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Quick verdict
Sesame Care is the better pick for most patients on overall scoring. Sesame is a cash-pay marketplace, not a program. Pay one fee, see one doctor, leave with a script. Cheapest path to a real branded GLP-1 prescription if you can fill it elsewhere. Zero ongoing care. That is the point and the limit.
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
| Sesame Care | Strut Health | |
|---|---|---|
| Starts from | $189/mo (+ med separate) | $149/mo entry dose (injectable semaglutide) (incl. medication) |
| Monthly cost gap | Strut Health is $30/mo cheaper than Sesame Care | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 1 day | 3 days |
| Consultation type | Live | Async |
| Affiliate network | CJ | Direct |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| Sesame Care | Strut Health | |
|---|---|---|
| Pricing transparency | 8/10 | 9/10 |
| Cancellation terms | 10/10 | 9/10 |
| Onboarding experience | 8/10 | 7/10 |
| Medication options | 6/10 | 4/10 |
| Member reviews | 9/10 | 6.8/10 |
When to choose Sesame Care
Best for one-off self-directed Rx
Self-directed buyers who want a one-off prescription and will manage refills, sourcing and titration on their own.
Sesame Care wins on cancellation terms, onboarding experience, medication options, member reviews on the dimensional scoring. The caveat: Anyone wanting coaching, dietitian access, ongoing accountability or an integrated medication supply chain.
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 $30/mo cheaper than Sesame Care at the entry tier ($199 vs $229). Over a year that's $360 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 $229 for Sesame Care. That's $30 a month or $360a 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 $90 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
Sesame Care (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 Sesame Care cheaper than Strut Health?
Can I switch from Sesame Care 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
