Best Online TRT Clinics [2024 Update]

As awareness grows globally, an increasing number of men are recognizing a concerning trend: declining testosterone levels. This drop in T-Levels isn't merely a byproduct of aging; lifestyle factors play a significant role, yet there's an underlying medical issue that often goes unnoticed - Hypogonadism.

Hypogonadism, a condition signified by reduced function of the gonads (the testes in men), is a prevalent health concern worldwide. While numerous natural methods exist to boost testosterone levels, they may not suffice for those suffering from severe Hypogonadism. In such cases, the most effective course of action is often Testosterone Replacement Therapy (TRT).

What is TRT?

Unlike T-Boosting supplements, TRT directly alters our brain and testicular tissue to increase production of Testosterone. The differences are stark, and shouldn’t be overlooked. TRT can take a variety of forms, from gels to injections, and no one option works for everyone. That’s why I’ve put together this list, after months of research, to get you pointed in the direction best suited for you. 

Important Note

Before getting your mind made up, remember: TRT is by prescription only. That means you will need to submit to blood work and doctor visits and consultations. There is no short-cutting this; any TRT program claiming to waive the doctor-prescription process could be a scam or operating illegally. I’ve made sure all of these TRT Clinics are above-board, but that certainly doesn’t mean all the rest are.

1. Fountain TRT – Best online TRT clinic

Fountain TRT has the best system and product I’ve evaluated throughout this research journey. They’ve streamlined the process of screening you for Low-T, setting you up with treatment, and getting you back on track.

Easy Assessment

Beginning with an online questionnaire, you move right on to a blood test, and then a video visit. All under the guidance of a certified physician. You don’t even need a referral from your normal doctor.

Easy Treatment

Fountain was founded by a Urologist who’s worked with men for his whole career. So he knows what’s easy for his patients, and what’s not. That’s why Fountain has worked hard to develop a simple, topical cream that’s delivered right to your door. This solution means no needles, no injections, and no in-person appointments.

Easy to Get Results

The Fountain system can get you results immediately, depending on the severity of your Low-T. And they’ll give you constant support via text and video calls to monitor your success. And all of this with a flat, monthly fee. You don’t have to worry about billing challenges, navigating insurance, or up-charges you didn’t see coming.


  • One-stop shop: from evaluation to results, all in one spot.
  • Doctors who only specialize in Low-T.
  • No need to go to the pharmacy.
  • Accepts HSA and FSA cards if you prefer.


  • More expensive than some other options.
  • Not available in all US states.

Why Fountain is Number One

As I reviewed and re-reviewed each provider on this list (and the dozens who didn’t make the cut), I kept finding myself coming back to Fountain. They offer reliable results, and they don’t beat around the bush–if TRT isn’t right for you, they’ll help steer you where you need to go. That being said, if TRT is where you need to be looking, you may need look no further.

2. Peter MD – Most Affordable

In an era where financial considerations weigh heavily on our choices, Peter MD emerges as a beacon of affordability in the realm of Low-T treatments, a much-needed reprieve in these economically challenging times. Recognizing the financial constraints many face, Peter MD is committed to making Low-T treatments accessible to a wider audience.

Low, Low Cost

Peter MD stands out for its remarkably low-cost treatment plans, starting at just $89 a month. They also offer a variety of flexible plans to accommodate different budgets and schedules. Furthermore, they provide a full refund for those ineligible for treatment. Additionally, if you find a more economical TRT plan elsewhere, Peter MD promises to undercut that price by an additional 20%.

Safe and Flexible Capsule-Based Treatment

Affordability isn't the only highlight of Peter MD's offerings. They also provide a flexible treatment option with their popular Enclomiphene capsules. This medication is crucial for those concerned about the potential impact on testicular production, as it allows for treatment discontinuation without the risk of damaging Leydig cells, a common issue with some steroid injections.

Comprehensive Healthcare Solutions

Peter MD isn't limited to just TRT; they also offer assistance with erectile dysfunction, hair loss, and mental health services. This holistic approach ensures that patients are not pigeonholed into a single treatment modality, regardless of their specific health concerns.


  • Highly affordable, arguably the best value in the market.
  • Led by a medical expert renowned in the field.
  • Strict adherence to HIPAA standards for patient privacy and security.


  • Limited variety in TRT treatment options.
  • Limited effectiveness for those who don't respond well to capsule treatments.

Why Peter Makes the List

Peter MD secures a prominent position in our reviews primarily due to its affordability. Complementing this with high customer service ratings and comprehensive care for a range of men's health issues, Peter MD isn't just about saving money; it's about delivering value and quality care in men's health.

3. Evolve Telemed – Most Services Available

Evolve Telemed distinguishes itself as a comprehensive telemedicine provider, offering an extensive range of services that extend far beyond TRT, including weight loss support and a variety of wellness treatments. Their thorough intake and evaluation process addresses a wide spectrum of healthcare needs, incorporating advanced treatments like Semaglutide, which is similar to Ozempic.

Multiple Options

Evolve is an ideal choice for those seeking telemedicine services that cover more than just TRT. Their offerings include hair restoration, muscle building, and skincare treatments, all accessible from the comfort and privacy of your home.

Every Level of Care

Evolve is at the forefront of "concierge" telemedicine, a service model that provides members with ongoing, comprehensive healthcare support. As a member, you'll have the assurance of consulting with qualified, licensed physicians, eliminating the typical delays in accessing medical care or receiving timely responses to your health inquiries.


  • A broad spectrum of medical treatments and medications.
  • Many options available without the need for blood tests.
  • Personalized concierge service to address all healthcare questions.


  • Lack of transparency in pricing.
  • Does not coordinate with insurance providers.

Why Evolve is a Standout Choice

Evolve earns its place on our list for its ability to address a wide array of health concerns beyond Low-T. Their service is particularly appealing for those who prefer not to endure the inconvenience of traditional medical appointments, including long wait times and the potential for unanswered questions. Evolve offers a holistic telemedicine experience, prioritizing convenience, variety, and quality in their healthcare solutions.

4. Marek Health

Marek Health stands out by emphasizing specialized diagnostics. Their approach to providing in-depth blood work analysis enables a more sophisticated and personalized strategy for addressing health and wellness concerns.

Beyond Just Testosterone

Marek Health delves deeper than surface-level assessments, recognizing the intricate relationships among Testosterone, SHBG (Sex Hormone Binding Globulin), and DHT (Dihydrotestosterone). Understanding these complex interactions is crucial for accurate hormone level assessments, and Marek Health is committed to delivering the most detailed analysis scientifically possible.

Adapting to Changing Needs

Marek Health acknowledges that our body chemistry and health requirements evolve over time. This understanding shapes their approach to treatment, which extends beyond simplistic diagnoses of “Low-T, high Estrogen,” ensuring that initial treatment plans are as nuanced as the conditions they aim to address.


  • Unrivaled detail in hormone analysis.
  • Varied treatment options for customized care.
  • Comprehensive consultations provide clarity and understanding of your test results.


  • Higher cost, with initial analyses potentially nearing $1000.
  • Does not collaborate with insurance providers for diagnostics or procedures.

Why Marek is a Top Contender

Through extensive research into telemedicine and TRT, Marek Health emerges as a leader in comprehensive blood work and hormone analysis. Their commitment to providing in-depth consultations and tailored therapy places them among the elite in TRT services, offering an unparalleled depth of care and expertise.

5. Hone TRT

Hone Health stands as a versatile telemedicine service tailored to the needs of the contemporary man. Their focus on at-home diagnostics and treatment provides a seamless approach to managing TRT, diabetes medication, weight loss, and cognitive function goals.

A Wide Array of Health Solutions

Our discussions on the Great Green Wall site have highlighted various health challenges that intensify with age, such as cellular decline and the impact of modern diets. Hone Health addresses these concerns by offering a broad range of FDA-approved treatments that extend beyond just Testosterone support.

The Perks of Membership

Hone operates on a membership basis, which, while involving a monthly fee, offers flexibility and cost-effectiveness in managing therapies. For instance, incorporating TRT into your existing plan costs less than $30 per month. Additionally, members can easily add other treatments like B12 supplements, ED medications, or Metformin, all at significant savings.


  • Convenient at-home blood testing.
  • Direct access to licensed medical professionals.
  • Regular 90-day monitoring for optimal treatment outcomes.


  • Membership fee is obligatory, exceeding $100 per month.
  • Services are currently limited to male health concerns.

Why Hone Stands Out

Hone is a top pick in our Editor’s Top 5 for its unique membership model, which allows for evolving and customizable health solutions as the company expands its services. This model ensures that as you work towards your health objectives, you always have the option to tailor your treatment plan to your changing needs.

Final Word

t's important to acknowledge that Testosterone Replacement Therapy (TRT) isn't a universal solution for everyone. A key factor in selecting the clinics and services for this list was their recognition of this reality. Each featured provider prioritizes comprehensive care, focusing on overall health and wellness rather than merely selling Testosterone treatments for profit.

A standout aspect of these services is their provision of consultations. This approach empowers you with the flexibility to reassess and opt-out if you feel it's not the right fit. However, it's reassuring to know that these clinics represent the pinnacle of TRT services available today, each underpinned by solid scientific backing and a commitment to total health care.

Editor's Choice: Fountain TRT

Overall Rating: 
4.9/5 stars





Is Testosterone Replace Therapy Steroids?

Yes and no. In the sense that Testosterone Replacement Therapy relies on synthetic hormones, yes, they are technically classified as anabolic steroids. However, they aren’t the steroids from the 1970s, and many of them are available without injections. 

Are there Side Effects?

Yes, though the types and severity of side effects vary based on the medications and the person taking them. Common side effects include blocked blood vessels, lower sperm counts, prostate growth, and acne.

Do I Need a Prescription for TRT?

Yes. All FDA approved Testosterone Replacement Therapy medications are controlled substances requiring physician prescription.

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About the Author

Sam is a passionate health and fitness enthusiast who has been interested in supplements, fitness, and wellness for over 10 years. He is the founder of Great Green Wall - the health and wellness brand and has completed multiple fitness certificates, including personal training and nutrition certifications. Sam has been working as a personal trainer for the past three years and is dedicated to helping his clients achieve their fitness goals and lead healthier lifestyles. He believes that a healthy lifestyle is crucial to a happy and fulfilling life and is committed to sharing his knowledge and passion with others.

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