
Starting Price	$149/mo	$286/mo
Medication Type	Compounded	Both
Insurance Accepted	No	No
Best For	Users who prefer a needle-free oral semaglutide option at a reasonable price	Insured users who want dedicated coordinators handling prior authorizations for brand-name GLP-1s (potentially $25/mo)
Ranking	#5	#41
Get started	Visit Strut Health	Visit Zealthy

Pros & Cons Compared

Strut Health

Pros

+Specializes in oral compounded semaglutide, the go-to for patients who absolutely won't do injections
+Needle-free oral semaglutide tablets from $99/mo, one of the lowest oral entry prices in the table, with oral tirzepatide ($199/mo) and auto-refill injectables ($149–$199/mo) if you switch formats
+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

−Compounded only, no brand-name Wegovy or Zepbound. Oral tablets carry a bioavailability caveat vs injections, so results may come slower on the needle-free formats.
−Oral compounded semaglutide has lower bioavailability than injectable forms, so plan for potentially slower or smaller weight-loss results

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

−The $135 membership stacks on medication cost, so cash-pay semaglutide totals ~$286/mo, above average. The math works when you use the insurance coordination; cash payers should compare flat-rate platforms first.
−Young company (founded 2023) with a relatively small review base and less track record than established platforms. Confirm the coordination promise against your own insurance plan before enrolling.
−Prescription products are non-refundable once ordered, for any reason. Double-check dose and supply length before checkout.

Our Verdict

Strut Health edges out Zealthy with a score of 8.2/10 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: insured users who want dedicated coordinators handling prior authorizations for brand-name glp-1s (potentially $25/mo).

Still undecided? Editor's Featured Pick

Yucca Health

$146/mo · 7.7/10 · Compounded

If neither Strut Health nor Zealthy feels like the right fit, our featured pick across all 52 GLP-1 telehealth providers is Yucca Health. It is not the highest-scored provider in our full rankings. We feature it for its low-friction value: a flat $146/mo that stays the same at every dose.

Visit Yucca Health→Read our full Yucca Health review