Men's Telehealth in 2026: Prescription Sermorelin, NAD+, Hair Loss, and ED—Starting at $79/Month Without a Clinic Visit

Bottom line: Men lose roughly 14% of growth hormone output per decade after age 30, and DHT-driven hair loss, declining NAD+ levels, and erectile dysfunction follow predictable timelines. Four prescription treatments—Sermorelin peptide, NAD+ therapy, Dutasteride, and ED medication—are now available through Strut Health’s US telehealth platform without a clinic visit, starting at $79/month.

Men’s health telehealth has restructured how prescription-strength treatments reach patients. What previously required a specialist visit, bloodwork, and a 6-week wait now requires a 5-minute online assessment and physician review within 24 hours.

Strut Health is a US telehealth platform that provides compounded prescription treatments for four distinct men’s health areas: growth hormone optimization, cellular energy (NAD+), hair loss, and sexual health. Each treatment ships directly to your door with no in-person visit required.

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Why Men’s Hormones Change After 35—And What That Means Clinically

Men’s health declines after 35 are not random. They follow documented biological timelines:

Growth hormone: Production peaks in the mid-20s and declines 14% per decade. By 50, most men produce roughly half the growth hormone they did at 25. The result: slower muscle recovery, increased fat accumulation, reduced sleep quality, and declining mental sharpness.

NAD+: This coenzyme is required for mitochondrial energy production and DNA repair. Research published in Cell Metabolism (2020) documented a 50% drop in NAD+ levels between ages 40 and 60. Low NAD+ correlates with fatigue, brain fog, and impaired cellular recovery.

DHT and hair follicles: Dihydrotestosterone (DHT) is produced when testosterone converts via the 5-alpha reductase enzyme. In men with androgenetic alopecia, DHT binds to hair follicle receptors, shrinking the follicle until it stops producing visible hair. DHT-blocking medications work by preventing this conversion.

Erectile function: ED affects 52% of men between 40 and 70, per the Massachusetts Male Aging Study. Vascular, hormonal, and psychological factors are all contributors—telehealth prescriptions typically address the vascular and hormonal components.

Understanding which system is declining determines which treatment applies. Here is what each of Strut’s four programs does.

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Treatment 1: Oral Sermorelin Peptide — Growth Hormone Optimization

What it is: Sermorelin is a synthetic analog of growth hormone-releasing hormone (GHRH). When taken orally, it signals the pituitary gland to produce and release more of your own growth hormone.

Why oral, not injection: Strut Health formulates Sermorelin as an oral disintegrating tablet. This differs from the injectable Sermorelin available at some clinics—and is notably different from synthetic HGH injections. Oral Sermorelin does not introduce exogenous growth hormone; it restores your body’s own production mechanism.

Clinical evidence: A 2001 study in JAMA found that GHRH-based peptides restored growth hormone pulsatility in older men with confirmed GH deficiency. Clinical reports cite improvements in sleep quality, recovery, lean muscle preservation, fat metabolism, and mental clarity.

Who it’s for: Men 35+ experiencing energy decline, slower post-exercise recovery, increased abdominal fat despite consistent training, or declining sleep quality. Not suitable for men with active cancer, uncontrolled diabetes, or intracranial hypertension.

Cost: Starting at $79/month. Includes physician consultation and prescription.

Start Free Assessment → Strut Sermorelin

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Treatment 2: NAD+ Injections — Cellular Energy and DNA Repair

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme that drives two critical biological processes: ATP production in the mitochondria, and SIRT1/PARP-mediated DNA repair. Both functions decline as NAD+ levels fall.

A 2019 study in Nature Metabolism showed that restoring NAD+ levels in aging subjects improved mitochondrial function and reduced markers of metabolic decline. The mechanism is well-documented; the practical question is delivery method.

Strut Health provides compounded NAD+ injections delivered directly to your door. Injections achieve higher bioavailability than oral NAD+ precursors (NMN, NR) because they bypass GI degradation. A physician reviews your case and prescribes the appropriate protocol.

Target benefits: Cellular energy production, mental focus, recovery time, and DNA repair activity.

Cost: Starting at $103/month. Physician supervision included.

Who it’s for: Men 40+ experiencing persistent fatigue, brain fog, slow post-exercise recovery, or general energy decline that diet and sleep changes have not resolved.

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Treatment 3: Dutasteride for Hair Loss — The Stronger DHT Blocker

Two FDA-approved medications block DHT: Finasteride and Dutasteride. Here is the clinical difference:

	Finasteride	Dutasteride
DHT reduction	~70%	~99%
5-AR isoenzymes blocked	Type II only	Type I and II
Clinical superiority	Reference standard	Outperforms Finasteride at 24 weeks (Cochrane 2019)
Available as	Oral + topical	Oral capsule + 5-in-1 topical

Dutasteride is the more potent option. Its broader mechanism—blocking both type I and type II 5-alpha reductase—produces greater DHT reduction. A 2019 Cochrane systematic review concluded that Dutasteride “significantly increased total hair count at 24 weeks” compared to Finasteride.

Strut Health’s Dutasteride is available in:

• Oral capsules: Standard systemic treatment
• 5-in-1 topical formula: Compounded for personalized dosing, applied directly to the scalp. Reduces systemic exposure for men who want scalp-targeted treatment.

Cost: Starting at $79/month. Includes physician assessment and prescription.

Check Hair Loss Treatment Options → Strut Health

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Treatment 4: Men’s Sexual Health — ED and Low Libido

Erectile dysfunction affects 52% of men between 40 and 70 (Massachusetts Male Aging Study, 1994). By 70, roughly 67% of men experience some degree of ED.

Strut Health’s men’s sexual health program includes physician-prescribed treatment for:

• Erectile dysfunction
• Premature ejaculation
• Low libido

The program includes a 5-minute online questionnaire, physician review, and optional at-home testosterone test. A 30-day supply starts at $79. Discreet shipping with plain packaging.

Cost: Starting at $79/month for the 30-day supply. Consultation included.

Start Discreet Assessment → Strut Sexual Health

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How Strut Health Works: The Assessment Process

All four treatments follow the same process:

1. Complete the online questionnaire (5–10 minutes depending on treatment). Questions cover medical history, current medications, symptoms, and goals.
2. Physician review (within 24 hours). A board-certified US physician reviews your submission and either approves, requests clarification, or declines.
3. Prescription filled and shipped. If approved, your prescription is filled by a licensed US compounding pharmacy and shipped in plain packaging.
4. Ongoing support. Strut includes secure messaging with your care team for follow-up questions.

No in-person clinic visit is required for any program. Treatment decisions are made by US-licensed physicians, not automated algorithms.

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Does Sermorelin actually work for energy and recovery?

Sermorelin stimulates pituitary growth hormone release in men with documented age-related GH decline. Clinical evidence—including a JAMA 2001 trial on GHRH peptides—shows restored GH pulsatility, improved sleep quality, and lean mass preservation. Results are most pronounced in men with confirmed GH decline, not men with normal baseline levels.

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Who Should Not Use These Treatments

These treatments are prescription-only and not appropriate for everyone:

• Sermorelin: Not for men with active cancer, intracranial hypertension, or type 1 diabetes
• NAD+: Not for men with certain metabolic disorders; physician evaluation required
• Dutasteride: Not for men with prostate cancer; may affect PSA test results
• Sexual health medications: Not for men taking nitrates, with severe cardiac disease, or with certain blood pressure conditions

Strut’s physician review screens for contraindications before any prescription is issued. If you do not qualify, you are not charged for the assessment.

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Cost Summary

Treatment	Monthly Cost	Includes
Sermorelin (oral peptide)	From $79/month	Physician consultation + prescription
NAD+ Injections	From $103/month	Physician supervision + prescription
Men’s Sexual Health	From $79/month	30-day supply + consultation
Dutasteride (hair loss)	From $79/month	Physician assessment + prescription

All plans include a physician consultation and prescription. No subscription required — plans can be canceled at any time.

Looking for GLP-1 weight management programs? Strut Health covers metabolic health, but for GLP-1 telehealth specifically (Semaglutide and Tirzepatide at $179–$225/month), see our GLP-1 programs comparison.

Most primary care physicians don’t prescribe sermorelin — not because the evidence is weak, but because of a regulatory and training gap. Why Your Doctor Won’t Prescribe Sermorelin explains what’s actually behind the avoidance. For the DHT mechanism behind male pattern baldness and why dutasteride outperforms finasteride in head-to-head trials, see DHT Is Why Your Hair Is Thinning.

For men investing in their physical presentation alongside their health: our Kahlon made-to-measure suit review covers a $299–$599 option that fits your actual body measurements — one-third the price of a traditional tailor, with documented real-world results across three high-stakes wearing occasions.

Check Which Treatment Is Right for You → Strut Health Free Assessment

All health content on Verto is informational and does not constitute medical advice. Consult a licensed physician before beginning any prescription treatment. Telehealth services are subject to physician judgment and state-by-state availability.