Strut Health vs TMates
An in-depth comparison of two leading GLP-1 Providers
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Strut Health
Best for oral-lozenge compounded GLP-1 accessStarting at $99/mo
TMates
Best for nationwide compounded GLP-1 availability including Puerto RicoStarting at $199/mo
Side-by-Side Comparison
| Feature | Strut Health | TMates |
|---|---|---|
| Overall Score | ✓8.1/10 | 6.3/10 |
| Starting Price | ✓$99/mo | $199/mo |
| Editorial Rating | ✓4.1 ★ /5 | 3.2 ★ /5 |
| Features | ✓6 features | 4 features |
| States Available | ✓49 | 0 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
Strut Health
Pros
- ✓Both LegitScript and ACHC accreditation — pharmacy oversight standard most compounded GLP-1 providers don't advertise
- ✓Oral lozenge formulation available for semaglutide ($99/mo) and tirzepatide ($199/mo) — injection-free alternative
- ✓Transparent auto-refill pricing with 13–21% savings vs. one-off orders
- ✓Free unlimited follow-up messaging with board-certified US physicians
- ✓49 states covered (only Arkansas excluded as of September 2024)
Cons
- ✗'Medical necessity' eligibility gate — Strut's prescribers evaluate whether treatment is medically appropriate but the criteria are not publicly defined, so users can't self-screen before paying for a consultation
- ✗Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro option
- ✗Pharmacy partners not publicly named — users can't independently verify 503A/503B compounding source
- ✗No insurance accepted — cash pay only
- ✗Phone consultation requirement varies by state (not every state mandates a synchronous visit)
TMates
Pros
- ✓All-inclusive monthly pricing covers medication, consultations, nutrition coaching, and 24/7 support with no separate membership fee
- ✓Available in all 50 US states plus Puerto Rico and other US territories
- ✓Both compounded semaglutide and tirzepatide offered
- ✓Fast stated turnaround (intake to medication delivery in 2–3 days)
Cons
- ✗No disclosed third-party accreditations (no verified LegitScript, PCAB, ACHC, or NABP) — weaker pharmacy-oversight signal than competitors
- ✗BBB rating B+ (not accredited) with 8 complaints filed, most involving billing and cancellation friction
- ✗Trustpilot reviews show partial-refund and contact-difficulty reports, and some customer posts allege reviews have been removed
- ✗Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
- ✗Pharmacy partners not publicly named — TMates explicitly disclaims both medical practice and pharmacy dispensing responsibility, routing both to independent third parties
- ✗Also sells Schedule III testosterone products and other wellness SKUs alongside GLP-1s — worth knowing about for readers who want a GLP-1-focused provider
Our Verdict
Strut Health edges out TMates with a higher overall score of 8.1/10 and is particularly strong for oral-lozenge compounded GLP-1 access. TMates remains a solid alternative, especially if you're looking for nationwide compounded GLP-1 availability including Puerto Rico.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.