Choosing between TelosRX and Strut Health for GLP-1 weight loss comes down to how each program is actually structured. TelosRX publishes its pricing upfront and runs on a fully asynchronous online model. Strut Health, a telehealth brand historically known for men's and women's sexual health, hair loss, and skin care, has added its own compounded semaglutide and tirzepatide lineup. Both require review and approval by a licensed provider before any medication ships.
For transparent pricing on every program and a fully async online start, TelosRX is the simpler choice. Strut Health advertises a low entry price on its oral semaglutide lozenge, but pricing for higher, titrated doses isn't published on its site, and its care model isn't described as fully asynchronous.
Start your intake →Quick comparison: TelosRX vs Strut Health
Compounded medications are not FDA-approved. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed. This comparison covers each company's compounded GLP-1 programs, not FDA-approved branded medications.
What is TelosRX?
TelosRX is an online-first, LegitScript-certified telehealth pharmacy. It focuses on GLP-1 weight management with compounded tirzepatide and semaglutide.
The service is asynchronous. You finish a short intake online, and a US-licensed provider reviews it, usually within a few hours. There is no appointment to book.
Medications are compounded by licensed US pharmacies and shipped to your door. You can message your care team anytime, and pricing is published upfront, so there are no surprises. Browse the tirzepatide and semaglutide options, or start your treatment.
What is Strut Health?
Strut Health is a telehealth company that launched in 2020, built around men's sexual health, hair loss, and skin care. It has since expanded into weight-loss programs for both men and women, alongside its original specialties.
The care model centers on an online questionnaire, reportedly taking around 10 to 15 minutes, after which the company connects patients with a U.S.-licensed doctor "if necessary" before a prescription is written. Third-party reviews report that doctor review typically happens within about a business day, though this timing is not independently confirmed. Strut Health's own site displays accreditation seals for its compounding pharmacy partners, including ACHC and PCAB (pharmacy-level accreditations that are different from independent telehealth verification services like LegitScript).
Strut Health offers compounded semaglutide and tirzepatide, each available as a sublingual lozenge or a weekly injection; its semaglutide formulation lists vitamin B6 (pyridoxine) as an additional active ingredient. Pricing is billed month-to-month with no long-term contract required.
Medications: what each program offers
Both companies work with the same drug class. Semaglutide is a GLP-1 receptor agonist. Tirzepatide is a dual GLP-1 and GIP agonist. These ingredients are studied for weight management and are the basis of FDA-approved brands like Wegovy and Zepbound; the compounded versions offered by both TelosRX and Strut Health are not FDA-approved.
TelosRX offers tirzepatide in three formats: standard, needle-free oral tirzepatide, and a microdosed option, plus compounded injectable semaglutide. Strut Health offers semaglutide and tirzepatide each in two formats (a sublingual lozenge and an injection), but does not offer a microdosed tier. For general background on this drug class, see the NIH NIDDK overview and the FDA note on tirzepatide for weight management. Individual results vary, and neither company's compounded program should be compared to clinical trial data for the branded drugs.
Key takeaway: TelosRX lists its pricing upfront before you sign up. Strut Health advertises a low starting price on its entry dose, but pricing for higher, titrated doses isn't published on its site.
Pricing and transparency
TelosRX publishes its full pricing structure upfront:
- Compounded injectable semaglutide, as low as $99 a month
- Microdosed tirzepatide, as low as $116 a month
- Needle-free oral tirzepatide, as low as $129 a month
- Standard injectable tirzepatide, as low as $139 a month
Strut Health lists starting prices directly on its site: oral semaglutide lozenges from $99 a month, injectable semaglutide from $149 a month, and both oral and injectable tirzepatide from $199 a month, each reflecting an auto-refill discount. GLP-1 treatment typically involves dose increases over time, and Strut Health does not appear to publish pricing for higher maintenance doses on its public pages, so the ongoing cost of the program may run above the advertised starting price. Strut Health's site does not mention insurance, FSA, or HSA acceptance; TelosRX is cash-pay and FSA/HSA-eligible.
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How the process works
TelosRX is built for speed. The intake takes about five minutes. A licensed provider reviews it asynchronously, often within hours, and approved medication ships with free 48-hour delivery.
Strut Health's process starts with an online questionnaire, reportedly taking 10 to 15 minutes, after which a U.S.-licensed doctor reviews the submission and connects with the patient if needed. Reviews are reported to typically take about a business day, and approved orders reportedly ship within about two business days, both according to third-party sources rather than a published SLA on Strut Health's own site.
Neither company prescribes automatically. Any medication is subject to medical approval by a licensed provider.
Guarantees and ongoing support
TelosRX includes unlimited messaging with your care team, dose adjustments as your body changes, and quarterly labs, with the ability to cancel anytime.
Strut Health advertises free, unlimited follow-ups with its care team and doctors, and its refund policy describes a no-fees cancellation option, though a minimum of 48 hours' notice is required before your next order processes. Consistent with pharmacy regulations generally, its policy also states that medication which has already left the pharmacy cannot be returned or refunded.
One is not strictly better for every patient. Strut Health may suit someone who wants one telehealth brand covering weight loss alongside sexual health or hair loss. TelosRX suits people who want a medication-first program with fully published pricing and quarterly lab follow-up.
Safety and medical oversight
Both programs gate medication behind a licensed provider. No one is prescribed automatically.
GLP-1 medications are not for everyone. Providers screen for issues like a personal or family history of medullary thyroid cancer, pancreatitis, and pregnancy. Side effects can include nausea and other digestive changes, especially early in treatment.
TelosRX includes quarterly labs and ongoing care-team messaging, so concerns get flagged as treatment continues. Share your full medical history during intake with either company, since approval is always subject to medical review.
Which service is right for you?
Best for transparent pricing across every program, a fully async start, and a streamlined, medication-first program from a LegitScript-certified pharmacy.
Best for patients who want one telehealth brand covering men's or women's weight loss alongside sexual health, hair loss, or skin care, and who are comfortable with pricing that may rise at higher doses.
For most people who want clear costs across every program and a simple online start, TelosRX is the more straightforward choice.
Frequently Asked Questions
Is TelosRX legitimate?
Yes. TelosRX is a LegitScript-certified telehealth pharmacy. Medications are compounded by licensed US pharmacies, and every prescription is subject to medical approval by a licensed provider.
Are the GLP-1 medications FDA-approved?
The compounded tirzepatide and semaglutide offered by both TelosRX and Strut Health are not FDA-approved. They are prepared under federal compounding regulations, not as copies of the patented branded drugs.
How much does TelosRX cost compared to Strut Health?
TelosRX publishes pricing for every program, with microdosed tirzepatide as low as $116 a month and standard injectable tirzepatide as low as $139 a month. Strut Health lists starting prices from $99 a month for its oral semaglutide lozenge, but pricing for higher, titrated doses is not published on its site.
Is TelosRX fully online?
Yes. TelosRX is online-first and asynchronous. You finish a short intake, a licensed provider reviews it, and approved medication ships to you. No appointment is required.
Can I switch from Strut Health to TelosRX?
Many people compare programs before deciding. You can start a new TelosRX intake at any time. A provider reviews your history and goals before any medication is approved.
How fast is provider review at TelosRX?
Intake review is asynchronous and usually happens within a few hours. If approved, medication ships with free 48-hour delivery. Timing can vary by individual case.
TelosRX is LegitScript-certified. Compounded medications are not FDA-approved and are prepared under federal compounding regulations. Approval is subject to evaluation by a licensed provider; approval is not guaranteed. Individual results vary. TelosRX operates as an online-first, asynchronous telehealth service. Visit TelosRX to learn more.