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Head-to-head dispatch

Onyx Weight Loss 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 #279
Onyx Weight Loss

Onyx Weight Loss is a nurse-practitioner-led telehealth clinic based in Mooresville, NC, offering GLP-1 and GLP-1/GIP weight-loss medications alongside peptides and HRT across 8 states.

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 62/100 (C) for Onyx Weight Loss. Onyx Weight Loss 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.

Onyx Weight Loss

62/100

C

Overall

Strut Health

88/100

B+

Price transparency

78
93

State access

42
88

Molecule range

72
94

Onboarding speed

44
90

Support responsiveness

75
78

Licensing & trust

58
88

The spec sheet

FieldOnyx Weight LossStrut Health
Semaglutide$228/mo (starting dose, compounded)From $99/mo sublingual, $149/mo injectable
Tirzepatide$280/mo (starting dose, compounded)From $199/mo either route
Coverage8 states49 states (not Arkansas)
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyYes
Best forReaders who want nP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl.People whose real objection is the needle rather than the medicine, and who want every route priced before signing up.
Desk Score62/100C88/100B+

The verdict

Desk pick — Strut Health

Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 62/100 (C) for Onyx Weight Loss. Onyx Weight Loss still holds its ground where its strengths line up with yours.

Choose Onyx Weight Loss if…

Readers who want nP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl.

$228/mo (starting dose, compounded) sema · $280/mo (starting dose, compounded) tirz · 8 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: Onyx Weight Loss · 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.