Heyday vs Bastion Health: 2026 Comparison
Quick answer: Heyday specializes in hormone optimization and metabolic health, offering at-home lab testing, virtual consultations, and treatment starting at ninety-nine dollars per month, alongside GLP-1 weight loss medications. Bastion Health provides a broader, urologist-led platform covering prostate health, fertility, sexual health, and hormones, with pricing that varies by service. Treatment decisions are determined by a licensed clinician after reviewing lab work.
Start here: testosterone therapy at HeydayMD · could it be low testosterone? · at-home testing
HeydayMD is an online men's health telehealth platform specializing in hormone optimization and metabolic health — offering at-home lab testing, virtual provider consultations, and treatment delivered to your door starting at $99/month.
Bastion Health is a men's digital clinic that takes a broader approach to men's health, including sexual health, prostate health, hormonal health, and fertility. They position themselves as a full-spectrum men's health platform with urologist-led care. Here's how the two compare for hormone optimization specifically.
| Feature | HeydayMD | Bastion Health |
|---|---|---|
| Focus | Hormone optimization & metabolic health | Full-spectrum men's health (urology-led) |
| Starting Price | $99/mo for TRT | Varies by service |
| At-Home Lab Kit | ✓ Comprehensive men's panel (Tasso+ upper-arm device) | ✓ At-home hormone testing |
| Provider Type | Hormone health specialists | Board-certified urologists |
| GLP-1 Weight Loss | ✓ Semaglutide & tirzepatide | ✗ Not offered |
| Sexual Health (ED) | ✓ From $35/mo | ✓ Available |
| Prostate Health | ✗ Not a focus | ✓ Core service |
| Fertility Services | ✗ Not offered | ✓ Available |
| Treatment Delivery | ✓ Monthly to your door | Prescription fulfillment |
Key Differences
Specialist model. Bastion Health uses board-certified urologists, which means their expertise spans the full urological landscape — prostate, fertility, sexual health, and hormones. Heyday's providers focus specifically on hormone optimization and metabolic health, going deeper in that lane. If you need prostate or fertility care alongside TRT, Bastion covers it. If you want specialized hormone expertise, Heyday is more focused.
Metabolic health. Heyday offers GLP-1 weight loss medications alongside TRT — a meaningful differentiator for men dealing with both low testosterone and stubborn weight gain. Many men with hormonal imbalances also have metabolic dysfunction, and being able to address both through one platform simplifies care. Bastion does not currently offer GLP-1 medications.
Lab depth. Heyday tests a comprehensive men's panel with an at-home collection kit, giving providers a comprehensive view of metabolic and hormonal health. Bastion offers at-home hormone testing but their panel scope varies by the service line you're enrolled in.
Pricing transparency. Heyday has a straightforward TRT membership ($1,188/year, $99/month equivalent) that includes medication, consultations and the starter lab kit; follow-up labs are $229 per panel. Bastion's pricing structure varies by service category and may require contacting them for specific costs.
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Bastion Health is a strong choice if you want a urologist-led platform that covers prostate health, fertility, and sexual health alongside hormones. Heyday is the better fit if your primary goal is hormone optimization and metabolic health — with deeper lab testing (comprehensive men's panel), transparent pricing ($99/mo), and the option to add GLP-1 weight loss treatment. Different strengths for different needs.
How to Evaluate Any Men's Health Provider
Rather than taking a company's marketing at face value, it helps to ask a consistent set of questions whenever you're comparing telehealth options. Who actually reviews your labs — a licensed MD, NP, or PA, or just an algorithm? How often will someone check in with you after treatment starts, if treatment is appropriate at all? What happens if your labs come back outside a normal range, or if a biomarker like hematocrit or estradiol needs monitoring over time? A provider that can answer these clearly, without vague language, is usually a safer bet than one that leans on price alone.
Questions worth asking before you commit
- How frequently are follow-up labs recommended, and what do they track?
- Is there a clinician you can message if you notice side effects?
- What's the process if treatment isn't clinically appropriate for you?
- Does the platform explain potential side effects and monitoring plans up front?
What Good Monitoring Looks Like
Hormone therapy isn't a one-time decision — it's an ongoing process that depends on periodic bloodwork and honest conversations with a clinician. Some men start treatment and assume the job is done once a prescription is issued, but tracking markers like free and total testosterone, estradiol, and hematocrit over months matters more than the initial number. A provider that builds in regular lab rechecks, rather than treating the first panel as the final word, tends to produce a more individualized plan. If you're new to this, reading about how to interpret your bloodwork can help you ask sharper questions during consultations.
Common Mistakes Men Make When Comparing Clinics
One frequent mistake is focusing only on breadth of services without asking how deep that expertise goes in the area you actually need — hormone health, sexual health, or weight management. A platform that covers many specialties isn't necessarily better if your main concern is testosterone optimization specifically. Another mistake is skipping baseline testing altogether and assuming symptoms alone justify treatment; labs matter because symptoms like fatigue or low mood overlap with many conditions, including sleep apnea or thyroid issues. Finally, some men ignore how a clinic handles edge cases — borderline labs, interactions with other medications, or coexisting conditions — until it's too late to matter.
Frequently asked questions
Can I switch telehealth providers if my needs change?
Generally yes, though you'll want to request your lab history and treatment records so a new clinician has full context. Continuity of data matters more than continuity of brand.
Do I need a referral to start hormone testing?
No referral is typically required for at-home testing, but a licensed clinician still needs to review your results and history before deciding whether treatment makes sense for you.
How do I know if I need a specialist versus a general hormone clinic?
If your symptoms involve prostate, fertility, or complex urological issues alongside hormone concerns, a specialist may be worth considering. If your main concern is testosterone and related metabolic symptoms, a focused hormone-optimization clinic may be sufficient — discuss this with a clinician either way.
What if my labs come back normal but I still feel off?
Normal ranges are broad, and some men feel symptomatic even within them. This is worth discussing directly with a clinician, since context like sleep, stress, and lifestyle factors can matter as much as the number itself — see this discussion of normal testosterone with symptoms for more detail.