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Head-to-head for women

Strut Health vs Enhance MD

Strut Health and Enhance MD 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.

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.

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vs

Enhance MD

Higher score

Ranked #2 for women · Grade A−

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.

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The verdict for women

Higher Luna Fit Score: Enhance MD

Enhance MD edges out Strut Health on the Luna Fit Score, 92 to 85 (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.

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.

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.

Strut Health Enhance MD
PCOS & hormonal suitability8492
Strut
Enhance
Clinical oversight & labs7294
Strut
Enhance
Price transparency9394
Strut
Enhance
Nationwide access9295
Strut
Enhance
Ongoing support8288
Strut
Enhance
Cancellation fairness9085
Strut
Enhance

Price, access & features

DetailStrut HealthEnhance MD
Luna Fit Score85/100 · B92/100 · A−
Overall rank#7#2
SemaglutideFrom $149/mo auto-refill$212/mo
TirzepatideFrom $199/mo auto-refill$280/mo
Coverage49 states (not Arkansas)All 50 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only

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

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

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 Strut Health and Enhance MD against other providers we review for women.

Or browse the full comparison hub.