Head-to-head dispatch
Strut Health vs System Labs
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.
Desk Score
The same molecule as a lozenge or an injection at the same price — the only place in this ranking where the needle is genuinely optional.
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.
Desk Score
One molecule, one route, one price — a flat $179/mo tirzepatide subscription with the rate written out in the provider's own words rather than teased as a floor.
Marked down on: One molecule only — the program is a compounded tirzepatide-based GLP-1/GIP and there is no semaglutide product at all, so switching molecules means switching provider
Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 75/100 (C) for System Labs. System Labs 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.
Strut Health
88/100
B+
System Labs
75/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Strut Health | System Labs |
|---|---|---|
| Semaglutide | From $99/mo sublingual, $149/mo injectable | Not offered — no semaglutide product |
| Tirzepatide | From $199/mo either route | $179/mo standing (compounded, all doses) |
| Coverage | 49 states (not Arkansas) | Not disclosed |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Injectable only |
| Best for | People whose real objection is the needle rather than the medicine, and who want every route priced before signing up. | Readers who only want tirzepatide, want the monthly number settled before they start, and will not miss a semaglutide, oral or brand-name option. |
| Desk Score | 88/100B+ | 75/100C |
The verdict
Desk pick — Strut HealthStrut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 75/100 (C) for System Labs. System Labs still holds its ground where its strengths line up with yours.
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)
FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.
Choose System Labs if…
Readers who only want tirzepatide, want the monthly number settled before they start, and will not miss a semaglutide, oral or brand-name option.
Not offered — no semaglutide product sema · $179/mo standing (compounded, all doses) tirz · Not disclosed
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: Strut Health · System Labs.
Also here
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.
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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.