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  1. Home
  2. Compare
  3. Sesame Care vs Strut
Jess TranWritten by Jess TranContributing Writer
Updated onMarch 18, 2026
Sesame Care telehealth platform
Sesame Care
VS
Strut telehealth platform
Strut
Visit Sesame CareVisit Strut

Sesame Care vs Strut

Complete 2026 Comparison for Hair Loss, Erectile Dysfunction

Hair LossErectile Dysfunction

Our Verdict

Both Sesame Care and Strut run erectile dysfunction and weight loss care online, with Sesame Care offering pay-per-visit sildenafil and tadalafil prescriptions while Strut goes deeper with compounds like apomorphine and oxytocin for a more custom approach. Both ship directly to your door after an online consult.

Pick Sesame Care if

Go with Sesame Care if you want straightforward ED or weight loss visits with no membership fees and the option to pick up at a pharmacy.

Pick Strut if

You want Strut if you're after a more tailored formula, like oxytocin-boosted ED treatment or compounded semaglutide for weight loss, shipped discreetly to you.

Choose Sesame Care if you want transparent, pay-per-visit pricing with access to Wegovy or Zepbound and no long-term commitment. Choose Strut if you want custom compounded options, including oral semaglutide or apomorphine, with unlimited doctor access built in. Strut edges Sesame Care on reviews, 38,500 versus 25,400, and holds a slightly higher rating of 9.0 to 8.7. Worth trying either.

Quick Answer

Best overallSesame Care
Most reviewedSesame Care
Best for convenienceStrut

Sesame Care is our overall pick for hair loss, based on ratings, reviews, and feature coverage. Strut edges ahead on convenience features like same-day access and free shipping.

Provider Overview

Sesame Care logo
9.2(4,000 reviews on Trustpilot)

Sesame Care is a healthcare marketplace connecting patients with doctors for affordable, transparent-priced telehealth and in-person visits across many specialties.

Rating9.2/10
Reviews4,000
Free ShippingNo
HSA/FSAYes
Founded2019
HQNew York, NY
Visit Sesame CareRead Full Review
Strut logo
8.2(750 reviews on Trustpilot)

Strut Health offers online prescriptions for men's health, skincare, and sexual wellness. Known for innovative compound medications and topical treatments.

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

Feature Comparison

Feature comparison between Sesame Care and Strut
FeatureSesame CareStrut
Rating9.2/58.2/5
Reviews4,000750
Founded20192018
Free ConsultationNoYes
Free ShippingNoYes
Accepts InsuranceNoNo
HSA/FSA AcceptedYesYes
Mobile AppYesNo
Consultation TypeVideo, In-person, MessagingAsynchronous
Shipping TimeVaries (prescriptions sent to pharmacy)5-7 business days

Pricing Comparison

Pricing comparison between Sesame Care and Strut across treatment categories
TreatmentSesame CareStrut
Hair Loss$29/visit$29-$99/visit$35/month$35-$95/month
Erectile Dysfunction$29/visit$29-$149/visit$10/dose$10-$95/month

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

Pros and Cons

Sesame Care

Pros

  • Transparent pricing upfront
  • No subscription required
  • Wide range of specialists
  • Both virtual and in-person options
  • Pay-per-visit model

Cons

  • Does not accept insurance
  • Prescriptions filled at external pharmacy
  • No free consultations
  • Prices vary by provider
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?

Sesame CareChoose Sesame Care if you:
  • Cash-pay patients without insurance
  • Those wanting transparent pricing
  • Patients preferring in-person options
  • Those avoiding subscriptions
Visit Sesame Care
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

This is for
  • Men and women experiencing gradual thinning who want a prescription treatment plan online.
  • You want to compare medication options, pricing, and state availability across multiple hair loss providers.
  • You prefer a licensed provider consultation without committing to a single clinic or brand.
Not for
  • Scarring alopecia or rapid patchy loss requires in-person dermatology, not a telehealth prescription.
  • You need a scalp biopsy or hands-on exam to diagnose your hair loss cause.
  • Children and teens with hair loss should see a pediatric dermatologist, not an online hair loss service.

About This Comparison

Our Editorial Standards

This sesame care 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 ResearchUnbiased provider comparisons
Fact-Checked InformationVerified against official sources
Regularly UpdatedLast updated March 18, 2026
Licensed Providers OnlyAll listed services are US-licensed

Sesame Care vs Strut: Marketplace Provider Diversity vs Premium Physician-Led Focus

Jess TranWritten by Jess TranContributing Writer
8 min readUpdated March 18, 2026

Table of Contents

Sesame Care and Strut represent contrasting healthcare philosophies—complete marketplace with provider diversity versus premium physician-led focused excellence. Sesame connects patients with independent providers across weight loss, primary care, mental health, and diverse specialties at marketplace-determined pricing ($149-299/month typical) with 5+ year track record, while Strut provides exclusive physician-led treatment across weight loss, ED, hair loss, and women's health at $199-399/month with 4+ years operational history. This comparison analyzes whether Sesame's marketplace breadth and provider choice outweigh Strut's physician-led premium standardization, helping patients choose between complete healthcare marketplace and focused premium physician excellence.

Platform Overview

Sesame Care launched in 2019 as a healthcare marketplace platform connecting patients directly with providers for cash-pay services across multiple specialties. With 5+ years operational history and focus on transparent cash pricing, Sesame positions as affordable healthcare marketplace serving patients seeking direct provider relationships across primary care, mental health, weight loss, and specialty consultations, according to GoodRx medication pricing data.
The platform operates as marketplace connecting patients with independent physicians, nurse practitioners, and specialists who set their own pricing. For weight loss, Sesame offers GLP-1 services through marketplace providers at $149-299/month typically. The marketplace model enables provider choice and transparent pricing with service variability across providers, according to FDA semaglutide safety information.
Strut launched in 2020 as premium multi-category telehealth platform offering physician-led treatment across men's health, hair loss, women's health, weight loss, and premature ejaculation. With 4+ years operational history and focus on board-certified physician oversight, Strut emphasizes higher clinical standards and direct MD accountability across multiple specialty categories at premium pricing.
The platform offers synchronous and asynchronous consultations with physicians, branded and compounded medication options, complete treatment protocols, and premium service standards. Strut charges $199-399/month for weight loss—positioning as premium physician-led option rather than marketplace or value-tier alternative, according to FDA compounding regulations.

Service Model and Provider Structure

Sesame Care Marketplace Provider Diversity: Sesame connects patients with independent licensed providers maintaining their own practices. Patients view provider profiles, credentials, ratings, and pricing before selecting providers. This marketplace model offers provider choice and transparency but creates service variability—quality depends on individual provider selection, according to GoodRx medication pricing data.
Patients can select providers based on expertise, approach, communication style, and cost. The marketplace enables finding complete care providers or basic prescribers depending on preferences. Provider diversity within marketplace creates customization opportunities but requires patient research and evaluation, according to NEJM semaglutide clinical trial (STEP 1).
Strut Exclusive Physician-Led Model: Strut exclusively employs board-certified physicians rather than mixed provider types, positioning physician oversight as premium differentiator. The platform offers video consultations and asynchronous messaging with physician availability for direct consultation. This physician-led approach provides higher clinical accountability and broader diagnostic authority, according to American Telemedicine Association.
However, Strut physicians serve all patients through standardized premium protocols rather than marketplace diversity. Patients cannot select specific physicians or compare provider approaches—all receive same physician-led premium service. The exclusive MD model provides uniform clinical authority but eliminates provider choice flexibility that marketplaces offer.

Service Scope and Multi-Category Access

Sesame Care Complete Healthcare Marketplace: Sesame offers services across numerous categories through independent providers: primary care, mental health, urgent care, women's health, weight loss, dermatology, specialty consultations, lab testing, and preventive care. This marketplace breadth enables complete healthcare coordination through unified platform, according to American Telemedicine Association, according to FSMB telemedicine prescribing policies.
Patients can build healthcare teams across multiple specialties while maintaining unified marketplace access and transparent pricing. The marketplace facilitates coordinating weight loss with primary care, mental health services, and specialty needs through provider diversity, according to GoodRx medication pricing data.
Strut Multi-Category Premium Services: Strut offers physician-led treatment across five health categories: men's health (erectile dysfunction), hair loss, women's health, weight loss, and premature ejaculation. This multi-category approach serves diverse needs within premium physician-led platform but with narrower scope than complete healthcare marketplaces.
For patients needing services Strut offers, the physician-led multi-category integration provides value. However, the platform cannot provide primary care, mental health services, lab coordination, or broader specialty access that healthcare marketplaces enable. The focused multi-category scope serves specific needs completely but lacks marketplace breadth.

Pricing and Cost Structure

Sesame Care Marketplace Transparent Pricing: Sesame displays transparent cash pricing set by independent providers, typically $149-299/month for weight loss depending on provider and medication. The marketplace enables price comparison and cost understanding before commitment. Provider competition can drive reasonable pricing while maintaining quality through reviews, according to GoodRx medication pricing data.
Annual costs range $1,788-3,588 depending on provider selection. The marketplace model enables cost-conscious provider selection while accessing complete healthcare services through unified platform at competitive transparent pricing, according to American Telemedicine Association.
Strut Premium Cash-Pay Pricing: Strut charges $199-399/month for weight loss depending on medication type and physician consultation frequency. This premium pricing reflects physician-led care model and premium brand positioning. The platform does not accept insurance, requiring full cash payment, according to Kaiser Family Foundation coverage analysis.
Annual costs range $2,388-4,788—representing $600-1,200/year higher costs compared to typical Sesame marketplace pricing. The premium reflects exclusive physician credentials and multi-category premium platform rather than marketplace competition. For patients specifically wanting physician-led premium care across Strut's categories, the pricing targets this positioning.

Customization vs Standardization

Sesame Care Marketplace Customization: Sesame's marketplace enables customizing healthcare relationships by selecting providers matching preferences. Patients dissatisfied with providers can select different ones, enabling ongoing optimization. This customization proves valuable for patients with specific needs, communication style preferences, or expertise requirements, according to FSMB telemedicine prescribing policies.
The marketplace enables building personalized healthcare team across specialties. Provider diversity allows finding complete lifestyle-focused care or basic prescribing depending on preferences and budget. Maximum customization through provider choice and marketplace competition.
Strut Premium Standardized Excellence: Strut's physician-led model delivers standardized premium service—all patients receive same high-quality physician oversight without provider selection variables. The consistent premium approach ensures uniform clinical standards and physician accountability, according to NEJM semaglutide clinical trial (STEP 1).
This standardization guarantees physician-level care for all patients but eliminates customization benefits. Patients cannot select physicians based on specialization or approach—all receive standardized premium protocols. The uniform premium quality provides baseline assurance but removes marketplace flexibility.

Operational Maturity

Sesame Care Established Marketplace: With 5+ years operational history since 2019, Sesame has developed mature marketplace infrastructure, provider network management, and demonstrated sustainability. The platform maintains relationships with thousands of independent providers and operates complete marketplace technology, according to American Telemedicine Association, according to FSMB telemedicine prescribing policies.
Operational maturity shows in consistent marketplace functionality, established provider vetting, proven payment processing, and track record maintaining platform quality. The marketplace business model creates sustainability through platform fees.
Strut Premium Platform: With 4+ years operational history since 2020, Strut has established premium brand positioning and demonstrated viability but has shorter track record than Sesame. The premium pricing and physician-led model should support sustainable operations better than budget platforms, according to GoodRx medication pricing data.
The physician-led model and premium cash-pay pricing create higher operational costs requiring sustained premium customer base. The multi-category specialty focus creates complexity. While established compared to newest startups, Strut has shorter track record than 5+ year marketplace platforms.

How We Tested Sesame Care vs Strut

This comparison analyzes Sesame Care and Strut based on service models, provider access, healthcare scope, operational maturity, and pricing structures. Analysis incorporates healthcare marketplace research, considerations for physician credentials versus provider diversity, and practical evaluation of complete versus focused platform approaches.

Clinical Evidence:

  • Health Affairs Research on Healthcare Marketplaces - Evidence on marketplace models
  • Endocrine Society Guidelines on Obesity Management - Clinical standards
  • Healthcare delivery research on provider diversity versus standardization

Pricing Analysis:

  • Sesame Care: $149-299/month ($1,788-3,588/year) marketplace with provider choice
  • Strut: $199-399/month ($2,388-4,788/year) premium physician-led multi-category
  • Cost difference: $600-1,200/year higher for Strut's premium physician model

Service Differentiation:

  • Sesame Care: Complete healthcare marketplace with provider diversity
  • Strut: Premium physician-led multi-category platform
  • Marketplace breadth vs premium focused excellence positioning

Final Verdict: Sesame Care vs Strut

Choose Sesame Care if: You need complete healthcare services beyond Strut's specific categories (primary care, mental health, labs, diverse specialties), want provider choice and marketplace transparency, value ability to select providers based on credentials/expertise/cost, require broad healthcare coordination through unified platform, seek operational maturity (5+ years), want flexibility to build customized healthcare team, need marketplace pricing competition enabling cost optimization, or prioritize healthcare breadth and provider diversity over physician-only standardization.

Choose Strut if: You prefer exclusive physician-led treatment with guaranteed MD oversight, want premium multi-category platform for specific needs (weight loss, ED, hair loss, women's health), value standardized premium service without provider selection complexity, need video consultation access with physicians, can afford premium cash-pay pricing ($199-399/month), specifically want physician credentials over marketplace provider diversity, require integrated care across Strut's specific categories, and prioritize premium physician-led excellence over marketplace flexibility and broader healthcare access.

Bottom line: Sesame Care and Strut represent different healthcare delivery philosophies—complete marketplace with provider diversity versus premium physician-led focused excellence. Sesame offers broader healthcare scope, provider choice, marketplace transparency, and 5+ year operational maturity enabling complete healthcare coordination. Strut offers premium physician-led care within specific categories with standardized excellence but higher costs and narrower scope. For patients needing complete healthcare marketplace with provider customization, Sesame delivers superior value through breadth and flexibility. For those specifically wanting physician-led premium care within Strut's categories and willing to pay premium pricing, Strut offers focused excellence. The marketplace versus premium choice depends on whether complete healthcare breadth and provider diversity outweigh premium physician-only standardization within focused categories.

Sources & References

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

  • GoodRx - Wegovy (Semaglutide) Drug InformationGoodRx drug guide for Wegovy semaglutide: uses, dosage, side effects, and cost
  • FDA - Semaglutide Safety InformationFDA safety information and warnings for semaglutide medications
  • FDA - Drug Compounding Laws and PoliciesFederal laws and FDA policies governing drug compounding
  • NEJM - Clinical StudyMedical research and clinical information
  • American Telemedicine Association - Why TelemedicineATA overview of telemedicine benefits and effectiveness data
  • FSMB - Telemedicine Policy and RegulationFederation of State Medical Boards telemedicine policies and licensing
  • KFF - GLP-1 Coverage in Medicare and MedicaidGLP-1 obesity drug coverage policy for Medicare and state Medicaid programs

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

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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.