Best Online TRT Clinics: Top Telehealth Testosterone Replacement Therapy Clinics

Testosterone replacement therapy is safer, more effective, and more popular than ever.

Today, men in their 30s, 40s, 50s, and beyond are using testosterone replacement therapy to reclaim the vitality of their youth.

Getting old is inevitable. Feeling old is not. TRT clinics can help you lose weight, build muscle, improve sexual performance, and boost energy.

However, there are good and bad online TRT clinics. We did the hard work for you. Here are today’s best online TRT clinics and men’s telehealth providers.

The Top Telehealth Testosterone Replacement Therapy Clinics

A quick Google search reveals thousands of online TRT clinics. However, only a few clinics are worth your time.

After hundreds of hours of research and debate among our editorial team, here’s how we ranked the best online TRT clinics available today:

  • Fountain TRT
  • TRT Nation
  • Evolve Telemed
  • Blokes
  • Get Peter MD
  • Low T Center
  • Science & Humans
  • Maximus Tribe
  • Ro
  • Hone Health
  • Marek Health
  • Regenx Health
  • Defy Medical
  • Viking Alternative

Fountain TRT

Fountain TRT

Fountain TRT is at the top of many online TRT clinic lists because the company provides safe and effective testosterone replacement therapy services while being transparent at every step.

Fountain TRT’s perks include world-leading doctors, thousands of positive reviews online, and no obligation to pay unless you’re prescribed TRT.

We also like Fountain TRT because the company feels more like a legitimate healthcare provider than an online drug dealer; providers take time to understand your needs, working with you to determine if TRT is the right choice based on safety and effectiveness.

If approved, you become a paying Fountain TRT member. Your all-inclusive membership includes the TRT treatment, shipping, increased dosages, follow-up lab tests, and direct texting with a healthcare provider for as little as $40 per week.

TRT Nation

TRT Nation

TRT Nation is a Florida-based online TRT clinic specializing in testosterone replacement therapy. The company offers TRT subscription plans for $99.99 per month, making them one of the most affordable options on our list.

Your TRT Nation subscription includes provider consultation, testosterone cypionate, aromatize inhibitor, syringes, and shipping. Add HCG to your subscription for $149.99 per month, targeting testosterone and weight loss with a comprehensive package.

Like all online TRT clinics, TRT Nation uses a licensed provider to prescribe medication and monitor your progress. You consult with a provider online, then receive online delivery if approved. If you want quality TRT medication, a convenient experience, and an affordable price tag, then it’s tough to beat TRT Nation.

Evolve Telemed

Evolve Telemed

Evolve Telemed offers a range of hormone therapies for men and women, including TRT for men. According to Evolve Telemed, men undergoing TRT can boost energy, lose weight, build muscle mass, and improve sexual performance and sex drive, among other benefits.

Evolve starts by checking your levels and running a comprehensive lab panel to determine if TRT is right for you. Then, you talk to Evolve’s care team in a video call to discuss your health goals. If TRT is deemed appropriate, the health team creates a personalized treatment plan, then ships that treatment plan to your doorstep. The team monitors your progress to verify safety and efficacy.

Evolve Telemed uses bioidentical hormone replacement therapy (BHRT), which involves taking hormones identical to the hormones produced naturally by your body. You can use Evolve Telemed for TRT, hair restoration, weight management, and other concerns.

Overall, Evolve Telemed works similarly to other leading online TRT clinics on our list. Still, the Michigan-based clinic focuses more on patient care than some of our other listed options. Plus, plans start as low as $50 per month.



Blokes is a modern male health clinic specializing in hormone therapy. The company offers hormone therapy for testosterone, weight loss, sexual health, and longevity, among other benefits.

As a new patient of Blokes, you face a similar experience as with other online TRT clinics on our list. You complete an online health history and consent form, receive 1:1 care from one of Blokes’ licensed health coaches, then get personalized treatments shipped right to your door, if appropriate for your concerns.

Some of the perks of Blokes include board-certified clinicians, doctor-prescribed medications, 1:1 coaching, and unlimited messaging. You also need to perform just four blood tests annually as part of the ordinary $167 per month TRT subscription plan (after paying $99 for the initial lab blood test).

  • Blokes Price: $167 per month

Get Peter MD

Get Peter MD

Get Peter MD is one of the better-known names in the online TRT clinic space. The company advertises itself as offering America’s most affordable men’s healthcare programs, emphasizing its competitive price tag without compromising quality healthcare.

Peter MD is North America’s largest online men’s health clinic overall. The company is known for its easy lab tests and proven treatments for low testosterone, mental health issues, ED, hair loss, and other male health issues. Peter MD also offers a Total Transformation Package to address these common male problems with a single package.

Peter MD’s subscription plans start at $89 per month. Your treatment begins with a telehealth consultation with an expert-licensed US specialist physician who checks your lab work to determine if TRT is the right choice for you. Other perks of Peter MD include unlimited physician consults, emailing your physical exam, free shipping, and transparent pricing.

  • Get Peter MD Price: $89 per month

Low T Center

Low T Center

Low T Center is another online TRT clinic treating men with low testosterone. The company was founded to reinvent men’s healthcare.

Low T Center offers affordably-priced TRT you can inject yourself at home. The company emphasizes proven solutions that fit your lifestyle, helping you conquer low testosterone, erectile dysfunction, hypothyroidism, hypertension, diabetes, high cholesterol, and other health issues using TRT and other appropriate treatments.

Priced at $105 per month, Low T Center is popular among men for its fewer in-office appointment requirements, convenient at-home testosterone therapy treatment, and pre-filled syringes with customized doses. It’s everything online TRT treatment should be.

  • Low T Center Price: $105 per month

Science & Humans

Science & Humans

Science & Humans lets you treat low testosterone right away using science-backed treatment options. According to Science & Humans, the company’s TRT can help with chronic fatigue, low libido, ED, brain fog, muscle weakness, and mood changes, among other issues.

Like many other providers, Science & Humans use testosterone cypionate, a long-acting testosterone ester that metabolizes in around 7 to 8 days. It’s bio-identical to your body’s natural testosterone and can help treat chronically low testosterone levels. You can expect results in 6 to 8 weeks while getting 1 to 3 injections under your muscle each week.

Science & Humans also offers testosterone enanthate and testosterone cream. A licensed healthcare provider works with you to determine the best treatment option for your unique needs. Other perks of Science & Humans include easy blood tests, scheduled video consultations, and hassle-free home delivery with Health Canada-authorized medications.

  • Science & Humans Price: $200 per month

Maximus Tribe

Maximus Tribe

Maximus Tribe is one of our list’s most unique online TRT clinics. Instead of offering a single type of testosterone replacement therapy, Maximus Tribe offers pre-built “protocols” like the King Protocol (to double your testosterone), the Sexual Protocol (to have better sex), and the Workout Protocol (for better pumps and recovery).

Each protocol is prescribed by a board-certified physician who assesses your physical health and goals before determining the optimal solution for your unique needs. Patients communicate with a US-based doctor via text to ensure a safe and effective treatment, and you receive protocols delivered directly to your door. Then, doctors analyze your bloodwork periodically and monitor therapy as necessary.

According to Maximus Tribe, 95% of people increase testosterone using the King Protocol, the company’s most popular TRT treatment plan. The King Protocol involves taking a convenient capsule or dissolving tablet to stimulate your body’s testosterone production.

Another unique thing about Maximus Tribe is that treatment is not technically TRT. The King Protocol, for example, does not replace your body’s existing testosterone; instead, it’s enclomiphene, which provides a 1.5 to 2.5x testosterone boost without harming your testosterone production.

  • Maximus Tribe Price: $100 per month



Ro, found online at, is one of the internet’s best-known online TRT clinics. She is also known as Roman; Ro offers proven treatments for ED, premature ejaculation, testosterone, hormone balance issues, weight loss, fertility, and more.

Ro doesn’t technically offer TRT. Instead, the company treats ED and other sexual dysfunction issues by prescribing sildenafil (Viagra) or tadalafil (Cialis).

However, Ro does offer a testosterone support supplement called Roman Testosterone Support which doctors formulated to raise testosterone levels. Priced at $35 per month, the formula is a hormone-free blend with ashwagandha, copper, zinc, magnesium, vitamin D3, maca, and other active ingredients linked to testosterone production. Taking the supplement daily gives your body the nutrients it needs to produce its testosterone – you’re not simply injecting yourself with artificial testosterone.

Also Read: Ro Review

Hone Health

Hone Health

Hone Health is one of the more reputable online TRT clinics available today. The company offers a variety of drugs, supplements, and other products to target male health and wellness goals.

The company’s “Tier 1” products include simple care medications and supplements – like NAD+, vitamin B12, metformin, and tadalafil.

If you have low testosterone, Hone Health can treat that issue using testosterone cypionate injections – the same injections used by many other online TRT clinics on our list. Priced at $148 per month total, Hone Health’s testosterone injections can increase energy, increase focus, improve mood, improve bone density, increase muscle mass, and decrease abdominal belly fat, according to the official Hone Health website.

To get started with Hone Health, you complete a free text-based consultation where a doctor can quickly approve your medication based on your responses. Alternatively, you can complete an initial hormone test and a 30-minute video consultation for $45 to determine if Hone Health’s TRT is right for you.

Hone Health is based in New York City and offers a range of medications, supplements, and other products to support male health and wellness.

  • Hone Health Price: $148 per month

Marek Health

Marek Health

Marek Health is an online TRT clinic and telehealth platform designed to streamline male health. The company specializes in functional medicine, hormone replacement therapy, sexual health enhancement, thyroid function, and body composition.

To get started with Marek Health, complete a five-step process. It begins with an intake evaluation video chat to examine your symptoms and goals. Then, you complete personalized diagnostics to determine which treatment options suit you.

Marek Health is one of the more premium services on our list. While other providers emphasize affordability and good value, Marek Health caters to the premium market, including men who want flexible treatments and medical expertise without having issues with a higher price tag.

  • Marek Health Price: $300 per month

Regenx Health

Regenx Health

Regenx Health is an online TRT clinic specializing in male hormone treatment. The company offers a range of treatment options to address male health goals, including TRT, enclomiphene, post-cycle therapy, infertility, peptides, and weight loss.

Your journey with Regenx Health starts with texting the company’s staff. The staff schedule labs and a consultation with a board-certified urologist to determine your best treatment option based on your current health status and future health goals. If approved, you get your Regenx Health medication delivered to your doorstep quickly and discreetly, with follow-up visits every three months.

Like many other online TRT clinics, Regenx Health specializes in testosterone cypionate, an injectable testosterone version designed to raise your testosterone levels significantly. However, the company also offers topical testosterone gel, nasal testosterone gel, and oral tablets. Your healthcare provider works with you to determine the optimal option.

In addition to low testosterone therapies, Regenx Health offers ED medication, HCG weight loss therapy, NAD+ anti-aging, and more.

  • Regenx Health Price: $150 to $300 per month

Defy Medical

Defy Medical

Defy Medical is a top-rated online TRT clinic based in Tampa, Florida. The company offers TRT, BHRT, and other regenerative medicine services.

You can start with Defy Medical by taking a three-minute online quiz. This quiz determines if you’re a candidate for TRT. If you decide TRT is right for you, you can schedule an online consultation with a board-certified healthcare provider. If that provider recommends TRT, you could experience a stronger sex drive and improved sexual performance, relief from ED, easier muscle mass development, more energy, and less anxiety, among other benefits, according to the official Defy Medical website.

Defy Medical offers a range of treatment options, including injectable testosterone, topical testosterone, testosterone pellets, testosterone nasal gel, testosterone supplements, and ED treatment, among others. Other unique perks include extended consults (one hour long), no subscriptions or contracts, and individualized care plans, among other perks.

  • Defy Medical Price: $150 to $300 per month

Viking Alternative

Viking Alternative

Viking Alternative Medicine is a Chesterfield, Missouri-based alternative medicine specialist offering online TRT prescriptions. Viking Alternative describes itself as “America’s best HRT and TRT” provider. The company was founded to bridge the gap between primary care physicians and traditional medicine.

Priced at $3 per day and available to men and women, Viking Alternative offers proven hormone replacement therapy for weight loss, ED, andropause symptoms, fatigue, and other issues.

Viking Alternative has several hormone replacement therapy “packages” available to meet your unique needs. A provider will discuss your health and goals, then build a package to suit you. Each package includes testosterone with or without HCG. Plus, you have the option to add GH and Secretagogue.

If you want affordable testosterone replacement therapy in custom-built packages unique to your health goals, then Viking Alternative could be the right choice.

  • Viking Alternative Price: $90 per month

How We Ranked The Top Telehealth Testosterone Replacement Therapy Clinics

Every online TRT clinic claims to offer safe and effective testosterone replacement therapy. Some have years of experience living up to that claim, while others do not.

After personally testing and contacting each of the online TRT clinics above, here’s how our editorial team ranked the internet’s best TRT clinics:

Experienced Doctors & Healthcare Providers

Testosterone replacement therapy is serious, and choosing a healthcare provider concerned about your health is essential. Some online TRT clinics are effectively just online drug dealers. Others genuinely care about your health by providing experienced doctors who understand your needs, scheduling follow-up appointments, and checking your bloodwork for abnormalities.

Multiple TRT Options

TRT comes in all shapes and sizes. For example, you can get TRT injections, topical creams, and prescriptions. The best providers offer bespoke TRT customized to your unique goals and preferences, including multiple TRT treatment options.

Treatment Process

The best online TRT clinics have a refined treatment process that makes it easy to progress from step 1 to step 2 to step 3, completing your treatment on time with the effects you like. Some online TRT clinics have slow shipping, poor customer service, and an inefficient treatment process, lowering our rankings.


All reputable online TRT clinics disclose their location, the names of doctors on staff, license information, and more. If an online TRT clinic is not disclosing this information, or it’s difficult to learn anything about the provider, you should be wary.

Pricing & Value

Many men are willing to pay a significant amount of money to feel as good as they did when they were younger. However, that doesn’t mean you should throw thousands of unnecessary dollars at a healthcare provider. We considered the pricing and value provided by the online TRT clinics above. Did the company charge fair prices for its services? Or was pricing entirely out of line with competitors?

Genuine Customer Reviews

We tested each online TRT clinic listed above to verify their safety and efficacy. However, we also acknowledge that there are different experiences for people, so we considered customer reviews in our rankings. We combined online review databases and aggregators, using our proprietary system to separate fake reviews from genuine testimonials.

FSA & HSA Acceptance

Many online TRT clinics allow you to pay with FSA and HSA funds, making it easy to use your healthcare savings towards your therapy. You’ve saved that money your whole life and should be able to use it. Some clinics even accept insurance, although it’s rare for any insurance plan to cover TRT.

Honest Disclosure of Expected Results

Some less reputable TRT companies claim their TRT treatment plans can turn back the clock 20 years, transform your life, and help you look and feel younger than you have in decades within days. That’s not realistic. We were wary of online TRT clinics making outrageous claims about the expected benefits of TRT treatment.

Also Read: What is Testosterone?

How Testosterone Replacement Therapy Works

Testosterone replacement therapy (TRT) works by replenishing the testosterone in your body that’s “missing.”

Most online TRT clinics recommend injectable testosterone or testosterone gels. These products work similarly: they provide your body with testosterone identical to the testosterone produced by your body naturally, increasing your body’s overall testosterone levels.

One of the reasons you meet with a doctor before getting TRT is to customize your dose. Some men need a small, medium, or large amount to reach an average testosterone level. Taking too much could lead to unwanted side effects – like hair loss. Taking too little could make treatment ineffective. Doctors customize your treatment plan based on your unique needs, then monitor your blood levels to verify it’s working.

Most online TRT clinics use a subscription-based model. You pay for a consultation or blood test upfront, then sign up for a subscription if TRT is the right choice. Subscriptions range in price from $60 to $400 per month and typically include your medication, follow-up appointments, future blood work, and other things necessary to continue treatment.

Testosterone Replacement Therapy Benefits

There’s a reason TRT is surging: it has proven benefits.

You can find plenty of testosterone supplements that claim to boost muscle and increase sex drive. Or, you could change your diet and exercise more to make gradual changes.

TRT, however, is proven to work quickly to transform your health. It can help you recapture the energy and vitality of your youth, turn back the clock on aging, and feel your best regardless of age.

Here are some of the benefits of testosterone replacement therapy:

Muscle Gain

TRT can promote muscle gain. Testosterone levels drop as you age, making building lean, stiff muscles harder. Taking TRT can boost testosterone, making building muscle mass at any age easier.

Supports Heart Health

For years, there was a misconception that TRT increases the risk of cardiovascular health events. A 2023 study found that wasn’t true. Some studies suggest TRT can improve heart health. Some studies have shown TRT can improve healthy cholesterol levels and lower bad cholesterol levels, for example.

Burn Fat

As you get older, you tend to accumulate more fat. TRT can help with that. TRT increases fat burning, making it easier to lose weight, maintain a stable weight, and keep fat away. If you’ve ever wondered how so men manage to look chiseled into their 60s and 70s, then TRT could be the reason.

Boost Sex Drive & Libido

Some of the most popular TRT benefits involve sexual health and libido. As you get older, your sex drive naturally declines. This can increase the risk of ED and overall sexual dysfunction. TRT treatment can boost sex drive and libido and enhance your desire to have sex at any age, making it easier to perform in bed. Many online TRT clinics bundle ED medication – like sildenafil (Viagra) and tadalafil (Cialis) with TRT to boost sexual function and transform your love life.

Increase Bone Density

TRT can increase bone density, according to multiple studies. As you get older, bone density tends to decrease. Although osteoporosis is more common in women than men, it affects millions of adults regardless of gender. Your body needs testosterone to maintain bone density. As testosterone levels drop, bone density decreases, increasing the risk of cracks and fractures.

Boost Overall Energy & Vitality

Do you feel tired? Do you feel like your energy levels have dropped compared to what they used to be? In many cases, declining testosterone levels are to blame. TRT treatment can boost overall energy and vitality by giving your body a strong dose of the most important male sex hormone. Many men find they feel more energetic within days of starting treatment.

No More Symptoms of ED

Many men use TRT specifically for erectile dysfunction and other symptoms of sexual dysfunction. Testosterone is the primary male sex hormone, and raising testosterone levels could make it easier to get harder erections. If you have symptoms of ED, then doctors may recommend TRT.

Improve Mood, Focus, and Concentration

Men go through “andropause,” or male menopause, and may experience mood swings. Some men find TRT helps with mood swings, cognition, and overall brain health. Testosterone plays a crucial role in stabilizing mood, and declining testosterone levels can lead to grumpiness, irritability, indecisiveness, and other issues.

Also Read: How Does Testosterone Work?

Types of TRT

The two most popular types of TRT involve transdermal gels (applied directly to the skin via a patch or cream) and injectable testosterone.

However, some online TRT clinics recommend cheek or buccal patches to release testosterone in the mouth, testosterone implants, intranasal testosterone, or oral testosterone formulas.

Available types of TRT include:


Injectable testosterone is affordable and effective. It also works quickly and requires fewer in-person clinic visits. You can take a shot every one or two weeks for short-acting TRT treatment. Or, you can take one injection every ten weeks for long-acting TRT treatment. Doctors work with you to develop an optimal treatment plan. With short-acting TRT treatment, doctors inject TRT directly underneath the skin into the muscle. With long-acting TRT treatment, doctors inject TRT into your butt muscles. Many online TRT clinics above recommend testosterone propionate, a popular injectable identical to what the body produces.

Topical (Transdermal) Gels & Patches

Testosterone gels, patches, and creams are also popular in online TRT clinics. Unlike injections, testosterone gels are easy to apply yourself. Apply the gel to your skin, and your body gradually absorbs the testosterone in that gel over an extended period as it passes through the epidermis and into your bloodstream. You could use 24-hour topical patches (typically available in doses of 2mg to 5pmg) or testosterone gels (typically in daily doses of 40 to 100mg).

Oral Testosterone

Oral testosterone is the least common TRT form. However, some online clinics prescribe oral testosterone for its convenience. Oral testosterone is more expensive, and some drugs have warnings. However, you could raise testosterone by taking two daily tablets – similar to other ordinary medications.


Intranasal testosterone replacement therapy works similarly to gels. You apply testosterone gel to the inside of your nose three times per day to boost the absorption of testosterone into your body. This can be an effective way to administer testosterone, although doctors may check for nosebleeds, nasal discomfort, and other uncomfortable side effects.

Testosterone Implants or Pellets

A doctor places Testosterone implants or pellets beneath the skin – typically around your hip or butt. Your body naturally dissolves them over time, gradually releasing testosterone into your body over a three to six-month period. Doctors install the pellets using local anesthesia: they numb your hip or butt, make a small incision, and place it inside.

Cheek or Buccal Patches

Cheek or buccal patches release testosterone via your mouth over 12 hours. You place a patch above your teeth twice a day.

How Much Does TRT Cost?

Generally, TRT costs between $200 to $1,000 per month, including doctors’ visits, lab tests, and the cost of medication.

You could spend as little as $20 per week on TRT – or as much as $2,000 per month. It depends on your clinic, the type of testosterone medication you’re receiving, insurance coverage, and other factors.

Because TRT tends to be a lifelong treatment, many doctors recommend budgeting TRT as an annual healthcare expense. You can expect to spend around $1,500 to $3,500 annually on TRT. The more frequently you receive treatment, the more you’ll pay.

All of the top-ranked online TRT clinics above are transparent with pricing, disclosing appointment fees, expected medication costs, and other upfront charges. This makes it easier to compare multiple TRT clinics based on value and overall pricing competitiveness.

Online vs. Offline TRT Clinics: Why Buy Online?

Many patients have chosen to work with online TRT clinics instead of offline clinics.

Online and offline clinics are options, although many men like the convenience, affordability, and discretion of online clinics.

Here are some of the perks of buying TRT online instead of working with an offline clinic:

Cheaper Prices

The biggest perk of online TRT clinics is that prices tend to be significantly cheaper. You’re not paying for the overhead costs of an in-person clinic. Instead, you’re connecting virtually with a licensed healthcare provider and ordering medication directly to your doorstep. Online TRT clinics remove inefficiencies during the TRT process, which means cheaper costs for you.

Access TRT From Anywhere

Whether you live in a remote location or don’t like visiting local clinics, you can access TRT from anywhere, thanks to online TRT clinics. These clinics ship testing kits and medication to your doorstep, making getting the TRT you need easy with minimal hassle. Although you may need to conduct blood tests in person, you can access TRT without the hassle of conventional services.

Shipped to Your Door in Discrete Packaging

Online TRT clinics ship prescription medication directly to your doorstep in discrete packaging. Instead of visiting a pharmacy and waiting, you can immediately get the necessary medicine.

Schedule Local Lab Appointments or Conduct Your Test at Home

The online TRT clinics listed above are based throughout North America, but you don’t need to visit these clinics’ physical locations for treatment. Instead, you can schedule a telehealth appointment, then visit a local lab for bloodwork. It’s that easy.

Hassle-free Telehealth Visits With the Same Quality of Experience

Telehealth has reached a point where you can experience quality care from anywhere in the world. You can schedule a telehealth appointment with some of the world’s leading testosterone replacement specialists without flying to their clinic in person. You can visit a local lab for tests, then have the results shipped to your provider. For 95% of patients, telehealth visits provide the same care and service as in-person visits – particularly true with TRT clinics.

Overall, today’s best online TRT clinics offer all of the benefits of in-person TRT treatment with none of the downsides.

Side Effects of TRT: Is TRT Safe?

Testosterone replacement therapy isn’t for everyone. That’s why you need to choose an excellent online TRT clinic.

A reliable clinic will assess your health and objectives to determine whether TRT suits you. If a doctor deems TRT unsafe, they won’t prescribe treatment.

Although TRT is safe for most adults when following a doctor-recommended treatment program, you could experience some side effects. Side effects of TRT include:

  • Benign prostatic hyperplasia (BPH) or an enlarged prostate
  • Blood clots
  • Sleep apnea
  • Prostate cancer

TRT is relatively new, and some health risks appear to be overstated. A 2023 study, for example, found TRT was not linked to an increased risk of cardiovascular events, despite what some have historically claimed.

Scientific Evidence for Testosterone Replacement Therapy

As TRT becomes more popular, we’re learning more about the benefits and safety of TRT. More TRT studies are published yearly, making it easy to verify that treatment is safe and effective for many men. We’ll review some of the research on TRT below.

According to a 2021 meta-analysis involving 29 studies, TRT is a “promising” therapy for men with hypogonadism (a medical condition causing deficient testosterone levels). Researchers found TRT was effective when using transdermal gels or injections, although there was less evidence supporting other types of TRT.

Some studies have examined the specific benefits of TRT on medical conditions. A 2019 study, for example, found TRT could improve sexual function, libido, symptoms of erectile dysfunction, and overall sexual satisfaction in a group of men. Researchers found that TRT alone was effective in restoring mild ED and that combined therapy (with other drugs) could reverse ED in more severe cases (say, when vascular damage was present).

Research on TRT and mood, cognition, and overall brainpower is also growing. A 2022 study, for example, found TRT could improve cognitive function and attention span. According to some research, men undergoing TRT tend to perform better on cognitive tests than others. That difference was no longer apparent after men stopped following TRT, suggesting therapy significantly affected cognition.

Women have a higher risk of osteoporosis and bone density issues than men. However, many men undergo TRT to improve bone density and strengthen their musculoskeletal system. According to a 2019 study involving 25 patients with hypogonadism (low testosterone), TRT improved bone mineral density significantly over a multi-year period. However, patients were still considered to have osteoporosis after completing TRT: TRT didn’t completely reverse the condition.

One of the most extensive studies on the safety of testosterone replacement therapy was published in 2023. A decade ago, the FDA ordered drugmakers to study the effects of TRT on cardiovascular health. Reports of TRT increasing the risk of cardiovascular health events – like heart attacks. However, that study found no connection between TRT and cardiovascular health risks. The study contradicts a 2013 study suggesting men with previous heart problems should avoid taking TRT.

Science increasingly supports using TRT for men with hypogonadism and other low testosterone issues. As more studies get published yearly, we learn more about testosterone replacement therapy’s safety and efficacy.

FAQs About Online Testosterone Replacement Therapy Clinics

Our experts get plenty of questions about TRT and how it works. Here are some answers to our most frequently asked questions about TRT.

Q: How do I get TRT online?

A: Working with an online TRT clinic can get testosterone replacement therapy online.

Q: How do online TRT clinics work?

A: Online TRT clinics are telehealth providers specializing in TRT. They provide an initial consultation to determine if TRT is right for you, then build a TRT plan that meets your needs. You can often complete TRT without visiting a clinic in person.

Q: What’s the best form of TRT?

A: The most effective and well-established TRT methods include testosterone injections and creams. Nevertheless, you can collaborate with an online TRT clinic to identify the ideal alternative tailored to your requirements.

Q: Where can I buy testosterone online?

A: You can buy testosterone online with a prescription from a licensed healthcare provider – like a doctor working for an online TRT clinic.

Q: How much does TRT cost?

A: TRT typically costs $100 to $600 monthly, depending on your clinic and TRT form. Some providers charge as little as $20 to $40 weekly for TRT.

Q: Does insurance cover TRT?

A: Insurance does not typically cover TRT. However, insurance may wholly or partially cover costs related to TRT, including lab work and prescriptions. Contact your health insurance provider to determine if your insurance covers TRT.

Q: What are the side effects of TRT? Is TRT safe?

A: TRT is believed to be safe and effective when prescribed by a healthcare provider, although a few patients may experience side effects like benign prostatic hyperplasia (BPH), sleep apnea, and blood clots from TRT. However, a 2023 study found no connection between TRT and cardiovascular events, downplaying one of the most widely-advertised risks of TRT.

Q: How does testosterone work? What does testosterone do?

A: Testosterone is the primary male sex hormone. As the Mayo Clinic explains, testosterone helps maintain bone density, body composition, muscle mass, facial and body hair, red blood cell production, sex drive, and sperm production in men.

Q: How does age affect testosterone?

A: Testosterone levels peak during your late teens, 20s, and 30s. After around age 30 or 40, testosterone levels drop about 1% annually.

Q: Is low testosterone a symptom of a medical problem or a normal part of aging?

A: Low testosterone could be a normal part of aging. Or, it could be a sign of a medical problem like hypogonadism.

Q: What is hypogonadism?

A: Hypogonadism is a disease that reduces the body’s ability to produce normal testosterone.

Q: Is TRT a lifelong treatment?

A: TRT is typically a lifelong treatment. You continue to receive TRT periodically, and doctors regularly check testosterone levels in your blood to verify treatment is working and proceeding as intended.

Q: Can you stop TRT once you start?

A: Yes, you can stop TRT once you start. However, following your doctor’s recommended treatment plan for tapering off TRT is important. If you stop taking TRT cold turkey, you could experience significant side effects. By reducing TRT gradually, you can allow your body to continue producing its testosterone at its normal levels.

Q: What’s the difference between TRT and steroids?

A: Testosterone is a steroid, and TRT and steroids share common themes. However, misusing anabolic steroids for recreational purposes differs significantly from following a doctor-prescribed TRT treatment plan.

Q: At what age should I start TRT?

A: Generally, doctors recommend men start TRT at age 65 and over. However, men with hypogonadism could start TRT much younger.

Q: How low does testosterone need to be to start TRT?

A: Health experts consider low testosterone to be any testosterone levels below 350 to 400 ng/dL. If you consistently test within this range or less, doctors may recommend TRT.

Q: Does TRT cause hair loss?

A: Hair loss is not considered an expected side effect of normal TRT. However, excessive testosterone could lead to hair loss. If you’re exceeding your healthcare provider’s recommended dose of TRT, then you could have an increased risk of side effects.

Q: Does TRT slow down aging?

A: TRT could slow down aging. It can make you look and feel younger by reducing fat mass and improving muscle mass, but it could also improve some health biomarkers that tend to worsen with age.

Q: Who should not use TRT?

A: Doctors may recommend avoiding TRT if you have obstructive sleep apnea, severe lower urinary tract symptoms, elevated hematocrit levels and thrombophilia, prostate cancer, high prostate-specific antigen levels, or a higher risk of ischemic stroke.

Q: What are alternatives to TRT?

A: The best alternatives to TRT involve boosting testosterone through natural methods, including exercising, eating a balanced diet, getting enough sleep, and losing weight.

Q: Can I get TRT without bloodwork?

A: All online clinics require you to provide blood samples before prescribing TRT, as your bloodwork determines if you’re a good candidate for TRT. Most online clinics need you to undergo blood work regularly every 2 to 3 months of treatment.

Final Word on The Top Telehealth Testosterone Replacement Therapy Clinics

A recent study shows that the use of TRT among men 40 and older has tripled in the last decade.

As more men continue to get testosterone replacement therapy, we learn more about how TRT works, its safety, and its efficacy.

To learn more about TRT and how it works or to get TRT today, contact any of the online TRT clinics on our list above.

Related: Best Testosterone Boosters

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