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Lean Meds vs Strut Health

An in-depth comparison of two leading GLP-1 Providers

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Lean Meds logo

Lean Meds

9.3
★★★★4.7/5

Best for: knowing which pharmacy fills the vial — it names Belmar Pharmacy

Visit Lean Meds
VS
Strut Health logo

Strut Health

8.5
★★★★4.3/5

Best for: semaglutide at $99/month, 48% under the register median

Visit Strut Health

Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, Lean Meds opens cheaper — $79/mo against $99, and Strut Health is where most people should begin. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

Lean Meds

Any dose, month-to-month (same price at every dose)Compounded
$79/mo
semaglutide

Standing month-to-month rate. The advertised $69 is the 12-month prepay tier; 3-month is $76 and 6-month is $73.

Any dose, month-to-month (same price at every dose)Compounded
$109/mo
tirzepatide

Standing month-to-month rate. Prepay tiers: $105 for 3 months, $100 for 6, $95 for 12.

Strut Health

Oral lozengeCompounded
$99/mo
semaglutide

Auto Refill starting at $99, Save 21%; one-off price higher

InjectableCompounded
$149/mo
semaglutide

Auto Refill starting at $149, Save 13%

Oral lozengeCompounded
$199/mo
tirzepatide

Auto Refill starting at $199, Save 17%; one-off 30-day supply $239

InjectableCompounded
$199/mo
tirzepatide

Auto Refill starting at $199, Save 14%; page also shows 30 DAY SUPPLY $325 compare-at price

What’s included

Lean Meds

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Strut Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Lean Meds

9.3/10

Overall

Strut Health

8.5/10

Value25%

10.0A
vs
B
9.7

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

9.0A
vs
B
4.5

Accessibility10%

10.0A
vs
B
9.8

Support10%

7.0A
vs
B
7.0

Features & Coverage

FeatureLean MedsStrut Health
Starting Price$79/mo$99/mo
Features7 features6 features
States Available5049
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNone1 warning

About Lean Meds

Titrating up does not raise the rate, which is flat and monthly: $79 to start on compounded semaglutide, $109 on compounded tirzepatide, the telehealth visit and shipping absorbed into both. Clinicians come from the OpenLoop Health network. Trinity HealthCare Supply, LLC operates the service and puts names to its five dispensing pharmacies as well as to the physicians who prescribe.

Read our full Lean Meds review →

About Strut Health

Strut Health sells LegitScript and ACHC-accredited compounded semaglutide and tirzepatide in injectable and oral lozenge formats, shipping to 49 states. Board-certified US physicians handle prescribing and follow-up messaging is unlimited and free. Eligibility is gated behind a clinician determination of medical necessity that the company does not publicly define.

Read our full Strut Health review →

Pros & Cons

Lean Meds

What we like

  • Semaglutide at $79 a month, 58% below the $189 median for the same drug and form across this register
  • Tirzepatide at $109 a month, 59% below the $267 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
  • The monthly figure covers medication, consult, shipping
  • Coverage is published for all 50 states
  • Names 5 dispensing pharmacies, which most sellers in this register do not do
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Strut Health

What we like

  • Semaglutide at $99 a month, 48% below the $189 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly figure covers medication, consult, shipping
  • Coverage is published for 49 states

Watch-outs

  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • 1 FDA warning letter matched to this operator in our enforcement register — read what the letter alleges, since a letter discloses a problem rather than disqualifying a seller
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Strut Health

Strut Health is the one we would pick, particularly on semaglutide at $99/month, 48% under the register median. Lean Meds is a real alternative if knowing which pharmacy fills the vial — it names Belmar Pharmacy is what you are after — the six-dimension breakdown and the prices below are what to weigh against your own case.

Choose Lean Meds if…

You want knowing which pharmacy fills the vial — it names Belmar Pharmacy and an opening price near $79 a month.

Choose Strut Health if…

You want semaglutide at $99/month, 48% under the register median and an opening price near $99 a month.

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Lean Meds vs Strut Health: FAQ

Glossary

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