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Quick verdict
LifeMD is the better pick for most patients on overall scoring. Mature publicly-traded telehealth with rare direct-supply deals from both Novo Nordisk and Eli Lilly. Membership is $75 the first month then $149/mo ongoing. The Wegovy pill is $149/mo at starter doses and $299/mo at full doses. Steady-state total runs about $448/mo (starter months about $298, first month $224). Wegovy injection runs higher and Zepbound vials from $349. Insurance navigation included. Opt-in money-back guarantee: stay enrolled 12 months and lose at least 10% body weight, or you're eligible for a refund per posted terms.
That said, Strut Health wins on specific dimensions. One of the cheapest legitimate compounded options in the US market thanks to a niche oral lozenge format. No membership fee, free shipping, free consults and physician access included. Trade-off: lozenge bioavailability data is thin compared to standard injectable semaglutide.
Side-by-side
| LifeMD | Strut Health | |
|---|---|---|
| Starts from | $448/mo (+ med separate) | $149/mo entry dose (injectable semaglutide) (incl. medication) |
| Monthly cost gap | Strut Health is $99/mo cheaper than LifeMD | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 2 days | 3 days |
| Consultation type | Async | Async |
| Affiliate network | Impact | Direct |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| LifeMD | Strut Health | |
|---|---|---|
| Pricing transparency | 8/10 | 9/10 |
| Cancellation terms | 7.5/10 | 9/10 |
| Onboarding experience | 8.5/10 | 7/10 |
| Medication options | 9/10 | 4/10 |
| Member reviews | 8.2/10 | 6.8/10 |
When to choose LifeMD
Best for insurance plus lifestyle support
Mainstream patients who want insurance navigation plus the option to cash-pay for branded GLP-1 at near-NovoCare/LillyDirect rates without leaving the platform.
LifeMD wins on onboarding experience, medication options, member reviews on the dimensional scoring. The caveat: Patients chasing the absolute cheapest compounded option or wanting a pure cash-only flat rate. Note also: Publicly traded NASDAQ:LFMD with formal pharmaceutical supply agreements
When to choose Strut Health
Best for oral semaglutide entry
Cost-sensitive patients who want needle-free GLP-1 entry under $100/mo and don't mind a less-studied delivery format.
Strut Health wins on pricing transparency, cancellation terms and runs $99/mo cheaper than LifeMD at the entry tier ($199 vs $298). Over a year that's $1,188 you keep. The caveat: Anyone who wants brand-name FDA-approved semaglutide or insurance-billed care. Note also: Compounded semaglutide is not FDA-approved
If cost is your main filter
Strut Health is the cheaper monthly: $199 all-in vs $298 for LifeMD. That's $99 a month or $1,188a year. The 12-month math matters most if you're planning to maintain on GLP-1 long-term. If you're running a 3-month trial, the $297 delta is small against the cost of stopping early on the wrong dose. Insurance changes the picture: if either program runs prior auth and your plan covers Wegovy or Zepbound, branded with copay can beat both cash-pay totals.
If lock-in is your main filter
LifeMD (month-to-month) and Strut Health (month-to-month) sit at the same cancellation tier. Read both cancellation policies directly before signing; the on-page summary covers the headline but not the deletion-of-account or refund-window edge cases.
FAQ
Is LifeMD cheaper than Strut Health?
Can I switch from LifeMD to Strut Health mid-treatment?
Which program has better member feedback?
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