Head-to-head for women
Strut Health vs Vaylen
Strut Health and Vaylen 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 #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 HealthVaylen
Higher scoreRanked #22 for women · Grade B+
Luna Fit
Best for: Women who want maximum optionality — injectable or oral, compounded or brand — from an accredited, all-50-states provider.
Visit VaylenThe verdict for women
Vaylen edges out Strut Health on the Luna Fit Score, 87 to 83 (B+ vs B). Women who want maximum optionality — injectable or oral, compounded or brand — from an accredited, all-50-states provider. The reasoning behind that number is in what we found reviewing Vaylen.
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 | Strut Health | Vaylen |
|---|---|---|
| Luna Fit Score | 83/100 · B | 87/100 · B+ |
| Overall rank | #10 | #22 |
| Semaglutide | From $149/mo auto-refill | $179/mo |
| Tirzepatide | From $199/mo auto-refill | $239/mo |
| Coverage | 49 states (not Arkansas) | All 50 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Yes |
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
Luna Fit
Vaylen
Ranked #22 · Grade B+
What we like
- Offers an oral/sublingual route as well as injections — real choice for the needle-averse
- FDA-approved brand access plus compounded on both molecules
- LegitScript-accredited and available in all 50 states
The caveats
- Mid-tier pricing rather than the cheapest tiers
- Broad program rather than a dedicated PCOS/hormone clinic
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 Strut Health nor Vaylen is only worth comparing with the other. Strut Health is also written up against CoreAge Rx, 10 points apart on the Luna Fit Score — see Strut Health vs CoreAge Rx for women. Vaylen is also written up against Effecty, another exact tie — see the Vaylen–Effecty head-to-head.
- Strut Health vs CoreAge Rx
- Strut Health vs Enhance MD
- Strut Health vs yourEra
- Vaylen vs Sesame Care
- Vaylen vs HealthRX
- Vaylen vs MadeMed
Or browse the full comparison hub.