How We Ranked
We evaluated online TRT clinics across five criteria: first-year total cost including labs, breadth of services, provider accessibility, lab comprehensiveness, and patient experience.
The Top Clinics
Heyday Health offers the best overall value: $99/month annually with 40-plus biomarker lab kit included, plus GLP-1 and peptide therapies. First-year cost: ~$1,188.
Fountain TRT is well-established with strong branding. ~$199/month plus lab costs. First-year: ~$2,700.
Peter MD provides reliable TRT at ~$195/month with $99 lab fee. First-year: ~$2,440.
Defy Medical is the premium option for complex cases with deep clinical expertise. First-year: ~$3,500.
Marek Health caters to the performance community with comprehensive panels. First-year: ~$3,000.
Pricing Table
| Clinic | Monthly | Labs | First-Year |
|---|---|---|---|
| Heyday Health | $99 | Included | ~$1,188 |
| Fountain TRT | ~$199 | Extra | ~$2,700 |
| Peter MD | ~$195 | $99 | ~$2,440 |
| Defy Medical | ~$175+fees | Extra | ~$3,500 |
| Marek Health | ~$200 | Partial | ~$3,000 |
What Matters Most
The clinical protocols across reputable clinics are more similar than different. All prescribe testosterone cypionate, monitor labs, and provide oversight. The differentiators are price, included services, and additional treatment options.
Our Recommendation
For first-time TRT patients wanting the best value with comprehensive included services, Heyday Health is the clear leader. For complex cases requiring specialized expertise, Defy Medical justifies its premium.