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Head-to-head · WeighScore

Strut Health vs Enhance MD

Strut Health
Graded #20

Lower grade

vs+2.799999999999997
Enhance MD
Graded #13

Higher grade

The verdict

Enhance MD takes it — 84.8/100 to 82/100.

Enhance MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. A transparently tiered compounded program — semaglutide $212/mo (first month $112), tirzepatide $280, a $169 microdose, and a $322 combo — backed by six-month lab testing and provider care, with NAD+ on the side.

We may earn a commission if you start care through some of these links, at no extra cost to you. Affiliate partners are listed first — a capped 3-point edge in board order only. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider. See our disclosure.

Factor by factor

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

Cost valueStrut Health +8
90
82
Dose & formulationStrut Health +13
95
82
Clinical oversightEnhance MD +20
68
88
Labs & monitoringEnhance MD +30
60
90
FulfillmentStrut Health +4
88
84
Contract termsStrut Health +8
92
84
Strut Health · left barEnhance MD · right bar

The numbers

MetricStrut HealthEnhance MD
WeighScore82/10084.8/100
GradeB−B
Scorecard rank#20#13
SemaglutideFrom $99/mo sublingual, $149/mo injectable$212/mo
TirzepatideFrom $199/mo either route$280/mo
Coverage49 states (not Arkansas)Not publicly listed
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
Strut Health

Graded #20 · 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
Enhance MD

Graded #13 · B

Strengths

  • Transparent tiered pricing across sema, tirz, microdose, and combo
  • Dose-flat — the price does not step up as you titrate
  • Six-month lab testing plus provider-led care
  • NAD+ longevity adjacency available

Where it loses points

  • Compounded only — no brand-name Ozempic/Wegovy or Mounjaro/Zepbound
  • No oral or sublingual route
  • States served are not published
  • Higher entry price than the cheapest compounded programs

Also worth a look

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

Across all 43 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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