Strut Health vs TMates: Which GLP-1 Program Is Better? (2026)
We put Strut Health and TMates 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 7.8). That said, TMates may be the better fit if you are looking for insured patients who want a coached glp-1 program with a few medication choices.
Strut Health scores 8.2/10 in our independent evaluation at $199/month, while TMates scores 7.8/10 at $199/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 | TMates |
|---|---|---|
| Monthly Price | $199 | $199 |
| Rating | 8.2 / 10 | 7.8 / 10 |
| Medication Type | Compounded Only | Compounded Only |
| Insurance Accepted | No | Yes |
| States Available | 49 states | 45 states |
| Consultation Fee | Free | Included |
| Shipping | Free Shipping | Free Shipping |
| Cancel Anytime | Yes | Yes |
| Medical Support | Board-licensed doctors who stay with you through follow-up visits | Licensed clinicians paired with text-message coaching and digital check-ins |
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
TMates: Detailed Look
TMates
A GLP-1 weight loss program you can put through most major insurance plans
Pros
- Among the rare GLP-1 services that will actually take major insurance
- A single flat rate wraps in meds, visits, coaching, and delivery
- Text-based coaching and digital check-ins run around the clock
- Phentermine is available for those who aren't GLP-1 candidates
Cons
- It's a younger platform, so independent reviews remain sparse
- You'll need to enroll before the full program details are confirmed
Insured patients who want a coached GLP-1 program with a few medication choices
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.
TMates accepts insurance, which can significantly reduce your out-of-pocket cost.
Compare their support: Strut Health offers board-licensed doctors who stay with you through follow-up visits, while TMates provides licensed clinicians paired with text-message coaching and digital check-ins.
Frequently Asked Questions
Is Strut Health better than TMates?
Strut Health has a 8.2 rating while TMates has a 7.8 rating. The better choice depends on your priorities — Strut Health is best for anyone wanting an affordable, needle-free way to take semaglutide, while TMates is best for insured patients who want a coached glp-1 program with a few medication choices.
How much does Strut Health cost compared to TMates?
Strut Health starts at $199/month (one flat rate covering your visit, your meds, and delivery), while TMates starts at $199/month (semaglutide at $199/mo, tirzepatide at $297/mo).
Do Strut Health and TMates accept insurance?
Strut Health does not accept insurance. TMates accepts insurance.
Which GLP-1 medications does Strut Health offer vs TMates?
Strut Health offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Oral Lozenge). TMates offers Compounded Semaglutide, Compounded Tirzepatide, Phentermine.
Can I cancel Strut Health or TMates at any time?
Strut Health allows cancel anytime. TMates also allows cancel anytime.
Are Strut Health and TMates available in my state?
Strut Health is available in 49 states. TMates is available in 45 states.
Not sure Strut Health or TMates is right for you?
Take our 6-question quiz and we'll point you to the program that fits your budget and goals best.