Midi Health vs Strut Health

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Midi Health vs Strut Health: Overview

Choosing between Midi Health and Strut Health for GLP-1 weight loss medication? Both are highly-rated providers, but they differ in pricing, medication options, and service features.

Midi Health offers both semaglutide and tirzepatide at $164/month with a rating of 8.6/10. Strut Health also provides both semaglutide and tirzepatide at $149/month with a 8/10 rating.

With only a $15/month price difference, your choice will likely come down to features, support quality, and medication options.

VERIFIED

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

At a glance

Price Difference
$15/mo
Rating Difference
0.6
Winner
Midi Health
Best For
Quality

Midi Health

View full Midi Health review →
Rating
8.6/10Better
Monthly Price
$164
Medications
compounded GLP-1compounded GLP-1/GIPbrand-name GLP-1s

Pros

  • The GLP-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked July 28, 2026)
  • Compounded GLP-1 injectable runs $165.90 for the lowest doses, $270.90 in the mid range and $355.00 at the top; the dual-action GLP-1/GIP injectable runs $210.00 to $434.00, all for a 4-week supply
  • Sublingual options are offered as well, from $164.00 for GLP-1 and $209.00 for dual-action GLP-1/GIP, for people who will not inject
  • Its partner compounding pharmacies are 503B-accredited. 503B outsourcing facilities register with the FDA, are subject to current good manufacturing practice requirements and are FDA-inspected - a materially higher standard than the 503A pharmacies most competitors use
  • There is no membership fee. You pay for care and medication only
  • Visits are insurance-covered for qualifying patients, and HSA/FSA funds can be used for copays and services
  • Midi will also prescribe brand-name GLP-1s sent to a pharmacy of your choice, so you are not locked into compounded product if you would rather have the approved drug
  • The efficacy claim is the best-sourced in this category. Midi reports patients lost an average of 16 lbs after six or more months, and footnotes it to a retrospective analysis of 6,958 patients who completed two or more weight management visits between 1 May 2025 and 30 April 2026, while stating plainly that weight data were self-reported and results are not guaranteed
  • Care is genuinely whole-person for midlife women - perimenopause, menopause, weight, mood and memory, sexual wellness, hair and skin, sleep, and cancer survivorship - with lab orders and lifestyle support included where appropriate
  • Available in all 50 states

Cons

  • The compounded products are still not FDA-approved. 503B accreditation raises the manufacturing standard considerably but does not mean the FDA has reviewed these preparations for safety or efficacy
  • Midi never names the active drug anywhere in its pricing. Everything is labelled 'GLP-1' or 'GLP-1/GIP'. The dose ladders shown - 0.25 through 2.5 mg, and 2.5 through 15 mg - match the standard semaglutide and tirzepatide titrations exactly, but you should confirm with the clinician what you are actually being prescribed
  • Microdosing is offered from $34 a week for eligible patients. Microdosing is not an evidence-based protocol - the trials behind these drugs used full therapeutic doses, and the 16 lb outcome figure covers patients on 'a range of treatments', not microdosing specifically
  • Medicaid and Medi-Cal patients cannot be treated at all, even if they offer to pay cash
  • Medicare does not cover Midi, and beneficiaries cannot submit claims for visits, medications or associated services
  • Prices rise steeply as you titrate up. Injectable GLP-1 more than doubles from $165.90 to $355.00, and the dual-action sublingual runs from $209.00 to $460.00, so the entry price is not what you will pay long term
  • The 16 lb average comes from self-reported weights in a retrospective chart review with no control group - well documented, but not a controlled trial
  • GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy. Pancreatitis and gallbladder disease are recognised risks
Choose Midi Health

Strut Health

View full Strut Health review →
Rating
8/10
Monthly Price
$149Cheaper
Medications
semaglutidetirzepatide

Pros

  • Compounded injectable semaglutide from $149/month and compounded tirzepatide from $199/month on auto-refill, with a 30-day tirzepatide supply listed at $325 without it (checked July 27, 2026)
  • Explains what compounded medication actually is, and why it is not FDA-approved, instead of burying a disclaimer - the clearest patient-facing explanation of the distinction we found
  • Free online MD visit, free shipping and free follow-up care are all included in the price
  • Damaged or defective orders can be reported within two weeks, far more workable than the 24 to 48-hour windows most competitors impose
  • Publishes a support email, a street address and actual support hours rather than a contact form alone
  • Oral semaglutide is offered alongside injectables, plus sermorelin for those who want a non-GLP-1 option
  • Cancel anytime, and the pricing page states plainly that medical necessity is required rather than implying everyone qualifies
  • Separate men's and women's weight-loss pathways, and a broad catalogue covering hair, skin, sexual health and menopause

Cons

  • The refund policy was last modified on 21 September 2021, years before Strut added its GLP-1 line, so the document governing your money predates the product you are buying
  • No returns or refunds once medication leaves the pharmacy, and no refund for cancellations received after the pharmacy has processed the order
  • The tirzepatide page places 'Just $6.63' beside a '30 DAY SUPPLY $325' heading. The $6.63 figure is the daily rate for the $199 auto-refill price, not for the $325 supply shown next to it
  • 'As low as' pricing is tied to committing to auto-refill, and the site does not show what a single non-recurring order costs for semaglutide
  • There is no independent review signal at all - no Trustpilot profile, no BBB file - so nothing external corroborates the service quality
  • GLP-1 sits inside a large catalogue spanning hair, skin and sexual health, so the weight-loss programme gets less dedicated clinical content than a specialist provider offers
  • Support runs weekdays 9am-5pm ET only, with no evening, weekend or phone coverage published
  • Compounded products carry the usual caveat that they have not been evaluated by the FDA for safety, efficacy or quality
Choose Strut Health

Feature-by-feature comparison

FeatureMidi HealthStrut Health
Monthly Price$164$149
Rating8.6/108/10
Medicationscompounded GLP-1, compounded GLP-1/GIP, brand-name GLP-1ssemaglutide, tirzepatide
Insurance AcceptedYesNo
Support HoursNot publishedMon-Fri 9am-5pm ET
Live ChatNoAvailable
Free ShippingYesYes
Shipping SpeedDiscreet shipping included in every quoted medication priceNot published
Mobile AppNoNo
Dedicated CoachNot includedNot included
Follow-up FrequencyContinued care visits with the same clinician, covered by insurance for qualifying patientsFree follow-up care included
Money-back GuaranteeNone publishedNone - no refunds once medication leaves the pharmacy; defective or damaged orders can be reported within two weeks
Cancellation PolicyNo membership fee and no subscription lock-in; you pay for care and medication onlyCancel anytime, but not after the pharmacy has processed your order

Which should you choose?

Choose Midi Health if you:

  • Prefer a higher-rated service (8.6/10 vs 8/10)
  • Want more medication options to choose from
  • Need insurance coverage for your treatment
  • Value: the glp-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked july 28, 2026)

Choose Strut Health if you:

  • Want to save $15/month with a more affordable option
  • Value: compounded injectable semaglutide from $149/month and compounded tirzepatide from $199/month on auto-refill, with a 30-day tirzepatide supply listed at $325 without it (checked july 27, 2026)

Website previews

Midi Health

Midi Health website

Strut Health

Strut Health website

Our recommendation

Midi Health comes out ahead with a higher rating of 8.6/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Midi Health

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