Keeps TRT Alternatives: Find the Right Fit Before You Switch

Keeps TRT alternatives worth comparing are Male Excel for a managed cream-or-injection program, Hone Health for a published confirmatory-test pathway, and TRT Nation for a $99.99 monthly starting rate with a 2.5-month purchase minimum. None wins for everyone: fertility plans, insurance, medication type, state access and the complete bill can change your next step.

Last verified: October 2026 — sources checked October 14, 2026 · By TRT Provider Guide · Editorial research, not medically reviewed
Last updated October 14, 2026 · Last reviewed October 14, 2026

This page is for you if you've tried Keeps, looked at it and walked away, or you're on it now and want out cleanly.

Not for you yet if low testosterone has not been properly evaluated. Diagnosis requires compatible symptoms or signs and consistently low results, confirmed with appropriate repeat early-morning testing—not a quiz or one number. Start with how low testosterone is diagnosed. ^{1, 2}

These are editorial matches based on the public documents cited, not rankings of clinical quality or complete patient quotes. Full calculations and the missing charges are below.

TRT Provider Guide has affiliate relationships with Male Excel, Hone Health and Taurus Meds and may earn a commission from qualifying referrals. That does not make them the right fit for everyone. The provider links in this article open public information pages, not tracked enrollment offers. Read our affiliate disclosure.
Separately labeled Male Excel offer buttons below are paid affiliate referrals.

Explore Male Excel's current TRT offer →
Affiliate link. We may earn a commission from qualifying actions. State access and treatment require clinician confirmation.

There's one more thing most people miss before they switch. Keeps' own documents describe its billing three different ways. Get the terms attached to your actual offer before you compare it with another clinic's quote. ^{15, 16, 17}

Talk with your clinician before choosing another subscription if you want children, have a history of prostate or breast cancer, a high red blood cell count, untreated severe sleep apnea, or a recent heart attack or stroke. A general provider comparison cannot clear those concerns. ^{1, 14}

Educational information, not medical advice. A licensed clinician decides whether testosterone is appropriate. This comparison concerns U.S. adult men being evaluated or treated for testosterone deficiency; it is not a care guide for adolescents, women's hormone therapy, gender-affirming care or nonmedical testosterone use. For chest pain, trouble breathing or signs of a stroke, call 911. New one-sided leg swelling needs prompt medical assessment. ¹³

TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

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Which Keeps TRT alternatives fit your reason for switching?

There's no single best Keeps TRT alternative. Male Excel is worth comparing for its managed program, Hone for its stated testing pathway, and TRT Nation for its lower advertised base rate. If your main problem is unclear billing, none earns your business until it gives you a complete written quote. ^{3, 6, 10}

We built this page around the reasons people walk away from Keeps, because "a list of other TRT clinics" doesn't help much. If Keeps' billing confused you, a cheaper clinic with murky billing just repeats the problem. If you need hCG, the cheapest injection plan is the wrong answer at any price.

So start here. Find your reason. Then read only the sections that matter to you.

Match your reason to the fix

The first column describes decision situations, not quotations from a customer survey.

The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to map your situation to the right care route and the questions to ask before you pay. The tool is educational. It doesn't diagnose low testosterone, decide medical eligibility or guarantee a prescription.

What we actually verified (short version): On October 14, 2026, we checked public pricing, terms and patient documents, then recalculated the published rate examples. We also checked the official clinical and regulatory sources linked below. We did not sign up, buy care, test support or confirm an individual clinician's license. Full verification details below.

If you left Keeps because you couldn't follow the charges, use Male Excel's itemized main-site prices as a starting point—not a promise that every cost is disclosed. Its advertised testosterone is compounded, not FDA-approved, and the price cards include a separate thyroid tablet. ^{3, 23, 24}

See Male Excel's current pricing →

Official information page. Medication is separate from membership; shipping and prescription changes can affect the bill. Paying doesn't guarantee a prescription.

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Why do people look for Keeps TRT alternatives?

Billing, refill timing, cost and a missing treatment or care option are useful reasons to compare Keeps with another provider. They are not proof that most members leave for those reasons. Keeps also does some things well, which matters if you're deciding whether to stay.

Keeps is the testosterone program of Thirty Madison, Inc., the same company behind Keeps' hair-loss products. The TRT program runs on its own site, trt.keeps.com, with its own terms. Medical care comes from affiliated medical groups named in those terms: OpenLoop Healthcare Partners, JMP Medical and KMG Medical Group MO. Those are company disclosures, not an independent license check of the clinician who would treat you. ¹⁶

Keeps' own documents disagree about billing

This is the part most people never see. We put Keeps' three main documents side by side on October 14, 2026. ^{15, 16, 17}

The manual does say "bundled subscriptions follow the terms of the selected bundle." So different members may be on different plans. That doesn't mean anyone is being billed wrongly. It means you can't know your real schedule from the website alone.

The practical rule: get the terms attached to your actual offer. Keeps' Terms incorporate additional terms, and its manual defers to selected-bundle terms. Do not assume that the sales page or the general Terms automatically settles every difference. Save your offer, checkout disclosures, charge amounts and dates. ^{16, 17}

There's some history behind people's caution here, too. In August 2026, New York's Attorney General announced a $400,000 settlement with Thirty Madison over subscription disclosures and cancellation practices. The agreement identifies Keeps as a hair-loss brand; it is not a finding that your TRT bill is wrong. Still, it's a good reason to keep your own written records. Our Keeps TRT cost guide breaks the billing down line by line. ^{25, 26}

What Keeps does well

We'd be doing you a disservice if we only listed problems.

• A broad first lab panel. Keeps' patient manual lists 11 required lab tests, including free testosterone, LH, FSH, prolactin, PSA, hematocrit and estradiol. The manual names Quest, Labcorp and BioReference; its product page also offers an at-home option. The manual's list does not name total testosterone, while the product page advertises 12-plus biomarkers. Ask for the actual order and repeat-test process; a marker count is not proof of a complete diagnosis. ^{15, 17}
• Labs tied to refills. Keeps requires updated labs before each refill or dose change unless the clinician advises otherwise. That's frustrating when a refill stalls, but the answer is a workable monitoring schedule—not skipping needed tests. ¹⁷
• A low entry price. Its homepage advertises a $49 start for testing, a clinician consultation and a plan. That is not the ongoing treatment price. ²⁷
• Long support hours. The manual lists phone and email support from 8 a.m. to 8 p.m. Eastern, seven days a week. These are posted hours, not a response time we tested. ¹⁷

What members report

Customer reviews of Keeps on Trustpilot mix the hair-loss and TRT programs. We did not treat the site's overall rating or its automated summary as a TRT-specific measure.

Two attributable TRT reviews illustrate why the details matter. In a review updated July 23, 2026, Gabriel Amaya reported that his expected first-month price changed and that he could not get shipment tracking; he said he canceled. In a review posted July 31, 2026, J A. described a positive TRT experience and wrote, "The pricing is fair, the process is easy." Keeps replied to both reviews. ²⁸

These are individual experiences. They don't prove what Keeps' policy is or how often these things happen. Trustpilot labels both reviews unprompted; we did not independently establish the reviewers' relationship with Keeps or verify their accounts. Our full Keeps TRT reviews page covers the company in depth.

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How do I cancel Keeps TRT without another charge or a gap in treatment?

Keeps' Terms say to email trt@keeps.com at least 48 hours before your current billing cycle ends. Fees already charged are generally non-refundable, subject to the guarantee and applicable law. Plan the care handoff with a clinician before your supply runs out; canceling a subscription does not itself arrange a new prescription. ¹⁶

This section is for current Keeps members. If you're still shopping, skip ahead to costs.

The Keeps exit checklist

The billing steps below come from Keeps' Terms of Service and patient manual. The handoff steps are our practical checklist, not a promise that another clinic will accept you. ^{16, 17}

1. Find your next billing date. Look in your Keeps portal. Screenshot it. You may have two dates: one for membership and one for medication.
2. Check the receiving provider before you cancel. Confirm that it serves your state, can review your records and has an appointment available. Ask whether it accepts existing labs or needs new ones. Keeps itself asks incoming patients for fresh labs through its partners; TRT Nation says it can accept suitable recent outside results. ^{17, 11}
3. Gather your records. Download your lab results. Write down your current prescription: medicine name, dose, how often you take it, the fill date and the date of your first dose. These match the prescription details Keeps asks incoming patients to supply. Add the dispensing pharmacy and any side effects or unresolved follow-up questions. ¹⁷
4. Email your cancellation. Send it to trt@keeps.com at least 48 hours before your cycle ends, and ask for written confirmation. The manual also mentions canceling in the portal, but the Terms name email, so email is the safer record. Ask which membership and medication renewals have stopped; the Terms say membership cancellation also ends the medication subscription. ^{16, 17}
5. Check whether the guarantee applies. The Terms require continuous enrollment and prescribed use for at least 90 days after delivery of the first shipment, accepted baseline results, and a follow-up draw at least 90 days after that delivery. If total testosterone has not risen at least 20%, an eligible claim can refund the most recent membership and medication billing cycle. You must email within 30 days of receiving the follow-up results. It's one refund per customer, with adherence and other exclusions. A refund condition is not a reason to continue a medicine your clinician tells you to change. ¹⁶
6. Don't stretch, skip or change doses to bridge a gap. Ask your current or new clinician how to time the switch. The receiving clinician may not continue the same prescription. Our page on stopping TRT explains the separate medical questions involved. ^{17, 1}

One more contract detail. Keeps' Terms include individual arbitration and a 30-day opt-out after you first affirmatively accept the Terms. The opt-out goes to legal@joinKeeps.com and must include the identifying information and clear statement specified in Section 13(f). That is a different action from canceling your subscription. ¹⁶

Not sure whether your situation calls for an online program at all after leaving? Map your next care route with Find My TRT Path →

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Are Keeps alternatives cheaper? Year-one costs compared

Some alternatives have lower advertised rates than Keeps' $199 monthly injectable offer, but a starting-price calculation is not a complete first-year bill. The amount depends on the offer you receive, the prescribed product, required tests and the dates charges start. Compare the same costs before calling any option cheaper. ^{15, 3, 6, 8, 10}

Every option on the same ruler

The table separates published rate arithmetic from what remains outside the total. It is not a set of patient quotes. We do not count unknown required costs as zero or assume that a vial lasts a month.

A few notes on the numbers:

• Hone's medication price is listed two ways. Its plan page says injections start at $28 per vial. Its product page says $28 per month. We retain the monthly figure only as a stated assumption, not as a verified refill cost for every prescription. Hone also lists the in-lab confirmation test at $45 on one page and $50 on another, so both remain visible. ^{6, 7, 30}
• Taurus' fee is unresolved for an individual purchase. Its offer page says no membership fees. Its Terms say $17.99 per billing period unless otherwise stated at purchase, without defining one fixed interval for every plan. The offer could be an exception; the documents do not prove a hidden monthly fee is always charged. ^{8, 9}
• TRT Nation's labs. Its FAQ describes blood work after the first 10 weeks of treatment and again six months after the first lab, then yearly. Three $129 panels produce the $387 illustration. It accepts appropriate recent outside labs, typically within 120 days; additional clinical needs or accepted results change that budget. ¹¹

Does Keeps' $3,606 “other providers” comparison prove savings?

Keeps' injectable page shows a table comparing its $199/month plan to "Other Providers" at $3,606 per year. It breaks that into bloodwork, shipping, consultation, membership, TRT medication and injection supplies. It doesn't name a single provider. ¹⁵

So we priced real ones.

Those starting-rate illustrations are below $3,606. They do not prove that no provider costs that much, that every plan is comparable, or that Keeps is always more expensive. Nor does Keeps' unnamed comparison prove what you would save with its program.

Our take: Keeps can be competitively priced if its $199 monthly bundle and included services apply to you. But an unnamed comparison is not a substitute for your two actual quotes. Choose on the reason you're leaving, not on price alone.

Count the charge dates, not just the months

A monthly price and a billing cycle aren't the same thing. This table counts charges from day 0 through day 364, assuming the first charge is on day 0 and the same cycle continues without a pause.

These are calendar calculations, not assertions that each provider uses every illustrated interval. A delayed first charge, introductory credit or existing prepaid supply changes the count. For Male Excel, 60-day supplies and every-other-month billing are not the same promise. Ask which controls your renewal dates.

None of that is a hidden fee. But it can make your card statement look higher than a "per month" price suggests. Ask any provider for the exact dates of your first five charges before you pay.

Copy this quote request before choosing

Please send an itemized quote for the first 365 days, starting on the date of my first payment. List the initial assessment, both diagnostic tests if needed, membership, the exact prescribed medication and quantity, dispensing pharmacy, supplies, routine and extra labs, clinician visits, shipping and taxes. State what is included, what is separate, the minimum purchase or commitment, and every renewal amount and date. Show whether the initial payment is additional or credited. Please also confirm my state, the cancellation deadline, any pending-shipment cutoff, refund conditions and how I can request my medical records.

First-year cash paid = all charges dated within those 365 days, minus actual credits or refunds. Keep that separate from how many months of service or medication those charges buy. If a required item is missing, the quote is incomplete—not cheaper.

HSA, FSA and insurance

• Keeps: Its Terms describe cash payment and no insurance billing. ¹⁶
• Male Excel: Its price cards label treatment FSA/HSA eligible; its FAQ says it does not accept insurance or provide letters of medical necessity. Check the documentation your account requires. ^{3, 19}
• Hone Health: Its membership documents describe a cash-pay program rather than insurance billing. Confirm any HSA or FSA payment or reimbursement process separately. ^{6, 18}
• Hims: Its testosterone page says it does not currently accept FSA or HSA payment. That statement is not a ruling on every patient's tax eligibility. ³²
• Your own clinician: Ask your insurer about the specific clinician, lab and drug. FDA approval does not guarantee coverage, a low copay or exemption from prior authorization.

Always check with your plan administrator. A clinic's label does not establish that every charge qualifies; account and tax rules also apply. ³³

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When is Male Excel a useful Keeps alternative?

Male Excel's main pricing page separates a $99 start, a $99 monthly membership and an injection-and-thyroid bundle from $120 a month. It is worth comparing for a managed program with cream or injection options, not because its whole first year is known in advance. Shipping, the applicable offer and the thyroid component still need answers. ³

What you get

Provider-stated features checked on October 14, 2026:

• $99 online consultation. Includes an at-home hormone test kit and your treatment plan. ^{3, 34}
• $99/month Medical Membership. A dedicated Male Excel medical provider, unlimited e-visits and unlimited messaging with its support team. These are access claims, not a guaranteed appointment or response time. ³
• Injection-and-thyroid bundle from $120/month. The price card describes testosterone cypionate, a 60-day supply and 60 syringes, billed every other month. It is a bundle price, not a verified testosterone-only quote. ³
• Cream-and-thyroid bundle from $132/month. The same distinction applies. The clinician must decide which medicines, if any, are appropriate. ^{3, 23}
• No required long-term contract advertised. The Terms permit subscription cancellation but refer to the cancellation policy for when it takes effect. Ask for the cutoff before the next medication order. ^{3, 35}
• A refill reminder before each 60-day supply ends. The FAQ describes a medical assessment and a refill decision, not automatic approval or a promise of uninterrupted supply. ¹⁹

Its homepage also describes provider check-ins every 60 days and full hormone and health panels every six months. Ask which tests are included in your membership and which cost extra. ²³

Confirm the diagnostic process before paying. The homepage says protocols begin with testing, but also says prescribing may occur before lab results arrive when clinically appropriate. That is general program language, not proof that testosterone is always prescribed without results. Ask how a new testosterone prescription is supported by symptoms or signs and appropriate repeat early-morning testing. ^{23, 1}

The thing Male Excel does not solve automatically

Male Excel does not establish a cheaper bill than Keeps' advertised $199 monthly bundle. Its main-site starting rates add up to $219/month for membership plus the injection-and-thyroid bundle, before shipping. The $2,727 figure is a rate model, not a confirmed first-year total. ^{3, 15}

Its starting test is an at-home finger-prick kit that lists five markers: testosterone, estradiol, DHEA-S, free T3 and PSA. That is not the same panel as Keeps' 11-item manual list. Neither marker count proves that diagnosis or monitoring is complete. ^{34, 17, 1}

If the lowest advertised treatment rate is your priority, compare TRT Nation. If a published confirmation-test pathway is the priority, compare Hone Health.

But Male Excel's managed model may still fit someone who wants one provider, arranged testing and coordinated medication fulfillment. That's the value case. It is not proof that bills or refills will be simpler for you.

Its other pricing pages need an answer, too

Male Excel's main site lists $99/month membership. Its HRT subdomain still displays $30 per 30 days on one pricing page and $79/month on a how-it-works page. Those are different published descriptions, not three verified offers available to every new patient. ^{3, 4, 5}

Ask which schedule applies to your checkout. If billing confusion is why you're leaving Keeps, switching brands without resolving this just repeats the problem.

Know this before you start

• It's a compounded program. Male Excel describes compounded testosterone. Its compounded preparations are not FDA-approved. Ask for the exact finished product and dispensing pharmacy, not just the ingredient name. ^{23, 24}
• There's a second medicine in the advertised bundle. Both price cards include a thyroid tablet, while the homepage says thyroid medication is used when clinically appropriate. Ask why it is proposed and what the plan costs if it is not prescribed. ^{3, 23}
• The thyroid product needs its own check. Male Excel's safety information discusses desiccated thyroid, an animal-derived medicine. FDA says animal-derived thyroid drugs are unapproved and not eligible for compounding as biological products. Confirm the exact product; this is not the same regulatory question as compounded testosterone. ^{23, 36}
• Your prescription changes your price. Shipping is extra, and the pricing FAQ says prescription changes can change costs. ³
• You can't pick your pharmacy within this program. Its Terms say it will not send the prescription to a different pharmacy. Its FAQ lists AnazaoHealth and WellDyneRx-FL; that is a provider-published list, not proof of which will fill your prescription or an independent license audit. ^{19, 35}
• Packaging matters. Its Terms state that medications are not shipped in child-resistant packaging. Ask the pharmacist about safe storage, especially where children live or visit. ³⁵
• Sales are generally final. The Terms say fees are non-refundable unless a stated exception applies. Canceling a subscription is not the same as reversing a processed order. ³⁵
• State limits. It doesn't prescribe in Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire or Rhode Island, according to its FAQ. D.C. is not resolved by that state list. ¹⁹

The Excel Advantage guarantee

Eligible new members whose symptoms do not improve after following the required protocol for 90 days may request their first three months of membership fees back. The terms require appointments and other adherence conditions, and permit review of symptom assessments and supporting records. You must contact Male Excel within 30 days after the 90-day period ends. It covers membership, not medication. Keep your records. ²⁰

Want to see what the whole plan includes before you commit?

Review Male Excel's test and consultation package →

Official package information, not an eligibility decision. Compare its offer with the recurring pricing and terms before paying.

Explore Male Excel's current TRT offer →
Affiliate link. We may earn a commission from qualifying actions. State access and treatment require clinician confirmation.

Want the full two-way comparison? See Male Excel vs Keeps TRT and our Male Excel cost breakdown.

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When is Hone Health a useful Keeps alternative?

Hone Health publishes a confirmatory blood-test pathway for men being evaluated for TRT. Its Plus plan costs $135/month before medication, with initial and confirmation testing charged separately. That makes Hone useful to compare for testing clarity—not proof of a $2,046 all-in first-year bill. ^{6, 7}

What you get

Hone's membership and lab pages were updated September 29, 2026 and checked October 14, 2026. The following are its stated services, not care we tested. ^{6, 7, 18}

• Plus plan: $135/month. It starts with a $45 at-home kit that checks eight markers, including total and calculated free testosterone, SHBG (a protein that binds testosterone), LH (a hormone signal involved in testosterone production) and estradiol. ⁶
• A confirmatory test when the initial assessment indicates a need to evaluate TRT. It rechecks total testosterone and adds hematocrit (the share of blood made up of red blood cells), PSA (a prostate-related blood marker) and prolactin. It costs $45 or $50 at a lab, depending on which Hone page you read, or $80 at home. ^{6, 7}
• Premium plan: $155/month. It starts with a $65 in-lab test and a $25 confirmation, and adds broader lab panels. Its confirmation tests total testosterone and prolactin; don't substitute the Plus panel description. ¹⁸
• Included in membership: a live video visit with a Hone physician, scheduled follow-up labs and consultations, and free shipping, according to the plan pages. Ask about tests or services outside the stated plan. ^{6, 18}
• Follow-up labs on Plus at 3, 6, 9, 12 and 18 months, with hematocrit and PSA listed at 6, 12 and 18 months. Your clinician may require a different schedule. ⁷
• Medication billed separately: injectable testosterone cypionate from $28 per vial on the membership page; cream or troches from $60/month. The product page's $28/month wording needs reconciliation with your prescription. ^{6, 30}

This matters because diagnosis should not rest on one result. The Endocrine Society's July 2026 statement calls for compatible clinical findings and at least two early-morning, fasting testosterone measurements. A company's test menu alone does not confirm that every patient's sample timing, laboratory test method and clinical evaluation meets that standard. ²

Know this before you start

• The cypionate product reviewed is compounded. Hone's product page says it is not FDA-approved. That statement concerns the listed product, not every medication Hone might offer. ³⁰
• Membership and medication are separate bills, and so is canceling them. Hone's cancellation policy says canceling membership does not cancel pending shipments. Contact support separately about those orders. ³¹
• Cancellation timing needs confirmation. The cancellation policy says cancellation is effective when the form is submitted and there are no partial-period refunds; the Premium membership page says it takes effect at the end of the current billing period. Get the end date and any pending charges in writing. ^{31, 18}
• Medication already processed by the pharmacy cannot be refunded under the policy. Unprocessed orders have different refund conditions. ³¹
• You can pause. Hone offers a pause of up to three months under its policy. Ask how that affects medication orders and your clinical follow-up. ³¹
• Plans differ by state. Plus lists 35 states and Premium lists 34. New York gets Premium only. Hawaii and South Dakota get Plus only. ²²
• No service in the published list for Alabama, Alaska, Arkansas, Connecticut, Delaware, Kansas, Louisiana, Minnesota, New Hampshire, New Jersey, North Dakota, Pennsylvania, Rhode Island, South Carolina or D.C. ²²

Does a published second-test pathway sound like your situation?

Check Hone Health's plans for your state →

Official plan-availability list. It does not establish clinical eligibility or guarantee an appointment.

More detail: Hone TRT cost breakdown.

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When is Taurus Meds worth comparing with Keeps?

Taurus Meds advertises a $49 blood test and consultation, then $149 a month for prescribed medication. Its $1,837 twelve-month illustration is below Male Excel's main-site starting-rate model, but the fee, billing and refund documents leave questions. Get those answered before paying—not after a clinician call. ^{8, 9, 37, 3}

What Taurus says you get

From its testosterone offer page, checked October 14, 2026:

• $49 blood test and consultation. Draws are described at Labcorp or Quest. For patients more than 50 miles from a lab, Taurus says it sends a home kit without an extra charge. ⁸
• $149/month advertised as all-inclusive for prescribed medication. Its subscription policy separately says covered services, labs and medicines may vary. Confirm your routine monitoring, extra tests, visits, supplies and shipping. ^{8, 37}
• Testosterone formats listed: testosterone cypionate and testosterone gel. The same offer also lists enclomiphene, which is a non-testosterone medicine, not another TRT format. ^{8, 38}
• A 90-day results-based refund offer, minus lab and pharmacy fees. Its separate refund policy says results are not guaranteed. Do not treat this as a risk-free trial or assume the entire $1,837 illustration is refundable. ^{8, 37}

What to confirm first

• The membership fee. The offer page says no membership fees. Section 28 of its Terms describes $17.99 per billing period unless the purchase terms say otherwise. Ask which applies to your plan and how long a billing period is. ^{8, 9}
• When you are charged. The refund policy describes charging the first subscription month when intake is completed. The campaign FAQ describes medication payment after labs but before the clinician call. Ask for the amount and timing before submitting payment. Neither description guarantees a prescription. ^{8, 37}
• What's actually in your prescription. The offer page says its hormones are compounded, but uses Male Excel's Excel Advantage program name. It also repeats injection language under gel and enclomiphene cards. These are real inconsistencies in the page, not usable medication instructions or proof the companies share a care team. Ask Taurus to confirm the medicine, treatment format, medical group and responsible clinician. Its Terms name OpenLoop Health as its management partner. ^{8, 9}
• Which pharmacy fills it. The Terms list RedRock Pharmacy, Health Warehouse, Precision Compounding Pharmacy and Triad Rx. The list does not establish which will dispense your medicine, its formulation, or a license verified for your state. ⁹
• The cancellation deadline. The separate cancellation policy requires the request at least 72 hours before the billing date. Miss that deadline and it says the next charge proceeds, with cancellation taking effect on the following billing date. Get written confirmation for every subscription. ³⁷
• Refund exclusions. The Terms exclude shipped medication and blood-work refunds. The separate policy uses both full-refund and narrower remaining-subscription-charge language for medical disqualification. Ask for the actual refundable amount if care cannot proceed, including if no clinician is available in your state. ^{9, 37}
• Your state. We did not verify a complete state list. Confirm clinician, appointment and pharmacy availability before paying. ^{8, 9}

If the advertised $149 bundle fits your budget, resolve the fee and cancellation terms first.

See Taurus Meds' current $49 offer →

Official offer page. The $49 describes the blood test and consultation, not a guaranteed prescription or a complete treatment bill.

More detail: Taurus Meds cost.

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What about TRT Nation, Defy Medical, Hims and your own doctor?

TRT Nation has the lowest advertised base treatment rate among the four main programs compared here; Defy is worth requesting an itemized quote from. Hims' current testosterone page still markets a non-testosterone product rather than an available like-for-like injectable replacement. A clinician-and-pharmacy arrangement may better meet an FDA-approved-product or insurance requirement. ^{10, 29, 32, 12}

We include them because leaving them out would make this page worse.

TRT Nation: lower advertised rate, larger purchase blocks

• $99.99/month for testosterone, with a 2.5-month minimum purchase. California pricing may differ. ¹⁰
• TRT + hCG plan: $180/month, also with a 2.5-month minimum. That is about $450 per minimum purchase before separate costs, not a fertility guarantee. ^{10, 14}
• Labs aren't included. Its panel is $129. It accepts suitable recent outside labs, typically within 120 days, subject to clinician review. ¹¹
• Lab schedule: after the first 10 weeks of treatment, six months after the first lab, then yearly, according to its FAQ. Ask how this changes for a transferring patient or an abnormal result. ¹¹
• Medication is described as coming from licensed U.S. compounding pharmacies. That is a provider claim about suppliers, not an independent pharmacy audit or proof of the status of every finished product. ¹¹
• Year-one budgeting: about $1,637 for five 2.5-month purchases and three $129 panels at the advertised base rate. The lower $1,586.88 calculation buys only 12 months at the rate, rather than whole purchase blocks. ^{10, 11}
• Watch for: about $250 per minimum treatment purchase, not $100 each month. Its FAQ generally describes candidates as adult men age 24 or older. We did not verify a complete state list or a universal cancellation/refund deadline from the program and FAQ pages. Get those answers before buying. ^{10, 11}

See TRT Nation's program and lab pricing →

Defy Medical: ask for a service-by-service quote

Defy's help center gives an average below $175/month for a male patient's first year, including testosterone, an aromatase inhibitor, labs and consultations. That is the company's estimate, not a binding first-year price, a medication recommendation or proof of savings for you. ²⁹

Ask for the initial visit, follow-up, laboratory, medication, supplies and shipping charges; any current subscription or commitment; and the physical-exam documentation it requires. We did not verify a complete current quote, universal state list or patient-specific pharmacy assignment. Those gaps keep Defy out of a lowest-cost ranking—not out of consideration.

See Defy Medical's help center and request a cost breakdown →

Hims: not a like-for-like Keeps replacement yet

As of October 14, 2026, Hims' testosterone page advertises compounded enclomiphene-containing products, including a tadalafil combination, from $99/month under a 10-month upfront plan. That means $990 for that advertised 10-month term, not $99 paid each month or a full year for $990. Its page still lists injectable testosterone and Kyzatrex as coming in 2026; we did not verify an active testosterone-prescribing offer there. ³²

Enclomiphene isn't testosterone, and it isn't FDA-approved. If you're on Keeps injections, the enclomiphene offer is not a direct swap. Kyzatrex's approved-product status does not make Hims' compounded offer approved. ^{38, 32, 39}

Your own doctor: an FDA-approved-product or insurance route

A primary care doctor, urologist or endocrinologist can evaluate whether an FDA-approved testosterone product fits your needs. Approved testosterone cypionate injections exist, but the ingredient name alone does not identify an approved finished product. ^{12, 13}

Ask for the exact product, a pharmacy quote and the visits and monitoring needed around it. Check your plan's network, drug coverage, deductible and authorization requirements. You do not automatically gain coverage just by leaving a cash-pay program, and a vial price alone is not a monthly treatment cost.

You give up the all-in-one membership if you choose separate clinical and pharmacy services. In return, you may gain access to your preferred pharmacy, covered care or a needed physical examination. An online clinician can also be part of that arrangement when the product, state and prescribing requirements permit it. See online vs local TRT care. ^{40, 41}

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Are Keeps alternatives compounded too, or FDA-approved?

Several specific offers in this comparison use compounded testosterone, which is not FDA-approved. That includes the compounded products described by Keeps, Male Excel, Hone and Taurus; TRT Nation identifies compounding-pharmacy suppliers. Check the actual medicine and dispensing pharmacy rather than assuming every product from an online clinic has the same approval status. ^{27, 23, 30, 8, 11, 24}

What “compounded” means

A compounded drug is prepared or altered for a medical need instead of being the finished FDA-approved product. The FDA says compounded drugs are not FDA-approved. That means the FDA does not review them for safety, effectiveness or quality before they are marketed. This is a meaningful difference, not proof that every compounded prescription will harm someone or that it is equivalent to an approved drug. ²⁴

Here's what each company's public material establishes—and what it does not:

FDA-approved testosterone is a separate comparison. Ask the prescriber and pharmacist for the finished product's name, manufacturer and approval information. A pharmacy being named on a clinic's website is not an independent check of its license, dispensing role or authorization to ship to your state. ^{12, 13}

The extra medicines in some plans

Keeps' injectable page advertises included anastrozole. Anastrozole is FDA-approved for certain breast cancers in postmenopausal women; use in men receiving TRT is off-label. Ask the clinician for the indication, expected benefit, risks and monitoring—not whether one lab number automatically calls for it. ^{15, 42}

Male Excel's advertised bundles include a thyroid tablet, while its homepage says thyroid medication is used when clinically appropriate. Ask why, especially if your thyroid tests are normal. FDA's separate notice on unapproved animal-derived thyroid drugs matters if the proposed product is desiccated thyroid. ^{3, 23, 36}

For a topical testosterone product, ask the pharmacist about transfer to other people and the product-specific precautions. A cream or gel is not automatically the easier choice in a home with children or close skin contact. ⁴³

What changed in testosterone labels

In February 2025, FDA announced class-wide label changes following the TRAVERSE trial: removal of boxed-warning language about increased major cardiovascular risk, plus blood-pressure warning changes. Those findings do not establish that every formulation, compounded preparation or use is free of cardiovascular risk. Whichever provider you choose, ask how it will monitor blood pressure and other relevant risks. ⁴⁴

There was a further development in June 2026. HHS announced FDA's requested changes to age-related-use limitations, prostate-cancer information and enlarged-prostate warnings. A requested label revision is not proof that every product label has already changed. Use the current prescribing information for the exact product; the announcement is not permission to self-diagnose, bypass evaluation or treat a past cancer history as cleared. ^{45, 12, 2}

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Which Keeps alternatives serve my state?

Male Excel's FAQ excludes 11 states, while Hone's list excludes 14 states plus D.C. Eight states are excluded by both: Alabama, Alaska, Arkansas, Connecticut, Louisiana, Minnesota, New Hampshire and Rhode Island. A state appearing on a list still does not guarantee your treatment, an available clinician or pharmacy access. ^{19, 22}

Quick routing: Hawaii, Idaho and Mississippi are excluded by Male Excel, while Hone Plus lists them. Delaware, Kansas, New Jersey, North Dakota, Pennsylvania and South Carolina are excluded by Hone but are not on Male Excel's state-exclusion list. D.C. still needs a separate answer from Male Excel. In one of the eight “neither” states, seek confirmed access elsewhere or start with a local clinician. ^{19, 22}

The telemedicine rule has a date on it

Testosterone is a Schedule III controlled substance in the United States and requires a valid prescription. Federal law generally requires an in-person evaluation for internet prescribing of controlled medicines unless a recognized exception applies. ^{46, 41}

The current temporary federal extension runs through December 31, 2026. It allows qualifying DEA-registered practitioners to prescribe Schedule II–V medicines through an audio-video telemedicine encounter without a prior in-person evaluation, subject to the rule's conditions, legitimate medical practice and applicable federal and state laws. The separate audio-only flexibility for certain opioid-use-disorder medicines is not a blanket phone-only exception for testosterone. ^{40, 41}

A provider or state may still require an in-person evaluation. Ask what the program requires now and how it will handle care if the federal rules change. The extension is not a guarantee that your clinician can prescribe in every state or continue unchanged in 2027.

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Which Keeps alternative is best if you want kids or need hCG?

If fertility matters, discuss it with a fertility-aware clinician before choosing another TRT subscription; a reproductive urologist is a useful next step for infertility or near-term plans. Testosterone therapy can suppress sperm production. TRT Nation advertises a testosterone-plus-hCG plan, but a listed add-on does not prove fertility is protected. ^{14, 10}

Here's why this matters. Testosterone from outside the body can reduce the hormone signals that support sperm production. Less signal can mean less sperm, sometimes none in the semen. The Endocrine Society recommends against starting testosterone when fertility is planned in the near term; AUA/ASRM fertility guidance also warns against testosterone-only treatment when current or future fertility is desired. ^{1, 14}

That doesn't mean everyone on TRT becomes infertile, or that fertility always comes back on a set schedule. It means the decision belongs with a specialist when kids are on your list.

The Keeps, Male Excel and Hone pages checked did not establish a current hCG-with-TRT offer. That is a limit of what we verified, not proof that no clinician associated with those services ever prescribes it. Ask the clinician handling your fertility care what evaluation and treatment are appropriate; do not pick a drug from a menu. ^{27, 3, 6}

Things that are not TRT—and are not interchangeable with it:

None of these is "natural TRT," and none comes with a fertility guarantee. Read more on TRT and fertility and hCG for men.

Map your fertility-first options with Find My TRT Path →

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Do I need new blood work to switch from Keeps?

Not always: the receiving clinician decides whether your existing results are suitable and what new tests are needed. TRT Nation says it can accept appropriate recent outside labs, while other programs publish their own starter testing. Bring your latest results and prescription details rather than assuming every clinic will accept—or reject—them. ^{11, 34, 6, 8}

What each provider says about testing and follow-up:

Diagnosis and monitoring are different jobs. The Endocrine Society recommends symptoms or signs plus consistently low testosterone confirmed with repeat morning, fasting measurements using accurate laboratory methods. Its 2026 statement supports standardized testing, including the CDC's hormone-standardization approach; it does not turn a quiz, one cutoff or the brand of test kit into a diagnosis. ^{1, 2}

If you are already taking testosterone, your clinician needs to interpret results in light of that treatment and the timing of your blood draw. Bring any pre-treatment results you have. Do not stop or change treatment on your own to recreate a diagnostic test. ^{1, 17}

Bring this to your first visit

• Your most recent lab results and any pre-treatment results, as PDFs.
• Your current prescription: medicine name, dose, how often, fill date, date of first dose, dispensing pharmacy and remaining labeled supply.
• A list of other medicines, side effects, fertility plans and pending follow-up needs.
• Your cancellation confirmation and renewal dates. A cancellation confirmation does not establish when your medication supply ends.

Request missing records from the medical group through its secure records process. Ask about access after membership ends and any record-copy charge. Do not assume a provider change transfers your complete file automatically.

Ask who handles a problem between visits

Keeps describes portal appointments and clinician access; Male Excel advertises a dedicated provider and messaging; Hone lists physician consultations and included scheduled follow-up. Those are published features, not verified appointment capacity or service response times. ^{17, 3, 6}

Before choosing, ask for the clinician's name, professional credential and state license; the process for an abnormal result; and who handles a refill that is waiting on review. Check the license with the relevant state board. A provider title, company profile or “unlimited access” label does not answer those questions.

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Should I just stay with Keeps?

Staying can be the right choice when your clinician and monitoring plan work for you and your actual charges are clear. Switching makes more sense when another verified care arrangement solves a real problem, such as product access, cost or needed in-person care. Do not change providers just to avoid medically needed testing.

Four questions to email Keeps before you decide to stay:

1. What's my exact membership charge, and how often is it billed?
2. Is medication included, or is there a separate medication fee? How much, and how often?
3. Which guarantee applies to me: the 10% on the sales page or the 20% in the Terms?
4. How do I cancel, and how many days before my billing date?

Those questions come directly from the differences between its public documents. ^{15, 16, 17}

If the answers match what you signed up for, staying may be the easy right call. Keeps' TRT site →

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How did we compare Keeps and its alternatives?

We checked the public sources on October 14, 2026, recalculated the rate examples and kept the differences between offers visible. We separated what the documents establish from provider claims and our own judgments. We didn't buy care, test support or open patient accounts.

What we actually verified

Date checked: October 14, 2026.

Sources read: Keeps homepage, injectable page, Terms and patient manual; Male Excel main pricing, test package, FAQ, Terms, guarantee, homepage and HRT-subdomain pricing; Hone plan, testing, state, cancellation and cypionate pages; Taurus offer, Terms and cancellation/refund policy; TRT Nation program and FAQ; Defy help-center cost summary; Hims testosterone page; the FDA, HHS, DEA, clinical-guideline, drug-label and New York Attorney General materials listed below.

Confirmed from public documents: the published price components, contradictory fee and guarantee wording, stated billing intervals, cancellation notices, product disclosures and the Male Excel/Hone state lists. Our calculations can be reproduced from the displayed inputs. This confirms what the sources say—not that a particular patient's care or billing follows every claim.

Provider-stated, not independently tested: lab inclusions, clinician access, support hours, refill processes, stated pharmacy relationships and service availability. We did not certify the clinical quality of any provider.

Not established for an individual patient: the complete first-year quote, applicable offer, assigned clinician and pharmacy, professional licenses, appointment timing, all repeat-test or extra-service charges, insurance benefits, records turnaround and eligibility for a refund.

Customer-experience signals: the two attributable TRT reviews described above. They are not a representative survey, proof of medical outcomes or a verified rate of complaints.

How we calculate costs: we show the stated fee, unit and timing before totaling anything. Twelve-month rate illustrations are distinct from payments within the first 365 days. Where a source omits a required cost or two documents disagree, we explain the limit rather than insert zero or select the cheaper answer.

How we match providers to reasons: each recommendation is our editorial judgment, based on the verified facts above. It's not a medical score or a ranking of clinical quality. Our full method is How We Review TRT Providers; the publication's current detailed methodology explains its evidence standards.

Prices and policies change. Check the linked terms against the offer you receive, and report a correction when a source or quote conflicts with this page. Our editorial standards and privacy policy explain the publication's standards and data practices.

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Keeps TRT alternatives: what else should you know?

The remaining questions mostly concern payment, product type and the handoff between clinicians. The answers below apply to the public documents checked on October 14, 2026; your written offer and clinical evaluation still matter.

What is a good alternative to Keeps TRT?

It depends on why you're leaving. Compare Male Excel for a managed cream-or-injection program, Hone for its published confirmatory-test pathway and TRT Nation for its lower advertised base rate. For FDA-approved testosterone, insurance or fertility needs, the right clinician-and-pharmacy arrangement can matter more than the subscription brand. ^{3, 6, 10, 12, 14}

Is there a cheaper alternative to Keeps TRT?

Some published starting-rate examples are lower than 12 payments of Keeps' $199 offer, which equals $2,388. But TRT Nation's minimum purchases, Hone's separate medication, Taurus' offer-specific fee and additional costs prevent a universal savings promise. Compare the complete quotes and charge dates, not just those subtotals. ^{15, 10, 6, 9}

How do I cancel Keeps TRT?

Keeps' Terms say to email trt@keeps.com at least 48 hours before your billing cycle ends. Ask for written confirmation of the membership and medication cancellation, and plan any continuing care with a clinician. ¹⁶

Will Keeps refund me if I cancel?

Its Terms generally make charged fees non-refundable, subject to applicable law and the conditional 90-day guarantee. That guarantee covers the most recent membership and medication cycle for an eligible claim—not every past payment. The injectable page's separate disqualification and 10% guarantee wording should be confirmed for your offer. ^{16, 15}

Is Keeps TRT legit?

Keeps operates a real TRT website whose Terms identify Thirty Madison and affiliated medical groups. That does not independently verify your assigned clinician, product or pharmacy, and it does not settle whether the program fits you. Ask for those details and read the billing differences before deciding. ¹⁶

Is Keeps testosterone compounded?

Keeps discloses that its listed medications have not been reviewed or approved by FDA. Confirm the exact prescribed product and pharmacy. A compounded preparation is not made FDA-approved by using the name of an ingredient found in an approved drug. ^{27, 24}

Does Keeps take insurance or HSA?

Keeps' Terms say it does not accept insurance. Those terms do not establish whether your particular HSA or FSA can reimburse each charge or which card can be processed; ask for an itemized receipt and check your account's rules. ^{16, 33}

Which Keeps alternative offers hCG?

TRT Nation lists a testosterone-plus-hCG plan at $180 per month with a 2.5-month minimum purchase. If fertility is the reason you're asking, speak with a fertility-aware clinician or reproductive urologist before selecting the plan. It does not guarantee sperm production or pregnancy. ^{10, 14}

Which Keeps alternative offers testosterone cream?

Male Excel lists a cream-and-thyroid bundle from $132/month plus membership; Hone lists cream or troches from $60/month plus membership. These compounded options are not FDA-approved gels. Taurus separately lists a gel, but its inconsistent treatment-format copy needs clarification. ^{3, 6, 8, 24}

Is Hims an alternative to Keeps TRT?

Not as a currently verified like-for-like testosterone replacement on the page checked. Its active offer is compounded enclomiphene-containing treatment, while injectable testosterone and Kyzatrex remain listed as coming in 2026. Enclomiphene is not testosterone. ^{32, 38}

Can I switch TRT providers without new labs?

Sometimes. TRT Nation says it accepts suitable recent outside results, typically within 120 days; other programs describe their own starter testing. The receiving clinician decides what your history and results support. ^{11, 34, 6}

Will I have a gap in treatment when I switch?

No provider comparison can guarantee a gap-free transfer. Reduce avoidable delays by confirming state access, an appointment, records requirements, labs and refill timing before your current supply ends. Ask your clinician how to manage the handoff rather than stretching or changing doses yourself. ^{17, 1}

Do Keeps alternatives require an in-person visit?

Not in every case, but the answer depends on the clinician, state, clinical needs and applicable prescribing rules. The federal temporary extension permits qualifying audio-video controlled-substance prescribing without a prior in-person evaluation through December 31, 2026; it does not remove all other requirements. ^{40, 41}

Is Keeps TRT the same as Keeps hair loss?

Same parent company, different program. TRT runs on trt.keeps.com, with its own terms, clinical arrangements and billing. Do not apply a hair-loss review, price or cancellation process automatically to a TRT subscription. ^{16, 26}

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Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.

Related: Keeps TRT cost · Keeps TRT reviews · Male Excel vs Keeps TRT · Hone TRT cost · Can you stop TRT? · How We Review TRT Providers

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Sources

All sources below were checked on October 14, 2026. Provider pages establish provider-stated offers and policies; they do not substitute for independent clinical, licensing or pharmacy verification.

1. Endocrine Society — Testosterone Therapy in Men With Hypogonadism. Clinical guideline, 2018; diagnosis, contraindications, fertility and monitoring recommendations.
2. Endocrine Society — Statement on Testosterone Replacement Therapy. July 16, 2026; clinical findings, repeat morning testing and assay quality.
3. Male Excel — HRT costs. Main-site assessment, membership, medication bundles, supply intervals and additional costs.
4. Male Excel HRT subdomain — Pricing. The separate public page displaying a $30-per-30-day membership description; not assumed to apply to every new purchase.
5. Male Excel HRT subdomain — How does it work?. The separate public page displaying a $79 monthly membership description; applicable offer not established.
6. Hone Health — Plus membership: men’s hormone replacement therapy with labs. Updated September 29, 2026; membership, initial and confirmation tests, medication pricing and inclusions.
7. Hone Health — Men’s Plus HRT lab-testing schedule. Updated September 29, 2026; confirmation price and follow-up panels.
8. Taurus Meds — Testosterone $49 offer. Initial offer, $149 rate, lab access, medication list, guarantee and payment-before-consult description.
9. Taurus Meds — Terms of Use. Updated June 24, 2025; Sections 7, 8 and 28, purchase-specific membership exception and provider/pharmacy disclosures.
10. TRT Nation — Testosterone replacement therapy program. Advertised rates, 2.5-month purchase minimum, hCG plan and California-price qualification.
11. TRT Nation — Frequently asked questions. Lab price, acceptance of outside results, monitoring, candidate age and provider-stated fulfillment.
12. FDA — Testosterone information. Approved-product information and links to regulatory updates.
13. DailyMed — Testosterone cypionate injection, Hospira. Label updated August 22, 2025; prescription and Schedule III status, warnings and ANDA085635 marketing information.
14. AUA/ASRM — Diagnosis and treatment of infertility in men, Part II. Guideline statement on testosterone monotherapy when current or future fertility is desired, and hormone-treatment distinctions.
15. Keeps — Injectable testosterone program. $199 monthly offer, included items, 10% guarantee wording and unnamed $3,606 comparison.
16. Keeps — TRT Terms of Service. Updated May 11, 2026; additional terms, medical groups, Section 5 billing/cancellation/guarantee and Section 13(f) arbitration opt-out.
17. Keeps — Getting started patient manual. Patient-manual sections on lab orders, transferring care, refills, 28-day billing and cancellation; selected-bundle exception.
18. Hone Health — Premium membership: full clinical insight for men. Updated September 29, 2026; prices, tests, inclusions and cancellation wording.
19. Male Excel — Frequently asked questions. State exclusions, refill process, insurance and named pharmacy partners.
20. Male Excel — Excel Advantage Guarantee terms. Eligibility, adherence, claim window and membership-fee refund scope.
21. DailyMed — Pregnyl prescribing information. Approved hCG product; indications and pharmacology. Not evidence of guaranteed fertility protection with TRT.
22. Hone Health — Service availability by state, 2026. Updated September 4, 2026; Plus and Premium lists counted separately.
23. Male Excel — Program and medication information. Testing and prescribing descriptions, 60-day check-ins, six-month panels, compounded testosterone and desiccated-thyroid safety information.
24. FDA — Understanding the risks of compounded drugs. Compounded-drug approval, quality, safety and effectiveness distinctions.
25. New York Attorney General — Thirty Madison subscription settlement. August 24, 2026 announcement; $400,000 settlement concerning subscription disclosures and cancellation.
26. New York Attorney General — Thirty Madison assurance of discontinuance. 2026 settlement agreement; identifies Keeps as a hair-loss brand. Not a determination of an individual TRT bill.
27. Keeps — TRT program homepage. $49 starting offer and medication disclosure.
28. Trustpilot — Keeps reviews, page 2. Gabriel Amaya, updated July 23, 2026; J A., posted July 31, 2026. Attributable customer reports, not verified medical evidence.
29. Defy Medical — Help center. Published answer estimating an average first-year monthly cost below $175; not a patient-specific quote.
30. Hone Health — Testosterone cypionate information. The listed product’s compounded status and monthly starting-price wording.
31. Hone Health — Order cancellation and refund policy. Updated August 31, 2026; membership timing, separate medication orders, refunds and pauses.
32. Hims — Testosterone treatment information. Current enclomiphene-containing offer, ten-month upfront pricing, future testosterone listing and FSA/HSA statement.
33. IRS — Publication 969: health savings accounts and other tax-favored health plans. Qualified medical expenses, account rules and reimbursement distinctions.
34. Male Excel — Male hormone test. Assessment package and stated five-marker test.
35. Male Excel — Terms and Conditions. July 2026 version; payment, cancellation, pharmacy choice and packaging.
36. FDA — Actions to address unapproved thyroid medications. Animal-derived thyroid drugs, approval status and compounding eligibility.
37. Taurus Meds — Refund and cancellation policy. Updated February 28, 2026; 72-hour notice, billing, service variations and refund language.
38. FDA — Pharmacy Compounding Advisory Committee transcript, June 8, 2022. Enclomiphene discussion, including absence of an FDA-approved enclomiphene product, transcript pages 53–54.
39. FDA — Kyzatrex approval package. July 27, 2022 approval of testosterone undecanoate capsules; cited for approval status, not as current dosing guidance.
40. HHS — DEA and HHS extend telemedicine flexibilities through 2026. January 2, 2026 announcement; extension through December 31, 2026.
41. Federal Register — Fourth temporary extension of telemedicine flexibilities. Published December 31, 2025; conditions for controlled-substance prescribing, including audio-video encounters.
42. DailyMed — Arimidex prescribing information. Approved anastrozole indications in postmenopausal breast cancer.
43. DailyMed — Testosterone gel 1.62% prescribing information. Secondary-exposure warning and product-specific transfer precautions.
44. FDA — Class-wide labeling changes for testosterone products. February 28, 2025; TRAVERSE-related cardiovascular warning changes and blood-pressure warnings.
45. HHS — FDA requests updates to testosterone therapy labeling. June 18, 2026; requested age-related-use and prostate-related label revisions, not confirmation of every final product label.
46. DEA — Drug scheduling. Testosterone listed among Schedule III substances.
47. DailyMed — Clomid prescribing information. Approved indication for ovulatory dysfunction in women seeking pregnancy.
48. Operation Supplement Safety — Clomiphene and enclomiphene: drugs, not dietary supplements. January 12, 2026; U.S. military health resource on the drugs and approval distinctions.