Strut Health vs Sesame Care: Which GLP-1 Program Is Better? (2026)
We put Strut Health and Sesame Care head-to-head — what you actually pay each month, which GLP-1 medications you can get, the level of clinician support, and where each one wins — so you can pick the cheaper, better-fit weight loss program in minutes.
Quick Verdict
We recommend Strut Health
Between these two providers, Strut Health is our pick for most users. It offers a higher overall rating (8.2 vs 7.2), more affordable pricing. That said, Sesame Care may be the better fit if you are looking for insured patients chasing cheap doctor visits, keeping in mind the medication is billed separately.
Strut Health scores 8.2/10 in our independent evaluation at $199/month, while Sesame Care scores 7.2/10 at $225/month. Both programs connect you with a licensed physician and deliver medication straight to your door. Strut Health also offers oral GLP-1 options for patients who prefer pills over injections. Each score weighs five things: safety and medical oversight (30%), pricing transparency (25%), value for money (20%), quality of clinical support (15%), and how fast you can get started (10%). We build these comparisons ourselves — no provider buys a better rating or a higher spot. Pricing checked April 2026.
Side-by-Side Comparison
| Feature | Strut Health | Sesame Care |
|---|---|---|
| Monthly Price | $199 | $225 |
| Rating | 8.2 / 10 | 7.2 / 10 |
| Medication Type | Compounded Only | Brand & Compounded |
| Insurance Accepted | No | Yes |
| States Available | 49 states | All 50 states |
| Consultation Fee | Free | $25-75 |
| Shipping | Free Shipping | Paid |
| Cancel Anytime | Yes | Yes |
| Medical Support | Board-licensed doctors who stay with you through follow-up visits | Licensed physicians booked one visit at a time |
Figures show entry-level cash prices before any insurance. What you ultimately pay can change with your plan and the specific medication. Last checked April 2026.
Strut Health: Detailed Look
Strut Health
Compounded semaglutide your way — dissolvable lozenges or standard injections
Pros
- Skip the syringe entirely with a dissolve-under-the-tongue lozenge
- Initial visits and check-ins cost nothing, with no surprise charges
- First shipments land at your door in about two days
- Hit pause or walk away whenever you like, right from your account
Cons
- Insurance isn't billed — you'll pay out of pocket or tap HSA/FSA funds
- Tirzepatide isn't on the menu here yet
Anyone wanting an affordable, needle-free way to take semaglutide
Sesame Care: Detailed Look
Sesame Care
A low-cost telehealth marketplace that matches you with a doctor for as little as $25
Pros
- About the cheapest consult you'll find, with visits opening at $25
- Writes scripts for FDA-approved brand-name drugs
- Clear pay-per-visit pricing and nothing to subscribe to
- A broad bench of licensed physicians spanning all 50 states
Cons
- What the drug costs is billed on its own, apart from the visit fee
- No compounded route here — it's brand-name only, so the drug runs pricier
Insured patients chasing cheap doctor visits, keeping in mind the medication is billed separately
How to Decide Between Them
There is no single winner for everyone — it comes down to what matters most to you. Match your priority to the scenarios below to see which provider fits:
Go with Strut Health at $199/month. One flat rate covering your visit, your meds, and delivery.
Strut Health has the edge with a 8.2 rating.
Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.
Strut Health focuses on compounded medications at a lower price point.
Compare their support: Strut Health offers board-licensed doctors who stay with you through follow-up visits, while Sesame Care provides licensed physicians booked one visit at a time.
Sesame Care at $225/month may offer features that justify the premium.
Frequently Asked Questions
Is Strut Health better than Sesame Care?
Strut Health has a 8.2 rating while Sesame Care has a 7.2 rating. The better choice depends on your priorities — Strut Health is best for anyone wanting an affordable, needle-free way to take semaglutide, while Sesame Care is best for insured patients chasing cheap doctor visits, keeping in mind the medication is billed separately.
How much does Strut Health cost compared to Sesame Care?
Strut Health starts at $199/month (one flat rate covering your visit, your meds, and delivery), while Sesame Care starts at $225/month (visits run $25-75, and the medication is billed separately at pharmacy rates ($200-1,400/mo). with insurance savings cards the total opens around $225/mo. the drug is not part of the visit fee.).
Do Strut Health and Sesame Care accept insurance?
Strut Health does not accept insurance. Sesame Care accepts insurance.
Which GLP-1 medications does Strut Health offer vs Sesame Care?
Strut Health offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Oral Lozenge). Sesame Care offers Ozempic, Wegovy, Mounjaro, Zepbound, Rybelsus.
Can I cancel Strut Health or Sesame Care at any time?
Strut Health allows cancel anytime. Sesame Care also allows cancel anytime.
Are Strut Health and Sesame Care available in my state?
Strut Health is available in 49 states. Sesame Care is available in all 50 states.
Not sure Strut Health or Sesame Care is right for you?
Take our 6-question quiz and we'll point you to the program that fits your budget and goals best.