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Quick verdict
Noom Med is the better pick for most patients on overall scoring. The behavioral app most people loved is now bundled with a medication tier and a microdose option that no other major program offers. Watch the dual billing.
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
| Noom Med | Strut Health | |
|---|---|---|
| Starts from | $279/mo (+ med separate) | $149/mo entry dose (injectable semaglutide) (incl. medication) |
| Monthly cost gap | Strut Health is $80/mo cheaper than Noom Med | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 5 days | 3 days |
| Consultation type | Live | 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.
| Noom Med | Strut Health | |
|---|---|---|
| Pricing transparency | 6/10 | 9/10 |
| Cancellation terms | 9/10 | 9/10 |
| Onboarding experience | 8/10 | 7/10 |
| Medication options | 8/10 | 4/10 |
| Member reviews | 8.8/10 | 6.8/10 |
When to choose Noom Med
Best for behavioral coaching plus meds
Patients who want CBT-style behavioral coaching alongside medication, or who specifically want a microdosed GLP-1 protocol.
Noom Med wins on onboarding experience, medication options, member reviews on the dimensional scoring. The caveat: Patients who only want medication and no behavioral content, or who find Noom's app interface annoying.
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 and runs $80/mo cheaper than Noom Med at the entry tier ($199 vs $279). Over a year that's $960 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 $279 for Noom Med. That's $80 a month or $960a 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 $240 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
Noom Med (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 Noom Med cheaper than Strut Health?
Can I switch from Noom Med to Strut Health mid-treatment?
Which program has better member feedback?
Read the full reviews
All head-to-head comparisons → · Full chart → · Cost guide · Programs guide
