Strut Health review video: The $99 Lozenge Is the Smallest Dose

0:00Intro + our verdict

Strut Health sells compounded semaglutide as a lozenge... from $99 a month. But that $99 buys its smallest dose. The strength Strut itself recommends to start costs $199... and the price climbs with every step. And in February 2026, the FDA sent Strut a warning letter... we couldn't find a close-out. So let's work out what you'd really pay, how the sign-up works, and what the FDA wrote. Quick note: this isn't medical advice, and prices change, so check glp1.health for the latest.

Our verdict first: 8.1 out of 10. Good. No membership fee, no consultation fee, no shipping fee. Every product shows its price before you pay... and you can stop any month. The catch? An FDA warning letter, dated February 20, 2026, with no close-out... and we couldn't find which pharmacy makes its drugs.

0:57Who's behind Strut Health

So who's behind it? Strut Health is a telehealth company in Dallas, Texas. Its logo says it's "a Partex.AI consumer health company." We looked. The FDA's letter is addressed to Simal Patel, MD, as chief executive of Strut Health, LLC. But we couldn't find a filing or a press release that links Strut to Partex, in a web search on November 6. The weight-loss menu has four products, all compounded. Semaglutide, as a weekly injection, or a daily lozenge that dissolves between the cheek and gum. Tirzepatide, as an injection, or a daily lozenge. No brand-name pen. Strut doesn't prescribe.

Its terms say the providers come from Titan Medical Group... and its pages say a US licensed pharmacy fills the order. It ships to every state except Arkansas, and some medications aren't offered in every state.

1:49The sign-up

We walked the sign-up on October 27, and again on November 5, as a new patient in Texas. The first screen asks for your email and your phone... with one required box. Tick it, and you agree to the terms, and to recurring automated marketing texts. Next comes the price page, before any medical question. Then the medical questions. The first one asks why you need a compounded drug, rather than a brand-name one. Before checkout, you create an account...

then verify your identity with Persona: a text code, a government ID, and a biometric check. That's where we stopped, so we didn't see the card page.

2:25What Strut Health really costs

So, what does it cost? Every product is a 30-day supply, on auto-refill. The semaglutide lozenge comes in five strengths. $99 for the lowest... and $199 for the strength Strut labels "Recommended Starting Dosage". The tirzepatide lozenge starts at $199, and goes up to $349. Injections are priced by the vial. Semaglutide starts at $129, for the smallest vial. Tirzepatide starts at $149, for a half-milliliter vial.

Bigger vials cost more: up to $419 for tirzepatide. The product page puts it plainly: "Price depends on your prescribed dose." So what does a year cost? Strut shows a schedule for one product: the tirzepatide lozenge. In the medical questions, it asks you to agree to raise your dose with your physician, following this table. $199 in months one and two... $249 in months three and four... $299 in months five and six... then $349 from month seven, if needed.

Follow that schedule for 12 30-day supplies... and you pay $3,588. For the semaglutide lozenge, 12 supplies at $99 come to $1,188. At the recommended starting strength, it's $2,388. The rest is simple. No membership fee, no consultation fee, no shipping fee. And Strut is cash-pay: it doesn't bill insurance. Against the market? On price, Strut ranks 18th of the 45 compounded programs we track. Its lowest monthly price, about $100, sits under the median of $165.06. By the way, if you'd rather take a GLP-1 as a pill, we rank the programs that prescribe the Wegovy pill and Foundayo on one page. The link is in the description.

4:23FDA warning letter + the pharmacy

Now, the FDA record. On February 20, 2026, the FDA sent a warning letter to Strut Health, LLC, doing business as Strut. It had reviewed Strut's website in December 2025, and seen compounded semaglutide and tirzepatide for sale. The letter quotes the site: "Generic Zepbound, Mounjaro"... and "Tirzepatide is the active ingredient in the brand medications Zepbound and Mounjaro." The FDA wrote that these claims imply the products are FDA-approved, or were reviewed for safety and effectiveness. Compounded drugs are not.

It also cited the Strut name on the pictured product label, which suggests Strut compounded the drugs. The FDA wrote that it did not. On November 6, 2026, we couldn't find a response or a close-out letter on the FDA's site. So what does the site show today? On November 6, the vial on Strut's homepage reads "Semaglutide, compounded medication", with no Strut name. Each product page says compounded drugs are not approved or evaluated by the FDA. And we couldn't find the words "Generic Zepbound" on the ten Strut pages we captured. But in the sign-up we walked on October 27, the pictured bottle still read "strut".

LegitScript certifies Strut. The other gap is the pharmacy. The sign-up page says "FDA-registered pharmacy". The dose page says "compounded by a US licensed pharmacy". We couldn't find which pharmacy... or whether it's a 503A pharmacy, or a 503B outsourcing facility. So there's no pharmacy record you can check. The bigger question with any compounded program is the drug itself. Compounded GLP-1s are prepared by a pharmacy to a prescription.

They are not FDA-approved: the FDA doesn't review their safety, effectiveness or quality before they're sold, and they are not the same as Wegovy or Zepbound. Formulas can differ from one pharmacy to the next, and some add ingredients such as vitamin B12. Compounding pharmacies are licensed and inspected by state boards of pharmacy. Outsourcing facilities, called 503B, also register with the FDA and are inspected by it. Compounded semaglutide and tirzepatide have no label of their own. Their safety information comes from the labels of Wegovy and Zepbound, including a Boxed Warning about thyroid C-cell tumors.

6:49How the care works

After the questions and the ID check, a licensed provider reviews your answers, and decides whether to prescribe. The FAQ says most first orders go by two-day express, and refills by USPS... but our October 27 sign-up showed a note: first orders may take 7 to 14 days, because the drug is made to order by a compounding pharmacy. After that, the product pages list messaging your provider any time, free provider visits, and free follow-ups.

7:18Cancelling and refunds

Canceling is simple. You can cancel, pause or reschedule an order from your account, or by email. And we couldn't find a minimum term. The part to watch is timing. To stop an order, make the change at least 48 hours before it goes to processing. The refund policy says: "We cannot do refunds for any cancellation requests received after the pharmacy has processed your order." So here's the simple rule: if you want to stop, cancel well before your refill date... not on the day it ships.

And if you have side effects, talk to your provider.

7:51Reviews + who it's for

Its October sign-up showed a REVIEWS.io badge: 4.04, from 214 reviews. We checked Trustpilot on November 6. It shows 3.6, from 784 reviews. 57% are five stars... and 20% are one star. So, who's Strut Health for? It suits you if you'd rather take a lozenge than inject... if you want the drug, the provider and the shipping in one charge... It's not for you if you want a program with no FDA warning letter on its record...

if you want the pharmacy named before you pay... or if you live in Arkansas. By the way, if a clean FDA record matters to you, our ranking of online programs is one tap away. The link is in the description.

8:37Alternatives + 3 things to remember

Want another option? Here are three, each with no FDA warning letter on file. Embody scores 9.6. Every fee is $0, and over a first year, it ranks fourth of the 45 on price. SnagRx scores 9.2. It ships to 49 states, and it names its four pharmacies. And Lttl scores 9.0. It serves all 50 states, and it also names its four pharmacies. So, three things to remember. One: $99 buys the smallest lozenge. The strength Strut recommends to start is $199, and the price rises with every dose.

Two: the FDA sent Strut a warning letter on February 20, 2026, and we couldn't find a close-out. Three: once the pharmacy processes an order, it isn't refunded. Cancel at least 48 hours before. The full review, with every source, is one tap away. The link is right below, in the description... or scan the code on your screen. This video is educational, and it's not medical advice. Talk to a licensed clinician before you start, stop, or change a medication. Thanks for watching.