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WeighLab

Strut Health vs Sesame Care

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Strut Health

Affiliate partner

Anyone optimizing total monthly outlay who will keep an auto-refill running, and anyone whose real objection is the needle.

Semaglutide / month
From $99/moLozenge, $129/mo injection (auto-refill)
Tirzepatide / month
From $149/moInjection, $199/mo lozenge (auto-refill)
Index 87/100 · Grade B+Checked October 2026

Sesame Care

Affiliate partner

People who want FDA-approved Wegovy, Zepbound or the Foundayo pill, a provider they pick themselves, and the option to collect it at a local pharmacy the same day.

Semaglutide / month
$149/moMedication + $59/mo care subscription (that rate needs a 12-month commitment)
Tirzepatide / month
Brand (Zepbound)
Index 86/100 · Grade BChecked October 2026

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Strut Health has the higher Cost-Efficiency Index: 87/100 versus 86/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Strut Health
49 states (not Arkansas)
Sesame Care
Nationwide

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Strut Health

Sesame Care

Semaglutide / month
Strut Health: From $99/moLozenge, $129/mo injection (auto-refill)
Sesame Care: $149/moMedication + $59/mo care subscription (that rate needs a 12-month commitment)
Tirzepatide / month
Strut Health: From $149/moInjection, $199/mo lozenge (auto-refill)
Sesame Care: Brand (Zepbound)
Semaglutide / year (modeled)
Strut Health: $1,188
Sesame Care: —
Tirzepatide / year (modeled)
Strut Health: $1,788
Sesame Care: —
State availability
Strut Health: 49 states (not Arkansas)
Sesame Care: Nationwide
Oral / sublingual option listed
Strut Health: Yes
Sesame Care: Yes
Brand-name access listed
Strut Health: Not confirmed
Sesame Care: Yes
Provider facts checked
Strut Health: October 2026
Sesame Care: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Strut Health

Anyone optimizing total monthly outlay who will keep an auto-refill running, and anyone whose real objection is the needle.

Reasons to consider it

  • Low auto-refill prices: semaglutide is $99 as a lozenge or $129 as an injection, and tirzepatide is $149 as an injection
  • Lozenges for both molecules give you a needle-free choice beside the weekly injection
  • Free physician visit, free shipping and unlimited free follow-ups are included rather than billed separately

What to weigh up

  • Every headline price is the auto-refill rate, which Strut says is 13% to 21% below a one-off order
  • Once medication leaves the pharmacy it can't be returned or refunded
  • Asynchronous by design: their FAQ notes some states need no phone consultation, so you may never speak to the prescriber

Regulatory note: the FDA issued a warning letter to Strut Health, LLC dba Strut in February 2026. We still list and link to Strut Health; you should know the letter is on the public record before you decide.

Sesame Care

People who want FDA-approved Wegovy, Zepbound or the Foundayo pill, a provider they pick themselves, and the option to collect it at a local pharmacy the same day.

Reasons to consider it

  • Brand-name choices include the Wegovy pill and pen, Wegovy HD, Zepbound vials and KwikPen, and the Foundayo pill
  • Medication starts at $149 a month for the Wegovy pill or Foundayo and $299 for a Zepbound vial or KwikPen
  • You choose your own provider, meet by video, and get lab work when your provider wants metabolic data

What to weigh up

  • Two separate charges: the care plan and the medication are billed apart, so the floor is about $208 a month, not $149
  • The $59 care price needs a 12-month commitment; month to month it is $99, or $79 on three months and $69 on six
  • No compounded option, so nothing here costs less than the brand-name self-pay prices

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Strut HealthSesame Care
Normalized Cost/Month
Strut Health:
92/100
Sesame Care:
76/100
Price Transparency
Strut Health:
84/100
Sesame Care:
82/100
Nationwide Access
Strut Health:
90/100
Sesame Care:
92/100
Formulation Options
Strut Health:
95/100
Sesame Care:
95/100
Clinical Oversight
Strut Health:
68/100
Sesame Care:
89/100
Contract Flexibility
Strut Health:
92/100
Sesame Care:
84/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.