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Head-to-head dispatch

MedLeanRx 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 #145
MedLeanRx

MedLeanRx is a physician-guided telehealth weight-loss clinic serving Texas only, based in Spring, TX.

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 MedLeanRx. MedLeanRx 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.

MedLeanRx

69/100

C

Overall

Strut Health

88/100

B+

Price transparency

78
93

State access

42
88

Molecule range

95
94

Onboarding speed

52
90

Support responsiveness

70
78

Licensing & trust

74
88

The spec sheet

FieldMedLeanRxStrut Health
Semaglutide$149/mo (starting dose, promotional rate, compounded)From $99/mo sublingual, $149/mo injectable
Tirzepatide$269/mo (starting dose, compounded)From $199/mo either route
Coverage1 states49 states (not Arkansas)
Brand-nameYesCompounded only
Oral optionYesYes
Best forReaders who want texas-only compounded semaglutide at $149/mo with a brand Wegovy and Zepbound pathway.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 MedLeanRx. MedLeanRx still holds its ground where its strengths line up with yours.

Choose MedLeanRx if…

Readers who want texas-only compounded semaglutide at $149/mo with a brand Wegovy and Zepbound pathway.

$149/mo (starting dose, promotional rate, compounded) sema · $269/mo (starting dose, compounded) tirz · 1 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: MedLeanRx · 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.