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Head-to-head · WeighScore

Belle Health vs Strut Health

Belle Health
Graded #48

Lower grade

vs+5
Strut Health
Graded #21

Higher grade

The verdict

Strut Health takes it — 82/100 to 77/100.

Strut Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. The same molecule as a lozenge or an injection at the same price — the one place here where the needle is genuinely optional.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueBelle Health +2
92
90
Dose & formulationStrut Health +23
72
95
Clinical oversightBelle Health +3
71
68
Labs & monitoringBelle Health +12
72
60
FulfillmentStrut Health +3
85
88
Contract termsStrut Health +37
55
92
Belle Health · left barStrut Health · right bar

The numbers

MetricBelle HealthStrut Health
WeighScore77/10082/100
GradeC+B−
Scorecard rank#48#21
Semaglutide$119/moFrom $99/mo sublingual, $149/mo injectable
Tirzepatide$199/mo (all doses, 3-month plan, compounded)From $199/mo either route
CoverageAll 50 states49 states (not Arkansas)
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
Belle Health

Graded #48 · C+

Strengths

  • Five named compounding pharmacy partners disclosed (Striker, Strive, OptioRx, Enovex, Braun PharmaCare)
  • Flat-rate pricing — $119/mo semaglutide, $199/mo tirzepatide — doesn't rise at higher doses
  • Free weekly registered-dietitian sessions included
  • Operating since 2017
  • LegitScript Certified

Where it loses points

  • $199 tirzepatide price requires a 3-month bundle commitment
  • Compounded medications are not FDA-approved
  • Multi-pharmacy model — formulations may differ across orders
  • FDA issued this company a warning letter dated 20 February 2026; the letter is public in FDA's warning-letter database
Strut Health

Graded #21 · B−

Strengths

  • Sublingual lozenges for both molecules at the same price as the injection — semaglutide from $99/mo, tirzepatide from $199/mo
  • Every route and auto-refill saving published on the product page rather than inside an intake
  • Free physician visit, free shipping and free follow-up care included
  • Cancel, pause or delay yourself with 48 hours' notice

Where it loses points

  • Asynchronous by design — some states need no phone consultation, so you may never speak to the prescriber
  • No published lab or monitoring programme
  • Compounded only, with no brand-name lane
  • Not available in Arkansas

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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