Live Vital vs Strut Health
In our scoring, Strut Health edges ahead overall (8.0 vs 7.7 out of 10), and Live Vital costs less for compounded semaglutide (about $228 a year less).
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Key differences
- Price
- Live Vital $130/mo vs Strut Health $149/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $228 a year less with Live Vital)
- Coverage
- Live Vital 50 states; Strut Health 49 states (only Live Vital: Arkansas)
- Included
- Live Vital: medication, clinician visits, shipping; Strut Health: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: Live Vital none, Strut Health 1
Live Vital
Affiliate partnerBest for low-cost, physician-led compounded GLP-1 with peptide and hormone options
semaglutide
$130
$99 first month
Our score 7.7/10
Strut Health
Affiliate partnerBest for oral-lozenge compounded GLP-1 access
semaglutide
$149
Our score 8.0/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
Live Vital
Strut Health
Price
Semaglutide / month
Better on this row: $130/mo
$99 first month
$149/mo
Semaglutide / year (modeled)
Better on this row: $1,560
$1,788
Tirzepatide / month
$239/mo
$183 first month
Better on this row: $199/mo
Tirzepatide / year (modeled)
$2,868
Better on this row: $2,388
Oral semaglutide / month
Not listed
$99/mo
Oral tirzepatide / month
Not listed
$199/mo
Coverage
State availability
50 states
49 states
Oral option listed
Not listed
Yes
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Lab work
Not required
Not disclosed
Video visit
Not required
Not disclosed
Cancel anytime
Yes
Not disclosed
Minimum commitment
Sold as 10-week protocols
Not disclosed
Refunds
Terms section 7: 'You may cancel at any time. Cancellation will be effective at the end of your current billing period. Refunds for consultations are provided at our discretion. Medications and lab work are generally non-refundable once ordered or dispensed.'
No refunds once order processed
FDA warning letters
Better on this row: None on record
1 warning letter
Provider facts checked
August 2026
August 2026
Show where they differ by stateHide state lists
Only Live Vital (1 state)
- Arkansas
Every dose and plan: Live Vital · Strut Health
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Live Vital if…
- About $228 a year less than Strut Health for compounded semaglutide at standing prices
- Serves Arkansas, where Strut Health doesn't
- No FDA warning letters on record (Strut Health has 1)
What to weigh up
- The advertised '/mo' rate divides a 10-week protocol by three, so a calendar month really costs about $130 or $239
- Doesn't accept insurance (HSA/FSA funds only)
Choose Strut Health if…
- Lists oral compounded semaglutide and oral compounded tirzepatide, which Live Vital doesn't price
- Both LegitScript and ACHC accredited — pharmacy oversight most compounded GLP-1 providers don't carry
- Auto-refill pricing saves 13–21% vs one-off orders
What to weigh up
- 1 FDA warning letter on record
- About $228 a year more than Live Vital for compounded semaglutide
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Live Vital
7.7/10
Strut Health
8.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $299/mo
Get started →SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →Live Vital vs Strut Health: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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