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Content is for informational purposes only and is not medical advice. Compounded medications are not FDA-approved for safety, effectiveness, or quality. Medical Disclaimer

  1. Home
  2. Compare
  3. Nutrafol vs Strut
Jess TranWritten by Jess TranContributing Writer
Updated onAugust 22, 2026
Nutrafol telehealth platform
Nutrafol
VS
Strut telehealth platform
Strut
Visit NutrafolVisit Strut

Nutrafol vs Strut

Complete 2026 Comparison for Hair Loss

Hair Loss

Our Verdict

Between Nutrafol and Strut, you're comparing two very different approaches to hair loss: Nutrafol leans on NSF-certified supplements targeting hormones and stress with no prescription required, while Strut goes the prescription route with dutasteride and minoxidil in a liposomal topical formula. Both ship discreetly to your door and carry strong ratings above 8.8 across tens of thousands of reviews.

Pick Nutrafol if

You'd rather skip prescriptions entirely and want a supplement whose company-sponsored six-month trial reported 84% less shedding among participants (individual results vary).

Pick Strut if

If you want a prescription-strength topical that combines dutasteride and minoxidil with a free online consult included, Strut fits: you get deep-penetrating liposomal delivery plus a vitamins bundle shipped right to you.

Choose Nutrafol if you want a no-prescription supplement with separate formulas built around your life stage, whether that's postpartum, under 44, or 45 and up. Choose Strut if you want prescription dutasteride and minoxidil in one topical, handled without a clinic visit. Strut's 9.4 rating comes from over 38,500 reviews, while Nutrafol's 9.1 reflects 25,400 - both are well-vetted. Solid options across the board.

Quick Answer

Best overallNutrafol
Most reviewedStrut

Nutrafol is our overall pick for hair loss, based on ratings, reviews, and feature coverage. Strut has the larger review base.

Top Hair Loss Providers

Our Top Choice
1
Hims logo

FDA-Approved Finasteride and Minoxidil - 100% Online, Free Shipping

  • Finasteride and minoxidil, plus the compounded Hair Hybrids blends, which the FDA has neither approved nor reviewed for safety, effectiveness, or quality
  • Oral finasteride tablets and topical minoxidil hold FDA approval for hair loss; the spray, chew and serum blends are the compounded Hair Hybrids and do not
  • Initial evaluation, ongoing check-ins and provider questions at no extra cost
  • Free shipping to your door - no insurance needed
LegitScript verifiedView
9.4
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
34,200 User Votes
See PricingRead full review
Most Popular
2
Ro logo

Prescription-Strength Hair Regrowth - Free Discreet Shipping

  • Oral finasteride, oral minoxidil and topical minoxidil options
  • FDA-approved finasteride and topical minoxidil; oral minoxidil prescribed off-label
  • 100% online process with unlimited provider messaging
  • Free shipping in discreet packaging
LegitScript verifiedView
9.3
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
32,100 User Votes
See PricingRead full review
Best Value
3
Hers logo

Minoxidil From $12.67/mo - FDA-Approved Hair Regrowth

  • Minoxidil 2% topical solution from $12.67/mo; oral minoxidil from $29/mo, prescribed off-label for hair loss
  • Biotin + Minoxidil gummies and chews from $35/mo, compounded Hair Blends that carry no FDA approval and no FDA review of safety, effectiveness or quality
  • Postmenopausal serum pairing finasteride with minoxidil, a compounded blend; no topical finasteride product is FDA-approved
  • Topical minoxidil holds FDA approval for women's hair regrowth; the multi-ingredient blends do not
LegitScript verifiedView
9.1
ExcellentScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
29,800 User Votes
See PricingRead full review

Provider Overview

Nutrafol logo
8.8(290 reviews on ManyTreatments)

Nutrafol is a hair wellness company offering nutraceutical supplements for hair growth studied in company-sponsored trials. Known for their natural, drug-free approach to treating hair thinning.

Rating8.8/10
Reviews290
Free ShippingYes
HSA/FSAYes
Founded2016
HQNew York, NY
Visit NutrafolRead Full Review
Strut logo
8.2(750 reviews on ManyTreatments)

Strut Health offers online prescriptions for men's health, skincare, and sexual wellness. Known for compounded medications and topical treatments; compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.

Rating8.2/10
Reviews750
Free ShippingYes
HSA/FSAYes
Founded2018
HQPhoenix, AZ
Visit StrutRead Full Review
VS

Feature Comparison

Feature comparison between Nutrafol and Strut
FeatureNutrafolNutrafolStrutStrut
Rating9.1/109.4/10
Reviews25,40038,500
Founded20162018
Free ConsultationYesYes
Free ShippingYesYes
Accepts InsuranceNoNo
HSA/FSA AcceptedYesYes
Mobile AppNoNo
Consultation TypeHair Quiz, AsynchronousAsynchronous
Shipping Time3-5 business days5-7 business days

Pricing Comparison

Pricing comparison between Nutrafol and Strut across treatment categories
TreatmentNutrafolStrut
Hair Loss$88/month$88-$99/month$35/month$35-$95/month

Prices shown are starting costs. Actual pricing varies by treatment plan and medication.

Pros and Cons

Nutrafol

Pros

  • Drug-free, natural approach
  • Clinically studied formula
  • No prescription required
  • Gender-specific formulations
  • Targets root causes of hair loss

Cons

  • More expensive than prescription options
  • Results take 3-6 months
  • Supplements, not FDA-approved drugs
  • Only addresses hair loss
Strut

Pros

  • Unique compound medications
  • No subscription required
  • Free consultations
  • Topical treatment options

Cons

  • Smaller company
  • Fewer reviews available
  • Higher prices than some competitors
  • Longer shipping times

Which Should You Choose?

NutrafolChoose Nutrafol if you:
  • Those preferring natural supplements
  • Patients avoiding prescription drugs
  • Women with hair thinning
  • Those with stress-related hair loss
Visit Nutrafol
StrutChoose Strut if you:
  • Those seeking compound medications
  • Patients wanting topical treatments
  • Those avoiding oral medications
  • Men seeking alternative ED treatments
Visit Strut

Who This Is For

Nutrafol

This is for
  • Women 18-44 or 45+ noticing gradual thinning or increased daily shedding.
  • Postpartum women dealing with hormone-related hair loss after pregnancy.
  • You prefer a supplement approach and want results without a prescription.
Not for
  • Sudden patchy loss or scalp scarring needs an in-person dermatologist evaluation first.
  • You need a prescription-based treatment like finasteride or minoxidil tablets.
  • Men seeking hair loss support, Nutrafol's formulas are women-focused here.

Strut

This is for
  • Men or women who want a topical instead of a pill, and accept that Strut's topicals are compounded and not FDA-approved.
  • Adults with gradual thinning who want dutasteride and minoxidil combined in one compounded formula, which is not FDA-approved.
  • Anyone who wants a free consult, vitamins included, and discreet delivery to their door.
Not for
  • Scarring alopecia or sudden patchy loss requires an in-person dermatologist, not telehealth.
  • Women who are pregnant or may become pregnant should avoid dutasteride-based treatments entirely.
  • If your hair loss is caused by a medical condition like thyroid disease, start with your doctor first.

About This Comparison

Our Editorial Standards

This nutrafol vs strut provider comparison is independently researched by our editorial team. We compare telehealth services based on publicly available information including pricing, available treatments, service areas, and verified customer reviews.

Independent Research: We do not accept payment for rankings or favorable reviews
Affiliate Disclosure: We may earn commissions from qualifying purchases at no extra cost to you
Regular Updates: Content is reviewed and updated monthly for accuracy
Licensed Providers Only: All listed services employ US-licensed healthcare providers

Not Medical Advice: This comparison is for informational purposes only. We are not healthcare providers. Always consult with a licensed physician before starting any treatment. Read our full medical disclaimer and editorial policy.

Independent ResearchNo paid placements
Fact-Checked InformationVerified against official sources
Regularly UpdatedLast updated August 22, 2026
Licensed Providers OnlyAll listed services are US-licensed

Nutrafol vs Strut 2026: Botanical Supplements vs FDA-Approved Prescriptions

Jess TranWritten by Jess TranContributing Writer
8 min readUpdated August 22, 2026

Table of Contents

Nutrafol and Strut Health represent fundamentally different approaches to hair loss treatment: Nutrafol sells premium botanical supplements ($79/month on subscription, $88 one-time) through direct-to-consumer model without prescription requirements or medical supervision, targeting wellness-oriented consumers seeking natural alternatives, while Strut Health provides prescription hair loss treatment from $25/month, spanning FDA-approved finasteride 1mg tablets and compounded formulas containing finasteride, minoxidil, or dutasteride. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. This comparison lays out the published evidence, regulatory status, and cost of each approach so you can weigh them with a licensed provider.

Platform Overview

Nutrafol is a premium supplement company specializing in botanical hair growth formulations sold through subscription e-commerce model without prescription requirements. The company positions as luxury wellness brand targeting health-conscious consumers willing to pay $79/month on subscription ($88 one-time) for a nutraceutical approach to hair loss through plant-based ingredients, adaptogens, and vitamins. Nutrafol does not employ physicians, does not require medical consultations, and operates as direct-to-consumer supplement retailer, according to AAD treatment cost guidance.
Strut Health is prescription telehealth platform specializing in custom compound medications for hair loss, ED, and skincare with licensed physician consultations required for all treatments. The company compounds personalized prescription formulations containing finasteride, minoxidil, or dutasteride. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. Its FDA-approved finasteride 1mg tablets start at $25/month with physician oversight included. For background on how these drugs work, see NIH StatPearls - Androgenetic Alopecia and AAD hair loss treatment information.

Treatment Approach: Supplements vs Prescription Medications

Nutrafol employs botanical supplement approach using saw palmetto, ashwagandha, curcumin, marine collagen, biotin, and proprietary plant extracts targeting hair growth through anti-inflammatory and stress-reduction mechanisms. The formulations do not contain FDA-approved hair loss medications (finasteride, minoxidil) and function as dietary supplements rather than pharmaceutical treatments. Clinical evidence for Nutrafol relies primarily on company-sponsored studies showing modest improvements in self-reported hair thickness and quality over 6 months, according to NIH StatPearls - Androgenetic Alopecia, according to AAD hair loss treatment information, according to AAD treatment cost guidance.
Strut prescribes FDA-approved finasteride 1mg tablets alongside compounded formulas. In the PROPECIA (finasteride 1mg) trials described in the FDA label, an expert panel reviewing photographs found increased hair growth in 66% of treated men at 2 years, compared with 7% on placebo; at 5 years, 48% showed increased growth and 42% no further visible progression. Individual results vary. Dutasteride is not FDA-approved for hair loss, so prescribing it for hair is off-label, and Strut's compounded combinations have not been studied at that scale. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.

Clinical Evidence and FDA Status

Nutrafol supplements are not FDA-approved for hair loss treatment and do not require FDA review as dietary supplements. Clinical evidence consists primarily of Nutrafol-sponsored studies showing 10-20% improvement in self-assessed hair quality without objective physician-graded endpoints. Peer-reviewed independent research on Nutrafol ingredients (saw palmetto, ashwagandha) shows minimal efficacy for androgenetic alopecia compared to placebo. The American Academy of Dermatology does not recommend botanical supplements as first-line hair loss treatment, according to FDA-approved hair loss treatments.
Strut prescribes finasteride 1mg, FDA-approved for male pattern hair loss in 1997, and topical minoxidil, FDA-approved for hair loss since 1988. In the PROPECIA trials described in the FDA label, 66% of treated men showed increased hair growth at 2 years versus 7% on placebo; individual results vary. Dutasteride is not FDA-approved for hair loss and is prescribed off-label. Strut's HairfectRx capsules and topicals are compounded. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. American Academy of Dermatology guidelines list finasteride and minoxidil as first-line treatments for androgenetic alopecia, according to NIH StatPearls - Androgenetic Alopecia, according to AAD hair loss treatment information.

Pricing and Value Analysis

Nutrafol charges $79/month on subscription ($88 for a one-time purchase) for its standard formulation; formulation-specific pricing can vary, so confirm current rates at checkout. Annual costs run about $948 at the subscription rate for botanical supplements without prescription medication benefits. The premium pricing reflects luxury brand positioning rather than superior clinical evidence - patients pay for wellness lifestyle branding and botanical ingredient marketing, according to AAD treatment cost guidance.
Strut Health charges $25/month for FDA-approved finasteride 1mg tablets with physician consultations and ongoing medical oversight; its compounded formulas cost more and are not FDA-approved. Annual costs run about $300 at the entry price. Despite the lower price, Strut includes medical consultations and prescription-strength medication, according to NIH StatPearls - Androgenetic Alopecia, according to AAD hair loss treatment information.

Side Effects and Safety Profiles

Nutrafol botanical supplements generally well-tolerated in reported use, with occasional digestive upset or allergic reactions to plant ingredients. The product does not affect DHT hormone levels or cause sexual side effects associated with finasteride. However, lack of DHT suppression explains limited efficacy for androgenetic alopecia driven by DHT-mediated follicle miniaturization. Nutrafol offers safer profile but substantially reduced effectiveness, according to NIH StatPearls - Androgenetic Alopecia, according to AAD treatment timeline expectations.
Strut Health prescription medications (finasteride, dutasteride) carry potential side effects including sexual dysfunction (1.4-3.8% of users), reduced libido, and erectile difficulties. Most side effects resolve after discontinuation. Minoxidil side effects include scalp irritation and initial shedding phase. Strut physicians screen for contraindications and provide informed consent regarding risks. Whether that trade-off makes sense for you is a decision to make with a licensed provider, according to AAD hair loss treatment information.

Regulatory Status and Prescriber Requirements

Nutrafol operates as dietary supplement retailer without prescription requirements, physician consultations, or medical oversight. Customers purchase directly through website without medical screening for contraindications or drug interactions. The lack of medical supervision means no baseline lab testing, no monitoring for adverse effects, and no physician guidance on expected outcomes or combination therapies, according to American Telemedicine Association, according to AAD treatment timeline expectations, according to PMC finasteride safety review.
Strut Health requires physician consultation for all prescription treatments with medical screening for contraindications, baseline lab testing when appropriate (hormone panels, liver function), informed consent regarding side effects, and ongoing physician oversight throughout treatment. Medical supervision ensures appropriate patient selection, dosing optimization, and adverse effect management - critical safety advantages over unmonitored supplement self-treatment.

How We Tested Nutrafol vs Strut

Our Comparison Methodology

This comparison is based on comprehensive analysis of clinical evidence, FDA regulatory status, pricing structures, and treatment approaches from both platforms, supplemented by peer-reviewed research on hair loss treatment.

Clinical Evidence: Treatment recommendations reference FDA-approved medication information (FDA Finasteride Label), hair loss treatment guidelines from the American Academy of Dermatology, androgenetic alopecia protocols, and supplement efficacy from peer-reviewed dermatology research.

Research Foundation: We analyzed peer-reviewed studies including finasteride efficacy from Journal of the American Academy of Dermatology, botanical supplement effectiveness from dermatology journals, FDA regulatory standards, and nutraceutical versus pharmaceutical approaches from Archives of Dermatology.

Pricing Analysis: Pricing reflects the rates last recorded in our provider database; providers change prices frequently, so confirm current pricing directly at checkout.

Service Verification: Clinical evidence, FDA status, treatment protocols, and provider credentials were evaluated through detailed review of peer-reviewed literature, FDA databases, and service offerings.

This comparison is written by our own editorial team, and ManyTreatments is paid an affiliate commission by most of the providers listed here when you buy through a link on this page. Payment for placement, for a rating, or for a listing is not something we accept. What we will not claim is that commissions have never influenced anything, because that would be a statement about our own conduct we cannot evidence. Our goal is to provide evidence-based comparison to help you make informed hair loss treatment decisions.

Final Verdict: Nutrafol vs Strut

Choose Nutrafol if: You prioritize absolute safety over maximal efficacy, prefer natural botanical approach despite limited clinical evidence, cannot tolerate prescription medication side effects, seek wellness lifestyle brand positioning, or want to supplement (not replace) prescription treatments.

Choose Strut Health if: You prioritize clinical efficacy supported by FDA approval and peer-reviewed evidence, seek cost-effective hair loss treatment (about $300/year vs about $948/year on recorded prices), require physician consultation and medical oversight, or follow evidence-based American Academy of Dermatology treatment guidelines recommending prescription medications as first-line therapy.

Bottom line: Prescription medications through Strut deliver superior hair loss prevention and regrowth at lower cost with medical supervision. Finasteride and minoxidil represent gold-standard treatments supported by 30+ years of clinical research. Nutrafol offers luxury supplement alternative with limited evidence, premium pricing, and modest efficacy. For medically appropriate candidates, Strut offers 5-year savings of roughly $3,240 at recorded rates compared to Nutrafol's botanical approach. Patients concerned about prescription side effects may consider Nutrafol, accepting reduced efficacy for improved safety profile.

Visit NutrafolVisit Strut

Sources & References

Our comparisons are informed by official sources and regulatory guidelines. We encourage readers to verify information with authoritative sources.

  • AAD - Hair Loss Treatment TipsAmerican Academy of Dermatology hair loss treatment recommendations
  • NIH Endotext - Male Androgenetic AlopeciaDetailed review of DHT mechanism and hair follicle miniaturization in male pattern baldness
  • AAD - Hair Loss Diagnosis and TreatmentAAD treatment guide covering minoxidil, finasteride, spironolactone, and transplants
  • FDA - Safe Online Prescription Medicine ChecklistFDA consumer safety checklist for purchasing prescription medication online
  • American Telemedicine Association - Why TelemedicineATA overview of telemedicine benefits and effectiveness data
  • PMC - Minoxidil Comprehensive ReviewReview of minoxidil mechanism, formulations, and clinical efficacy

Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards

Related Comparisons

HimsVSNutrafolHimsVSStrutHersVSNutrafolHersVSStrutRoVSNutrafolRoVSStrut

Start With a Top Hair Loss Provider

Our Top Choice
1
Hims logo

FDA-Approved Finasteride and Minoxidil - 100% Online, Free Shipping

  • Finasteride and minoxidil, plus the compounded Hair Hybrids blends, which the FDA has neither approved nor reviewed for safety, effectiveness, or quality
  • Oral finasteride tablets and topical minoxidil hold FDA approval for hair loss; the spray, chew and serum blends are the compounded Hair Hybrids and do not
  • Initial evaluation, ongoing check-ins and provider questions at no extra cost
  • Free shipping to your door - no insurance needed
LegitScript verifiedView
9.4
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
34,200 User Votes
See PricingRead full review
Most Popular
2
Ro logo

Prescription-Strength Hair Regrowth - Free Discreet Shipping

  • Oral finasteride, oral minoxidil and topical minoxidil options
  • FDA-approved finasteride and topical minoxidil; oral minoxidil prescribed off-label
  • 100% online process with unlimited provider messaging
  • Free shipping in discreet packaging
LegitScript verifiedView
9.3
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
32,100 User Votes
See PricingRead full review
Best Value
3
Hers logo

Minoxidil From $12.67/mo - FDA-Approved Hair Regrowth

  • Minoxidil 2% topical solution from $12.67/mo; oral minoxidil from $29/mo, prescribed off-label for hair loss
  • Biotin + Minoxidil gummies and chews from $35/mo, compounded Hair Blends that carry no FDA approval and no FDA review of safety, effectiveness or quality
  • Postmenopausal serum pairing finasteride with minoxidil, a compounded blend; no topical finasteride product is FDA-approved
  • Topical minoxidil holds FDA approval for women's hair regrowth; the multi-ingredient blends do not
LegitScript verifiedView
9.1
ExcellentScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
29,800 User Votes
See PricingRead full review

Related Resources

Brand Review

Nutrafol Review

Brand Review

Strut Review

Brand Review

Is Nutrafol Legit?

Brand Review

Is Strut Legit?

Guide

Nutrafol Alternatives

Guide

Strut Alternatives

Jess Tran
Jess TranContributing Writer

Jess Tran is a content writer and researcher who covers weight loss, hair loss, and online health services. She describes her job as reading the fine print so you never have to, which her friends find either impressive or deeply concerning depending on the day. Jess has strong opinions about poorly designed apps, overpriced supplements, and good pho. When she is not writing, she is cycling around the city, hunting for the best cafe with the worst Wi-Fi, or helping kids learn to read at a local after-school program.

Medical Disclaimer: The information on this page is for educational purposes only and is not medical advice. Always consult with a licensed healthcare provider before starting any treatment. Read our full medical disclaimer.

Regulatory noticeRegulatory note (verified August 22, 2026): The FDA reviewed struthealth.com in December 2025 and, on February 20, 2026, issued Strut Health, LLC a warning letter, MARCS-CMS 721448. It raises two separate problems. Pictured product labels carry the "Strut" name, which the agency said represents Strut as the compounder of the semaglutide and tirzepatide products when it is not. Three site claims are also quoted, among them "Generic Zepbound, Mounjaro" and "Semaglutide is the active ingredient in the brand medications." Because compounded drugs hold no FDA approval, the FDA said wording of that kind implies one, and it cited misbranding under sections 502(a) and 502(bb) of the FD&C Act. FDA’s warning letter index shows no response letter and no close-out letter, so we treat the matter as open. Read the FDA letter

Regulatory noticeRegulatory note (verified August 22, 2026): On September 9, 2025 the FDA sent Hims & Hers Health, Inc. a warning letter covering the Hims brand, MARCS-CMS 716567, drawn from a review of hims.com the previous month. Two lines about compounded semaglutide are quoted in it: "Same active ingredient as Ozempic and Wegovy" and "Clinically proven ingredients." Compounded drug products are not FDA-approved, and the agency said phrasing of this sort suggests otherwise, which is what makes the products misbranded under FD&C Act sections 502(a) and 502(bb). A companion letter went to the same company that day for its Hers brand. No close-out letter appears in FDA’s index; treat this as open. Read the FDA letter

Regulatory noticeRegulatory note (verified August 22, 2026): Hers is a brand of Hims & Hers Health, Inc., and the FDA wrote to that company twice on September 9, 2025, once for each brand. The Hers letter, MARCS-CMS 716825, went to chief executive Andrew Dudum after an August 2025 review of forhers.com. It quotes two claims made for compounded semaglutide: "Weekly injectable GLP-1 with the same active ingredient as Ozempic and Wegovy" and "Clinically proven ingredients." The agency’s position is that compounded products carry no FDA approval, so claims like these imply a sameness with approved medicines that has not been established, making the products misbranded. FDA’s index lists neither a response nor a close-out letter, so the matter stands open. Read the FDA letter