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Head-to-head for women

System Labs vs Strut Health

System Labs 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.

System Labs

Ranked #18 for women · Grade B−

Best for: Women who want one predictable monthly cost that does not climb as they titrate, and who are comfortable with a single compounded GLP-1/GIP injection rather than a choice of named molecules.

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vs

Strut Health

Higher score

Ranked #6 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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The verdict for women

Higher Luna Fit Score: Strut Health

Strut Health edges out System Labs on the Luna Fit Score, 85 to 81 (B vs B−). Women who want a needle-free option, or who want to see every route and price side by side before committing to one.

System Labs is still a genuine option — a flat $179 a month at every dose, with the ongoing rate stated in writing rather than buried under an intro price — and you can cancel from your own dashboard, which is more than most of this board will commit to. 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.

System Labs Strut Health
PCOS & hormonal suitability7884
System
Strut
Clinical oversight & labs8272
System
Strut
Price transparency8493
System
Strut
Nationwide access7492
System
Strut
Ongoing support8482
System
Strut
Cancellation fairness8890
System
Strut

Price, access & features

DetailSystem LabsStrut Health
Luna Fit Score81/100 · B−85/100 · B
Overall rank#18#6
SemaglutideNot disclosedFrom $149/mo auto-refill
TirzepatideGLP-1/GIP $179/mo flat ($99 first month)From $199/mo auto-refill
CoverageNot publicly listed49 states (not Arkansas)
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes

System Labs

Ranked #18 · Grade B−

What we like

  • One flat price at every dose — the plan is sold as a "Monthly Supply (All doses)", so titrating up does not quietly raise the bill
  • The ongoing rate is stated, not implied: their own FAQ says the subscription is billed at a flat $179/mo with no hidden fees
  • Pause or cancel yourself from the dashboard at any time — no phone call, no retention queue

The caveats

  • Compounded medication is not FDA-approved, and the site says so plainly in its own FDA disclosure
  • The molecule is never named — it is sold only as "compounded GLP-1/GIP", so you cannot compare it against a semaglutide or tirzepatide price anywhere else on this board
  • The headline price is a first-month teaser: $99 for month one against a $179 standing rate, so budget for $179 rather than the number in the hero

Strut Health

Ranked #6 · 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. 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 System Labs and Strut Health against other providers we review for women.

Or browse the full comparison hub.