Sprout Health vs. Strut Health: The New-Gen Telehealth VerdictNEW

The GLP-1 telehealth market isn't done evolving. Beyond the established players (Synergy Rx, MEDVi, SHED, Yucca), a wave of newer and repositioned platforms is pursuing specific niches. Sprout Health and Strut Health represent two distinct takes on the opportunity — and the differences are instructive for anyone comparing compounded programs.

Sprout Health: the GLP-1 specialist

Sprout Health launched in 2023 and is based in Encinitas, California. It's a pure-play compounded GLP-1 platform — the company doesn't sell skincare, hair loss medication, or hormone therapy. Semaglutide and tirzepatide are the entire product line.

Sprout pricing (fully public)

• Compounded semaglutide injection: $249/month (first month $199 with current promo)
• Compounded tirzepatide injection: $299/month
• Compounded tirzepatide tablets (oral): $299/month
• 3-month bundle pricing: $615 for semaglutide ($205/mo), $750 for tirzepatide ($250/mo)
• Price-lock guarantee: Your rate stays the same even as your dose increases

What Sprout does well

• Transparent, public pricing. You can see exactly what you'll pay before signing up.
• LegitScript certified. Independent verification that they meet compliance standards.
• Oral tirzepatide tablets — not common among compounded providers, a genuine differentiator.
• No membership fees. Medication cost includes consultation.
• Available in 44 states (excludes Alabama, Arkansas, California, Louisiana, Mississippi, North Dakota).
• Price lock at signup — your rate stays flat even as your dose escalates.

Where Sprout falls short

• Customer service reviews are mixed — 3.1/5 on Trustpilot with specific complaints about cancellation difficulty.
• Most patients don't need a live telehealth appointment, which can feel light on clinical touch.
• GLP-1 only — no wellness bundling if you want it.
• No lab work included; your provider may request testing but it's not bundled.

Strut Health: the multi-service platform

Strut Health started as a men's and women's telehealth company focused on hair loss, sexual health, and skin treatments, then added weight loss as a category. GLP-1 medications are one offering among many. The company emphasizes whole-person wellness over any single condition.

Strut's service categories

• Weight loss: Injectable semaglutide, oral semaglutide lozenges, injectable tirzepatide, oral tirzepatide lozenges, sermorelin
• Hair loss: Dutasteride, finasteride, minoxidil, custom hair formulas, dermarollers
• Sexual health: Tadalafil, sildenafil, enclomiphene, dapoxetine
• Skin care: Tretinoin, melasma/rosacea/brightening formulas, anti-aging treatments
• Health testing: Respiratory panels, testosterone panels

What Strut does well

• Multi-service platform. If you want GLP-1 plus hair loss plus a testosterone panel on one login, Strut is the rare one-stop provider.
• Men's and women's product lines. Dedicated formulations for each rather than one generic offering.
• Format variety for GLP-1. Both injectable and sublingual lozenge options for semaglutide and tirzepatide.
• Transparent monthly plans for non-GLP-1 products (ED meds starting at $79/mo, hair loss from $49–69/mo).

Where Strut falls short

• GLP-1 pricing is gated behind a consultation quiz. You can't see what you'll pay without submitting your information. This is a common telehealth pattern but not consumer-friendly.
• GLP-1 only for patients who "fail or cannot use commercially available" branded medications. This narrower eligibility compared to Sprout means some patients who'd qualify elsewhere may not qualify here.
• Other services often priced higher than dedicated competitors in their category (dutasteride-topical is $69/mo vs. $89 at Happy Head, but finasteride and some others cost more than dedicated competitors).
• Less GLP-1-specific clinical depth — weight loss is one of many services rather than the core focus.

Head-to-head comparison

Who should pick Sprout

Sprout's straightforward positioning is its main virtue. No upsells, no bundles, no navigating six different health categories to find your prescription. If you know you want compounded semaglutide or tirzepatide and you want transparent pricing, Sprout delivers exactly that.

Who should pick Strut

Strut's strength is breadth. A single patient who wants semaglutide for weight loss, finasteride for hair retention, and tadalafil for ED gets all three from one medical record, one billing system, and one telehealth relationship. That's valuable — but only if you actually want multiple services.

The consult-gated pricing question

Where both fit in the broader compounded landscape

To put Sprout and Strut in context against the rest of the compounded market:

Sprout sits at the upper end of compounded pricing but justifies it with price-lock guarantees and oral tirzepatide access. Strut occupies its own category — the only way to evaluate it on price alone is by going through the intake.

Our ranking for April 2026

1. Sprout Health: Clean execution of a focused value proposition. Recommended for GLP-1-only seekers who value transparent pricing.
2. Strut Health: Unique in its breadth of services. Recommended for patients who want multiple telehealth services in one place.

These aren't direct competitors in the purest sense — they're solving different problems. A patient who needs only GLP-1 should lean Sprout. A patient who wants GLP-1 plus two other services should lean Strut. That's the short version.

Bottom line

Sprout Health and Strut Health aren't competing for the same patient. Sprout wants the person who's decided on compounded GLP-1 and values transparent pricing. Strut wants the person who's consolidating multiple telehealth needs on one platform. If you're in the first bucket, Sprout. If you're in the second, Strut. If you're not sure which bucket you're in, it's probably the first — most people just need one medication, and simpler is usually better.