Feel like yourself again — no runaround.
Physician-guided testosterone therapy, fully online. Take a 2‑minute assessment, get reviewed by a U.S.‑licensed provider, and — if prescribed — have treatment shipped discreetly to your door.
Prescriptions are fulfilled by a 503A pharmacy and manufactured in the USA in an FDA-approved facility. Treatment only if a provider determines it is appropriate.
U.S.‑Licensed Providers
503A Pharmacy Approved
HIPAA Compliant
Free Discreet Shipping
4.9
from 2,400+ patients
LegitScript-certified
Licensed in all 50 states
Reviewed by our Medical Director
Every page of medical information here is reviewed by licensed clinicians. Nothing on this site is a diagnosis or a promise of treatment.
Board-certified in
internal medicine
15+ years in men’s
hormone health
Licensed across
45+ U.S. states
Do any of these sound familiar?
Testosterone declines with age, and the symptoms are easy to write off as “just getting older.”
A simple lab panel can tell you whether low testosterone is part of the picture.
Low Energy & Fatigue
Feeling drained by mid-afternoon, regardless of sleep.
Low Libido
Interest and performance aren’t what they used to be.
Brain Fog
Harder to focus, slower recall, less mental sharpness.
Stubborn Weight Gain
Especially around the midsection, despite the same routine.
Poor Sleep
Restless nights and waking up unrecovered.
Loss of Muscle & Strength
Training hard but losing ground in the gym.
Low Mood & Motivation
Flat, irritable, or just not feeling like yourself.
Three steps. Built for speed.
Most programs make you wait weeks between labs, review and shipping. We compress the whole thing into a single week.
01 — INTAKE
Take the 2‑minute assessment
Answer questions about your symptoms and health history. We’ll send an at-home lab kit the same day—no waiting rooms or missed work.
02 — REVIEW
A U.S.‑licensed physician reviews everything
A licensed provider reviews your labs and history to decide on treatment and create a protocol based on your results.
03 — DELIVERY
Treatment ships free
and discreet
If prescribed, your medication and supplies arrive in unmarked packaging. Message your provider anytime for dose adjustments — included.
One price. Everything included.
No membership fee, surprise lab bills, or upsells. One monthly price covers everything: medication, labs, physician care, and shipping.
$129
/month
Billed $129 every month. Cancel anytime.
+$35 at-home lab kit, credited to your first month.
Testosterone medication
Provider consultation
All lab work
Free discreet shipping
Ongoing provider oversight
Supplies and support
How we compare
Every number below is what each program advertises publicly. Here is the same care, side by side.
| Ascend Vitality | Hone Health | PeterMD | TRT Nation | |
|---|---|---|---|---|
| Advertised starting price | $129/mo | $25 or $155/mo membership | $79–$139/mo | $99.99/mo |
| Medication included in that price | No — plus cost of medication | |||
| Lab work included | Testing included in membership | Panels from $247 | TRT panel $129 | |
| Separate membership fee | None | $25–$155/mo | Included in plan | None advertised |
| Shortest commitment offered | 1 month ($129) | Monthly membership | 1 month | 2.5-month minimum |
| Fertility-preserving option (enclomiphene) | Not published | |||
| Free discreet shipping advertised | Not published | Not published |
Not on your bill
Charges other clinics commonly add separately.
Monthly membership fee
Lab work billed separately
Consultation or visit fees
Shipping charges
Long-term commitments
Built the way TRT should work.
Six commitments that hold for every member — not upsells you discover at checkout.
One Transparent Price
The number you see is the number you pay. $129/mo, all-in, with no membership fee.
Everything Included
Medication, labs, consults, shipping and dose adjustments are all part of your plan
Physician-Guided Care
U.S.‑licensed providers review your labs and history and decide what's clinically appropriate
Fast, Discreet Shipping
Unmarked packaging, sent free, typically within days of your provider's approval.
Message Your Provider Anytime
Unlimited secure messaging — ask questions and adjust your protocol without a new fee.
Fertility-Preserving Options
An enclomiphene track is available for men who want to keep fertility in the picture.
TRT isn’t right for everyone. We’ll tell you either way.
Testosterone is a prescription medication with real benefits and real risks. Our providers treat it that way — labs first, honest answers, structured monitoring.
Before anything · Eligibility
First we find out whether you should be on it at all
Not everyone who wants TRT should be taking it. Here’s where we draw the line, before any money changes hands.
Who TRT typically helps
Men 18+ with symptoms of low testosterone
Lab-confirmed low or low-normal total/free testosterone
Looking for physician-supervised, monitored care
Want fertility-preserving options discussed up front
When we won’t prescribe
Active prostate or breast cancer
Untreated severe sleep apnea or uncontrolled heart failure
Elevated hematocrit that hasn’t been evaluated
Actively trying to conceive without a fertility-sparing protocol
If you’re not a candidate, you pay nothing. Your provider explains what your labs actually show and what to do next — whether or not that involves us.
If you’re prescribed, this is how we monitor you
All labs and follow-ups included
Day 0
Baseline labs
Total and free testosterone, estradiol, hematocrit, PSA where indicated — before any prescription.
Week 8–12
First follow-up
Repeat panel to confirm your levels landed in range and your protocol is working.
Every 6 months
Ongoing monitoring
Routine labs, dose adjustments, and unlimited provider messaging — all included.
Repeats for as long as you’re on treatment.
Possible side effects of testosterone therapy include acne, fluid retention, increased red blood cell count, changes in mood, and reduced sperm production. Discuss your full medical history with your provider. This page is educational and is not medical advice.
What changes in the first 90 days.
Individual results vary. Patients commonly report changes in energy, mood, focus, libido, strength and overall quality of life across the first several weeks and months of treatment.
MOST-REPORTED CHANGES
- Energy
- Focus
- Mood
- Libido
- Training & recovery
- Sleep quality
- Overall quality of life
Results vary by individual. Your provider sets expectations from your own labs, not from an average.
Straight answers, no fine print.
Still unsure? Start the assessment — it's free, takes two minutes, and you'll know where you stand before you pay
Is this legitimate TRT?
Yes. Ascend Vitality is a LegitScript Certified telehealth provider. Testosterone is a prescription medication, so treatment is only available after a U.S.‑licensed physician reviews your lab work and health history and determines it’s clinically appropriate for you. Prescriptions are never guaranteed.
Do I need lab work?
Yes — labs are required before any provider can consider treatment, and they’re included in your plan. We ship an at-home kit ($35, credited to your first month) so you don’t need a clinic visit. If you have recent labs, your provider may be able to use those.
How fast will I feel results?
It varies by individual. Many men report changes in energy, mood and libido within the first several weeks, while changes in body composition and strength typically take longer. Your provider will track your response and adjust as needed. We can’t guarantee any specific outcome.
What’s actually included in the price?
Everything: your testosterone medication, physician consultation, all lab work, free discreet shipping, unlimited provider messaging, and ongoing dose adjustments. There is no membership fee and no separate consult or lab billing.
Can I cancel?
Yes, you can cancel anytime. Your plan is month to month, so it simply won’t renew once you cancel. There are no cancellation penalties or long-term contracts.
Is my information private?
Your health information is handled under HIPAA safeguards and stored securely. All shipments arrive in plain, unmarked packaging with no indication of what’s inside.
Do you preserve fertility?
Testosterone therapy may reduce sperm production. For men who want to preserve fertility, our providers can discuss alternatives such as an enclomiphene protocol or adjunct therapies. Bring it up in your assessment and your provider will factor it into your plan.
What if my levels are normal?
Then TRT isn’t the right answer, and we’ll tell you that. If your labs don’t support treatment, your provider will explain what your results show and discuss other directions. You’re not charged for a plan you’re not eligible for.
How is the medication administered?
Most members use a weekly intramuscular or subcutaneous injection with a fine-gauge needle — it takes seconds and most men describe it as painless. Your kit includes everything you need plus step-by-step video instructions, and your provider walks you through the first dose.
Will this affect my heart, prostate or blood work?
Testosterone therapy can raise red blood cell count and requires monitoring of hematocrit, estradiol and — where indicated — PSA. That’s why baseline labs, an 8–12 week recheck and ongoing panels are built into every plan at no extra cost. Providers will not prescribe with active prostate or breast cancer, untreated severe sleep apnea or uncontrolled heart failure.
Do you accept insurance, HSA or FSA?
We don’t bill insurance — that’s part of how we keep one flat price with no surprise claims. Plans are HSA/FSA eligible, and we can provide an itemized receipt for reimbursement if your plan allows it.
What happens if I’m traveling or move states?
Let your provider know and we’ll reroute your shipment. If you move to a state where your current provider isn’t licensed, we’ll transfer your care to a licensed provider in that state where we operate, at no additional charge.
Who reviews my case — is it a real doctor?
Yes. Every case is reviewed by a U.S.‑licensed clinician who is credentialed in your state. There is no automated prescribing: a human provider reads your labs and history and decides whether treatment is appropriate.
What if I’m already on TRT elsewhere?
Bring your recent labs and current protocol. Your provider will review them and, in most cases, can continue or adjust your therapy without restarting from zero — usually at a lower all-in cost than membership-based clinics.
Want to raise your own testosterone and protect fertility?
Enclomiphene is an oral, once-daily option designed to support your body’s own testosterone production, and may be considered for men who want to keep fertility in the picture.
You’ve felt off long enough.
Find out if it’s your testosterone.
See where your levels stand and whether treatment may be right for you.
Legitimate Prescription Care
U.S.‑licensed Providers
100% Online
Free Discreet Shipping
THE RISK IS ON US
Not on you.
Straightforward eligibility process
One short assessment tells you where you stand.
No unnecessary commitments
No long-term contract to get started.
Transparent treatment pricing
The number you see is the number you pay.