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Head-to-head dispatch

Fierce Health vs Strut Health

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #141
Fierce Health

Fierce Health is a direct-to-consumer telehealth brand selling compounded semaglutide and tirzepatide in both standard and microdose programs, alongside a longevity catalog.

vs
Dispatch #3Desk pick
Strut Health

The same molecule as a lozenge or an injection at the same price — the only place on this board where the needle is genuinely optional.

Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 69/100 (C) for Fierce Health. Fierce Health still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

Fierce Health

69/100

C

Overall

Strut Health

88/100

B+

Price transparency

76
93

State access

66
88

Molecule range

79
94

Onboarding speed

70
90

Support responsiveness

68
78

Licensing & trust

44
88

The spec sheet

FieldFierce HealthStrut Health
Semaglutide$297/mo (3-month plan, compounded)From $99/mo sublingual, $149/mo injectable
Tirzepatide$497/mo (3-month plan, compounded)From $199/mo either route
Coverage30 states49 states (not Arkansas)
Brand-nameYesCompounded only
Oral optionInjectable onlyYes
Best forReaders who want compounded GLP-1 with standard and microdose protocols plus a longevity catalog.People whose real objection is the needle rather than the medicine, and who want every route priced before signing up.
Desk Score69/100C88/100B+

The verdict

Desk pick — Strut Health

Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 69/100 (C) for Fierce Health. Fierce Health still holds its ground where its strengths line up with yours.

Choose Fierce Health if…

Readers who want compounded GLP-1 with standard and microdose protocols plus a longevity catalog.

$297/mo (3-month plan, compounded) sema · $497/mo (3-month plan, compounded) tirz · 30 states

Choose Strut Health if…

People whose real objection is the needle rather than the medicine, and who want every route priced before signing up.

From $99/mo sublingual, $149/mo injectable sema · From $199/mo either route tirz · 49 states (not Arkansas)

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Fierce Health · Strut Health.

Also on the board

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

Or see the full comparison hub and the complete board.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.