Head-to-head for women
Fitish vs Strut Health
Fitish 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.
Fitish
Higher scoreRanked #38 for women · Grade B
Luna Fit
Best for: Women who want an oral option from a LegitScript-accredited, all-50-states provider and don't mind paying at the higher end.
FDA warning letterJune 2026Read it ↗Visit FitishStrut Health
Ranked #10 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
Fitish edges out Strut Health on the Luna Fit Score, 84 to 83 (B vs B). Women who want an oral option from a LegitScript-accredited, all-50-states provider and don't mind paying at the higher end. The reasoning behind that number is in our full Fitish review.
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 | Fitish | Strut Health |
|---|---|---|
| Luna Fit Score | 84/100 · B | 83/100 · B |
| Overall rank | #38 | #10 |
| Semaglutide | $219/mo | From $149/mo auto-refill |
| Tirzepatide | $339/mo | From $199/mo auto-refill |
| Coverage | All 50 states | 49 states (not Arkansas) |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Yes |
Luna Fit
Fitish
Ranked #38 · Grade B
What we like
- Offers an oral/sublingual form as well as injections
- LegitScript-accredited and nationwide across all 50 states
- Both molecules disclosed, tirzepatide available for insulin resistance
The caveats
- Premium pricing — $219 semaglutide, $339 tirzepatide
- No FDA-approved brand access; general program, not hormone-specialized
Luna Fit
Strut Health
Ranked #10 · 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 Fitish nor Strut Health is only worth comparing with the other. Fitish is also written up against CoreAge Rx, 9 points apart on the Luna Fit Score — see Fitish vs CoreAge Rx for women. Strut Health is also written up against CoreAge Rx, 10 points apart — see Strut Health vs CoreAge Rx for women.
- Fitish vs CoreAge Rx
- Fitish vs Enhance MD
- Fitish vs yourEra
- Strut Health vs Sesame Care
- Strut Health vs HealthRX
- Strut Health vs MadeMed
Or browse the full comparison hub.