Testosterone levels in men can decline due to a variety of reasons, with hypogonadism being a significant contributor. Testosterone Replacement Therapy (TRT) is an effective solution for those facing severe testosterone deficiencies. As more people turn to online solutions for health issues, the demand for online TRT clinics has skyrocketed. We've curated a list of the top online TRT clinics based on factors like ease of use, treatment options, pricing, and patient reviews. Here's a breakdown:

Top Online Clinics

Fountain TRT 

Best in the Field


Fountain TRT stands out in the online TRT landscape for its transparent, patient-first approach, streamlined process, convenient topical cream and injections, continuous support, and clear pricing... Read more below

Evolve Telemed 

Most Services Available


Evolve Telemed impresses with its wide range of telemedicine services, including TRT, hair restoration, and more. Their concierge approach offers direct access to doctors, with a variety of medication options. However, their pricing lacks transparency and they don't work with insurance... Read more below

Peter MD

Most Affordable


Peter MD offers affordable TRT options with a focus on safety and variety. Their Enclomiphene capsule treatment is notable for its gentle approach, complemented by services for ED, hair loss, and mental health. Despite a limited TRT range, they're a solid choice for quality health care solutions... Read more below

My Video on the Best Online Clinics for TRT:

1. Fountain TRT – Best in the Field

Navigating the sea of online TRT clinics was overwhelming. With stories of unregulated clinics and dubious treatments circulating, my anxiety was palpable. 

Discovering Fountain TRT was a revelation in my quest to understand and find solutions for Testosterone Replacement Therapy (TRT). This innovative platform is expertly designed to assist men in boosting their testosterone levels to a healthier range. What really sets Fountain TRT apart is its seamless integration of technology in healthcare, offering an entirely online process for both assessment and doctor consultations. This approach not only aligns with the fast-paced lifestyle of today but also adds an unmatched level of convenience to the treatment of Low T.

Real Testimonials & Reviews

My Experience with Fountain TRT

My experience with Fountain TRT was impressively quick, straightforward, and as explained above, entirely online. It started with their Low T assessment, which is designed by a board-certified urologist. This initial step helps you identify if you have symptoms of low testosterone. I qualified, so I was directed to one of their partner labs for a blood test to determine my exact testosterone levels. The process was smooth, and a doctor reviewed my lab report, followed by an explanation of my results. The final step involved scheduling a telehealth visit with a Fountain doctor, where we discussed the TRT options. Once we agreed on the treatment plan (for me it was the cream, but they also have injections), they issued a prescription, and they delivered the medication to my address. This seamless process made navigating TRT straightforward and hassle-free.

If you are unsure about your t-levels or what is right for you, I highly recommend doing the intro $35 exam. It is a very cheap way to get started, and at the very least you will learn about your own health and needs. After that, you can walk away if you're not sure, or continue with the consultation. 

Key Points From My Personal Experience:

  • Streamlined Process: From the moment I started, the whole journey felt like a breeze. Their comprehensive online questionnaire was straightforward, and I quickly moved to the blood test and video consultation phase. Everything felt synchronized, making the whole experience hassle-free.
  • Overwhelmingly Good Reviews From Users: One of the things that convinced me to give Fountain TRT a try were the positive reviews from verified users. They have 4.9 stars on Trustpilot and most reviews verify all the claims about the treatment being an excellent solution for testosterone issues.
  • Topical Cream Solution or Injections: Having always dreaded the idea of injections, Fountain's topical cream was a relief. Applying the cream became a simple addition to my morning routine, and I loved the convenience of it being delivered to my door. They also offer injections for the people who want that approach, and they teach you how to do the whole process.
  • Continuous Support: Throughout my journey, I had the comfort of knowing they were just a text or video call away. Whether I had questions or needed guidance, their team was available.
  • Flat Monthly Fee: Budgeting for health treatments can be tricky with unexpected costs popping up. However, Fountain has a flat monthly fee, which makes it a lot easier to manage.


  • Online assessments and telehealth consultations streamline the TRT process.
  • A choice between user-friendly topical cream and effective injection treatments.
  • Excellent feedback from customers (4.9 stars on Trustpilot)
  • Backed by a highly qualified medical team specializing in men's health.
  • Automatic delivery system for consistent and hassle-free medication management.


  • While the service is impeccable, it is slightly on the pricier side. Also, the fact that it's not available in all US states can be a limiting factor for some.

Why Choose Fountain TRT?

For anyone like me, looking to tackle Low T symptoms such as fatigue, loss of muscle mass, or issues in the bedroom, Fountain TRT is a solid choice. Their approach is not just about treating symptoms but also about enhancing overall quality of life. What really sets them apart for me is how they make the entire process effortless and fully online. With their all-inclusive service, clear pricing, flexibility in choosing between topical cream and injections, and focus on patient convenience, Fountain TRT stands out as a top pick for anyone considering TRT.

2. Evolve Telemed – Most Services Available

When I first checked out Evolve Telemed, I was immediately impressed and intrigued. They stand out as my number two choice due to their holistic and personalized approach to managing the natural decline of testosterone in aging men. Unlike other clinics that might offer a more one-dimensional solution, Evolve Telemed considers the full spectrum of how low testosterone affects energy, mood, and overall well-being.

Their comprehensive understanding of TRT is what really sets them apart. They recognize testosterone's crucial role not just as a hormone, but as a key player in maintaining muscle strength, bone density, and mental clarity. This broader perspective on health and aging resonated with me, as it goes beyond merely treating symptoms; it's about enhancing your overall quality of life.

Evolve Is not just a one-stop-shop for TRT but a whole telemedical universe catering to a spectrum of health needs, from hair restoration to muscle building.

Personalized Approach:

At Evolve Telemed, the focus is on individualized care. They don't just apply a generic treatment plan; they work with you to understand your specific health concerns. This approach, combined with a range of treatment options like injections, gels, and patches, ensures that the therapy is tailored to your personal needs and lifestyle. Their dedicated support team, always ready to assist and answer questions, adds a layer of comfort and confidence to the process.


  • Customized treatment plans addressing individual health needs and preferences.
  • Holistic approach to TRT, considering overall vitality and wellness.
  • Offers various forms of TRT, such as injections, gels, and patches.
  • Access to a responsive and knowledgeable support team for guidance and assistance.


  • Pricing isn't as transparent as I'd like, and they don't liaise with insurance companies.
  • Requires thorough consultations to determine the best treatment approach, potentially time-consuming.

Why Evolve Telemed Ranks High for Me:

Evolve Telemed secured its place as my second choice due to its comprehensive care, a wide range of treatment options, and a strong emphasis on personal interaction. While the variable cost and time required for personalized consultation might be a downside for some, the prospect of rejuvenating energy levels, improving mood, and boosting overall vitality make them a highly attractive option. Their commitment to not just managing low testosterone but enhancing overall well-being is why I recommend Evolve Telemed to anyone looking to address age-related hormonal changes.

3. Peter MD – Most Affordable

Money talks, and let's be real: not everyone's wallet is ready for heavy medical expenses. That's where Peter MD shone brightly in my exploration. Positioned as the most cost-effective men's health program in North America, Peter MD stands out for balancing quality with budget-friendly solutions. Their commitment to making men's health both accessible and convenient is evident in their approach.

The clinic offers a range of services, including mental health support, hair loss treatment, erectile dysfunction solutions, and low testosterone therapy. What’s impressive is the personalized nature of their treatment plans, which are designed to meet the unique needs of each person, offering a quality experience at an affordable price.


  • Highly affordable healthcare programs, making essential treatments more accessible.
  • Personalized treatment plans tailored to individual health needs.
  • Diverse range of services addressing key men’s health issues.
  • They are fully HIPAA compliant.


  • Their TRT range isn't as vast as I'd have liked. If capsules aren't your thing, Peter MD might not be either.
  • The focus is primarily on affordability, which may raise questions about the range or depth of services compared to higher-priced options.
  • Dependent on the expertise of a single chief medical officer, despite his notable credentials.

Why Choose Peter MD?

In times when budgets are tight but health can't be compromised, Peter MD is a good option to consider. Their commitment to providing pocket-friendly solutions without sacrificing quality is truly commendable. It's an ideal choice for those who value their dollars but aren't willing to settle for second-best when it comes to their health.

4. Marek Health – Diagnostic Precision Meets TRT

If you're looking for a deep dive into hormone analysis, Marek Health might be your spot.

Marek Health stands out as a premier telehealth platform, specializing in health optimization. Unlike traditional telehealth services that may focus mainly on prescriptions, Marek Health goes a step further by offering personalized health coaching and a comprehensive approach to wellness. Their services include expert oversight, diagnostic interpretation, and health coaching, along with self-service testing and custom-built lab packages.

What makes Marek Health unique is their focus on flexibility and individualized care. They recognize that health optimization is not a one-size-fits-all journey and requires continuous adjustment and personalization. This approach allows clients to alter their treatment plans as their lives and goals evolve, aligning with the "a la carte" model that Marek Health is built on.


  • Personalized health optimization with expert oversight and health coaching.
  • Flexibility in treatment plans, adapting to changing needs and goals.
  • Comprehensive approach, going beyond prescriptions to include nutritional support and monthly check-ins.


  • That level of detail in the analysis comes at a high cost, and the absence of insurance acceptance might be a roadblock for some.
  • May not be suitable for those seeking a more traditional, straightforward prescription service.
  • As a telehealth platform connecting clients with healthcare providers, Marek Health itself does not administer healthcare directly.

Why Choose Marek Health?

In the TRT landscape, many offer treatments, but few can boast of the kind of diagnostic precision that Marek brings to the table. For those who believe that well-begun is half done, the diagnostic clarity Marek provides can be pivotal.

5. Hone TRT – Comprehensive Care at Your Doorstep

Hone Health is a modern telehealth platform focused on enhancing men's health and wellness. They offer personalized care combined with data-driven insights, licensed physician consultations, and at-home medication delivery.

Hone Health provides two levels of care: Simple Care, for selecting medications based on individual preferences, and Complex Care, which includes in-depth biomarker testing and personalized plans to optimize hormones. Their approach is rooted in providing more energy, strength, and focus for a better quality of life.


  • Personalized treatment plans based on thorough biomarker testing.
  • Regular physician consultations and adjustments to optimize treatment.
  • A wide range of treatments for testosterone, longevity, immunity, sexual dysfunction, and more.


  • The monthly membership model might not be for everyone, especially if you're looking for a one-time consultation. 
  • The focus on a broad range of services might not be as specialized for specific conditions.
  • As a telehealth platform, it lacks the direct, in-person interaction some may prefer.

Why Choose Hone TRT?

Hone Health stands out for its personalized and data-driven approach to men’s health, making it an appealing option for anyone looking for a comprehensive telehealth experience. With its focus on not just treating symptoms but also enhancing overall health and longevity, Hone Health is well-suited for those committed to a proactive approach to their wellness journey.

Conclusion: Picking the Right TRT Clinic

The search for the perfect TRT clinic is indeed a personal journey, heavily dictated by individual needs and preferences. Fountain TRT, standing out as my top choice, excels with its transparent, patient-first approach and flexible treatment options, offering both topical creams and injections under expert medical guidance. This, along with a streamlined online process, positions it as a leader in the field. However, the clinics spotlighted above each bring something unique to the table, whether it's in-depth diagnostics, brand recognition, or the comfort of home-based care. There's a clinic out there that fits different priorities. As always, embarking on any health treatment, especially something as nuanced as TRT, should involve consultation with a healthcare professional. Your well-being deserves nothing but the best. Make your choice wisely.

Editor's Pick: Fountain TRT 

  • Streamlined Process
  • Overwhelmingly Good Reviews From Users
  • Topical Cream Solution or Injections
  • Continuous Support
  • Flat Monthly Fee

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About the author 

John Miller

John Miller is a seasoned journalist with a focus on health and environmental issues. With over 15 years of experience, he has contributed to various notable publications, specializing in reporting on medical studies and public health trends. Miller is known for his ability to translate complex scientific data into accessible and engaging articles for the general public.

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