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Head-to-head for women
Sesame Care vs Strut Health
Sesame Care 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.
Sesame Care
Higher scoreRanked #5 for women · Grade B
Luna Fit
Best for: Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program.
Visit Sesame CareStrut 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
Sesame Care edges out Strut Health on the Luna Fit Score, 85 to 83 (B vs B). Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program. The reasoning behind that number is in the Sesame Care 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 | Sesame Care | Strut Health |
|---|---|---|
| Luna Fit Score | 85/100 · B | 83/100 · B |
| Overall rank | #5 | #11 |
| Semaglutide | Brand Wegovy pill from $149/mo at 1.5 and 4 mg only, $299/mo at 9 and 25 mg — plus Sesame care: $59/mo only on the 12-month prepay, otherwise $99 billed every 28 days (13 charges a year) | From $149/mo auto-refill |
| Tirzepatide | Brand Zepbound vial $299/mo (2.5 mg), $399 (5 mg), $449 (7.5–15 mg); KwikPen $299 / $399 / $499 / $699 (10–15 mg) — plus Sesame care: $59/mo on the 12-month prepay, otherwise $99 per 28 days | From $199/mo auto-refill |
| Coverage | Nationwide marketplace | 49 states (not Arkansas) |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Yes |
Luna Fit
Sesame Care
Ranked #5 · Grade B
What we like
- Real FDA-approved brand-name access — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and Rybelsus
- Established platform (operating since 2018) with LegitScript, BBB accreditation and large third-party review volume
- You choose the provider and see the price up front — genuine marketplace transparency
The caveats
- A generalist marketplace, not a dedicated weight-loss program — lighter ongoing hand-holding than a specialist desk
- Two-part cost (a platform subscription plus the medication) makes the true monthly total harder to compare
- Brand-name cash prices can run high without insurance
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 Sesame Care nor Strut Health is only worth comparing with the other. Sesame Care is also written up against CoreAge Rx, 8 points apart on the Luna Fit Score — see Sesame Care against CoreAge Rx, factor by factor. Strut Health is also written up against CoreAge Rx, 10 points apart — see Strut Health vs CoreAge Rx for women.
- Sesame Care vs CoreAge Rx
- Sesame Care vs Enhance MD
- Sesame Care vs Eden
- Strut Health vs yourEra
- Strut Health vs HealthRX
- Strut Health vs MadeMed
Or browse the full comparison hub.