Whether you’ve searched the internet far and wide for the best TRT clinics, can’t seem to escape posts about ‘Low T’ on social media, or just so happened to stumble upon this guide, you likely have more questions than answers when it comes to accessing online testosterone therapy.
Most people are familiar with the physical and emotional changes associated with menopause, but the hormonal changes that men face in their late forties and fifties have also come into the conversation. Now, more experts are raising awareness about plummeting testosterone levels in men — a phenomenon often referred to as “Andropause.”
While it’s natural for men’s testosterone levels to fall as they age, the gap appears to be widening over time, and some experts have expressed concern. A 2023 study in the Journal of Clinical Endocrinology revealed that testosterone levels in American men have dropped at a rate of roughly 1% per year.
“It’s not just guys over 50,” explained Deep Patel, the co-founder of Ulo, a telehealth clinic that has recently expanded into the TRT space. “More and more men in their 20s, 30s, and 40s are dealing with low T. A lot of it comes from stress, lack of sleep, diet, or genetics. And then there’s the stuff you can’t really control, like microplastic exposure.”
post wanted picks
- Best TRT Clinic Overall: Ulo
- Best Alternative TRT Clinic: Hims
- Best Holistic TRT Clinic: Hone
- Best Quick Online TRT Clinic: PeterMD
- Best TRT Prescription Alternative: Ro
Patel and many other experts in the field have seen a growing demand for TRT services. But what is TRT, exactly? Testosterone Replacement Therapy is a treatement used to restore the male hormone to normal, healthy levels. There are a few forms of testosterone treatment available: injections, gels, and tablets.
There are several potential benefits of TRT, according to Patel: “More energy, better workouts and faster recovery, higher libido, clearer thinking and focus, emotional stability, and a sense of drive and confidence that returns,” Patel shared.
The efficacy of this type of treatment is well-documented for men with low testosterone, yet it can still be challenging for people less familiar with TRT to find sites to buy testosterone online that are reputable, transparent, and safe.
To evaluate the best TRT clinics, The Post consulted several experts in the men’s hormone space and vetted offerings across a number of telehealth sites, finding options that meet a range of needs, including clinics with personalized TRT programs, TRT alternatives, and the most affordable options for every man.
Read on for our expert-backed guide to the best TRT clinics.
Best TRT Clinic Overall: Ulo
Pros:
- The treatement is tailored to each person’s needs and goals
- No charges until the prescription is approved by the provider
- Men can consider different forms of treatment, including injections, gels, and oral medication
Cons:
- Service availability may vary by state due to different telehealth regulations
After developing a telehealth platform that supports men’s daily struggles (including hair loss and regrowth), Ulo expanded into the TRT space with personalized care for men at every stage of life. To get a TRT prescription at Ulo, patients must first complete a simple, at-home blood test. Then, a licensed physician will look at your lab work, discuss your history, and together, you can work out an appropriate course of treatment. Nobody is charged until they’re prescription is approved by the provider. Ulo’s founders have worked to create a platform that is user-friendly, highly responsive, and tailored to individuals’ needs. It’s not just about treating a problem, but looking at the whole picture — and this is the type of care you’ll receive at Ulo.
Price: $50 per blood test. Starts at $159/month for testosterone injections, $169/month for testosterone topical gel, and $189/month for oral medication.
Best Alternative TRT Clinic: Hims
Pros:
- Hims offers a full suite of healthcare services, so you can access more than testosterone treatment
- Pricing starts at just $39/month with flexible plans available
- Dual-action treatments are available to target multiple health goals at once
Cons:
- Hims does not offer testosterone injections
Designed to support men every step of the way, Hims is among the most popular telehealth sites offering a range of healthcare solutions. The site is not just for men seeking TRT, but also offers weight loss support, anxiety medication, erectile dysfunction treatement, and more. Getting started is simple. Users will be directed to answer some basic health questions, and then they’re connected with a provider who can review their information and create a personalized plan. While the brand does not offer testosterone injections, patients can still access other types of TRT as well as some treatments with dual-action benefits, so you can take care of hormone support in addition to other needs at the same time.
Price: The price of medications varies, with Sex Rx + Testosterone Support starting at $39/month.
Best Holistic TRT Clinic: Hone
Pros:
- Hone considers more than just testosterone with its in-depth biomarker testing
- Completely personalized TRT protocols based on individual hormone levels and symptoms
- Hone offers naturual supplements in addition to injections, gels, and tablets
Cons:
- Service availability may vary by state due to different telehealth regulations
For a more holistic approach to testosterone testing and treatement, consider Hone. This online clinic starts patients off with Doctor-designed blood tests, which evaluate 50 biomarkers, looking beyond testosterone to see the whole picture. It’s more detailed and in-depth than some other blood tests, which could potentially flag other issues affecting hormone levels. After considering health history and individual goals, Hone formulates a plan to help patients optimize their healthspan. Treatment options include injections, gels, and tablets, as well as naturual supplements for testosterone and thyroid support.
Price: $60 per Biomarker Test. Starts at $25/month for discounted access to a limited number of medications that don’t require lab testing, and $149/month for everything Hone offers: regular lab testing, physician consults, and full access to our medications.
Best Quick Online TRT Clinic: PeterMD
Pros:
- Patients can submit recent lab work to skip blood testing and get a prescription/treatement faster
- User-friendly website, simple to navigate different treatement options, and get signed up fast
- In-depth blood panels look beyond testosterone levels
Cons:
- PeterMD offers tablets and injections, but no testosterone creams or gels
Whether you’re looking to up your libido, get more out of your workouts, or fight hair loss, PeterMD offers the support you need to find a solution. For men interested in TRT, PeterMD has a few paths to getting started. Men who have had their lab work done in the past six months can skip the blood-testing step and send their results right to PeterMD for evaluation. If you haven’t had the necessary tests done, PeterMD will take care of that, too. There are a few different panels to select from, including a simple testosterone assessment panel, an optimization panel, a comprehensive panel, and a diagnostics panel that offers deeper insights into things like tumor markers, brain health, heavy metal exposure, and more. While this TRT clinic does not offer gels or creams, patients can still choose between oral treatement or injections.
Pricing: Testosterone Assessment Panel starts at $95, and testosterone treatment starts at $99/month
Pros:
- Ro offers a dietary supplement that supports testosterone production without hormones (a good alternative for those seeking natural solutions)
- All of the ingredients in Ro’s Roman Tesosterone support have been researched and vetted by Doctors
- This formulation is said to be fast-working; ingredients are absorbed into the body in hours
Cons:
- May not be suitable for those seeking medication
- Requires four tablets daily, not ideal for people who struggle with swallowing pills
Not everyone is ready to jump into TRT headfirst. If you’re more interested in natural testosterone support (or prefer not to wait for a blood test or prescription), head right to Ro. Ro’s physicians have designed a hormone-free supplement that helps support hormone production naturally, while also delivering a dose of key ingredients: magnesium for muscular health, maca for emotional stress, and ashwagandha to help with testosterone production. This is not the same as TRT, but it’s a wonderful alternative for those interested in whole-body health, and it starts at just $35 a month.
Pricing: $35/mo and save $72/year when you choose a quarterly plan
Best TRT Oral Treatement: MangoRX
Pros:
- MangoRX offers Kyzatrex, an FDA-approved oral tablet that has shown high efficacy
- Patients can choose between a 30-day or 60-day supply, which requires fewer frequent refills
Cons:
- This site only offers oral tablets, no injections, creams, or gels
- Pricier than some other options
MangoRX is an innovative men’s health clinic that makes it easy to take care of all your needs in one place. The site doesn’t offer as many testosterone treatments as some competitors, but the process is simple: jump on a call with a board-certified physician, request a blood kit shipped to your front door, receive a prescription, and start with a simple, FDA-approved once-a-day pill. They’re single option — Kyzatrex — has shown high efficacy in restoring testosterone levels to normal ranges. Oral tablets are also a great alternative for people who struggle with injections. Patients can also pick between a 30-day or 60-day supply, which requires fewer frequent refills.
Pricing: An initial visit and 60-day supply start at $249/month (first month free)
Best Online TRT Clinics FAQs
The Post consulted three men’s health experts to answer some frequently asked questions about the best sites to buy testosterone online.
How do you get a TRT prescription?
To get a TRT prescription, telehealth clinics typically require a blood test. Testosterone blood tests measure the amount of the male hormone in the blood. The normal range is considered to be anywhere between 300 and 1,000 nanograms per deciliter, but physicians also consider symptoms, as well as medical history, before writing up a prescription.
“Legally, it starts with comprehensive bloodwork, followed by a consultation with a licensed medical provider. If clinical symptoms align with hormone deficiencies confirmed by lab results, the provider may prescribe TRT,” explained Tomo Marjanovic, the owner of Aspire Rejuvenation Clinic, a wellness center specializing in personalized hormone therapy.
Marjanovic has warned that a TRT prescription is not something that you should be able to get from a simple online form because it’s a medical therapy that needs real evaluation, not “checkbox medicine.”
How do you choose the best site to buy testosterone online?
Thousands of online men’s health clinics offer TRT online, but finding a credible and affordable option can be more challenging. Experts recommend buying testosterone from sites that are transparent with their process, offer a tailored approach for each patient, and maintain an open line of communication between people and Doctors.
“Search for a company that emphasizes medical care rather than product. TRT usage requires lab testing, the involvement of a physician, and thorough follow-up based on data,” Patel, the co-founder of Ulo, suggested. “If those elements are not prominently indicated on the company’s website, step away and
search for another option.”
What are the risks and side effects of TRT?
While TRT is generally considered safe for long-term use, TRT clinics should always outline potential risks and coordinate follow-up appointments to discuss any potential side effects.
“TRT does come with risks that need to be taken seriously,” shared Patel, who explained that the most common side effects include acne, water retention, or elevated red blood cell counts, which can thicken your blood.
“Some men experience testicular shrinkage or reduced fertility, ” he added. “There are also concerns about cardiovascular risks in certain populations, particularly men with existing heart conditions.”
Earlier this year, the FDA also issued class-wide labeling changes for TRT. The label language on all testosterone products must now include the risk of adverse cardiovascular outcomes and increased blood pressure.
What form of testosterone offers the best results?
Currently, testosterone injections are the most popular form of treatment for low testosterone, but gels, creams, and oral tablets are also available.
“Injections, particularly shallow daily intramuscular or subcutaneous dosing, consistently offer the most predictable and stable results. Gels can work for some, but are inconsistent in absorption. Pellets are convenient but make dose adjustments difficult and can cause hormone spikes or crashes,’ Marjanovic explained. “I always say it’s more about the patient’s physiology and lifestyle, which delivery method to use, and not just ‘convenience’.”
An article in The Journal For Nurse Practitioners found that Depo-Testosterone was the most cost-efficient TRT option, and Androderm was the most efficacious TRT medication, with up to 92% of patients reaching normal testosterone levels with consistent use.
Are there any online TRT clinics that accept insurance?
There are some TRT clinics that accept insurance, but details vary on the type of treatement and specific diagnoses. Most insurance providers require TRT candidates to provide documentation of symptoms and lab work that indicates their testosterone has fallen below the normal levels.
What’s the cheapest online TRT clinic?
Many online TRT clinics offer competitive pricing options. PeterMD, for example, gives patients the option to submit previous lab work, which can save money up front. Ulo does not charge patients until their prescription is approved by the provider, so you can get started at no risk.
This article was written by Miska Salemann, New York Post Commerce Writer/Reporter. As a health-forward member of Gen Z, Miska seeks out experts to weigh in on the benefits, safety and designs of both trending and tried-and-true fitness equipment, workout clothing, dietary supplements and more. Taking matters into her own hands, Miska intrepidly tests wellness products, ranging from Bryan Johnson’s Blueprint Longevity Mix to home gym elliptical machines to Jennifer Aniston’s favorite workout platform – often with her adorable one-year old daughter by her side. Before joining The Post, Miska covered lifestyle and consumer topics for the U.S. Sun and The Cannon Beach Gazette.