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Head-to-head comparison

Nirwana 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.

Ranked #294
Nirwana Health

Nirwana Health (nirwanahealth.com) is a telehealth service offering compounded GLP-1 weight loss plus hair, sexual-wellness, and longevity care through licensed providers.

$149/mo sema · $229/mo tirz · Verified July 2026

Marked down on: Prescribing medical group and compounding pharmacy are not named on the site

vs
Ranked #2Desk pick
Strut Health

The same molecule as a lozenge or an injection, each priced on its own page — the only place in this ranking where the needle is genuinely optional.

$129/mo (see conditions) sema · $149/mo (see conditions) tirz · Verified August 2026

Marked down on: FDA issued Strut Health, LLC dba Strut a warning letter in February 2026; the letter is public in FDA's warning-letter database

FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.

Strut Health takes this head-to-head with the higher Desk Score, 89/100 (B+) against 64/100 (C) for Nirwana Health. Nirwana 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.

Nirwana Health

64/100

C

Overall

Strut Health

89/100

B+

Price transparency

76
93

State access

24
88

Molecule range

77
94

Onboarding speed

72
90

Support responsiveness

70
78

Licensing & trust

68
88

The spec sheet

FieldNirwana HealthStrut Health
Semaglutide$149/mo$149/mo (compounded)$129/mosee conditions$129/mo injectable (30-day supply on the product page; the auto-refill "as low as" badge prints the same $129, so no separate one-time price is shown; compounded) · $99/mo oral lozenge (30-day supply; same auto-refill shape)
Tirzepatide$229/mo$229/mo (compounded)$149/mosee conditions$149/mo injectable (30-day supply on the product page; the auto-refill "as low as" badge prints the same $149, so no separate one-time price is shown; compounded) · $199/mo oral lozenge (30-day supply; same auto-refill shape)
CoverageNot listed on Nirwana Health's site (checked July 2026)49 states (not Arkansas)
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forShoppers wanting oral or injectable compounded GLP-1 with no membership and cheaper multi-month plans.People whose real objection is the needle rather than the medicine, and who want every route priced before signing up.
Desk Score64/100C89/100B+

The verdict

Desk pick — Strut Health

Strut Health takes this head-to-head with the higher Desk Score, 89/100 (B+) against 64/100 (C) for Nirwana Health. Nirwana Health still holds its ground where its strengths line up with yours.

Choose Nirwana Health if…

Shoppers wanting oral or injectable compounded GLP-1 with no membership and cheaper multi-month plans.

$149/mo sema · $229/mo tirz

Choose Strut Health if…

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

$129/mo (see conditions) sema · $149/mo (see conditions) tirz · 49 states (not Arkansas)

FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.

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

Also here

CoreAge Rx leads the whole ranking at 94/100

Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

More head-to-heads

Or see the full comparison hub and the complete ranking.

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.