Strut Health is one of the older hair-loss telehealth companies, known mainly for its compounded topical finasteride. We recommend it on several pages of this site as a convenient way to get finasteride with lower blood levels than the pill. This review is the full picture: what it prescribes, what it costs, the terms you agree to, and the problems we found when we checked its record.
LegitScript status: LegitScript Certified
What Is Strut Health?
Strut Health, LLC is based in Dallas, Texas. It was launched in April 2020 by Dr. Simal Patel, an emergency and telemedicine physician who remains its CEO, and in 2026 its website began describing it as "a Partex.AI Consumer Health Company". We could not find any announcement of what that relationship involves. Besides hair loss, Strut sells treatments for erectile dysfunction, testosterone, weight loss, menopause and skin.
How it works. You complete an online questionnaire, which Strut says takes about five minutes, and upload your ID and photos. A clinician reviews it, usually without a call; Strut says some states require a phone consultation, and you can message your provider through the patient portal. Strut's terms are explicit that Strut itself does not provide medical care: prescriptions come from clinicians of an affiliated practice, Titan Health, P.A. Medication is compounded and shipped by a partner pharmacy that Strut does not name. As of its latest FAQ, it ships to every state except Arkansas, though not every product is available everywhere.
The visit is free and you are not charged if you are not approved. Strut is cash-pay only and does not take insurance.
What Strut Prescribes for Hair Loss
Prices and strengths from Strut's product pages on October 23, 2026.
| Product | What's in it | Price |
|---|---|---|
| Topical Finasteride Formula (men) | Finasteride, minoxidil (7.5% listed), tretinoin, fluocinolone, biotin, as a gel or solution | $59/month |
| Topical Dutasteride Formula | Dutasteride 0.1%, minoxidil, tretinoin, fluocinolone, biotin | $69/month |
| Women's Hair Formula | Spironolactone 1% or finasteride 0.25%; minoxidil 0-7.5%; tretinoin 0-0.025%; fluocinolone 0.01% (optional); biotin | $59/month |
| Oral finasteride | Generic 1 mg tablets | $25/month |
| Oral dutasteride | Compounded 0.1 mg or generic 0.5 mg | $39/month |
| HairfectRx capsules | Finasteride 1 mg or dutasteride 0.4 mg, plus oral minoxidil 5 mg and six vitamins and minerals | $69/month |
| Oral minoxidil | 1.25 mg daily | $55 per 90 days |
| Hair Booster | Latanoprost 0.03% or 0.1%, melatonin, caffeine, biotin | $49 or $99 per bottle |
| Ketoconazole 2% shampoo | Prescription-strength ketoconazole | From $25 |
Strut says prices include the provider visit and shipping. A $40 consultation fee applies only if you transfer your prescription to another pharmacy.
What the ingredients do.
- Finasteride and dutasteride block the conversion of testosterone to DHT, the hormone that shrinks follicles in pattern hair loss; see finasteride vs dutasteride.
- Minoxidil keeps follicles growing longer. Tretinoin may help it absorb, and fluocinolone, a mild steroid, calms the irritation that combination can cause.
- Biotin in a topical does little; it barely absorbs through skin and only helps hair if you are deficient. See biotin for hair loss.
One gap: the men's topical product page does not state the finasteride concentration. Strut's own blog says its providers typically prescribe 0.1-0.25%, and the help center still lists an older ingredient set. Ask your prescriber what strength you are getting.
Watch the HairfectRx dose. The capsules contain 5 mg of oral minoxidil, the top of the low-dose range typically used for hair loss in men; many prescribers start at 1.25-2.5 mg and only increase if needed, and women are usually given less. Higher doses bring more risk of body-hair growth, fluid retention and a faster heart rate. Read oral vs topical minoxidil and ask about the dose before choosing it.
Does It Work? The Evidence
Topical finasteride (men). The ingredient is well supported. A 2022 phase III trial of a 0.25% finasteride spray in 458 men found an average gain of 20.2 hairs in the target area after 24 weeks, versus 6.7 on placebo, with blood levels of finasteride more than 100 times lower than with the pill PMID: 34634163. That was a standardized pharmaceutical product, though, and Strut's product is a compounded five-ingredient gel that has not itself been tested in a trial.
Topical spironolactone (women). The evidence is thinner. In a 2025 trial, 80 women with female pattern hair loss used either a 1% spironolactone gel, the strength Strut uses, or 5% minoxidil for six months, and both groups improved to a similar degree, with less irritation on spironolactone PMID: 40654550. The trial was small, unblinded and had no placebo group. A smaller 2025 study found no measurable change on the scalp with a 5% spironolactone solution over 16 weeks PMID: 40117614, and a 2023 systematic review of seven studies concluded that better randomized trials are needed PMID: 36923692. For most women, minoxidil remains first-line; Strut's formula includes it, which helps. See female pattern hair loss and spironolactone for hair loss.
Safety: What Strut Doesn't Tell You on the Product Page
Strut's topical finasteride page correctly says that compounded topical finasteride is not FDA-approved, but its side-effects answer lists only local reactions such as itching and redness. That understates the risk. In April 2025 the FDA warned about compounded topical finasteride, sold by telemedicine platforms among others. It had received 32 reports of side effects like those of the pill, including erectile dysfunction, depression and suicidal thoughts, most of which continued after stopping. Lower blood levels mean lower exposure, not none. See post-finasteride syndrome and finasteride side effects.
Topical finasteride can also transfer through skin contact, which matters if you live with a woman who is or may become pregnant. Wash your hands after applying it and let it dry before close contact.
The FDA Warning Letter
On February 20, 2026, the FDA sent Strut Health a warning letter about its compounded semaglutide and tirzepatide weight-loss products. The FDA said the products were misbranded for two reasons: their labels showed the Strut name, implying Strut was the compounder "when in fact it is not", and its website made claims such as "Generic Zepbound, Mounjaro", which implied the products were FDA-approved.
The letter did not concern Strut's hair-loss products, and we have not found any action against them. We could not find Strut's response or a close-out letter. Strut still sells compounded semaglutide and tirzepatide, and we found no "generic" wording on its weight-loss page in October 2026. We include the letter because it is about how the company markets compounded drugs, which is the same business as its hair-loss line.
The Fine Print: Subscriptions, Cancelling and Refunds
From Strut's terms, refund policy and help center:
- Every prescription is an auto-renewing subscription, charged every 30 or 90 days depending on the plan, until you pause or cancel.
- Cancel at least 48 hours before your refill processes. Once a refill has processed, it cannot be cancelled or refunded, and a new order cannot be cancelled once it has been approved.
- No refunds once the medication leaves the pharmacy, even if it did not work for you. Damaged or defective items are replaced only if reported within two weeks.
- Disputes go to private arbitration under Texas law, with a waiver of class actions.
What Customers Say
Strut's main Trustpilot profile, listed under its old web address (strutyours.com), has a 3.5 TrustScore from 783 reviews (October 2026): 57% five-star and 20% one-star. Positive reviews mention responsive customer service, fair prices and, in some cases, results with the topical finasteride. The complaints cluster around shipping delays, being moved into auto-refill subscriptions, slow support and products that did not work. The Better Business Bureau rates Strut D-, citing 12 complaints in three years and one it did not respond to. It is not BBB-accredited.
Pros and Cons
Pros
- Fair prices: $59 a month for a compounded topical, $25 for oral finasteride, visit and shipping included
- A prescription formula for women, with published strengths, which most platforms don't offer
- A wide range: topical and oral finasteride or dutasteride, oral minoxidil, ketoconazole shampoo
- Displays LegitScript certification
Cons
- No refunds once shipped, and refills must be cancelled 48 hours ahead
- Mixed customer ratings: 3.5 on Trustpilot, D- with the BBB, with shipping delays the top complaint
- A 2026 FDA warning letter over the labeling and marketing of its compounded weight-loss drugs
- Product pages understate topical finasteride's risks and don't state the men's finasteride strength
- The HairfectRx capsules use a relatively high 5 mg dose of oral minoxidil
Who Strut Is and Isn't For
Strut is a reasonable choice if you want topical finasteride and minoxidil in one product at a fair price, or you are a woman looking for a prescription topical beyond over-the-counter minoxidil, and you are comfortable managing a subscription carefully.
Look elsewhere if you want the cheapest proven route: generic oral finasteride with a discount card and over-the-counter minoxidil cost less and have the longest track record (see our best minoxidil guide). If you want published strengths for men's formulas and a more flexible guarantee, compare our Happy Head review, and see our telehealth platform comparison for other options.
Our Verdict
Strut Health offers sensible, fairly priced prescriptions: a compounded topical finasteride for men built on proven drugs, and a women's formula that fills a real gap. What holds it back is everything around the prescription. Its subscriptions allow no refunds once shipped, its customer ratings are middling, its product pages play down topical finasteride's risks, and the FDA's 2026 warning letter over its weight-loss marketing is a mark against how it handles compounded drugs.
We rate Strut Health 3.5 out of 5: worth considering for its formulas and prices, as long as you note your refill date, cancel 48 hours ahead if you want to stop, and go in knowing that topical finasteride carries finasteride's risks.
Sources
- Strut Health. Product pages, FAQ, terms and conditions, refund policy, telemedicine consent and help center. Accessed October 23, 2026.
- U.S. Food and Drug Administration. Warning letter to Strut Health, LLC dba Strut, MARCS-CMS 721448. February 20, 2026.
- U.S. Food and Drug Administration. FDA alerts health care providers, compounders and consumers of potential risks associated with compounded topical finasteride products. April 22, 2025.
- Piraccini BM, Blume-Peytavi U, Scarci F, et al. Efficacy and safety of topical finasteride spray solution for male androgenetic alopecia: a phase III, randomized, controlled clinical trial. Journal of the European Academy of Dermatology and Venereology. 2022;36(2):286-294. PMID: 34634163.
- Hassan GFR, Elsaftawy RE, Mady OY, et al. Evaluation of the efficacy and safety of topical spironolactone versus topical minoxidil in the treatment of female pattern hair loss. International Journal of Trichology. 2025;17(1):42-50. PMID: 40654550.
- Al Sayed NM, El Morsy EH, Hussein TM, et al. Clinical and trichoscopic evaluations of topical finasteride 1%, topical spironolactone 5%, and minoxidil 5% in female pattern hair loss treatment. Dermatology Practical & Conceptual. 2025;15(1). PMID: 40117614.
- Wang C, Du Y, Bi L, et al. The efficacy and safety of oral and topical spironolactone in androgenetic alopecia treatment: a systematic review. Clinical, Cosmetic and Investigational Dermatology. 2023;16:603-612. PMID: 36923692.
- Trustpilot. Strut reviews (strutyours.com). Accessed October 23, 2026.
- Better Business Bureau. Strut Health, LLC business profile. Accessed October 23, 2026.
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