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Head-to-head · WeighScore

Signos vs Strut Health

Signos
Graded #293

Lower grade

vs+20.6
Strut Health
Graded #21

Higher grade

The verdict

Strut Health takes it — 82/100 to 61.4/100.

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 +46
44
90
Dose & formulationStrut Health +31
64
95
Clinical oversightSignos +16
84
68
Labs & monitoringSignos +11
71
60
FulfillmentStrut Health +17
71
88
Contract termsStrut Health +72
20
92
Signos · left barStrut Health · right bar

The numbers

MetricSignosStrut Health
WeighScore61.4/10082/100
GradeCB−
Scorecard rank#293#21
Semaglutide$199/mo (6-month plan, compounded)From $99/mo sublingual, $149/mo injectable
Tirzepatide$199/mo (starting dose, compounded)From $199/mo either route
CoverageCoverage not published49 states (not Arkansas)
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
Signos

Graded #293 · C

Strengths

  • Bundles compounded GLP-1 (semaglutide) with an FDA-cleared CGM and app — glucose-guided weight loss, not just medication
  • Starting at $199/mo on a 6-month program, with the CGM included at no extra cost
  • Free rapid shipping; HSA/FSA eligible
  • Real-time glucose insights and app coaching to help sustain results after GLP-1

Where it loses points

  • Compounded GLP-1s are not FDA-approved finished products
  • Headline price is a 6-month-program rate, not month-to-month
  • Only semaglutide is shown in the program; tirzepatide availability is not confirmed
  • Compounding pharmacy partner and state availability are not published on the landing page
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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