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Head-to-head · WeighScore

Metabolyz vs Strut Health

Metabolyz
Graded #339

Lower grade

vs+22.4
Strut Health
Graded #21

Higher grade

The verdict

Strut Health takes it — 82/100 to 59.6/100.

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 valueStrut Health +45
45
90
Dose & formulationStrut Health +55
40
95
Clinical oversightMetabolyz +13
81
68
Labs & monitoringMetabolyz +3
63
60
FulfillmentStrut Health +2
86
88
Contract termsStrut Health +37
55
92
Metabolyz · left barStrut Health · right bar

The numbers

MetricMetabolyzStrut Health
WeighScore59.6/10082/100
GradeCB−
Scorecard rank#339#21
SemaglutideNot disclosedFrom $99/mo sublingual, $149/mo injectable
TirzepatideNot disclosedFrom $199/mo either route
CoverageAll 50 states49 states (not Arkansas)
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
Metabolyz

Graded #339 · C

Strengths

  • Three GLP-1 programs: standard semaglutide, dual-agonist tirzepatide, and a microdose protocol for near-goal or dose-sensitive patients
  • Nutrition, movement, and lifestyle coaching included in all programs at no extra charge
  • Medication compounded in licensed 503A/503B US pharmacies with temperature-controlled, unmarked direct-to-door delivery
  • Licensed provider supervision with direct messaging access and structured check-ins throughout
  • Telehealth across all 50 states; BMI 27+ eligibility (25+ with weight-related condition)

Where it loses points

  • Pricing is fully gated — not disclosed until after consultation, preventing upfront cost comparison
  • Compounded GLP-1 only — no brand-name options (Wegovy, Zepbound) available
  • No LegitScript certification or named medical leadership found on public-facing pages
  • Labs not mentioned as included — unclear whether baseline or follow-up bloodwork is offered
  • Newer brand with no external reviews, published outcomes data, or notable accreditations
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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