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Head-to-head dispatch

Strut Health vs Zera 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 #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.

vs
Dispatch #39
Zera Health

Zera Health is a telehealth platform for compounded GLP-1 weight loss — semaglutide from $149/mo, tirzepatide from $199/mo, plus oral and low-dose microdose options — prescribed by licensed physicians in…

Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 82/100 (B−) for Zera Health. Zera 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

Zera Health

82/100

B−

Price transparency

93
86

State access

88
86

Molecule range

94
77

Onboarding speed

90
78

Support responsiveness

78
80

Licensing & trust

88
83

The spec sheet

FieldStrut HealthZera Health
SemaglutideFrom $99/mo sublingual, $149/mo injectable$149/mo (compounded)
TirzepatideFrom $199/mo either route$199/mo (compounded)
Coverage49 states (not Arkansas)All 50 states
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forPeople whose real objection is the needle rather than the medicine, and who want every route priced before signing up.Readers who want budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy.
Desk Score88/100B+82/100B−

The verdict

Desk pick — Strut Health

Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 82/100 (B−) for Zera Health. Zera 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 Zera Health if…

Readers who want budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy.

$149/mo (compounded) sema · $199/mo (compounded) 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 · Zera 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.