Best Online TRT Clinics (2025)

Compare Hone, Fountain TRT, and other online testosterone clinics. We break down real costs (including bloodwork), what's included, and the qualification process.

Updated Dec 2025 FDA CV Warning Removed (Feb 2025)
Jump to: Comparison Table Top Picks Do I Qualify? FAQ

February 2025 Update: FDA Removes Cardiovascular Warning

The FDA has removed the cardiovascular black box warning from all testosterone products following the TRAVERSE trial showing no increased heart risk. This is a significant development for TRT prescribing.

Online TRT has exploded in 2024-2025. What used to require multiple doctor visits now starts with a $45 at-home blood test. If your levels qualify, you can have testosterone shipped to your door within a week.

The main differences between providers: total monthly cost (bloodwork + medication + consultation), what's included (HCG, AI, syringes), and form factors (injections vs gels vs pellets).

TRT Provider Comparison

Provider Monthly Cost Lab Test What's Included Forms Action
H
Hone Health
Editor's Choice
$195-225/mo
All-inclusive
$45
At-home kit
 Testosterone, HCG (if needed), AI, supplies, ongoing bloodwork Injections Get Started
F
Fountain TRT
Budget-friendly
$99-159/mo
Tiered pricing
$35
At-home kit
 Testosterone, supplies. HCG/AI extra. Injections Cream Get Started
TN
TRT Nation
Aggressive approach
$99/mo
Base plan
$0
Bring your own
 Testosterone, HCG included, supplies Injections Get Started
PU
Peter Uncaged
Premium option
$199-299/mo
Concierge
Included
In-person
 Full hormone panel, all meds, 1:1 doctor access Injections Pellets Get Started

* Prices as of December 2025. Testosterone is a Schedule III controlled substance. DEA telehealth flexibilities allow prescribing via telehealth through 2025. We may earn commissions from affiliate links.

Our Top Picks

Best Overall

Hone Health

The market leader with the smoothest experience. All-inclusive pricing means no surprise costs. Strong clinical support and regular bloodwork monitoring.

  • $45 at-home lab test to start
  • Everything included (HCG, AI, supplies)
  • Ongoing monitoring included
Get Lab Test ($45) →
Best Value

Fountain TRT

Lowest starting price at $99/month for testosterone only. Good option if you don't need HCG or want more control over your protocol.

  • Starts at $99/month
  • Injection or cream options
  • Add HCG/AI à la carte
Get Started →

Do I Qualify for TRT?

TRT eligibility is based on your blood testosterone levels combined with symptoms. Here's the general framework most clinics use:

<300 ng/dL
Low (Clinical)
Usually qualifies if symptoms present
300-450 ng/dL
Low-Normal
May qualify with symptoms
>450 ng/dL
Normal
Less likely to qualify

Common Symptoms of Low T

  • Fatigue / low energy
  • Reduced libido
  • Difficulty building muscle
  • Brain fog / poor concentration
  • Mood changes / irritability
  • Increased body fat

Note: The only way to know for sure is to get bloodwork. Most online clinics offer affordable at-home tests ($35-50) that measure total testosterone, free testosterone, and other key markers.

Concerned About Fertility? Consider Enclomiphene

Traditional TRT causes infertility in ~65% of men within 4 months by shutting down natural testosterone production. If you're planning to have kids, there's an alternative.

Enclomiphene is a SERM that stimulates your body's own testosterone production while preserving fertility. It's available through compounding pharmacies (not FDA-approved for this use).

Read: Enclomiphene vs Traditional TRT

Frequently Asked Questions

Is TRT a lifetime commitment?
Generally, yes. Once you start exogenous testosterone, your body reduces or stops its own production. While some men successfully taper off with PCT protocols, many find their natural levels don't fully recover. This is an important consideration before starting.
Will TRT affect my fertility?
Yes. TRT suppresses sperm production in most men. About 65% become infertile within 4 months. HCG can help maintain testicular function and fertility, which is why many protocols include it. If fertility is a priority, discuss this with your provider or consider alternatives like enclomiphene.
Is online TRT legal?
Yes. Testosterone is a Schedule III controlled substance, but it can be legally prescribed by licensed physicians via telehealth. The DEA has extended telehealth prescribing flexibilities through December 2025. All providers we list work with licensed doctors and pharmacies.
What about the cardiovascular risks?
Good news here. In February 2025, the FDA removed the cardiovascular black box warning from testosterone products. The TRAVERSE trial (5,200+ men over 27 months) found no increased cardiovascular risk. In fact, TRT showed a 22.5% reduction in new-onset diabetes.