Depressed? Lack of Erections? Fat Gain? Yeah, I had the same dating my ex.
Hypogonadism is the condition referring to the male Testes not producing enough Testosterone.
This can be caused by a myriad of different variables like drug use, genetics, or simply age.
It’s expected that a whopping 18% of all men will have Low Testosterone by 2025 [1].
The usual practice was to contact your local PCP and take the embarrassing stroll down to hearing you need weekly injections to please your woman, and more often then not your Doc will actually reject your request because you’re in “Normal range” – The problem is that Normal range is a load of crock for T and for most blood work.
Recently, Online TRT (Testosterone Replacement Therapy) Clinics have become very prominent; so let us dive into which one is best and how we found it.
Why Trust Us?
Muscle + Brawn is an independent platform that is reader-supported. The team behind the content ensures that every piece of information is fact-checked and adheres to strict editorial guidelines.
References are provided at the end of each article to ensure credibility.
With a team of experts like Daniel Louwrens BSc PT, who have vast experience and knowledge in the field, readers can trust the authenticity and accuracy of the information provided. The site’s experience in dealing with enhanced biohacking related topics further solidifies our position as a trustworthy source.
3 Best Clinics Compared
Simplest: FountainTRT
💰 Average Cost for TRT: $199/month
👨🔬 Membership required: Included in price
❤️🩹 Insurance accepted: FSA and HSA cards
⌚ Periodic blood work: Varies by patient
✨ Trustpilot Reviews: 4.8 Stars | 111 reviews
⭐️ Muscle and Brawn Rating: 4.5 Stars
➡️ Go to the Full review
Most Affordable: PeterMD
💰 Average Cost for TRT: $87 – $99
👨🔬 Membership required? No
❤️🩹 Insurance Accepted: Yes
✨ Trustpilot Reviews: 2,800
⭐️ Trustpilot Rating: 4.8 Stars
⌚ Periodic blood work required? Every 6 months
➡️ Go to the Full review
Most Premium: Evolve
💰 Average Cost for TRT: $50 – $100
👨🔬 Membership required? No
❤️🩹 Insurance Accepted: FSA and HSA only
✨ Google Reviews: 219
✨ Google Rating: 5.0
⌚ Periodic blood work required? Yes
➡️ Go to the Full review
How We Chose The Best Clinic
1. Reviewing Their Onboarding and Intake Process
- Introducing Yourself: How easy is it to sign up? If it’s harder than assembling IKEA furniture, you might want to look elsewhere!
- Getting to Know You: A detailed health questionnaire is like a first date with your doctor. If they don’t ask the right questions, how will they know you? So make sure they’re thorough but not nosy.
- The Privacy Dance: They should treat your personal information like a top-secret recipe. If they’re sharing it around, it’s time to swipe left.
2. Looking at Their Medical Team and Protocols Offered
- Doctor Who?: Check the qualifications of the medical team. You don’t want to entrust your hormones to someone who thinks TRT is a new type of sandwich.
- The Personal Touch: Your hormones are as unique as your dance moves at a wedding. Make sure they’re tailoring treatments to you and not treating you like a human lab rat.
- Monitoring Like a TV Show Marathon: They should watch your progress like you watch your favorite binge-worthy show. If they’re not tuning in, time to change the channel.
3. Looking at Their Pricing Models and Add-Ons
- Price Tag Mystery: If finding the cost is like a detective novel’s plot twist, something might be fishy. You want clear prices, not an Agatha Christie novel.
- The Right Add-Ons: Look for extras that complement your needs. But beware of the “avocado toast” add-ons that are trendy but don’t add real value.
- Paying Shouldn’t Hurt: If their payment plan feels like a plot to empty your piggy bank, run! A good clinic will have sensible options, not a plan for world domination through your wallet.
Remember, finding the right TRT clinic should be more fun than a trip to the dentist and less mysterious than your neighbor’s obsession with garden gnomes. Take these steps, and you’ll find a clinic that’s just the right fit for you!
#1 Best Online TRT Clinic: FountainTRT
Discover a modern approach to TRT with FountainTRT, presenting itself more as a vibrant startup than a stale clinic.
Their innovative platform guides you through a seamless quiz and evaluation, helping outline your treatment path. Choose between conducting your blood work locally at a LabCorp or enjoy the luxury of a home visit.
Their premium concierge service is on standby 24/7, ensuring your inquiries and urgent lab requests are met promptly. Unlike many, they boast a dedicated medical team of full-time doctors ensuring personalized attention on a 1:1 basis.
FountainTRT Overview
🧪 Treatments: Injectable and topical TRT, HGC, Tadalifil, Anastrozole, and upcoming Enclomiphene (more coming).
💰 Average Cost for TRT: $199/month
👨🔬 Membership required: Included in price
❤️🩹 Insurance accepted: FSA and HSA cards
⌚ Periodic blood work: Varies by patient
✨ Trustpilot Reviews: 4.8 Stars | 111 reviews
⭐️ Muscle and Brawn Rating: 4.5 Stars
➡️ Go to the Full review
- Economical $35 blood work, a rate that leads the industry.
- World-class, in-house medical experts ensuring top-notch service.
- Flexible local or at-home blood draw options catering to your convenience.
- 24/7 premium concierge service keeping a close eye on your treatment journey.
- Varied TRT solutions including creams, injections, with oral options on the horizon.
- Membership required, although it’s included in the $199 monthly fee (But thats ALL you pay)
- Acceptance of only FSA and HSA cards may limit insurance payment options.
- Periodic blood work necessity could be inconvenient for some patients but is included in the fee.
#2 Most Affordable TRT Clinic: Peter MD
Peter MD has some of the first affordable men’s health programs. As a business, its aim is to help men who are struggling with life, which could be due to lower levels of Testosterone.
Peter MD is very upfront about their treatment, as clarity and perspective are both vital from a health perspective. There is no illegal business here, this is a legitimate online TRT (Testosterone Replacement Therapy) Clinic that values quality.
They are highly recommended by hundreds of men online, not only on their site but on Reddit as well. Their pricing seems to be even better than their competitors with equal or even better services.
The onboarding process is simple and easy while their offerings are quite broad, making the company extremely likable.
Peter MD Overview
🧪 Treatment Options: TRT, Hair Loss, Erectile Dysfunction, and Lab Work
💰 Average Cost for TRT: $87 – $99
👨🔬 Membership required? No
❤️🩹 Insurance Accepted: Yes
✨ Trustpilot Reviews: 2,800
⭐️ Trustpilot Rating: 4.8 Stars
⌚ Periodic blood work required? Every 6 months
➡️ Go to the Full review
- Extremely affordable
- Exceptional reviews online
- Treatments tend to be not customizable
#3 Evolve Telemed
Evolve HRT is a company that specializes in Bioidentical Hormone Replacement Therapy. Evolve HRT is driven to deliver high-quality HRT for anyone that is in need. Not only are their doctors and medical professionals highly educated, but their patient care is exceptional.
Whether you struggle with hair loss, massive weight loss, menopausal symptoms, or just muscle mass loss, they will be able to help you effectively and efficiently.
Evolve HRT is actually a very cost-effective HRT service, and interestingly enough they accept both HSA and FSA cards. Unfortunately, they do not accept and they do not bill any insurance companies.
Evolve Telemed Overview
🧪 Treatment Options: TRT, HRT, and Peptides
💰 Average Cost for TRT: $50 – $100
👨🔬 Membership required? No
❤️🩹 Insurance Accepted: FSA and HSA only
✨ Google Reviews: 219
✨ Google Rating: 5.0
⌚ Periodic blood work required? Yes
➡️ Go to the Full review
- Offers complete hormone treatments
- Not limited to TRT
- Offers Peptide therapy
- More insurance options would be nice
#4 Marek Health
I first heard about Marek via Derek from More Plates More Dates, aka the Delt God (TM). Derek has been a leading broscientist via his Youtube Channel and blog and has always been a resource for us bros who don’t want to read scientific papers but want to get jacked and get laid.
Derek has created a few brands over the years like Gorilla Mind which makes supplements and recently has partnered up with Mike Stratton to create Marek Health.
Marek prides itself on cutting-edge research-guided treatment. Marek has a team of PCCs, Drs, NPs, and a business team comprised of industry veterans and fitness buffs that are obsessed with hormone optimization. Even the intake coordinators know more about hormonal health than my PCP.
Marek Health Overview
🧪 Treatment Options: TRT, Peptides, and Hair Loss
💰 Average Cost for TRT: $500 – $1000 per 6 months
👨🔬 Membership required? Optional
❤️🩹 Insurance Accepted: No
✨ Trustpilot Reviews: 117
✨ Trustpilot Rating: 4.9
⌚ Periodic blood work required? Yes
➡️ Go to the Full review
- Exceptional customer service
- Large range of products
- Can be more expensive than other offerings
#5 Hone TRT
Hone Health is the leader in male hormone optimization and has assisted men of all ages suffering from low T through its at-home testing services and telehealth treatment.
The company offers comprehensive at-home hormone testing that’s more affordably priced than standard in-person clinics and offers an incredibly fast turnaround for test results.
Its board-certified physicians provide in-depth video consultations with each and every customer and actually take the time to get to know you better in order to provide you with treatment that’s best for your individual needs.
Hone TRT Overview
🧪 Treatment Options: TRT
💰 Average Cost for TRT: $20 – $120
👨🔬 Membership required? Yes
✨ Trustpilot Reviews: 612
✨ Trustpilot Rating: 4.6
⌚ Periodic blood work required? Yes
➡️ Read my full review and experience
- Somewhat affordable
- Large range of products
- Has a monthly membership fee ($120)
Best Alternative Clinics
TRT Nation
Operating in each state (except for Alabama, Alaska Arkansas, and Hawaii), TRT Nation is a legal FDA-approved clinic that provides TRT to anyone who is in need of it. Specializing in TRT, they offer Testosterone Cypionate, an estrogen controller, syringes, and follow-up consultations.
Cost run about $99.99 – $149.99, the latter of which includes other treatments and peptides as well. As always, you need to have your blood work done prior to getting your meds, after which you will have follow-up meetings to ensure you are on the right path.
TClinicsUSA
TClinicsUSA is another online Testosterone clinic, however, they also offer a lot of other treatments as well. Peptides which can help with anti-aging, weight loss, and injury recovery. They even offer some nootropics and brain supplements if you need.
Overall, reviews of TClinicsUSA are excellent, and just like all the other clinics they work through your typical meed, medicate, and meet again process. Unfortunately, they are only building towards working online, but they are closing in on this mark.
Renew Youth
Renew Youth is a company that caters to the masses and not just those in need of Testosterone Therapy. Treatments include Testosterone Therapy, Estrogen Therapy, DHEA Therapy, Thyroid Therapy, and Growth Hormone Therapy.
TRT options include injections and creams, but they do not offer pellets etc. Growth Hormone therapy options are peptides, as per usual, all used to increase your natural growth hormone production.
Costs are not discussed on their online site.
Pros of Buying TRT Online:
1. Convenience and Accessibility
Purchasing TRT online eliminates the need for physical clinic visits, making it especially beneficial for those in remote areas or with busy schedules. The entire process, from consultation to delivery, is streamlined for user ease.
2. Discreetness and Privacy
Online platforms offer a level of discretion that traditional clinics might not. This ensures individuals can seek and receive treatment without facing potential societal stigma or judgment, all from the privacy of their homes.
3. Comprehensive Resources and Expertise
Many online TRT clinics provide a wealth of information, from detailed articles to FAQs, ensuring patients are well-informed. Additionally, these platforms often have expert medical teams available for in-depth consultations.
4. Cost-Effective with Transparent Reviews
Online platforms might offer competitive pricing, and the presence of patient reviews provides a transparent insight into the clinic’s effectiveness and reliability, helping new users make informed decisions.
5. Personalized Treatment and Monitoring
With the integration of telehealth services, patients receive tailored treatments based on their unique needs. Periodic online check-ins ensure continuous monitoring and adjustments as required.
Cons and Dangers of Getting TRT Online:
1. Potential for Scams and Quality Concerns
The vast online marketplace can sometimes harbor counterfeit or subpar products. Without proper research, individuals risk purchasing treatments that are either ineffective or potentially harmful.
2. Challenges in Personalized Medical Assessment
While online platforms offer convenience, they might lack the depth of face-to-face medical evaluations. This could lead to generalized treatment recommendations rather than personalized ones.
3. Communication and Monitoring Limitations
Relying solely on online interactions can sometimes lead to misunderstandings or misinterpretations. Additionally, while online platforms offer monitoring, it might not be as thorough as in-person check-ups.
4. Legal, Regulatory, and Privacy Issues
Not all online TRT providers adhere to the legal and regulatory standards of every country. Additionally, sharing personal and medical data online always carries a risk of potential data breaches.
5. Risk of Self-diagnosis and Misuse
The ease of online access might tempt some individuals to self-diagnose and order treatments without proper medical guidance, leading to potential health risks or ineffective treatment outcomes.
What is TRT?
More than 38% of men passed the age of 45 years old, have hypogonadism [2]. This is the condition in which the Testes do not produce enough Testosterone. Depending on where you are in the world, this is usually below <300 ng/dl. Hypogonadism can occur due to several reasons like prior drug use (Steroids or SARMs), age, or even just genetics.
The symptoms of Low Testosterone are as follows [3]:
- Low Libido
- Decreased Muscle Mass
- Increased Fat Mass
- Depression
- Just lack of “drive”
TRT is the treatment plan for someone suffering from Low Testosterone. This might be replacing your Endogenous (or lack thereof) Testosterone with Exogenous Testosterone, or trying to reactivate your Endogenous Testosterone production with a SERM (Selective Estrogen Receptor Modulator) or HCG (Human Chorionic Gonadotropin).
How Does TRT Work?
TRT is based on the fact that this Testosterone Therapy needs to fix your low T. Quite simple. TRT will either work via two mechanisms:
1) Simply replace the missing Testosterone
Since Testosterone is Testosterone, regardless of origin, your body will treat it all the same. Whether it comes from your Testes, or from a bottle labeled Testosterone Cypionate. The Testosterone will enter the bloodstream regardless, and perform all the functions it’s supposed to. This does not include Testosterone supplements.
2) Restarting Endogenous Testosterone Production
Since the Leydig Cells could potentially still produce Testosterone (if they weren’t completely destroyed with Steroid use) you could reactivate Testosterone production. This is usually done with a medical provider and the usage of a SERM like Nolvadex or Enclomiphene. You could also make use of HCG. Depending on which option you and your physician end up going for, these will increase the levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH); which will then increase Testosterone production.
Benefits of TRT
Suffering from Low Testosterone is a hard life, and not hard in the right places, unfortunately. There are several benefits to TRT:
- Increase in Libido and Sexual Function [4]
- Increase in Muscle Mass and Decrease in Fat Mass [5]
- Mental Health Benefits [6]
- Improved Mood and Wellbeing [6]
- Stronger Bones [7]
- Massively Improved Cardiovascular Health [8]
Is TRT Legal?
Buying a bottle of Test and Tren off the jacked dude in the gym pulling 6 Plates and 7 Dates, and calling it “TRT” is definitely not legal. Make your case known to a professional physician who is working for one of the TRT Labs, or perhaps even your local GP, and the Feds will not see an issue.
Testosterone Therapy is not only completely safe [9] but also very healthy. The reason for this is because, unlike Anabolic Steroids, Testosterone Replacement Therapy TRT is only taking your body to normal levels, and not past physiological levels.
Who Should Use TRT?
A great number of young men are using Anabolic Steroids, and the number is just rising. Typically, we do not see young men using TRT of any sort, as their Hormonal Health is still in a good position. We see Hypogonadal patients usually being older or suffering from some ailment. Your physician will dictate whether you need Testosterone Therapy based on your lab work, typically anything lower than 300 nanograms per deciliter (ng/dL) would classify as Low.
How to Use TRT?
Depending on which option you go for, Testosterone Replacement or Testosterone Production Treatment, your treatment mechanism might differ greatly.
| Replacement | Treatment Type | Reactivation |
| Pure Testosterone | Medication Used | SERMs and/or HCG |
| Lifetime Treatment | Duration | Potentially Lifetime, usually 30 – 90 Days |
| Easy to track, relatively low side effects | Pros | No Injections, Easy to Administer |
| Injection Site Infections, Scar Tissue Build Up | Cons | Can have other Side Effects on Health |
After the initial consultation with your medical provider, you will go on your respective treatment until you can get tested again to see how it’s working before adjustments are made.
Forms of TRT
- Injectable Testosterone: A longer Ester Testosterone will be used so that the frequency of Injections is lower
- Transdermal Patches: Simply a patch that you place on the skin
- SERMs: This includes Nolvadex, Clomid, and Enclomiphene. These will increase LH and FSH levels in the body, which in turn will activate the Leydig cells
- HCG: HCG will act as LH hormone to activate the Leydig cells
There might be other forms available of TRT, however, these are the most common ones.
Cheapest Online TRT Clinic
The cheapest online TRT clinic will depend on a variety of factors like delivery costs, consultations, etc. That being said, the cheapest of the options we have here today is Peter Uncaged MD.
Online TRT Clinic that Accepts Insurance
You would expect that TRT would be covered by insurance, as you are seeing a licensed physician to discuss and get your medication. Unfortunately, most clinics are not covered by Insurance. This does make treatment inaccessible to some, but there are a few clinics like On Men who does provide insurance possibilities.
Our Methodology for this List
The methodology used to evaluate and rank the best online TRT clinics is based on several factors:
- Onboarding and Intake Process: This involves assessing how easy it is for users to sign up for the service. The clinics should have a detailed health questionnaire that helps the medical team understand the patient’s health status. Additionally, the privacy of personal information is paramount, and clinics should ensure that this information is kept confidential.
- Medical Team and Protocols Offered: The qualifications of the medical team are scrutinized. It’s essential that the team is knowledgeable about TRT and offers personalized treatments based on individual needs. Continuous monitoring of the patient’s progress is also a crucial factor.
- Pricing Models and Add-Ons: The cost of the services and any additional treatments or services offered are evaluated. The pricing should be transparent, and any add-ons should provide real value to the patient.
Nice
What if I’m on on a low dose of sustanon and anavar but I want to get on legitimate TRT?
You would need to drop the Androgens, PCT, and wait a long time for your body to reset to its natural state before doing testing. You could also play open cards with your physician who might be able to help you through this process
Defy medical bruh
What is the best way to lose the water weight accumulation from cjc-1295 and Ipamorelin ?
Stay hydrated, manage salt intake, and avoid losing sleep
I am taking two grams of 5% gel per day. (100mg per day?) Recent blood work has resulted in 468 of total and only 33 (mg/ml) of free testosterone. My provider wants to move me to 10% gel. This theoretically be 200mg/day. That sounds to me that regardless of the results this might be too high a dose/day.