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Head-to-head for women

Strut Health vs Sesame Care

Strut Health and Sesame Care 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

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.

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The verdict for women

Strut Health and Sesame Care 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.

Strut Health Sesame Care
PCOS & hormonal suitability8484
Strut
Sesame
Clinical oversight & labs7288
Strut
Sesame
Price transparency9380
Strut
Sesame
Nationwide access9292
Strut
Sesame
Ongoing support8282
Strut
Sesame
Cancellation fairness9085
Strut
Sesame

Price, access & features

DetailStrut HealthSesame Care
Luna Fit Score85/100 · B85/100 · B
Overall rank#7#5
SemaglutideFrom $149/mo auto-refillFrom $149/mo (brand Wegovy pill)
TirzepatideFrom $199/mo auto-refillBrand Zepbound (price varies)
Coverage49 states (not Arkansas)Nationwide marketplace
Brand-name accessCompounded onlyYes
Oral / sublingualYesYes

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

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

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 Sesame Care against other providers we review for women.

Or browse the full comparison hub.