AgelessRx vs Strut Health
Side-by-side comparison of pricing, physician credentials, pharmacy standards, and lab monitoring protocols.
| Criteria | AgelessRx | Strut Health |
|---|---|---|
| Starting Price | $99/mo | $119/mo |
| Our Score | 8.9 Very Good | 9.4 Excellent |
| Best For | Longevity-focused telehealth with sermorelin as an injection or intranasal spray | Affordable compounded sermorelin with fast online prescriptions |
| Badge | Nasal Spray Option | |
| No Insurance Needed | ✓ | No Insurance Needed |
| Fully Online | ✓ | FSA/HSA Eligible |
| Nasal Spray Available | ✓ | Fast Shipping |
AgelessRx
Longevity-focused telehealth with sermorelin as an injection or intranasal spray
Pros
- Lowest published entry price of any provider offering a nasal delivery form
- Intranasal option at 1000 mcg/mL for patients who will not self-inject
- No membership or consultation fee layered on top of medication cost
- 503A compounding pharmacies disclosed publicly, with all 50 states served
Cons
- Baseline IGF-1 testing is not required before prescribing and labs are not included
- Asynchronous intake only, with no live video consultation option
- Cold-shipped injectables are not reliably deliverable to Alaska or Hawaii
Strut Health
Affordable compounded sermorelin with fast online prescriptions
Pros
- Competitive pricing with no mandatory subscription
- Fast 24-hour prescription approval process
- FSA/HSA eligible on qualifying orders
- Straightforward online platform with minimal friction
Cons
- Lab monitoring and follow-up consults billed separately
- Less clinical depth than full-service hormone platforms
Overview
AgelessRx[1] starts at $99 per month for injectable sermorelin with no membership fee, no consultation fee, and free shipping[1]. Strut Health[2] starts from $119 with free shipping, free follow-up care, and compounding in the U.S.A. under USP guidelines[2] and no subscription requirement. Both are low-friction, low-cost programs. They differ on delivery form, on what follow-up costs, and on what each publishes about its compounding.
At a Glance
| Metric | AgelessRx | Strut Health |
|---|---|---|
| Starting price | $99/mo injection, $199/mo nasal | From $119, no subscription required |
| Follow-up care | Async review only, no video visit | Free follow-up care included |
| Delivery form | Injectable + intranasal spray | Subcutaneous injectable only |
| Pharmacy standard | 503A, no per-lot results published | U.S. compounded under USP guidelines |
| Public record | Not BBB accredited, D- on two unanswered complaints; 4.4/5 Trustpilot | No BBB complaint file on record |
Key Differences
Follow-up care is free at Strut and unbundled at AgelessRx
Strut Health bundles free follow-up care into the delivery[2], so a dose change or a tolerability question does not generate a charge. AgelessRx runs asynchronous physician review with no membership or consultation fee[1], but there is no live video visit at any point and labs are not included in the price. Titration on a 100 to 300 mcg/day subcutaneous protocol depends on someone reading a follow-up IGF-1. Strut makes the clinician contact free. AgelessRx makes the medication cheap.
Only AgelessRx has a non-injection route
Strut offers subcutaneous injectable sermorelin only[2]. AgelessRx adds an intranasal spray from $199 per month at 1000 mcg/mL[3]. That doubles the price against Strut, so the nasal form is not the value play. It is the option for a patient who has already decided against daily bedtime injections. The nasal form also ships without cold-chain constraints, which matters in Alaska and Hawaii where AgelessRx cold-shipped injectables are not reliably deliverable.
Compounding disclosure and the public record
Strut states its active ingredients follow strict USP guidelines and are compounded in the U.S.A.[2], consistent with USP General Chapter 797[4]. AgelessRx uses 503A compounding pharmacies and states so publicly, but it does not publish per-lot potency or endotoxin results, and 503A is the lower of the two regulatory tiers. On the service side, AgelessRx is not BBB accredited, with a D- rating BBB ties to two unanswered complaints[5], while the same company sits at 4.4 out of 5 on Trustpilot[6] across a far larger review base. Read the D- as a responsiveness mark on two files, not as evidence of a fulfillment problem.
In Depth
What $20 a month buys at Strut
Strut Health prices sermorelin from $119 with free shipping and free follow-up care, with no subscription requirement[2]. AgelessRx prices the injection at $99 per month with no membership or consultation fee and free shipping[1]. The $20 difference is clinician access. Titration on a 100 to 300 mcg/day subcutaneous protocol needs someone reading the follow-up, and Strut does not charge for that conversation. AgelessRx does not offer one.
Compounding standards and what each publishes
Strut states its active ingredients follow strict USP guidelines and are compounded in the U.S.A.[2], aligned with USP General Chapter 797[4] for sterile preparations. AgelessRx names 503A compounding pharmacies publicly but publishes no per-lot potency or endotoxin results. 503B is the higher regulatory tier and neither provider operates at it. Compounded sermorelin is not FDA-approved at either.
What the public record actually says
AgelessRx is not BBB accredited, with a D- rating BBB ties to two unanswered complaints[5]. That is a responsiveness mark on two files, not a picture of how the company ships. On the larger sample the reading is different: AgelessRx holds 4.4 out of 5 on Trustpilot[6], rated Excellent. The practical takeaway is narrow. If a problem does come up, AgelessRx has a documented history of leaving BBB complaints unanswered, while Strut includes free follow-up care with prescriptions finalized after physician evaluation[2], which gives a patient a channel that does not depend on a complaint desk.
Delivery form and geographic reach
Strut offers subcutaneous injectable sermorelin only[2]. AgelessRx adds the intranasal spray at 1000 mcg/mL from $199 per month[1], which costs more than Strut rather than less. The nasal form is a preference decision, not a value one. It does solve one AgelessRx problem: cold-shipped injectables are not reliably deliverable to Alaska or Hawaii, and the nasal form has no cold-chain constraint.
Choose AgelessRx if
AgelessRx is the pick when the $99 per month injection price[1] or the intranasal option[3] is the deciding factor, and when the patient is comfortable arranging IGF-1 testing independently. Its longevity catalog also suits patients already running metformin or rapamycin.
Visit AgelessRx →Choose Strut Health if
Strut Health is the safer default for a first sermorelin protocol. From $119 with free shipping, free follow-up care, no subscription lock-in, and U.S. compounding under USP guidelines[2], the $20 monthly premium buys clinician access that AgelessRx does not include. Strut has no non-injection form, which is its clear limit.
Visit Strut Health →Bottom line
Strut costs $20 more per month and includes the follow-up care that titration actually requires. AgelessRx is cheaper on the injection and is the only one of the two with a nasal form, though that form runs $199 per month and neither provider includes labs. Take Strut unless the delivery form decides it.
Frequently Asked Questions
Is AgelessRx actually cheaper than Strut Health?
On the injection, yes. AgelessRx starts at $99 per month[1] against Strut from $119[2]. On the intranasal form at $199 per month, no. Strut also includes free follow-up care, which AgelessRx does not, so the effective gap narrows once a patient needs a dose adjustment.
Does either provider require a subscription?
Strut sells sermorelin with no subscription requirement[2]. AgelessRx runs a subscription with no membership fee, no minimum term, and cancellation on 48 hours notice. Neither locks a patient into a multi-month commitment, which matters because a sermorelin protocol needs 6 months before outcomes can be judged.
How much weight should the D- BBB rating on AgelessRx carry?
Less than the letter suggests. AgelessRx is not BBB accredited, and BBB ties the D- to two complaints the company did not answer[5]. Two files is a small sample and the grade measures responsiveness, not fulfillment. Across a much larger review base AgelessRx sits at 4.4 out of 5 on Trustpilot[6]. Read the two together: satisfied customers on volume, and a company that does not engage the BBB complaint process. On a nightly protocol it is still sensible to order refills before the vial runs out.
Which one is better for a first sermorelin protocol?
Strut, for most patients. Free follow-up care and U.S. compounding under USP guidelines[2] at $119 gives a first-time patient clinician access during titration. AgelessRx is the choice when the intranasal delivery form[1] is required or when the patient already has recent IGF-1 results in hand.
References
- Sermorelin: product page (injection from $99/month, no membership or consultation fee, free shipping, 503A compounding pharmacies, asynchronous physician review, patients 30 and over, all 50 states) agelessrx.com, 2026. https://agelessrx.com/agelessrx_product/sermorelin/
- Sermorelin: product page (online consultation, U.S. compounding under USP guidelines, free shipping and follow-up care, injectable form) struthealth.com, 2026. https://www.struthealth.com/sermorelin
- Sermorelin Nasal Spray: product page (intranasal sermorelin from $199/month at 1000 mcg/mL, no cold-chain requirement, non-injectable delivery form) agelessrx.com, 2026. https://agelessrx.com/sermorelin-nasal-spray/
- USP General Chapter <797> Pharmaceutical Compounding: Sterile Preparations USP, 2022. https://www.usp.org/compounding/general-chapter-797
- AgelessRx, Inc. BBB Business Profile (accreditation status, D- rating, complaint history) bbb.org, 2026. https://www.bbb.org/us/mi/ann-arbor/profile/medical-technology/agelessrx-inc-0372-90055876
- AgelessRx customer review profile and aggregate rating trustpilot.com, 2026. https://www.trustpilot.com/review/agelessrx.com