5 Best Online TRT Clinics (2025)

We compared pricing, lab requirements, and treatment options across the top testosterone therapy providers. Here's who's actually worth it.

Updated December 202512 min read

FDA Update (Feb 2025): The FDA removed the black box cardiovascular warning from testosterone products following the TRAVERSE trial, which found no increased heart attack or stroke risk.

Disclosure: This post contains affiliate links. We may earn a commission at no extra cost to you.

Quick Rankings

  1. 1
    Hone HealthBest overall. At-home testing, comprehensive care, reasonable pricing.
  2. 2
    Fountain TRTBest concierge experience. High-touch, premium service.
  3. 3
    TRT NationBest value. No monthly fee, pay-per-refill model.
  4. 4
    Peter Uncaged MDBudget-friendly with aggressive pricing.
  5. 5
    Marek HealthPremium optimization. For serious biohackers.

Comparison Table

ClinicMonthly CostLab TestingIncludes
Hone Health$99-199/moAt-home kitMeds, consults, ongoing care
Fountain TRT$199-299/moAt-home or labConcierge support, meds
TRT Nation$99 (no monthly)$45 lab orderPay per 10-week supply
Peter Uncaged MD$99-149/moLab orderMeds, basic consults
Marek Health$250-500+/moComprehensive panelsFull optimization coaching

1. Hone Health — Best Overall

Hone makes TRT accessible with at-home testing kits and a streamlined digital experience. Their model is designed for guys who want legitimate hormone optimization without visiting a clinic.

What's Included

  • ✓ At-home hormone test kit
  • ✓ Testosterone (injection or gel)
  • ✓ Provider consultations
  • ✓ Ongoing monitoring
  • ✓ Ancillary meds (HCG, anastrozole)

Pricing

  • Test Kit: $45
  • Monthly: $99-199
  • Includes: Meds + care
Try Hone Health →

2. Fountain TRT — Best Concierge

Fountain offers a high-touch, white-glove experience. You get dedicated support, faster response times, and more personalized protocols. Premium pricing for premium service.

What's Included

  • ✓ Dedicated patient coordinator
  • ✓ Comprehensive lab panels
  • ✓ Testosterone + ancillaries
  • ✓ Lifestyle optimization guidance

Pricing

  • Monthly: $199-299
  • Includes: Everything
Try Fountain TRT →

3. TRT Nation — Best Value

TRT Nation uses a pay-per-refill model instead of monthly subscriptions. You pay for 10 weeks of medication at a time, which works out cheaper for many guys.

What's Included

  • ✓ No monthly membership fee
  • ✓ 10-week testosterone supply
  • ✓ Self-injection (popular with fitness crowd)
  • ✓ Transparent pricing

Pricing

  • Initial Consult: $99
  • Labs: $45
  • 10-Week Supply: $250-300
Try TRT Nation →

Do You Qualify for TRT?

TRT requires a diagnosis of low testosterone (hypogonadism). Here's what the numbers mean:

<300

ng/dL

Clinically low. Usually qualifies.

300-450

ng/dL

Borderline. May qualify with symptoms.

>450

ng/dL

Normal range. Optimization optional.

Symptoms matter too: fatigue, low libido, brain fog, muscle loss, mood changes. Providers consider the full picture.

TRT FAQ

Is online TRT legal?
Yes. The DEA extended telemedicine prescribing rules through 2025, allowing online clinics to prescribe controlled substances like testosterone after proper evaluation. These are licensed physicians writing legitimate prescriptions.
Will TRT affect my fertility?
It can. Exogenous testosterone suppresses natural production and can reduce sperm count. About 65% of men become functionally infertile within 4 months. If fertility matters, ask about HCG (which maintains testicular function) or enclomiphene (which stimulates natural production instead).
Is TRT a lifetime commitment?
Often yes, though not always. Some men can stop with post-cycle therapy (PCT) to restart natural production. Others choose to stay on indefinitely. Discuss exit strategies with your provider before starting.
Injections vs gel vs pellets?
Injections are most common (weekly or twice weekly), cost-effective, and allow precise dosing. Gels are daily, easy, but can transfer to partners/kids. Pellets are implanted every 3-6 months (less common online). Most online clinics use injections.

Ready to Get Started?

Hone Health offers at-home testing to see if you qualify, with no commitment. Start with the hormone panel and get results in about a week.

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