Strut Health Review 2026: The Oral Semaglutide Lozenge Option

Reviewed by RC Nelson, Health & Wellness Writer. Last updated March 2026.

Key Takeaways

• Oral semaglutide lozenge available (no needles required)
• Injectable semaglutide also offered
• Pricing from $249/mo (oral) to $289/mo (injectable)
• No insurance, HSA, or FSA accepted
• No tirzepatide option
• Async consultation process
• Available in most US states

What Is Strut Health?

Strut Health is a telehealth platform that started in sexual health and skincare before expanding into GLP-1 weight loss treatment. Their GLP-1 offering is straightforward: compounded semaglutide in your choice of injectable or oral lozenge format.

The oral lozenge is the selling point. If needles are what has kept you from trying GLP-1 treatment, Strut Health gives you an alternative. The lozenge dissolves in your mouth and delivers the same active ingredient as injectable semaglutide. (Worth noting: oral compounded formulations may absorb differently than injectables. Talk to your provider about which delivery method is right for you.)

That said, Strut Health is a narrower platform than most competitors. No tirzepatide, no brand-name medications, no insurance, no HSA/FSA. It is compounded semaglutide in two formats, and that is the whole menu.

Pricing Breakdown

These prices are on the higher side for compounded semaglutide. For comparison:

You are paying a premium for the oral format. If you are fine with injections, there are cheaper options across the board.

How It Works

1. Select your format. Choose between injectable semaglutide or the oral lozenge.
2. Complete a medical questionnaire. Standard intake about your health history, medications, weight, and goals.
3. Physician review. A licensed physician reviews your submission. No video call required.
4. Medication ships. If approved, your compounded semaglutide is prepared and shipped to your door.

The process is fully async. No phone calls, no video visits, no back-and-forth unless the physician needs additional information.

Medications

Compounded Semaglutide (injectable) is the standard GLP-1 option. Same active ingredient as Ozempic and Wegovy, delivered via injection.

Compounded Semaglutide (oral lozenge) is the differentiator. A dissolvable lozenge containing the same active ingredient, taken by mouth. No needles involved.

That is the full medication list. No tirzepatide (the dual-action GLP-1/GIP ingredient in Mounjaro and Zepbound), no brand-name options, no alternative weight loss medications.

If you want tirzepatide, look at Henry Meds, Found, GobyMeds, or Yucca Health. If you want brand-name GLP-1 medications, look at Eden, Ro, or PlushCare.

Pros

Oral semaglutide lozenge is the reason to consider Strut Health. If you genuinely cannot handle needles and want semaglutide specifically, your options are limited. Strut Health is one of the few platforms that offers a real oral alternative.

Simple process. No video calls, no complex intake, no coaching upsells. You pick your format, answer some questions, and medication shows up. If you value simplicity, that is what you get.

No video call required. Everything is async. Some patients prefer this, especially if scheduling a telehealth appointment feels like a barrier.

Cons

Pricing is not competitive. $249-349/mo for compounded semaglutide is well above GobyMeds ($99/mo), Henry Meds ($149/mo), and Hims ($199/mo). You are paying for the oral format, but that is a steep markup.

No HSA/FSA accepted. This is unusual. Most telehealth platforms accept HSA/FSA cards as a basic convenience. Strut Health does not. That means you cannot use pre-tax health dollars, which effectively makes the price even higher.

No tirzepatide. In a market where dual-action GLP-1/GIP medications are increasingly popular, only offering semaglutide limits your options. If your provider recommends tirzepatide, you will need to go elsewhere.

No brand-name medications. Compounded only. No Wegovy, no Ozempic, no Zepbound.

Limited GLP-1 focus. Strut Health is primarily a sexual health and skincare platform that added GLP-1 treatment. They do not have the same depth of weight loss expertise as dedicated GLP-1 platforms like Mochi Health or Found.

Strut Health vs. the Competition

Who Is Strut Health Best For?

Strut Health is for one specific type of patient: someone who wants semaglutide for weight loss, cannot handle needles, and specifically wants the semaglutide active ingredient (not tirzepatide).

That is a narrow audience, and that is fine. If you fit that description, Strut Health solves your problem.

For everyone else, there are usually better options. If you want the cheapest semaglutide, GobyMeds at $99/mo. If you want an oral option but with tirzepatide, Embody's oral gum. If you want both compounded and brand-name choices, Eden or Ro.

The Bottom Line

Strut Health does one thing and does it decently: oral semaglutide without needles. The lozenge format is a genuine differentiator in a market where almost everything requires an injection.

The trade-off is that you pay more for a narrower offering. No tirzepatide, no brand-name, no HSA/FSA, and pricing that sits above most competitors. If the oral format is your non-negotiable requirement and you specifically want semaglutide, Strut Health is worth considering. For everyone else, the math points toward other providers.

Curious about the oral option? Visit Strut Health to see if the semaglutide lozenge is right for you.

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Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Individual results vary. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you are experiencing a medical emergency, call 911.