Strut Health HRT Reviews: Compounded BHRT, Cost & Complaints

Strut Health HRT reviews: what do customers actually say?

In the review pages we read, we couldn't find a review that clearly describes Strut's menopause program. Strut's Trustpilot profile showed 3.5 out of 5 from 782 reviews on October 20, 2026, but the reviews we read were about ED medicine, hair-loss formulas, weight-loss drugs, lab kits and customer service. So no Strut rating can tell you how its hormone therapy works.

That's not a knock on Strut. Strut also sells men's health, hair, skin and weight-loss prescriptions. The reviews we read mostly describe those products and its service. When you see a star rating for Strut, check which treatment the reviewer actually used.

Here's what each number you'll run into actually measures.

What each Strut rating counts (checked October 20, 2026 unless noted)

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Strut Health HRT reviews: what do customers actually say?, table 2

Where you see it	The number	What it actually counts	Useful for	Not useful for
Trustpilot	3.5 out of 5, 782 reviews; 38 written in the last 12 months	Every Strut service on one profile. Strut has claimed the profile, pays for a Trustpilot subscription and invites customers to review.	Spotting shipping, refill and billing patterns	Judging HRT results
Trustpilot replies	Strut replied to 72% of negative reviews, typically within a month	How often Strut answers unhappy customers in public	Seeing whether the company responds publicly	Clinical reply times or whether each problem got fixed
Better Business Bureau	Not BBB accredited. 12 complaints in 3 years, 5 in the last 12 months	A small, self-selected set of complaints across all services	Seeing how billing and delivery disputes play out	An overall quality score
Strut's menopause page	Two five-star comments dated March 2026	Comments Strut chose to show. One mentions NAD injections; the other is about customer service	—	Anything about hormone therapy
Innerbody	Editor's rating 4.1 (updated October 11, 2024)	Hands-on testing of Strut's ED, hair, skin, weight and testing products	Background on Strut's service	Menopause care, which it doesn't cover
Luna Metabolic	83/100 fit score shown in its review index on October 20, 2026	A women's weight-loss scoring system from a site that earns commissions	Understanding that site's comparison rubric	HRT quality

Provider-selected service comment. "Very quick and responsive customer service!" — Shawn R., March 2026, shown on Strut's menopause page. The comment doesn't say what treatment Shawn used. Strut chose to display it. It's not evidence of how Strut's hormone therapy works.

Why the big number can't answer your question

There are three reasons, and they're worth keeping in mind for any online provider.

The reviews are about different medicine. A five-star review of a hair-loss gel or an ED pill tells you nothing about an estradiol capsule.

Reviews can't check the medicine itself. No customer review can tell you whether a product is FDA-approved, whether your physician is licensed in your state, or whether a treatment is right for your body. Documents and a clinician answer those.

We did not identify a menopause-specific review in the pages read. That may change. For now, we use reviews for one job: finding where Strut's service gets bumpy.

What are the complaints about Strut Health, and what should you ask?

The recent complaints we read center on orders that stalled when a partner pharmacy ran short of ingredients, automatic refills, slow or unclear replies, and refund limits once an order is processed. None we found involves menopause care. Strut's general billing and refund rules are relevant, but we could not confirm that the same pharmacy fills its hormones. It's smart to turn each complaint into a question before you pay.

Each row below is one customer's account, paraphrased. We can't confirm it, and Strut may tell it differently. Where Strut replied in public, we note it.

From complaint to question

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What are the complaints about Strut Health, and what should you ask?, table 3

What a customer reported	Where and when	A fair reading	Question to ask Strut
Charged for a refill, then told some ingredients were out of stock with no ship date. Paid for faster shipping, which applied only to later orders.	Trustpilot review titled "No Clear Timeline After Being Charged," July 9, 2026 (a matching account appears at BBB, marked unanswered)	Strut replied on Trustpilot that some orders need extra information before shipping	"When does my order process, and who updates me if the pharmacy runs short?"
A 28-day refill shipped more than a week late two times in a row; told the pharmacy was out	Trustpilot, experience dated June 18, 2026	A real risk for a medicine you take every day	"What's the plan if my refill is late?"
Says checkout required signing up for automatic refills	Trustpilot, experience dated June 16, 2026	Strut replied that you can cancel anytime by email or in your patient portal. Its terms say every prescription is a subscription.	"Is every prescription a subscription, and how do I stop the next one?"
Says free shipping covered only the first order	Trustpilot, experience dated May 1, 2026	Strut replied that faster FedEx shipping on refills costs extra	"Is refill shipping free, how long does it take, and what does faster shipping cost?"
Paid for a higher dose than the physician prescribed. Strut said it refunded the medicine but kept the fee for the completed lab test.	BBB, September 16, 2026 (answered)	Physicians set the dose; lab fees can be non-refundable once processed	"Do I need labs, what do they cost, and are they refundable?"
Wanted an $89 lab-kit charge reversed after cancelling	BBB, July 10, 2026 (unresolved)	A dispute over a test for a different product	Same lab question as above
A customer said the tracking showed delivery in the wrong state	BBB, March 10, 2026 (resolved)	BBB marks the complaint resolved	"How do I reach a person if my tracking looks wrong?"

The Strut replies we read pointed to pharmacy processing, ingredient shortages or a pharmacy software update. Those may well be true. They're also exactly the kind of delay that matters most when you're taking a hormone every day.

Three habits cost you nothing and help if something goes wrong:

1. Screenshot your checkout. Products, prices, refill interval.
2. Write down your processing date. You'll need it to cancel on time.
3. Cancel in writing, early. Strut's FAQ asks for 48 hours' notice before processing. Ask for a reply confirming the cancellation.

Reviews can tell you how a company ships and bills. They can't tell you which kind of menopause care fits you.

The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.

It's free, takes about 60 seconds and doesn't ask for your email. It asks five questions, then shows a featured online option or guidance about a different starting point. It doesn't diagnose anything or decide whether you should take hormones; a clinician does that. We may earn a commission from the providers it features, and that affects which ones appear.

What does Strut's menopause program include?

Strut's current menopause menu lists three compounded products: estradiol capsules taken by mouth, progesterone capsules taken by mouth, and a progesterone cream for the skin. HRT means hormone replacement therapy. A physician from Titan Medical Group reviews your online questionnaire and decides whether to prescribe, and Strut advertises the visit, follow-ups and shipping as free.

How Strut says it works

These are Strut's descriptions. We didn't test them.

1. You fill out an online questionnaire. Strut describes a short online medical visit.
2. A physician reviews it. Strut's how-it-works page says a U.S.-licensed physician reviews each visit. Its telemedicine consent says care can happen by secure messaging and questionnaires or by video, that you must be in the U.S. during your visit, and that the physician must be licensed in your state. Strut's FAQ adds that some states don't require a phone consultation, so you may not talk with anyone live unless you ask.
3. A pharmacy compounds and ships it. Strut says a licensed U.S. pharmacy prepares your prescription. Its FAQ says most first orders go 2-day express, standard shipping typically takes about 2 business days, and refills ship by USPS. That is a shipping estimate, not a promise of two days from signup.
4. Follow-up is included. Strut says it checks in a few days after you start and that follow-up care and dose changes cost nothing extra.

Strut's menopause menu, product by product

This is Strut's current menu, checked October 20, 2026. The table also labels details carried from earlier research notes for its BHRT address, which now redirects to the menopause page. We could not recheck the earlier version.

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Strut's menopause menu, product by product, table 4

Product	How you take it	What Strut says it is	Price evidence	Still unknown
Estradiol capsules	By mouth, daily	Compounded estradiol (the main estrogen your ovaries make)	None on the current page. Earlier research notes recorded $69 a month on auto refill; not reverified	Strengths; today's price; 30- or 90-day refills
Progesterone capsules	By mouth	Compounded oral progesterone	Not found on the current page or in the earlier notes	Price
Progesterone cream	On the skin	Compounded progesterone cream	None on the current page. Earlier research notes recorded $99 a month; not reverified	Strength; see the progesterone section
Estradiol patch	Through the skin	Earlier research notes reported a patch mention. Not on the current menu; current availability unconfirmed.	Not shown	Whether it's offered; brand; FDA-approved or compounded
Vaginal estrogen	In the vagina	Not on the current menu.	—	Whether it's offered
Non-hormonal hot-flash medicine	—	Not listed	—	—
Testosterone	—	Not offered. Strut's terms say its providers don't prescribe DEA-controlled substances, and testosterone is one.	—	—

A few plain-language notes on that table.

Systemic or local. Systemic hormones travel through your whole body. Estradiol capsules and patches are systemic; they're what treats hot flashes and night sweats. Local hormones mostly stay where you put them. Low-dose vaginal estrogen is local; it treats dryness, pain with sex and some urinary symptoms, but not hot flashes. Strut's current menu has systemic estradiol and no local option. For more on the local route, see our vaginal estrogen guide.

Check each product's price. Earlier research notes recorded per-formula pricing. The current page does not confirm how a combined prescription is billed, so ask for the price of every prescribed item and the total charge.

One important question for Strut. Earlier research notes recorded a promise to prescribe progesterone with estrogen for a woman with a uterus. Systemic estrogen generally needs an effective progestogen regimen in that situation. The open question is which product and regimen, and we cover it below.

Can you talk with a physician?

You can message Strut's physicians through your account, and Strut's FAQ says customer service can set up a phone or video conversation. Strut doesn't promise a scheduled menopause visit or a set reply time, and its support line keeps weekday hours (Monday to Friday, 9 a.m. to 5 p.m. Eastern). If a live conversation matters to you, ask how to book one before you pay.

Will you need lab tests?

Strut's menopause pages don't say. Some of Strut's other products require a lab kit, and one BBB complaint shows a lab fee kept after the customer didn't want the dose prescribed. Ask three things: whether any test is needed for your plan, what it's for, and what it costs. We don't recommend paying for hormone-level testing on your own as a way to choose a dose; that's a question for the physician.

Is Strut O Cream the same as menopause HRT?

No. Strut O Cream is a separate compounded cream for arousal and sensitivity, made with sildenafil, pentoxifylline, arginine and ergoloid mesylates, listed at $49 on auto refill when we checked its product page. It has no estradiol or progesterone, and its page doesn't mention menopause. Reviews of O Cream tell you nothing about Strut's hormone therapy. If dryness or pain with sex is your main problem, low-dose vaginal estrogen is a different, well-studied treatment to ask a clinician about.

Is Strut's BHRT FDA-approved or compounded — and does it matter?

Strut's menopause menu is compounded, which means a pharmacy mixes each prescription, and the FDA hasn't reviewed that finished product for safety, effectiveness or quality. The hormones themselves, estradiol and progesterone, also come in FDA-approved products that are bioidentical, so "bioidentical" and "compounded" are not the same thing.

Four terms, in plain words:

• FDA-approved means the finished medicine — the actual capsule or patch — was reviewed by the U.S. Food and Drug Administration for safety, effectiveness and consistent quality.
• Compounded means a pharmacy prepares a medicine for one patient from a prescription. In its letter to Strut, the FDA put it simply: "Compounded drug products are not FDA-approved."
• Bioidentical describes the molecule. It means the hormone has the same structure as the one your body makes. It says nothing about approval.
• BHRT stands for bioidentical hormone replacement therapy. Companies use it for both approved and compounded products.

So "bioidentical" is never the end of the question. FDA-approved, bioidentical products are available as estradiol tablets, estradiol patches and oral micronized progesterone capsules. Micronized means the progesterone is made into small particles. Approval belongs to the finished product, not every preparation using that hormone. Our FDA-approved HRT medication list shows what's available.

Credit where it's due. Strut's pages say clearly that its compounded products are not FDA-approved. Some sellers bury that. Strut doesn't.

What the medical societies say. The Menopause Society puts it plainly: "Custom-compounded hormones are not safer or more effective than approved bioidentical hormones." It also warns that compounded products may not contain the amount of hormone that was prescribed. The American College of Obstetricians and Gynecologists' 2023 clinical consensus also favors FDA-approved hormone therapy over routine use of compounded products; the full consensus text is available through the Alabama medical board.

When compounding can make sense. There are real reasons: an allergy to an ingredient in an approved product, or a dose or form that no company makes. Those are reasons a clinician should be able to name for you. "It's more natural" isn't one of them.

Why Strut's benefit list needs a footnote. Strut's menopause page lists benefits like relief from hot flashes, better sleep, steadier mood and bone support. Estrogen therapy does have strong evidence for hot flashes and bone. But most of that evidence comes from studies of approved products. Compounded versions haven't been tested the same way.

Questions worth asking:

• "Why are you recommending a compounded product instead of an approved one for me?"
• "Which pharmacy compounds it, and how is the strength checked?"
• "Could you prescribe an FDA-approved product instead, and what would it cost here?"

For a fuller explanation, read compounded vs FDA-approved HRT.

Can Strut's progesterone cream protect your uterus?

Strut's progesterone skin cream should not be relied on for uterine protection, based on current guidance. If you have a uterus and take systemic estrogen, you generally need an effective progestogen regimen, and the British Menopause Society says progesterone absorbed through the skin is unlikely to do that job. An FDA-approved oral micronized progesterone product is one studied option; the dose and schedule still matter.

Why this matters

Estrogen makes the lining of the uterus (the endometrium) grow. Without a progestogen to balance it, that lining can overgrow, which raises the risk of endometrial cancer. The Menopause Society says women who still have a uterus and take systemic estrogen need estrogen plus a progestogen for this reason. The numbers behind that rule are striking: the British Menopause Society reports that, in the PEPI trial of postmenopausal women, 62% of the group taking oral conjugated equine estrogen alone developed endometrial hyperplasia (overgrowth of the lining) over three years. That was one studied estrogen regimen, not a Strut result or a cancer rate.

What Strut has said about the cream

Strut's current menopause page markets the cream as being naturally absorbed through the skin. Earlier research notes recorded a description of it as an option for women who would rather avoid oral progesterone, alongside a warning about variable absorption; we could not recheck that earlier page. The current menu does confirm that Strut's cream is compounded and not FDA-approved. The independent question is whether skin delivery protects the uterine lining.

What the British Menopause Society says

The British Menopause Society's Tool for Clinicians on progestogens and endometrial protection (reviewed February 2026) says:

• Micronized progesterone shouldn't be given through the skin as the progestogen part of HRT, because absorption varies and it's unlikely to protect the lining.
• There's no good evidence that the progesterone doses in compounded products protect the lining. Its summary is direct: "The use of compounded products is not recommended."
• Oral micronized progesterone has been studied for this job, in set doses and schedules a clinician chooses.
• A 52 mg levonorgestrel hormonal IUD — a device placed in the uterus — can provide protection with estrogen for up to five years, according to BMS guidance. This use is off-label in the U.S.: Mirena's U.S. label covers contraception and heavy menstrual bleeding, not HRT protection. Lower-dose IUDs haven't been shown to be enough on their own. Contraceptive duration is not the HRT-protection schedule.

What this means for you

• If you have a uterus and want Strut, ask the clinician which evidence-based regimen will protect the lining if you use systemic estrogen. Ask whether an FDA-approved oral progesterone product would fit, and what the full plan costs. We found no Strut oral progesterone price.
• If you've had a full hysterectomy, estrogen alone is generally an option, and this question may not apply. Tell the physician if you had a partial hysterectomy or have a history of endometriosis, because that can change the answer.
• If you have a hormonal IUD, tell the physician which one and when it was placed. Whether it's enough is their call, not a checkout question.
• If you have unexpected bleeding on any hormone plan, report it.

Questions to copy:

• "If I have a uterus, what in my prescription protects the lining?"
• "What evidence supports the route, dose and schedule prescribed to protect my uterine lining?"
• "What should I do if I have bleeding I didn't expect?"

This isn't advice to start, stop or switch anything. It's what to raise so your physician has the full picture. Read more in who needs progesterone for menopause.

If you have a uterus and need systemic estrogen, or you'd simply rather start with an FDA-approved form, Gala is the alternative worth comparing. Its FAQ says it prescribes FDA-approved bioidentical forms, it lists oral progesterone, and its HRT page advertises one flat $69 a month with no membership fee. Ask Gala to name the exact product and confirm that both medicines are covered before you pay.

We may earn a commission if you start care with Gala. A clinician decides what's prescribed.

How much does Strut Health HRT cost?

Strut's current menopause page shows no prices. Earlier research notes dated October 20 recorded estradiol capsules at $69 a month and progesterone cream at $99 a month, with no price for progesterone capsules. We could not recheck those earlier figures, so they are examples, not a current quote. Strut advertises the physician visit, follow-ups and standard shipping as free, and it doesn't take insurance.

What's clear and what isn't

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What's clear and what isn't, table 5

Cost	What Strut says	Our status	Write down before you pay
Physician visit	Free online visit	Provider statement	—
Follow-ups and dose changes	Free, unlimited	Provider statement	How to reach your physician
Estradiol capsules	Earlier research notes: $69/month; no price on the current page	Historical figure; not reverified	Today's price
Progesterone capsules	No price found in the material reviewed	Unknown	Price
Progesterone cream	Earlier research notes: $99/month; no price on the current page	Historical figure; not reverified	Price, and whether you should use it at all
Refill interval	Terms: every 30 or 90 days until you pause or cancel	Provider statement	Which interval you're on
Shipping	Free; 2-day express on most first orders, USPS on refills	Strut said in a public reply that faster refill shipping costs extra	Refill shipping speed and fee
Labs	Not mentioned for menopause care	Unknown	Whether needed and the cost
Membership fee	No separate fee found in the material reviewed	Not independently confirmed at checkout	Ask whether any fee is required
Insurance	Not accepted	Provider statement	—
Promotions	None used here	—	If one appears, the price after it ends

Worked examples: 90 days and one year

These examples use the historical amounts recorded in earlier October 20 research notes and assume 30-day billing starting on day 1. That gives three charges in the first 90 days and 13 charges in 365 days. They're examples, not quotes.

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Worked examples: 90 days and one year, table 6

Example product combination	Example base charge on day 1	Base charges in 90 days	Base charges in 365 days	Missing costs
A. Estradiol capsules only (for example, no uterus)	$69	$207	$897	Faster refill shipping; any labs
B. Estradiol capsules + progesterone cream	$168	$504	$2,184	Same, plus the protection problem above
C. Estradiol capsules + oral progesterone capsules	$69 + unknown	Incomplete	Incomplete	Progesterone capsule price; any required labs or shipping extras
D. An estradiol patch (plus a progestogen if you have a uterus)	Unknown	Incomplete	Incomplete	Availability, patch price and type; any progestogen and required extras

An unknown cost is not $0. These are base-charge examples, not complete totals. If any required cost is unknown, the total is incomplete. Scenario B illustrates a bill, not a recommended uterine-protection plan.

Here's scenario B with real dates. Start on October 20, 2026, and the charges land on October 20, November 19 and December 19. That's $504 in the first 90 days. The next charge, on January 18, falls on day 91. Over a full year, 13 charges come to $2,184.

How that compares with other routes

These routes buy different things, so compare them by what's included, not just the dollar figure.

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How that compares with other routes, table 7

Route	Price basis	Example	What the example doesn't tell you	Checked
Gala Health HRT	Advertises a flat $69 a month, no membership fee	Three charges of $69 total $207. This uses the advertised base price; it is not a confirmed 90-day or all-in total.	Whether $69 covers both estrogen and progesterone for you; the exact billing interval and amount due now; labs if ordered	Oct 20, 2026
Alloy	$49 one-time consult; estradiol pill from $39.99/month; patch $100/month; progesterone from $23 for a one-month supply	Illustrative base costs for three monthly supplies: pill alone, $49 + 3 × $39.99 = $168.97; pill plus progesterone, $49 + 3 × ($39.99 + $23) = $237.97; patch alone, $49 + 3 × $100 = $349.	Your prescribed products, any required extras and the amount collected with the first order; these are not confirmed checkout totals. Promo codes excluded.	Oct 20, 2026
Midi Health, self-pay	$250 first visit; $150 returning visit	A first visit plus one follow-up = $400, plus pharmacy and any labs	That you'll need exactly two visits; your pharmacy price	Oct 20, 2026
Your own clinician + pharmacy	Your plan's cost-sharing	Varies	A covered generic can be very low-cost, but visits before your deductible may not be	—

Promo codes are left out on purpose. A promotion changes one bill, not the plan.

What the numbers mean

If you don't have a uterus and a clinician recommends compounded estradiol, the historical $69 Strut figure matches Gala's advertised base numerically. It doesn't establish a current price tie. Compare your written quotes, the exact finished products and the service.

If you have a uterus and need systemic estrogen, a complete Strut quote needs the price of the clinician's uterine-protection regimen too. The historical $168 estradiol-and-cream example does not establish reliable protection or today's price. Gala advertises one flat price for its plan; ask whether that price covers both medicines for you.

If you have insurance, check it first. A covered generic at your own pharmacy may cost less than any cash plan. Strut's terms let you ask for your prescription to go to a pharmacy of your choice, but its FAQ warns that can cost three to four times as much, and many pharmacies don't compound. For the bigger picture, see HRT cost in 2026.

A worksheet you can copy

MY HRT COST CHECK (keep this private)

Provider: ______________________   Date checked: __________
Products prescribed:
  1. ____________________  $______ every ______ days
  2. ____________________  $______ every ______ days
Charged today:              $______
Next processing date/time and timezone: ____________________
Refill shipping: free / $______ / unknown   Speed: ________
Labs:            none / $______ / unknown
Notice deadline:           __________
  (48 hours before Strut's confirmed processing date/time; confirm receipt)
  If the processing time is unknown, the deadline is unconfirmed.

FIRST 90 DAYS = every charge dated day 1 to day 90 + every required extra
Known subtotal:  $______
Still unknown:   ______________________
If anything says "unknown," the total is INCOMPLETE. Don't write $0.

If your clinician recommends estrogen plus progesterone, ask Gala whether its advertised price covers both, then compare the complete quote with Strut's.

Where do Strut's own pages disagree?

Strut's pages don't fully agree on what's on the menopause menu, what it costs, whether shipping is always free, how cancelling works and how much its physicians are vouched for. None of that makes Strut a bad choice. It means you should get a few answers in writing before you pay.

We put Strut's own pages side by side so you don't have to.

What Strut says, where, and what to ask (checked October 20, 2026; earlier-page details carried from research notes)

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Where do Strut's own pages disagree?, table 8

Topic	One Strut page says	Another Strut page or source says	Ask before you pay
The menu	Current menopause page: three compounded products	Earlier research notes reported a patch mention; current availability is unconfirmed.	"Which exact products can I get today, and are any FDA-approved?"
Prices	Earlier research notes: estradiol $69, cream $99; not reverified	Current menopause page: no prices at all	"What will I be charged today, and for each refill?"
The cream	Current page: markets it as naturally absorbed	BMS guidance: skin absorption varies and is unlikely to protect the uterine lining	"What evidence-based uterine-protection plan fits me, and what does it cost?"
Shipping	Our Story page: "No shipping fees, ever."	FAQ: refills ship USPS. Strut's public reply: faster FedEx refills cost extra.	"Is refill shipping free, and how fast is it?"
Cancelling	How-it-works: cancel anytime	FAQ: 48 hours' notice before processing. Terms: cancel by email.	"What's my processing date, and can I cancel in my account?"
Physicians	How-it-works: a U.S.-licensed physician reviews each visit	Terms name Titan Medical Group and disclaim warranties about individual providers' training or skill; we did not check an assigned physician's license	"Who is my physician, and what's their license number?"
States	FAQ: ships to every state except Arkansas	The same FAQ line is dated September 2024 and says some medicines may not be available in all states	"Can you prescribe and ship menopause care to my state?"
Refunds	—	Refund policy (last modified 2021): no refunds once medication leaves the pharmacy or after processing	"If I'm not prescribed anything, am I charged?"

Eight questions to send Strut before you pay. Copy these into a message to care@struthealth.com.

1. Which menopause products can I get today? Is each one compounded or FDA-approved?
2. What does each product cost, and is it billed every 30 or 90 days?
3. If I have a uterus and use systemic estrogen, what protects the lining? Is that finished product FDA-approved, and what does it cost?
4. Which pharmacy compounds my medicine?
5. Do I need any lab tests? What do they cost, and are they refundable?
6. Who is my physician, and what is their license number?
7. What is my processing date, and how do I cancel before it?
8. Is refill shipping free, and how long does it take?

Is Strut Health legit? Who prescribes it, who fills it and who owns it

Strut is a real Dallas telehealth company. Its terms assign prescribing to Titan Medical Group, and Strut says licensed U.S. pharmacies fill orders. In February 2026 the FDA warned Strut about how it marketed compounded weight-loss drugs, and in July 2026 an AI company, Partex.AI, bought it. Neither event is about hormones, but both are worth knowing before you hand over a card.

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Is Strut Health legit? Who prescribes it, who fills it and who owns it, table 9

Question	What we found	Where
Who is the company?	Strut Health, LLC, 701 Commerce St, Dallas, Texas. Founded by Simal Patel, MD.	Our Story; FDA letter
Who gives the medical care?	Titan Health, P.A. and Titan Medical Group physicians. Strut runs the website and says it doesn't provide medical care itself.	Terms; telemedicine consent
Who fills prescriptions?	Strut says a licensed U.S. pharmacy fills orders. We did not find the menopause dispensing pharmacy's name or independently confirm its license or accreditation.	Strut's how-it-works and Our Story pages; terms
Any regulatory action?	An FDA warning letter dated February 20, 2026, about compounded semaglutide and tirzepatide marketing	FDA letter 721448
Who owns it now?	Partex.AI, which announced the purchase on July 9, 2026. Strut's logo now describes it as a Partex.AI consumer health company.	Partex.AI news
Seals	A LegitScript badge appears in Strut's footer	Strut site
Emergencies?	Not for emergencies. Call 911.	Terms; FAQ
Disputes	Terms call for binding arbitration in Dallas and include a stated $500 fallback limit for site-use liability and a one-year limit for Terms/Site claims. Application and enforceability depend on the claim and law.	Terms

The FDA warning letter, in plain words

In December 2025, the FDA reviewed Strut's website. Its February 20, 2026 letter said product photos showed Strut's name on labels of compounded semaglutide and tirzepatide, suggesting Strut made them when it didn't. It also flagged claims that called the drugs generic versions of Zepbound and Mounjaro, which the FDA said implied an approval that compounded drugs don't have. The FDA asked Strut to respond within 15 working days and suggested steps such as identifying who actually produces its compounded products.

What this means for you: the letter was about weight-loss drug marketing, not hormones, and it isn't a finding that anyone was harmed. We did not confirm a later public close-out letter in the FDA material and focused search reviewed. Strut's menopause pages now carry clear notices that its compounded products aren't FDA-approved. The fair takeaway is simply to ask who compounds your hormones, since the pharmacy still isn't named on Strut's site.

The new owner

Partex.AI, an artificial-intelligence company, announced from Frankfurt and Dallas on July 9, 2026 that it had acquired Strut. It said it plans to use AI across the patient journey, including engagement, treatment personalization and clinical workflows. The announcement doesn't mention menopause care. New owners can change prices, products and service quickly, which is one more reason to get your terms in writing.

A quick legitimacy checklist

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A quick legitimacy checklist, table 10

A legitimate online provider should…	Strut
Require a medical questionnaire and a prescription	Yes, by its description
Use clinicians licensed in your state	Yes, per its consent form. Your individual physician isn't named until you're assigned one.
Screen for reasons not to prescribe	Medical-history review and clinician approval are described; we did not test the screening.
Say clearly whether medicine is FDA-approved or compounded	Yes
Name the pharmacy that fills it	No
Give you a way to report side effects	Yes, through account messaging

Those documents describe the care model; they don't verify your assigned clinician or pharmacy. Ask for the pharmacy's name, and once you have your physician's name, look up their license on your state medical board's website.

Can you cancel Strut and get a refund?

You can pause, delay or cancel future refills, but Strut's FAQ asks for 48 hours' notice before processing, and its refund policy says no refunds once the pharmacy has processed or shipped your medicine. Damaged or defective items must be reported within two weeks of delivery.

Here are the rules in the order they matter, from Strut's FAQ, terms and refund policy:

1. Every prescription is a subscription. Strut's terms say you're charged every 30 or 90 days, depending on your refill schedule, until you pause or cancel.
2. Cancel at least 48 hours before processing. You can change, delay or cancel in your account under Orders and Subscriptions, or by emailing care@struthealth.com.
3. No refunds after processing. Once the pharmacy processes or ships an order, the policy says it can't be refunded. (That policy was last modified September 21, 2021.)
4. Damaged or defective medicine. The policy gives two weeks from delivery to report it for replacement. If you receive the wrong medicine, contact the pharmacy and Strut promptly; the policy does not specify that same replacement rule for a wrong item.

The 48-hour rule, with real dates

Say Strut confirms your next processing time is November 19, 2026 at 9:00 a.m. Eastern.

• 48 hours earlier is November 17 at 9:00 a.m.
• A request sent November 18 is too late; you'd likely be charged.
• November 14 gives several days of notice; get written confirmation that the refill is cancelled.

Processing isn't the same as shipping, so ask Strut for your exact processing date and time. Send your request with days to spare, in writing, and save the reply.

If a refill is late

Late refills were a recurring complaint in the pages we read. If you're taking a hormone every day, plan ahead:

• Keep your order number and processing date handy.
• Ask Strut whether the order has been processed or only placed.
• Ask who to contact if the pharmacy is short, and how fast they reply.
• Talk with your prescribing physician about what to do if a refill runs late. Don't change or stop a hormone because of an article.

Does Strut take insurance or HSA/FSA, and can you use it where you live?

No, Strut doesn't bill insurance, and it won't complete prior-authorization forms or letters of medical necessity. Its FAQ warns that HSA or FSA card charges may be declined by the card issuer. On location, its FAQ says it ships everywhere except Arkansas, but that line is dated September 2024, so confirm your state.

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Does Strut take insurance or HSA/FSA, and can you use it where you live?, table 11

Question	What Strut says	Your next step
Insurance	Not accepted	If insurance must pay, check an in-network clinician first
Prior authorization or medical-necessity letters	Not completed; receipts and prescription details available on request	Ask your benefits administrator what paperwork it accepts
HSA or FSA card	"Charges to HSA and FSA cards may be rejected by the card issuer."	Check with your plan administrator before you rely on it
Medicare or Medicaid	Strut bills neither	See the Midi section below for its Medicare and Medicaid rules
Your state	Ships everywhere but Arkansas (dated September 2024); some medicines may not be available everywhere	Confirm menopause care for your state before paying
Your location during a visit	You must be in the U.S., and the physician must be licensed in your state	Ask before using Strut while traveling
Your age	The site is for adults 18 and older; no menopause-specific age range published	Ask if you're under 40

If paying with pre-tax money matters to you, Gala says it accepts FSA and HSA cards. That's still not the same as insurance covering the cost; check with your plan.

Who is Strut HRT best for — and who should start somewhere else?

Strut may fit a cash-paying woman whose clinician identifies a reason for compounded hormones and who is comfortable with automatic refills and the cancellation rules. Women who want FDA-approved products, need a known price for an evidence-based uterine-protection regimen, need vaginal or non-hormonal treatment, or want insurance should compare other routes.

Find yourself in this table.

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Who is Strut HRT best for — and who should start somewhere else?, table 12

Your situation	Does Strut fit?	Why	Best next step
Your clinician identifies a reason for compounded estradiol, you pay cash, and you don't have a uterus	Potentially	Estradiol capsules on the menu; free visit and follow-ups advertised	Strut, subject to clinical review and a current quote
Your clinician identifies a reason for compounded hormones and you have a uterus	Possibly	With systemic estrogen, confirm an evidence-based protection regimen; the skin cream is not a reliable substitute	Strut only after that clinical question and the full price are resolved
You want FDA-approved products only	Not as listed	Strut's menu is compounded	Gala (ask for the product name) or Alloy (published menu)
You have a uterus and want one price for estrogen + progesterone	Unresolved	Strut's current combined price is unpublished	Ask Gala whether $69 covers both, then compare complete quotes
Mostly vaginal dryness, pain with sex or repeat UTIs	No	No vaginal treatment on Strut's menu	Gala lists vaginal estradiol; see our vaginal estrogen guide
You can't or don't want to take hormones	No	No non-hormonal option listed	Gala lists non-hormonal options including fezolinetant; see non-hormonal options
You want testosterone	No	Strut doesn't prescribe controlled substances	A qualified clinician (see the FAQ below)
You have a PPO plan	Probably not first	No insurance	Midi or your own clinician
You're 35 to 39	Unclear	No menopause age range published	Winona publishes an HRT range of 35 to 59
You live in Arkansas	Unconfirmed; FAQ excludes it	The exclusion is in a line dated September 2024	Confirm current access; use Find My HRT Path if you need help comparing routes
Unexplained bleeding, or a history of blood clots, stroke, heart attack, breast or uterine cancer, or liver disease	Clinical review first	These can change whether systemic hormones are appropriate; some need an exam or specialist input	Your clinician; in-person assessment when the symptom or history calls for it

A 20-second fit check

Answer honestly. Nobody sees this but you.

1. Has a clinician identified a reason for compounding, and am I okay with a medicine that isn't FDA-approved?
2. If I have a uterus and need systemic estrogen, have I clarified an evidence-based protection plan and its full cost?
3. Am I okay paying cash, using automatic refills, and giving at least 48 hours' notice before processing if I want to stop one?

Three yeses? Strut is a reasonable provider to explore, subject to its clinician's review and your current quote. Send Strut the eight questions above, then look at its current menu.

A "no" to question 1 or 2? Gala is worth comparing: it lists oral progesterone and says it prescribes FDA-approved forms. Confirm the exact product and whether the $69 plan covers each medicine you need.

Not sure, or worried about something in your health history? If it is one of the medical concerns in the last row, start with your clinician; some situations need an in-person assessment. If you're mainly unsure which kind of care fits, the free tool can point you to a featured option or tell you when online care isn't the right start.

Strut Health vs Gala, Midi, Alloy and your own clinician: which fits?

Strut lists compounded hormones, but its current public page does not give prices. Gala advertises one flat price and says it prescribes FDA-approved forms. Alloy publishes product prices before you start. Midi is the route if you want insurance and scheduled visits. Whether you have a uterus, whether insurance must pay, and whether you want FDA-approved medicine decide most of this choice.

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Strut Health vs Gala, Midi, Alloy and your own clinician: which fits?, table 13

	Strut	Gala Health HRT	Midi Health	Alloy	Your clinician + pharmacy
Best for	A clinician-identified need for compounding	Comparing a broader menu and advertised flat price; exact product and coverage need confirming	Insurance and scheduled video visits	Seeing product prices first	Continuity with someone who knows you
Medicine type	Compounded	Says FDA-approved bioidentical forms; ask for the product name	Prescribed to your pharmacy	Published product menu; confirm your product	Whatever your clinician prescribes
Price basis	Current prices unpublished; earlier notes recorded $69 estradiol and $99 cream, not reverified	$69/month advertised, no membership fee	$250 first visit, $150 returning (self-pay) or your plan's cost-sharing	$49 consult; pill from $39.99/mo; patch $100/mo	Your plan's cost-sharing
Progesterone	Capsule (price not shown) or cream	Oral capsule	Prescribed to your pharmacy	Prescribed with estradiol	Prescribed to your pharmacy
Vaginal estrogen	Not listed	Listed	Available through a clinician	Listed on its solutions menu; confirm your prescription	Available
Non-hormonal options	Not listed	Listed, including fezolinetant	Available through a clinician	Paroxetine listed; confirm fit with the clinician	Available
Insurance	No	No	In-network with most PPO plans; Medicare out of network; no Medicaid	Not addressed on its HRT page	Depends on your plan
HSA/FSA	May be declined by your card issuer	Says it accepts both	Accepted for visits and services, per Midi	Check	Depends on your plan
Cancel terms	48 hours before processing; no refunds after	HRT-specific cutoff unconfirmed; general policy says 72 hours before billing but uses GLP-1 wording	Visit-based	Check Alloy's terms	—
Our link	Editorial (not paid)	Affiliate	Editorial	Editorial	—
Checked	Oct 20, 2026	Oct 20, 2026	Oct 20, 2026	Oct 20, 2026	—

Why Gala is the alternative most Strut shoppers should compare

Gala's case against Strut is strongest in exactly the places Strut is thin.

FDA-approved forms. Gala's FAQ says it prescribes FDA-approved bioidentical forms, and its menu includes estradiol pills or patches, oral progesterone and vaginal estradiol. Strut's menu is compounded. Condition: Gala doesn't name the exact finished product, and another Gala HRT landing page still carried a compounded-medication notice when we checked on October 20, 2026. Ask Gala to name your product and confirm its approval and intended use; our Gala review explains that check.

One advertised HRT price — confirm combined coverage. Gala's HRT page advertises "$69/month — flat, forever," with no membership fee and no price rise when your dose changes, and says your exact plan and price are shown before you pay. Strut's current page gives no prices, including for oral progesterone. Before you pay, confirm whether Gala's price includes every medicine in your prescribed plan, including progesterone when needed.

A broader menu. Gala lists four kinds of menopause treatment. Strut's current menu covers only the first two, and only in compounded form.

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Why Gala is the alternative most Strut shoppers should compare, table 14

Gala treatment category	What it's for	The question it helps you ask	Keep in mind
Estradiol pill or patch	Estrogen therapy for hot flashes, night sweats and other menopause symptoms	"Would a pill or a patch fit my symptoms and history?"	Confirm the exact product and that it's FDA-approved
Micronized progesterone	Protects the uterine lining with systemic estrogen when the product, dose and schedule are appropriate	"How will my uterus be protected?"	Gala's page says progesterone may be skipped if an IUD already covers it; the device, insertion date and off-label HRT use need a clinician's review
Vaginal estradiol cream or tablets	Vaginal dryness, painful sex, and helping prevent repeat UTIs	"Is local treatment enough, or do I need systemic therapy too?"	Low-dose local treatment won't stop hot flashes; repeat UTIs still need evaluation. Preventing UTIs is a separate, off-label use of vaginal estrogen; confirm the exact product and plan
Non-hormonal medicines, including fezolinetant	Hot flashes and night sweats without estrogen, for women who can't or prefer not to use hormones	"What are my options if estrogen isn't right for me?"	Fezolinetant (Veozah) carries a boxed warning for liver injury. Its label requires liver tests before treatment, monthly for the first three months, then at months six and nine; ask how they're arranged and who pays

All of Gala's treatments require a clinician's approval, and Gala delivers prescriptions with ongoing support. The treatment uses above are based on clinical guidance and product labeling, not Gala's outcome claims. For example, Vagifem's U.S. label covers vaginal atrophy due to menopause, not UTI prevention; we have not confirmed which vaginal product Gala would dispense.

HSA and FSA. Gala says it accepts both. Strut warns its charges may be declined.

Where Strut still wins. Strut names its prescribers as physicians from Titan Medical Group and advertises free, unlimited follow-ups. If your clinician has identified a reason for compounding, Strut's current menu makes that option clear. Gala's pages use different product language, so ask which finished medicine it would prescribe. A current Strut quote is still needed to compare price.

Gala's honest limits. Gala's general refund policy uses weight-loss and GLP-1 wording and sets a 72-hour cutoff before billing; we could not confirm that this is the HRT cutoff. Confirm which terms govern your HRT plan. Gala's Trustpilot score mixes HRT with weight-loss care, so it isn't an HRT rating. And Gala doesn't list testosterone.

Gala-selected HRT testimonial. "Within three weeks of starting estradiol I was sleeping through the night again." — Marisa, 49, shown on Gala's hormone-health page. Gala chose to publish this. It's one person's experience, not a typical result or medical proof.

If you want to discuss an FDA-approved form, oral progesterone, or a local or non-hormonal option, Gala's plan is worth a look. Check the exact product and whether its advertised price covers your full prescription before you commit.

We may earn a commission if you start care with Gala.

If insurance matters most

Midi Health says it's in-network with most PPO plans and that coverage depends on your specific plan. Its self-pay prices are $250 for a first visit and $150 for a returning visit. Two limits matter: Midi says Medicare is out of network (Medicare members can pay cash but can't submit claims for Midi visits or medicines), and it can't accept Medicaid or Medi-Cal patients. Check your visit benefit and your drug benefit separately.

If using insurance is central to your choice, check your exact plan before you pay cash anywhere.

If you'd rather start with insurance through a different service, read our Pomelo Care review.

If you want every price before you start

Alloy lists its products and monthly prices up front: a one-time $49 consultation, an estradiol pill from $39.99 a month, and a patch at $100 a month. Its solutions menu also lists progesterone from $23 for a one-month supply. Confirm your full prescription cost and whether insurance applies.

If you're 35 to 39

Winona publishes an HRT age range of 35 to 59 in the states it serves, which Strut and Gala don't. Its combined estrogen-and-progesterone body cream, advertised from $89 a month when we checked on October 20, 2026, contains compounded estradiol, estriol and progesterone, and the same question about progesterone through the skin applies. It also lists a patch, tablets and capsules. Ask how your uterus will be protected.

If you already have care that works

You don't need a new provider just because an ad caught your eye. If your current prescription is working, keep your clinician, and ask them about refills and options before you move anything. For the wider field, see our comparison of online HRT providers.

When should your next step be a clinician conversation first?

An online-provider comparison can't tell you whether a symptom needs an exam, or whether a particular hormone is safe for you. New or unexplained bleeding, a history of hormone-sensitive cancer, blood clots, stroke, heart disease or liver disease, or a question about a prescription you already take should change where you start.

You don't have to choose a new provider today. If you have a symptom that needs checking or a question about your current prescription, start with that conversation.

A few facts worth having before any visit:

Some histories can rule out systemic hormone therapy. The Menopause Society advises against hormone therapy in general for women with breast cancer, uterine cancer, unexplained uterine bleeding, liver disease, a history of blood clots or cardiovascular disease. If one of those is yours, discuss it with a clinician before choosing treatment; the next step may include specialist advice or a non-hormonal option. Low-dose vaginal treatment has a different risk discussion, but it still needs a review of your history and the exact product.

Bleeding comes first. Bleeding after menopause, or bleeding you can't explain, needs prompt clinical evaluation before starting or changing hormone treatment. An initial conversation can arrange the exam or tests that are needed.

Timing matters. The Menopause Society says the benefit-risk balance is generally favorable for bothersome symptoms when hormone therapy is started within 10 years of menopause or before age 60, when there is no contraindication — a medical reason not to use it. Outside that window, the decision is more individual. That doesn't mean no; it means a careful conversation.

Labels changed in 2026. In February 2026, the FDA approved labeling changes for several menopausal hormone therapy products, removing some boxed-warning statements. That isn't a finding that hormones are risk-free, and it doesn't change the status of compounded products. Our 2026 label changes explainer has the details.

If you want to see how our tool handles health history before you use it, read how Find My HRT Path works. It shows guidance only for some situations, such as unexplained bleeding, and it can't clear a medical red flag. To find a menopause practitioner near you, The Menopause Society keeps a public directory. Check the clinician's listed credentials and services.

None of this is advice to start, stop or change a medicine.

How we reviewed Strut Health

We read Strut's menopause pages, how-it-works page, FAQ, terms, telemedicine consent and refund policy, plus its Trustpilot and BBB pages and the FDA's warning letter, on October 20, 2026. We checked medical points against The Menopause Society and the British Menopause Society. We didn't sign up, pay or receive care, so this is a documentation review.

We use The HRT Index Verification Standard and report on its five pillars, in order. We don't give Strut a score; a made-up number would only be one more thing for you to second-guess.

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How we reviewed Strut Health, table 15

Pillar	What we looked for	What we found for Strut	Status
1. Clinical legitimacy	A real company, licensed clinicians, a medical review before prescribing	Named physician group (Titan Medical Group); screening described; physician licensed in your state required. An FDA warning letter about weight-loss drug marketing.	Model documented. Individual licenses not checked.
2. Care quality	Follow-up, messaging, dose changes, how complaints are handled	Free follow-ups and messaging advertised; weekday support hours; repeated complaints about pharmacy delays; 72% public reply rate to negative reviews	Advertised, not tested
3. Medication fit	FDA-approved or compounded; systemic and local options; how the uterus is protected	Compounded estradiol and progesterone only; a progesterone cream guidance says isn't adequate for uterine protection; no vaginal or non-hormonal options listed	Partly confirmed
4. Price transparency	Full price, what's included, billing, refunds	No prices on the current page; historical figures in earlier notes could not be rechecked; oral progesterone price not found; no refunds after processing	Weak
5. Access	States, age, insurance, speed	Every state but Arkansas (dated 2024); no menopause age range; cash only; HSA/FSA may be declined	Partly confirmed

What would change our view:

• Strut posting current prices for every menopause product, including oral progesterone
• Strut naming its pharmacy, or adding FDA-approved options
• Customer reviews that clearly describe Strut's menopause care, good or bad
• An FDA close-out of the warning letter
• Changes to the service under its new owner

Our full approach is in our methodology. We earn commissions from some providers, including Gala. We don't earn anything from Strut, and we've written this review the same way either way.

Strut Health HRT: quick answers

Is Strut Health legit? Yes, it's a real Dallas company whose prescriptions come from Titan Medical Group physicians. Know about the FDA's February 2026 warning letter (about weight-loss drug marketing) and its July 2026 sale to Partex.AI before you decide.

Is Strut's BHRT FDA-approved? No. Strut says its menopause products are compounded, and compounded drugs aren't FDA-approved.

How much does Strut HRT cost? Strut's current menopause page shows no prices. Earlier October 20 research notes recorded estradiol capsules at $69 a month and progesterone cream at $99 a month, but we could not recheck those figures. Get a current written quote for every prescribed item.

Does Strut prescribe estradiol patches? Earlier research notes reported a patch mention, but Strut's current menu doesn't list one. Availability, price, brand and approval status remain unconfirmed. Ask Strut directly.

Does Strut offer vaginal estrogen? Not on its current menu. If dryness or pain with sex is your main problem, a provider that lists vaginal estradiol, or your own clinician, is a better start.

Does Strut offer testosterone for women? No. Strut's terms say its providers don't prescribe DEA-controlled substances. Testosterone is a prescription Schedule III controlled substance in the U.S. No testosterone product is FDA-approved for women; using a male-approved product for a woman is off-label. A compounded testosterone product is not FDA-approved at all. If that's what you want, ask a qualified clinician.

Do I need labs for Strut BHRT? Strut's menopause pages don't say. Ask whether any test is needed, why, and what it costs.

Will Strut honor my current prescription or outside labs? We didn't find a policy on transfers or outside lab results for menopause care. Expect a new evaluation, and ask what records to send.

What states does Strut serve? Its FAQ says every state except Arkansas, but that line is dated September 2024 and some medicines may not be available everywhere. Confirm before you pay.

Can I use my HSA or FSA card? Strut warns that your card issuer may decline the charge. Check with your plan administrator.

How fast does Strut ship? Strut says most first orders go 2-day express, standard shipping typically takes about 2 business days, and refills ship by USPS. That is a shipping estimate, not a promise of two days from signup. Several reviews describe delays when the pharmacy ran short.

How soon will Strut's hormones work? Nothing we read supports a Strut-specific timeline. Ask the physician what improvement to look for, when to check in, and which symptoms need attention sooner. Shipping speed and treatment response are different things.

Is Strut O Cream menopause HRT? No. It's a separate compounded arousal cream with sildenafil and other ingredients, not estradiol or progesterone.

Is Gala automatically better than Strut? No. Gala is worth comparing for its broader menu and advertised flat price, but confirm the exact FDA-approved product and whether that price covers all your medicines. Strut is the direct route to explore when a clinician identifies a reason for compounded hormones and its care and price fit you.

Is Find My HRT Path a medical eligibility test? No. The HRT Index's Find My HRT Path tool asks care-navigation questions and points to a featured option, or to guidance when online care isn't the right start. It doesn't diagnose, prescribe or decide treatment, and it doesn't evaluate Strut.

Bottom line: should you try Strut Health for HRT?

Consider Strut if a clinician identifies a reason for compounded hormones, you're paying cash, and your written quote and uterine-protection plan are clear. For FDA-approved products or a broader menu, compare Gala's exact prescription and full price. If insurance is essential, start with an in-network route.

The whole page in four lines:

• The reviews: none clearly about menopause care in the pages we read; company-wide 3.5 out of 5, with complaints about pharmacy delays, auto-refills and refunds.
• The medicine: compounded estradiol and progesterone. With systemic estrogen and a uterus, ask about evidence-based protection; the skin cream is not reliable for that job.
• The price: earlier notes recorded $69 for estradiol and $99 for the cream; neither could be rechecked. The current page has no prices, and we found none for oral progesterone.
• The exit: cancel at least 48 hours before processing; no refunds after.

Your 10-point checklist before you pay anyone

[ ] 1. I know the exact medicine and how I'll take it.
[ ] 2. I know whether it's FDA-approved or compounded.
[ ] 3. I know how my uterus will be protected if I have one and use systemic estrogen.
[ ] 4. I know who my clinician is and which pharmacy fills it.
[ ] 5. I know today's charge, the next charge and the refill interval.
[ ] 6. I've listed every cost that's still unknown.
[ ] 7. I've confirmed my state, age and payment method are accepted.
[ ] 8. I know how to reach my clinician with a question.
[ ] 9. I know the cancellation deadline and the refund rules.
[ ] 10. I have a plan if a refill is late.

If a clinician has identified a reason for compounded hormones and your answers check out, look at Strut's current menu.

If Gala confirms the FDA-approved product and complete price you need, explore its HRT plan.

Gala may pay The HRT Index if you enroll. A prescription is never guaranteed.

Still not sure what kind of care fits? That's a different question from "is Strut good," and it deserves its own answer. The HRT Index's Find My HRT Path tool asks about your symptoms, what you've tried, your age, your state and your health history, then shows a featured care option or guidance about a better starting point. It's free, takes about 60 seconds and doesn't ask for your email.

And if you already have a clinician who knows your history, it's always fair to ask them first.

Sources

Strut Health (current pages read October 20, 2026; carried historical record labeled below)

• Strut — Menopause & BHRT (current menu)
• Strut — BHRT address (now redirects to the menopause page; earlier October 20 price and product observations are carried from research notes and could not be rechecked)
• Strut — How it works
• Strut — FAQ
• Strut — Terms and conditions
• Strut — Telemedicine consent, last updated February 21, 2023
• Strut — Refund policy, last modified September 21, 2021
• Strut — Our Story
• Strut — Strut O Cream

Customer reviews and other reviews

• Trustpilot — Strut Health, read October 20, 2026
• Better Business Bureau — Strut Health complaints, read October 20, 2026
• Innerbody — Strut Health reviews, updated October 11, 2024
• Luna Metabolic — Provider review index, Strut score read October 20, 2026; individual review page could not be rechecked

Regulatory and ownership

• FDA — Warning letter to Strut Health, LLC (721448), dated February 20, 2026
• Partex.AI — Acquisition of Strut Health, July 9, 2026
• FDA — Labeling changes for menopausal hormone therapy products, February 2026
• FDA — Testosterone information and DEA — Controlled substance schedules

Medical guidance

• The Menopause Society — Hormone therapy, read October 20, 2026
• British Menopause Society — Progestogens and endometrial protection (Tool for Clinicians), reviewed February 2026
• ACOG — Compounded bioidentical menopausal hormone therapy, 2023
• DailyMed — Veozah (fezolinetant) prescribing information, revised February 2026; read October 20, 2026
• Mirena — U.S. prescribing information, indications and 52 mg device; read October 20, 2026
• Vagifem — U.S. prescribing information, labeled vaginal indication; read October 20, 2026
• ACOG Clinical Consensus No. 6 — full text hosted by the Alabama medical board, November 2023; read October 20, 2026

Other providers

• Gala — Hormone health, read October 20, 2026
• Gala — $69 HRT page, read October 20, 2026
• Gala — Alternate HRT page with compounded-product notice, read October 20, 2026
• Gala — General refund policy, read October 20, 2026; HRT applicability not confirmed
• Gala — Progesterone and non-hormonal treatment menu, read October 20, 2026
• Midi Health — Pricing and insurance, read October 20, 2026
• Alloy — HRT, read October 20, 2026
• Alloy — Solutions menu (progesterone price), read October 20, 2026
• Winona — Estrogen body cream with progesterone and Winona FAQ, read October 20, 2026

The HRT Index is an independent editorial publication. We are not a healthcare provider, pharmacy or telehealth service. Nothing here is medical advice, a diagnosis or a treatment plan. For decisions about starting, stopping or changing hormone therapy, talk with a licensed clinician who knows your history. In an emergency, call 911.

Keep reading:

• Gala Health HRT reviews: the $69 plan, complaints and verdict
• Compounded vs FDA-approved HRT
• Who needs progesterone for menopause
• Estradiol pill reviews and costs
• Fezolinetant for hot flashes
• Gala Health vs Winona