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Head-to-head for women
Enhance MD vs Strut Health
Enhance MD and Strut Health both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.
Enhance MD
Higher scoreRanked #2 for women · Grade A−
Luna Fit
Best for: Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes.
Visit Enhance MDStrut Health
Ranked #11 for women · Grade B
Luna Fit
Best for: Women who want a needle-free option, or who want to see every route and price side by side before committing to one.
FDA warning letterFebruary 2026Read it ↗Visit Strut HealthThe verdict for women
Enhance MD edges out Strut Health on the Luna Fit Score, 92 to 83 (A− vs B). Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes. The reasoning behind that number is in the Enhance MD scorecard.
Strut Health is still a genuine option — one of the few programs with a women's weight-loss line of its own, and the widest set of routes we track — injectable or sublingual, semaglutide or tirzepatide, each with its price on the page. Weigh the six women's-health factors below against your own priorities; our full Strut Health review goes through each of them, and if neither of these two is the one, our ranked shortlist of Strut Health alternatives widens the field.
Side-by-side on the six factors
Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.
Price, access & features
| Detail | Enhance MD | Strut Health |
|---|---|---|
| Luna Fit Score | 92/100 · A− | 83/100 · B |
| Overall rank | #2 | #11 |
| Semaglutide | $249 every 4 weeks month-to-month (13 charges a year); $212/mo only on the 12-month prepay | From $149/mo auto-refill |
| Tirzepatide | $329 every 4 weeks month-to-month (13 charges a year); $280/mo only on the 12-month prepay | From $199/mo auto-refill |
| Coverage | All 50 states | 49 states (not Arkansas) |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Yes |
Luna Fit
Enhance MD
Ranked #2 · Grade A−
What we like
- Unusually transparent tiered pricing — semaglutide $212/mo (first month $112), tirzepatide $280/mo, microdose $169/mo, and a combo option at $322/mo
- Dose-flat billing, so a titration up doesn't quietly raise your monthly cost
- Six-month metabolic lab testing with provider oversight — a real clinical loop, not a prescription-only handoff
The caveats
- Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
- No brand-name path and no oral or sublingual route for the needle-averse
- Licensed in all 50 states, though their own FAQ lists product as launched in 40 plus DC so far — worth confirming your state before you start
Luna Fit
Strut Health
Ranked #11 · Grade B
What we like
- Sublingual lozenges for both molecules — a real option if injections are the thing stopping you, and rare in this ranking
- Every route prices publicly: semaglutide from $99 sublingual or $149 injectable, tirzepatide from $199 either way
- Cancel, pause or delay a subscription yourself, with 48 hours' notice before processing
The caveats
- Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
- No brand-name path at all
- Asynchronous by design — their FAQ notes some states do not require a phone consultation, so you may never speak to the prescriber
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.
More head-to-heads
Neither Enhance MD nor Strut Health is only worth comparing with the other. Enhance MD is also written up against CoreAge Rx, 1 point apart on the Luna Fit Score — see the Enhance MD–CoreAge Rx head-to-head. Strut Health is also written up against CoreAge Rx, 10 points apart — see Strut Health vs CoreAge Rx for women.
- Enhance MD vs CoreAge Rx
- Enhance MD vs Eden
- Enhance MD vs yourEra
- Strut Health vs Sesame Care
- Strut Health vs HealthRX
- Strut Health vs MadeMed
Or browse the full comparison hub.