Screenshot of the Strut Health homepage with its GLP-1 weight loss treatments

Strut Health Review 2026: GLP-1 Injections, Lozenges and the FDA Letter

Compounded semaglutide injections for $129 a month, tirzepatide from $149, and lozenges if you’d rather skip the needle. Here’s what Strut charges, what its FDA warning letter said, what patients complain about and how to cancel.

  • glp 1 injectableGLP-1 Injectable
  • Daily tablets iconOral Lozenges
  • Auto-Refill Pricing
  • Free shipping truck iconFree Shipping
  • LegitScript certified iconCertified by LegitScript
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By Richard S. Tucker Founder · Editorial Lead
Updated
21 min read
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Our Verdict

Strut sells compounded semaglutide and tirzepatide as weekly injections and as lozenges, with the provider visit and shipping included in the monthly price. Semaglutide injections cost $129 a month, which is below the typical price on our comparison page. The score is held back by an FDA warning letter in February 2026, a BBB D- rating, a pharmacy it doesn’t name and a small, mixed set of reviews.

3.5
out of 5 Our score
Legitimacy & safety (25%)
3/5

Certified by LegitScript. An FDA warning letter in February 2026, a BBB D- and an unnamed pharmacy take points off.

Pricing transparency (25%)
4/5

$129 a month for semaglutide injections and from $149 for tirzepatide, shown before sign-up. Price by dose isn’t stated.

Patient reputation (25%)
3/5

3.5 on Trustpilot from 783, 4.7 on Reviews.io from 39, 3.8 on Google from 48, one BBB review at 1 star. The BBB D- lowers it.

Access & convenience (15%)
4/5

All states except Arkansas, injections or lozenges for both drugs. No approval time stated and no brand-name drugs.

Policies & support (10%)
3.5/5

Pause or delay a refill, phone and email support. Cancel with 48 hours’ notice; no refunds once the pharmacy has your order.

Best for

  • ✓ People who want a lozenge instead of a weekly shot
  • ✓ A semaglutide injection under $130 a month
  • ✓ Month-to-month refills you can pause or delay
  • ✓ Shoppers who also use Strut for hair or skin care

Not ideal for

  • – Anyone who wants brand-name Wegovy or Zepbound
  • – People in Arkansas
  • – Anyone uneasy about an FDA warning letter
  • – People who need weekend support

Our score combines five criteria, each rated 1 to 5 from facts you can check. Commissions never change it. How we score providers

Strut Health Key Facts:

Operated byStrut Health, LLC, Dallas, TX
Semaglutide$129/mo injection; $99 lozenge (30 days)
TirzepatideFrom $149/mo injection; from $199 lozenge
PlansMonthly auto-refill; pause, delay or cancel
Price by doseNot stated “As low as” prices for tirzepatide
Brand-nameNo Compounded only
InsuranceNo Cash pay
VisitOnline questionnaire; phone visit in some states
DeliveryFree; 2-day express on most first orders
StatesAll except Arkansas
PharmacyNot named U.S. compounding pharmacies
Trustpilot★ 3.5 · 783 reviews
BBBD- 12 complaints in 3 yrs, not accredited
FDAWarning letter Feb 20, 2026
LegitScriptCertified

Checked on struthealth.com and each review site on .

Who Strut Health Is

Strut Health, LLC is based in Dallas, Texas, and was founded by Dr. Simal Patel, a physician who worked in emergency rooms and telemedicine. It calls itself a Partex.AI consumer health company. Weight loss is one of several lines: Strut also sells hair loss, sexual health, skin care and testosterone treatments, and many of its reviews are about those products.

For weight loss it sells compounded semaglutide and tirzepatide, each as a weekly injection or as a lozenge you let dissolve in your mouth. You fill in an online questionnaire, a licensed physician decides whether to prescribe, and the medication ships to your door. The Terms name Titan Health, P.A. as the clinical provider. Strut doesn’t name the pharmacy that compounds its GLP-1s.

Note: Compounded semaglutide and tirzepatide from Strut are not FDA-approved finished drug products. They are prepared by licensed compounding pharmacies, which the FDA doesn’t review for safety or effectiveness.

Getting Hold of Strut Health

CompanyStrut Health, LLC (dba Strut)
Address701 Commerce St, Dallas, TX 75202
Phone1-833-Strut24 (1-833-787-8824)
Emailcare@struthealth.com
Support hoursWeekdays; closed on weekends
Clinical providerTitan Health, P.A. (per the Terms)

Contact details from struthealth.com, checked .

Let a Physician Decide

Fill in the online questionnaire. A licensed physician decides whether a GLP-1 is right for you.

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Is Strut Health Legit? What the FDA Letter Said

  • ✓ LegitScript: certified. LegitScript lists struthealth.com as Certified (checked Oct 21, 2026).
  • ✓ Licensed clinicians. Physicians working with Titan Health, P.A. review your questionnaire and decide whether to prescribe.
  • ! Pharmacy not named. Strut says U.S. compounding pharmacies make its GLP-1s and shows PCAB and ACHC seals, but it doesn’t say which pharmacy fills your order.
  • ! Compounded drugs are not FDA-approved. The FDA doesn’t review compounded semaglutide or tirzepatide for safety or effectiveness. What that means for you

On February 20, 2026, the FDA sent Strut Health a warning letter about its website. The FDA said the pictured labels showed “Strut,” suggesting Strut compounded the drugs when it doesn’t, and it objected to phrases such as “Generic Zepbound, Mounjaro.” The letter was about marketing claims. It wasn’t a recall, and it doesn’t say the medication is unsafe. We found no public close-out letter.

The BBB rates Strut D-: 12 complaints in three years, 5 of them in the last twelve months, and one the company never answered. Strut isn’t BBB accredited. The complaints are about late or lost shipments when the pharmacy ran short, refills that kept coming after people asked to cancel, and an $89 lab kit that wasn’t refunded. Strut replied to most of them and refunded several.

Strut Health Cost: Injections vs Lozenges

Strut shows its prices before you sign up. Semaglutide injections cost $129 a month as an auto-refill, and the semaglutide lozenge costs $99 for a 30-day supply. Tirzepatide starts at $149 a month for injections and $199 for lozenges. Those tirzepatide prices say “as low as” and carry an auto-refill discount of 14% to 17%, and Strut doesn’t say whether the price goes up with the dose. The price includes the physician visit, follow-ups and free shipping.

MedicationWhat’s includedPrice
Compounded semaglutideWeekly injection · monthly vialPhysician visit, follow-ups, free shipping$129/mo
Compounded semaglutideDaily lozenge · 30-day supplySame; with vitamin B6$99
Compounded tirzepatideWeekly injection · auto-refillSame; “as low as,” save 14%From $149/mo
Compounded tirzepatideLozenge · auto-refillSame; “as low as,” save 17%From $199/mo

Prices from struthealth.com, checked . The semaglutide lozenge was $99 when we checked in September 2026.

What Strut’s Price Skips

  • Insurance billing
  • Brand-name Wegovy, Zepbound or Ozempic
  • A refund once the pharmacy has processed your order

Strut’s $129 Against the Median

Among the providers on our comparison page that publish a regular monthly price, the typical price for compounded semaglutide is about $149 a month. Strut’s $129 injection is a little below that, without a long-term plan. The lozenges cost more than the injections, and some providers sell semaglutide injections for under $100.

How Strut’s Auto-Refill Works

Strut’s GLP-1 prices are auto-refill prices: the next supply is charged and shipped each month until you pause, delay or cancel. You can delay a refill from your account. Strut needs 48 hours’ notice before an order is processed, and once the pharmacy has processed it, Strut won’t refund it. Its Terms say refills are charged every 30 or 90 days, so check which applies to your plan.

Strut Health, From Questionnaire to Refill

Strut doesn’t give a set approval time. It offers 2-day express shipping on most first orders.

Step 1

Online questionnaire

Tell Strut about your health and past weight loss attempts. No insurance needed.

strut health questionnaire
Step 2

Physician review

A licensed physician reviews it and prescribes if a GLP-1 is right for you. Some states also need a phone visit.

strut health provider review
Step 3

Free shipping

Your medication ships in discreet packaging, with 2-day express on most first orders.

strut health fast delivery
Step 4

Monthly refills

Refills ship every month. Message or call your care team with questions or dose changes.

strut health ongoing support

Quick Checks Before Ordering From Strut

  • 1 Confirm the price for your dose. Tirzepatide prices say “as low as,” and Strut doesn’t publish a price by dose.
  • 2 Note when each refill is processed. Cancel or delay at least 48 hours before; processed orders aren’t refunded.
  • 3 Keep your cancellation in writing. Several BBB complaints say refills shipped after an emailed cancellation.
  • 4 Plan for weekends. Support is closed on weekends, so don’t leave a refill question until Friday.
  • 5 Live in Arkansas? Strut doesn’t ship there.

Pausing or Canceling Strut Health

Strut refills renew automatically, and it needs 48 hours’ notice before an order is processed. To stop without a surprise charge:

  1. Email care@struthealth.com and ask to cancel your subscription. Its Terms name email as the way to cancel.
  2. Do it at least 48 hours before your next refill is processed. If you only need a break, you can delay the refill from your account instead.
  3. If you get no reply, call 1-833-Strut24 on a weekday.
  4. Keep the confirmation and check your card statement after the next refill date.

Once the pharmacy has processed an order, Strut won’t refund it, and prescriptions can’t be returned after they leave the pharmacy. Strut only exchanges items that arrive damaged or defective, and only within two weeks of delivery.

Not Sure About Needles?

The online questionnaire is free, and a physician decides whether to prescribe.

We earn a commission if you sign up through this button. It doesn’t change our rating.

Needle-Shy? Strut’s Lozenges and Injections

Strut sells compounded semaglutide and tirzepatide, each as a weekly injection or as a lozenge. It doesn’t offer brand-name Wegovy, Zepbound or Ozempic.

Semaglutide is the active ingredient in FDA-approved Ozempic (diabetes) and Wegovy (weight loss). Strut offers it as:

  • Compounded injection: $129 a month as an auto-refill, one vial a month, injected once a week.
  • Compounded lozenge: $99 for a 30-day supply. You place it against your cheek and let it dissolve; it also contains vitamin B6.
  • Strut says your physician sets the dose, and it doesn’t list prices by dose.

Tirzepatide is a dual GIP/GLP-1 agonist and the active ingredient in Mounjaro and Zepbound. In clinical trials, people lost about 20% of their body weight on average. Strut sells compounded tirzepatide as a weekly injection from $149 a month and as a daily lozenge from $199. Its tirzepatide pages say it’s only for patients who can’t use, or didn’t do well on, commercially available GLP-1 medications.

Important: Compounded tirzepatide is not FDA-approved and isn’t the same as brand-name Zepbound. The FDA tightened the rules for compounding it after the tirzepatide shortage ended in late 2024. In April 2026 it also proposed ending large-scale (503B) compounding of semaglutide and tirzepatide; no final rule had been published as of October 2026. Ask your provider which option fits you.

The weight loss figures quoted for these drugs come from clinical trials of brand-name injections. There are no published trials of compounded semaglutide or tirzepatide lozenges, and Strut doesn’t publish results from its own patients.

If price matters most, the injection is the cheaper way to take either drug at Strut. The lozenge costs $70 more a month for semaglutide.

Strut Health: Upsides and Downsides

Strut Health Plus Points

  • ✓ $129 semaglutide injections
  • ✓ Lozenges for both drugs
  • ✓ Physician visit and shipping included
  • ✓ Pause or delay a refill

Strut Health Minuses

  • – FDA warning letter in February 2026
  • – BBB D- with 12 complaints
  • – Pharmacy not named
  • – No price by dose; lozenge now $99

Strut Health Reviews, Platform by Platform

We checked every public review site that lists Strut on October 21, 2026. Scores are shown as each site publishes them, with a link. We don’t copy those reviews or mix their scores into the patient reviews on this page.

Trustpilot

3.5 783 reviews

57% are 5-star and 20% are 1-star. Strut has a claimed, paid Trustpilot profile, invites reviews and replies to most negative ones.

See on Trustpilot
google reviews icon

Google

3.8 48 reviews

The Google Maps listing for Strut Health, Dallas.

See on Google
bbb site mail logo

BBB

D- not accredited

12 complaints in the last 3 years, 5 in the last 12 months. One BBB customer review, at 1 star.

See on BBB
Reviews.io logo

Reviews.io

4.7 39 reviews

92% of reviewers recommend Strut. The newest reviews are about two years old, and most are about hair and skin products.

See on Reviews.io

Reviews are mixed, and many aren’t about weight loss at all. Strut’s Trustpilot page covers hair loss and sexual health products too. Happy reviewers mention helpful staff and products that worked; unhappy ones describe late first shipments, refills they didn’t expect and emails that went unanswered.

What 780+ Trustpilot Reviewers Say About Strut

783 reviews is a modest base, and only 38 of them came in the last twelve months. One in five is a one-star review. Those center on auto-refills, slow first shipments, promo codes that weren’t honored and support that doesn’t answer on weekends.

Common Threads in Strut Reviews

Beyond the scores, these themes came up most in Trustpilot reviews, Google reviews and BBB complaints.

Strut Compliments

Trustpilot reviewers often name a care team member who was patient and clear, and describe an easy online process.

Long-time customers say things run smoothly when nothing goes wrong, and several BBB complaints ended with a refund or a reshipped order.

Strut Complaints

Shipping comes first. A July 2026 BBB complaint says a refill sat for over a week because the pharmacy had run out of an ingredient, and paying for faster shipping only applied to later orders. Another says a package was tracked to the wrong state.

Subscriptions come second. Reviewers on Trustpilot and the BBB say refills kept shipping after they emailed to cancel, or that they were moved onto auto-refill to get their first order. Cancel in writing, at least 48 hours before the next refill, and keep the reply.

Patient reviews of Strut Health

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Strut Health Compared

See how Strut Health compares with five other providers we’ve reviewed on price, brand-name access, insurance, BBB grades and FDA letters in the side-by-side comparison below.

Rank Strut Against the Rest

Bottom Line

Strut is a reasonable price for compounded semaglutide injections at $129 a month, and it’s one of the few providers that also sells GLP-1 lozenges. LegitScript certifies it. It scores 3.5 because of the February 2026 FDA warning letter, a BBB D- rating, a pharmacy it doesn’t name and a mixed review record that’s thin on weight loss customers.

If you choose it, confirm the price for your dose before you pay, note when each refill is processed and cancel in writing at least 48 hours before it. If brand-name drugs or weekend support matter to you, compare the alternatives below first.

Review Update History

  • Nov 9, 2026: The semaglutide lozenge is back to $99 for a 30-day supply. Updated the prices across this review.
  • Oct 21, 2026: Rebuilt the review. Under our new five-criteria scoring method, the score moved from 4.7 to 3.5. Rechecked prices (the semaglutide lozenge is now $199), the Terms, Trustpilot (783), Reviews.io (39), Google, the BBB (12 complaints, D-) and the FDA letter.
  • Sep 25, 2026: Checked prices, shipping and cancellation terms, and the February 2026 FDA warning letter.
  • May 2026: First published.

All corrections and updates →

*Screenshots used for review and commentary purposes fall under the fair use doctrine of U.S. Copyright Law. Learn more about our Fair Use policy

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Strut Health vs the Alternatives

Pick what matters most to you. The other providers re-rank.

Strut Health compared with five other GLP-1 telehealth providers we reviewed. Facts checked in November 2026.
ProviderOur scoreStarting priceBrand-name GLP-1sInsuranceTrustpilotBBB ratingFDA warning letterReview
Strut HealthThis review 3.5/ 5 $99/mo lozenge ✕Compounded only ✕No 3.5 (783) D- Feb 2026 Visit Strut Health
AgelessRx 4.3/ 5 $99/mo microdose ✓Wegovy, Zepbound ✕No 4.4 (2.6K) A+ None Visit AgelessRxRead review
Wellmedr 4.1/ 5 $41/mo (sale) ✓From $1,399/mo ✕No 4.7 (3.2K) F None Visit WellmedrRead review
bmiMD 3.9/ 5 $119/mo, 12 months ✕Compounded only ✕No 4.3 (879) F None Visit bmiMDRead review
SkinnyRx 3.6/ 5 $99 first month ✕Not now ✕No 4.7 (5.5K) B- Feb 2026 Visit SkinnyRxRead review
DirectMeds 3.5/ 5 $249/mo sublingual ✕Compounded only ✕No 4.5 (18K) NR Sep 2025 Visit DirectMedsRead review

Facts checked in Nov 2026 on each provider’s site, Trustpilot and the BBB. Scores come from our reviews. “Lowest price” ranks by the cash starting price. We may earn a commission if you sign up through a Visit button; it never changes our scores.

Strut Health Review FAQ: Lozenges, Cost, Canceling

Strut Question We Didn’t Cover? Drop Us a Line

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Sources & Research:

  1. Strut Health official site, product pages, FAQ, refund policy and Terms (accessed October 2026)
  2. Trustpilot reviews — Strut Health (strutyours.com) (accessed October 2026)
  3. Google Maps — Strut Health, Dallas (accessed October 2026)
  4. BBB profile — Strut Health, LLC, Dallas, TX (accessed October 2026)
  5. LegitScript certification lookup — struthealth.com (accessed October 2026)
  6. FDA warning letter to Strut Health, LLC dba Strut, February 20, 2026
  7. Wilding JPC et al. (2021). Once-Weekly Semaglutide in Adults with Overweight or Obesity. NEJM.
  8. Jastreboff AM et al. (2022). Tirzepatide Once Weekly for the Treatment of Obesity. NEJM.

Affiliate Disclosure: GLP1Rating may earn a commission if you visit Strut Health through links on this page. This does not affect our editorial rating or content.

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. GLP-1 medications require a prescription from a licensed healthcare provider. Compounded medications from Strut Health are not FDA-approved finished products. Results vary. Always consult a licensed healthcare professional before starting any weight loss treatment.

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Strut Health: 3.5/5 editorial score on GLP1Rating

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