Quick Recommendations
Why Online TRT Clinics?
Online TRT clinics have exploded in popularity for good reason: they're convenient, often more affordable than traditional urology visits, and staffed by practitioners who specialize in hormone optimization rather than treating it as an afterthought.
But they're not all the same. Pricing models vary widely—from all-inclusive subscriptions to à la carte services that can add up quickly. Let's break down the major players so you can make an informed choice.
Head-to-Head Comparison
| Clinic | Monthly Cost | Initial Labs | Includes Meds | Best For |
|---|---|---|---|---|
| Fountain TRT | $199 | ~$30 | ✓ Yes | Simple, all-inclusive |
| Marek Health | $166+ | $450-1,700 | ✗ Extra | Comprehensive testing |
| TRT Nation | $99 | Included | ◐ +$75-150 | Budget-conscious |
| Peter Uncaged MD | $195 | $199-399 | ✓ Yes | Athletes, optimization |
| Hone Health | $145+ | $45 | ✗ Extra | Insurance option |
| Defy Medical | $200+ | $300-600 | ✗ Extra | Complex cases |
Detailed Clinic Reviews
Fountain TRT
Best Overall Value
Fountain TRT is the "set it and forget it" option. Their all-inclusive pricing means no surprise bills—consultation, medication, supplies, and follow-ups are all covered in one monthly fee.
What's Included
- • Initial consultation
- • Testosterone medication (cream or injection)
- • All supplies (needles, syringes)
- • Ongoing telehealth follow-ups
- • Blood work monitoring
Medications Offered
- • Testosterone Cypionate (injections)
- • Testosterone Cream (topical)
- • HCG (if needed)
- • Anastrozole (estrogen blocker)
- ✓ Simple, transparent pricing
- ✓ Fast onboarding (often prescribed within days)
- ✓ No hidden fees
- ✓ Responsive customer service
- ✗ Less comprehensive testing than Marek
- ✗ Some users report delivery delays
- ✗ Limited ancillary options
Best for: Men who want straightforward TRT without complexity. Ideal for first-timers who value simplicity over customization.
Marek Health
Most Comprehensive
Marek Health isn't just a TRT clinic—it's a comprehensive hormone optimization and concierge medicine service. They go deep on testing, analyzing not just testosterone but SHBG, DHT, thyroid, metabolic markers, and more.
What Sets Them Apart
- • Extensive hormone panel (50+ markers)
- • Personal health coaching
- • Nutritional guidance
- • Peptide therapy options
- • Regular physician consultations
Cost Breakdown
- • Initial labs: $450-1,700
- • Consultation: $250 (every 6 months)
- • Medication: $166+/month
- • Supplements: ~$40/month
- • Follow-up labs: $250 (every 6 mo)
- ✓ Most thorough hormone analysis available
- ✓ Holistic approach (not just TRT)
- ✓ Extensive ancillary options (peptides, etc.)
- ✓ Excellent for complex cases
- ✗ Expensive (easily $300-500+/month total)
- ✗ Overkill for simple TRT needs
- ✗ No insurance accepted
- ✗ Longer onboarding process
Best for: Men who want the most comprehensive hormone optimization money can buy. Ideal for biohackers, athletes, and those with complex hormonal issues.
TRT Nation
Best Budget Option
TRT Nation offers one of the most affordable entry points into TRT. Their $99/month subscription covers consultations and monitoring, with medication as an additional cost (typically $75-150/month depending on what you need).
What's Included ($99/mo)
- • Initial consultation
- • Blood work (baseline + follow-ups)
- • Ongoing telehealth support
- • Protocol adjustments
Medication Options (extra)
- • Testosterone Cypionate: ~$75-100/mo
- • HCG: ~$50/mo
- • Anastrozole: ~$30/mo
- • Supplies included with medication
- ✓ Lowest base subscription cost
- ✓ Labs included in subscription
- ✓ Straightforward process
- ✓ Good for simple TRT cases
- ✗ Medication cost adds up
- ✗ Less hand-holding than competitors
- ✗ Limited ancillary options
Best for: Budget-conscious men who want legitimate TRT without premium pricing. Good for those who don't need extensive monitoring or ancillary treatments.
Other Notable Options
Peter Uncaged MD ($195/mo)
Founded by Dr. Peter Attia's former colleague. Strong focus on athletic performance and longevity. Good middle ground between Fountain and Marek.
Best for: Athletes and performance-focused individuals
Hone Health ($145+/mo)
One of the few online TRT clinics that works with some insurance plans. At-home testing kits. Modern interface and UX.
Best for: Those who want to use insurance for TRT
Defy Medical ($200+/mo)
One of the original telemedicine TRT clinics. Extensive experience with complex cases. Based in Florida with in-person options available.
Best for: Complex hormonal issues, those wanting in-person option
How to Choose
If you want simplicity...
Go with Fountain TRT. One price, everything included. No tracking multiple bills or worrying about lab costs. It just works.
If you want the most thorough approach...
Go with Marek Health. Yes, it's expensive. But if you want to optimize everything—not just testosterone—and have the budget, they're the gold standard.
If budget is your priority...
Go with TRT Nation. The $99/mo base + medication is hard to beat. Total cost around $175-250/month for everything.
If you want to use insurance...
Check out Hone Health. They're one of the few that works with insurance, which can significantly reduce costs if you have coverage.
What to Expect After Signing Up
- Blood work — Either at-home kit or local lab. Results in 3-7 days.
- Consultation — Video call with a provider to review results and discuss treatment.
- Prescription — If you qualify, medication ships to your door (usually within a week).
- Follow-up labs — Typically at 6-8 weeks, then every 3-6 months.
- Ongoing adjustments — Dose tweaks based on your labs and how you feel.
Reality Check
Online TRT clinics make it easy to get testosterone—sometimes too easy. Make sure you actually have low T before starting (confirmed by blood work). A reputable clinic will turn you away if your levels are normal. Be wary of any provider that guarantees approval before seeing your labs.
The Bottom Line
All of these clinics can get you legitimate TRT prescribed by licensed physicians. The main differences are:
- Pricing structure — All-inclusive vs. à la carte
- Depth of testing — Basic testosterone panel vs. comprehensive hormone workup
- Level of support — Minimal check-ins vs. personal coaching
- Ancillary options — Just TRT vs. peptides, thyroid, metabolic optimization
For most men starting TRT, Fountain TRT offers the best balance of value, simplicity, and quality. If you have deeper pockets and want comprehensive optimization, Marek Health is worth the premium. And if budget is paramount, TRT Nation gets the job done at the lowest cost.
Find TRT Treatment
Choose telehealth convenience or find local hormone clinics with in-person care.
Related Resources
Medical Disclaimer
This comparison is for informational purposes only and does not constitute medical advice. Testosterone replacement therapy is a prescription medication that should only be used under physician supervision. Pricing and services may change; verify details directly with providers before enrolling.