Strut Health Reviews: The $99 Requires Auto-Refill

The one-sentence version

Strut Health publishes the cheapest longevity protocol on our board — $99/mo for oral sermorelin lozenges — with the online MD visit, follow-up care and shipping genuinely inside it. The catch is one word on the price badge: AUTO REFILL. The discount is stated ("Save 18%") but the price it discounts is not, so the cost of buying a single month without enrolling in refills is not published anywhere on the site. It grades A, 12 out of 14, losing both pharmacy points, and the grade is computed from published terms alone and cannot see who pays us.

What it is, and who it's for

Strut Health, LLC is an asynchronous compounded telehealth out of Dallas, Texas. You complete an online questionnaire, "a healthcare professional will review your information," and if approved the medication ships monthly. There is no video visit in the flow and no scheduled call — in many states you will never speak to the prescriber, which is the trade-off that makes the price possible.

Its Wellness & Longevity shelf is small and specific: injectable sermorelin, oral sermorelin lozenges and injectable NAD+, alongside sublingual and injectable GLP-1 routes, hair, skin and sexual-health lines. If you want a program that measures anything, this is the wrong shape entirely — see longevity biomarker panels.

What it actually costs

All figures verified on struthealth.com on 26 July 2026.

The three longevity prices. Oral Sermorelin Peptide Therapy, 30 lozenges: "AUTO-REFILL · Starting at $99." Injectable Sermorelin, 9 mg at 2.5 mg/mL: "AUTO REFILL · Starting At $119 · Save 18%." NAD+ Therapy, injection, 500 mg at 200 mg/mL: "From $149."

What "Save 18%" is measured against is not shown. The injectable sermorelin page displays $119 and a "Save 18%" badge with no struck-through figure beside it. Work the discount backwards and the one-off price is around $145 — but that is our arithmetic, not Strut's disclosure, and other Strut products carry different percentages (its oral ivermectin shows "Save 21%"), so it is not a rate you can infer with confidence. The published price is the subscribed price, and the unsubscribed price is unpublished.

Even the published price may not be the final one. The product-page disclaimer reads: "All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined." That is Strut telling you, in its own words, that $99 or $119 is a starting point rather than a quotation.

What is genuinely included. Four badges sit on the product page and they are real: "Free shipping," "Free follow-up care," "Free online MD visit," "Cancel anytime." No membership, no baseline assessment, no lab gate, no consultation fee — meaningful in a category where a lab panel and a monthly membership routinely sit in front of the medication. See longevity clinics vs lab memberships.

What happens if you cancel. "Cancel anytime" governs future refills, not money already spent. The Return and Refund Policy — last modified in September 2021 — is blunt: "For all medications that leave the pharmacy, we are unable to accept returns or offer refunds due to government regulations," and "we cannot do refunds for any cancellation requests received after the pharmacy has processed your order." Exchanges are limited to defective or damaged items reported within two weeks.

Clinical oversight and the pharmacy

A U.S.-licensed physician reviews the intake before anything ships, and follow-up care is inside the price rather than billed by the minute — that is worth the two oversight points on our rubric. The review is asynchronous, so the oversight is real but remote.

Credit where it is due on safety copy: the sermorelin page carries a genuinely thorough warnings section — contraindicated with tumours benign or malignant, cautioned in diabetes and thyroid disease, excluded in pregnancy and breastfeeding. Most of this board does not publish that at all.

On pharmacy, Strut says the least of any A-graded row here. Two badges — "Compounded in the U.S.A." and "Prescribed by U.S. doctors" — plus ACHC accreditation seals, and that is all. No facility is named and no compounding section is claimed. An accreditation badge is not a classification: 503A compounders are state-licensed and specifically not subject to current good manufacturing practice requirements, unlike 503B outsourcing facilities, and "FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed"¹. Strut says this part itself: "Compound prescription products have not been tested or approved by the FDA for their intended use." Both pharmacy points are lost here.

The evidence behind what it sells

Strut's claims are hedged — "may support," "users report" — but they are still claims, and the sermorelin ones are testable.

The page promises "May support your body's ability to build lean muscle and recover faster from workouts," "Promotes deeper, more restorative sleep," and "Enhance Mental Clarity — users report improved focus and a reduction in the 'brain fog' associated with aging."

The trial that tested exactly this molecule ran in exactly this population. Eleven healthy, non-obese men aged 64–76 with low baseline IGF-1 self-injected GHRH 1-29 nightly for six weeks, with growth hormone sampled every twenty minutes overnight and body composition measured by DEXA. The mechanism worked and the outcomes did not follow: mean nocturnal GH release and peak amplitude rose significantly, while there was no change in IGF-1, and no change in weight, BMI, waist-to-hip ratio, or DEXA-measured muscle and fat². The landmark systematic review of growth hormone in healthy older adults found small body-composition shifts, no proven functional benefit and significantly more adverse events³, and across species lower GH/IGF-1 signalling — not higher — tracks with longer lifespan⁴.

On the NAD+ injection, the 2026 PRISMA-guided systematic review screened 113 studies including 33 human intervention trials, found clinical effectiveness for anti-aging and wellness "inconclusive," and reported that no eligible outcomes trial has evaluated intravenous or intramuscular NAD+ for those indications at all⁵. See peptides for longevity, NAD+ for longevity and what's proven versus hyped.

Where it's weak, and who should skip it

Skip it if you want to buy one month and stop. That is precisely the purchase Strut does not price: the auto-refill rate is published, the one-off rate is not, and the refund policy closes the moment the pharmacy processes your order. Skip it if you want to speak to the prescriber, because the model is asynchronous by design. And skip it if the pharmacy matters — "Compounded in the U.S.A." tells you a country, not a standard.

If you proceed, ask two questions before you pay: what the one-time price is on the product you want, and what "final pricing is determined" turns your $99 or $119 into after the consultation.

The verdict, against the rubric

Our rubric scores five things out of fourteen: price transparency (4), a genuine longevity line (4), clinical oversight (2), pharmacy disclosure (2) and human support (2). Strut takes price transparency — one all-in figure per product, with the visit, follow-up care and shipping named as included, and no membership or lab gate anywhere near it — plus four for a real longevity line, two for the physician review, and two for included follow-up care. It takes zero on pharmacy. Twelve of fourteen. An A.

The number that brought you here is real and it is the cheapest we grade. It is also conditional on enrolling in refills, and the alternative price is the one piece of information Strut has chosen not to print. Publish the one-off figure beside the auto-refill figure — the way two higher-graded rows on this board already do — and the criticism disappears. The full graded field is at our provider rankings; two neighbours are our Enhance MD review and yourEra review.