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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

Ranked #5 for women · Grade B

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 Care
vs

Strut Health

Ranked #7 for women · Grade B

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.

Visit Strut Health

The verdict for women

Sesame Care and Strut Health tie on the Luna Fit Score at 85/100 apiece, so neither runs away with it. The right pick comes down to the factors that matter most to you — compare them below.

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.

Sesame Care Strut Health
PCOS & hormonal suitability8484
Sesame
Strut
Clinical oversight & labs8872
Sesame
Strut
Price transparency8093
Sesame
Strut
Nationwide access9292
Sesame
Strut
Ongoing support8282
Sesame
Strut
Cancellation fairness8590
Sesame
Strut

Price, access & features

DetailSesame CareStrut Health
Luna Fit Score85/100 · B85/100 · B
Overall rank#5#7
SemaglutideFrom $149/mo (brand Wegovy pill)From $149/mo auto-refill
TirzepatideBrand Zepbound (price varies)From $199/mo auto-refill
CoverageNationwide marketplace49 states (not Arkansas)
Brand-name accessYesCompounded only
Oral / sublingualYesYes

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

Strut Health

Ranked #7 · Grade B

What we like

  • Sublingual lozenges for both molecules — a real option if injections are the thing stopping you, and rare on this board
  • 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. It never changes a Luna Fit Score; affiliate partners carry a capped 6-point edge in list order, never in the score itself. 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

Keep comparing Sesame Care and Strut Health against other providers we review for women.

Or browse the full comparison hub.