Will a Sesame provider actually prescribe compounded GLP-1?

Many will — particularly those who advertise weight-management or men's-health in their profiles. The prescriber determines whether compounded semaglutide or tirzepatide is appropriate for your case during the visit, screening for contraindications (MTC family history, severe gastroparesis, prior pancreatitis). Some Sesame providers may decline compounded GLP-1 due to the post-FDA-shortage regulatory landscape and prefer to prescribe branded Wegovy or Mounjaro instead — this is the case-by-case clinical judgment the marketplace model enables. Check provider profiles for compounded-GLP-1 prescribing willingness before booking if affordability is your priority.

How does the Sesame pricing model work for weight loss?

Sesame is encounter-based: you pay a one-time cash price for the visit ($29 base, $50–$100 typical for weight-management specialists), and then pay separately for the medication at the pharmacy of your choice or mail-order. Compounded semaglutide cash-pay at most 503A pharmacies runs $149–$250/mo depending on the specific compounding pharmacy and dose tier. The full first-month cost is roughly $29–$100 visit + $149–$250 medication = $178–$350. Ongoing months are just the medication cost (~$149–$250) until you want another visit. This is more expensive than mass-market subscription entry pricing ($79–$199/mo at Maximus/Hims) for steady-state users but cheaper for intermittent users.

What about the regulatory uncertainty around compounded GLP-1s?

Real concern. FDA officially ended the semaglutide shortage in early 2026 (and tirzepatide earlier), which technically restricts 503A compounding pharmacies' ability to dispense compounded versions. Sesame providers prescribing compounded GLP-1 face the same regulatory environment as subscription telehealth — the marketplace structure doesn't insulate against the FDA scrutiny. Some Sesame providers may shift toward prescribing branded Wegovy or Mounjaro (with insurance prior-authorization workflow) as compounding restrictions tighten. The long-term affordability advantage of compounded GLP-1 is regulatorily uncertain across the entire telehealth landscape.

Does Sesame Care accept insurance for weight loss?

Sesame's differentiator is transparent cash pricing without insurance for the visit, which is the model patients pay for. Some Sesame providers may help coordinate insurance prior-authorization for branded GLP-1 medications (Wegovy, Mounjaro) if you have coverage — but the visit itself is cash-pay. For patients with strong insurance coverage who want to use it for both the encounter and the medication, traditional in-network primary care or endocrinology may be the better path; for patients without coverage or who want to avoid insurance friction, Sesame's cash-pay model is the value proposition.

How do I pick the right Sesame provider for weight loss?

Read provider profiles for relevant experience (look for endocrinology training, weight-management specialty mentioned, or GLP-1-experienced practice). Check provider reviews on the Sesame profile and other platforms. Compare consultation prices ($29 base is common but specialists may charge $50–$100). For complex metabolic cases (insulin resistance, dyslipidemia, prior GLP-1 attempts with poor response), prioritize providers with endocrinology or weight-management credentials over general practitioners. The marketplace model puts more responsibility on you to select the right encounter than subscription telehealth, but it also enables better case-specific matching.

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Strut Health Weight Loss Review

Name: Strut Health — AHF Editorial Review
Brand: Strut Health
Rating: 4.1 (1 reviews)

From $1.60 · Free consult · 3.2★ on Trustpilot · 45+ States

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Trustpilot

3.2

750 verified reviews

750+ Verified Reviews

LegitScript Approved

Independently Reviewed

Editorially Rated

AHF Editorial Rating

4.1/5

Pay-per-visit marketplace applied to GLP-1 — real clinical encounter with licensed providers (including dermatologists/endocrinologists), broader medication catalog than subscription telehealth.

AHF Editorial Team·Last updated June 11, 2026·Independent review · No vendor-controlled edits

How we rate providers

Services Offered

What Strut Health treats

Sildenafil $1.60/dose

Hair Loss

From$20

Finasteride $20/mo

Fit Check

Is Strut Health the right fit for you?

Who it's for

Patients who want a real clinical encounter for GLP-1 weight loss rather than algorithmic async intake — Sesame is a marketplace of licensed providers (sometimes actual endocrinologists or weight-management specialists) where you book directly and have an actual video visit
Men with complex metabolic profiles wanting prescriber-level evaluation before starting GLP-1 — Sesame providers can order comprehensive metabolic labs as appropriate for your case, vs the "no labs required to start" mass-market shortcut at Maximus/Hims style operations
Patients interested in both injectable and oral compounded GLP-1 options — Sesame providers can prescribe across the medication catalog including oral lozenge formulations that some users prefer
Cost-sensitive shoppers who use medications intermittently or want pay-per-encounter pricing rather than subscription lock-in — a one-time visit + prescription pickup at the pharmacy of your choice can be cheaper for users who don't need monthly prescriber relationship

Who it's not for

Anyone with personal or family history of medullary thyroid carcinoma (MTC) or MEN-2 syndrome — these are FDA-labeled contraindications for GLP-1 medications regardless of provider model
Patients wanting frictionless subscription auto-refill — Sesame is encounter-based, not subscription-based; if you want set-and-forget monthly delivery, mass-market subscription telehealth (Hims, PeterMD, Maximus) fits better
Anyone uncomfortable with the regulatory uncertainty around compounded GLP-1s post-FDA-shortage-end — applies to Sesame providers prescribing compounded equally with subscription telehealth
Cost-sensitive shoppers wanting the absolute lowest entry-tier compounded GLP-1 — Maximus at $79.99/mo Semaglutide microdose undercuts Sesame's $29/visit + $149-$200 prescription pricing for users on steady-state treatment

What to expect

Your first 3 months with Strut Health

01Day 1

Browse Sesame's provider marketplace — filter for weight-management specialists, endocrinologists, or GLP-1-experienced providers; compare upfront cash prices for visits ($29 base, $50–$100 typical for weight-management consultations). Book same-day or next-day video visit directly with the provider you choose.

02Week 1

Video visit with the Sesame provider — typically 20–45 minutes for weight-management initial consultations. Discuss weight history, BMI, GLP-1 contraindications (MTC family history, severe gastroparesis, prior pancreatitis), comorbidities, and goals. Provider determines whether to order baseline labs (decision varies by case complexity vs the mass-market no-labs-shortcut) and writes the prescription. Medication shipped to your pharmacy of choice or mail-order.

03Month 1

First medication shipment lands. Standard start is semaglutide 0.25mg/week or tirzepatide 2.5mg/week conservative entry. The advantage of the encounter-based model: if you want clinical advice during the GI-side-effect adjustment period, you can book another $29 visit with the same Sesame provider rather than relying on async support tickets at subscription platforms.

04Month 6

Dose titration to therapeutic range (semaglutide 0.5mg → 1mg → 1.7mg → 2.4mg/week; tirzepatide 5mg → 10mg → 15mg/week). For Sesame patients, titration conversations happen during scheduled clinical encounters with the same provider relationship — vs mass-market subscription model where titration is often async messaging. Average loss at 6 months on therapeutic-dose GLP-1 runs 10–15% of starting body weight in semaglutide responders, 12–18% in tirzepatide responders.

Compare

Strut Health vs the alternatives

vs.

Hims

[Hims](/online-providers/weight-loss/hims) is the subscription-async model at $199/mo compounded semaglutide — algorithmically routed intake, set-and-forget refills, lowest mass-market entry tier. Sesame is the pay-per-visit marketplace at $29–$100/visit + $149–$200 prescription pricing — real clinical encounter with licensed providers (often actual endocrinologists or weight-management specialists). Pick Hims if you want frictionless subscription auto-refill at the lowest mass-market subscription cost. Pick Sesame if you want a real clinical encounter (better for cases needing case-specific evaluation, complex metabolic profiles, or non-standard protocols). AHF rates Hims 4.0 and Sesame 4.1 (weight-loss) — narrow gap reflects Sesame's clinical-encounter advantage vs Hims's subscription-convenience advantage.

From $4·All 50 States

vs.

PeterMD

[PeterMD](/online-providers/weight-loss/petermd) is the subscription telehealth at $200–$300/mo with the multi-medication catalog (semaglutide + tirzepatide + phentermine). Sesame is the pay-per-visit marketplace at $29–$100/visit + $149–$200 prescription. PeterMD's strength is the integrated subscription account if you're also on TRT or ED treatment and want bundled access. Sesame's strength is the real clinical encounter for cases needing clinical judgment and the pay-per-use pricing for intermittent users. AHF rates PeterMD 4.3 and Sesame 4.1 (weight-loss) — gap reflects PeterMD's medication-switching-flexibility-within-one-provider vs Sesame's marketplace-of-specialists approach.

From $62.50·44+ States

3.2

Trustpilot Rating

$1.60

Starting Price

45+ States

State Coverage

3-7 Days

Turnaround

Honest Breakdown

What Works Well

Extremely competitive ED pricing (Sildenafil from $1.60/dose)
Free online consultations with board-certified doctors
Free shipping on all orders
Wide range of treatments in one platform
Both injectable and oral weight loss options
Custom compounded formulas available
No cancellation fees

Watch Points

Lower Trustpilot rating (3.2 stars) than competitors
Some reports of shipping delays
Customer service can be slow to respond
Compounded medications not FDA-approved

See if Strut Health is right for you — Free Consultation

Real Questions

What people actually ask about Strut Health

Yes — Sesame is a healthcare marketplace where licensed providers (physicians, NPs, sometimes actual endocrinologists or weight-management specialists) list their services with upfront cash pricing. Patients book directly, pay per visit, and receive prescriptions sent to the pharmacy of their choice. The legitimacy infrastructure is robust — Sesame providers must be licensed and credentialed; the marketplace doesn't prescribe directly, it connects patients with real clinicians. For weight-loss specifically, look for providers who advertise GLP-1 experience or weight-management as a specialty before booking.

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3.2★From $1.60 · 45+ States

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