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Head-to-head dispatch

Strut Health vs Vaylen

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 #4
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.

vs
Dispatch #3Desk pick
Vaylen

The strongest all-rounder among the newer entrants — low pricing, brand access, oral routes, and all 50 states on one account.

Vaylen takes this head-to-head with the higher Desk Score, 91/100 (A−) against 88/100 (B+) for Strut Health. Strut 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.

Strut Health

88/100

B+

Overall

Vaylen

91/100

A−

Price transparency

93
88

State access

88
96

Molecule range

94
96

Onboarding speed

90
86

Support responsiveness

78
84

Licensing & trust

88
90

The spec sheet

FieldStrut HealthVaylen
SemaglutideFrom $99/mo sublingual, $149/mo injectable$179/mo
TirzepatideFrom $199/mo either route$239/mo
Coverage49 states (not Arkansas)All 50 states
Brand-nameCompounded onlyYes
Oral optionYesYes
Best forPeople whose real objection is the needle rather than the medicine, and who want every route priced before signing up.People who want maximum optionality — brand or compounded, oral or injectable — without giving up nationwide reach.
Desk Score88/100B+91/100A−

The verdict

Desk pick — Vaylen

Vaylen takes this head-to-head with the higher Desk Score, 91/100 (A−) against 88/100 (B+) for Strut Health. Strut Health 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)

Choose Vaylen if…

People who want maximum optionality — brand or compounded, oral or injectable — without giving up nationwide reach.

$179/mo sema · $239/mo tirz · All 50 states

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 · Vaylen.

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.