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Male Excel vs Gameday Men's Health: Which TRT Option Fits You in 2026?

Male Excel vs Gameday Men's Health comes down to one choice: home or clinic. Male Excel is primarily online and publishes a $99 consultation, a required $99 monthly membership, and testosterone starting at $120 a month for injections. At those starting rates, injections model to $2,727 for 12 months, plus shipping. Gameday is built around local clinics, a free first consultation, and on-site testing, but its current national TRT page does not publish one nationwide treatment price.

So there is no honest national price winner without your local Gameday quote. Male Excel is easier to budget before you start; Gameday gives you face-to-face care and rapid on-site results. We also found an important testing question that neither company's public pre-treatment description fully answers. More on that below.

The answer changes if: your local Gameday quote comes in below or above Male Excel's complete first-year total, you live in one of the 11 states Male Excel doesn't serve, you need insurance billing, or you're trying to have a baby soon.

Male Excel vs Gameday Men's Health table 1: Comparison
Male Excel fits you if… Gameday fits you if… Choose neither yet if…
Where There's no clinic near you, or you hate waiting rooms A Gameday is a short drive away You need an insurance-billed route
What you want A published starting fee structure and remote follow-up A real exam room, a real person, and results the same visit You're trying to conceive in the near term
Format You're comfortable with a mailed blood-spot test and a primarily remote program You want in-clinic testing, injections, pellets, or Kyzatrex at a participating clinic Low testosterone hasn't been confirmed with appropriate repeat morning testing

At a glance

Male Excel vs Gameday Men's Health table 2: At a glance
Male Excel Gameday Men's Health
Care model Online, medicine shipped to you In-person clinics (400+ in the U.S. and Canada, company-stated)
First visit $99 consult with at-home test Free consult and on-site test
Year one, injections $2,727 + shipping at current starting rates Quote required; no single current national TRT price published
First test Mail-in blood-spot kit, results in about 5 business days after the lab receives it In-clinic testing, results in as little as 15 minutes
Where Every state except 11, per Male Excel's FAQ Depends on clinic location; telehealth availability is separately limited
Insurance Cash-pay; Male Excel says its HRT is not covered by insurance Cash-pay; Gameday's Terms say it and affiliated practices do not accept commercial insurance, Medicare, or Medicaid
HSA/FSA Listed as eligible on Male Excel's price cards Confirm with your plan and clinic before relying on reimbursement

All facts checked October 11, 2026. Sources are linked through the page.

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.

How we make money: We may earn a commission if you start care with Male Excel through our links. We have no business relationship with Gameday Men's Health, and our Gameday links go straight to its own clinic finder. Money never decides our verdict. You'll see below exactly where Male Excel loses.

Want to look before you decide? See Male Excel's current pricing or find a Gameday clinic near you.


What we actually verified

Checked on October 11, 2026:

  • Male Excel: price page, at-home test page, FAQ (state list), Terms and Conditions (dated July 2026), Excel Advantage program page, and guarantee terms.
  • Gameday Men's Health: homepage, TRT price page, injection and Kyzatrex pages, telehealth FAQ, and Terms of Service (updated January 31, 2026).
  • Rules and medicine: the American Urological Association (AUA) and Endocrine Society testosterone guidelines, FDA approval records for Kyzatrex, and the current federal telemedicine extension.

What each company says (we did not test it): Gameday's clinic count and review ratings. Male Excel's 60-day check-ins. Both companies' result speeds.

What we could not confirm: Male Excel's shipping cost. Any Gameday clinic's follow-up lab fees, supply fees, or billing cycle. What Gameday charges for Kyzatrex.

What we didn't do: We didn't open a patient account or finish a checkout with either company. This is a public-record comparison, not a hands-on review.

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.


How is Male Excel different from Gameday Men's Health?

Male Excel is an online testosterone program run by Male Excel Inc. (doing business as Excel Medical) in Charlotte, North Carolina. Care comes from physician-owned medical groups, and medicine ships to your home. Gameday Men's Health is a franchise brand from Ream Franchise Group LLC in Carlsbad, California. Its clinics are independently owned, and you're seen in person.

That second point matters more than it sounds.

Gameday's own Terms of Service say the brand "does not provide any medical services." Your care comes from the local clinic and its providers. Gameday's footer says the same thing: medical services come from "independently owned and operated clinics."

So when you compare Male Excel to Gameday, you're really comparing:

  • One primarily remote program with a national published starting fee structure, versus
  • One brand with hundreds of independently operated clinics. Local pricing, staffing, billing, and treatment availability can differ.

Neither model is bad. They just fail in different ways. Male Excel can't shake your hand. A Gameday clinic can quote you something different from the clinic two towns over.

Here's the full side-by-side.

Male Excel vs Gameday Men's Health table 3: How is Male Excel different from Gameday Men's Health?
Male Excel Gameday Men's Health
Who runs it Male Excel Inc. dba Excel Medical; care from Male Excel Medical groups owned by licensed physicians Ream Franchise Group LLC (brand and website); care from independently owned local clinics
How you're seen Online consult, messaging, and e-visits In-person clinic visits; telehealth only at some locations
First visit cost $99 (includes at-home test) Free consult and first test
Monthly cost $99 membership + medicine ($95–$132/month listed, depending on treatment) No single current national TRT price published; get a clinic-specific quote
Medicine billing Every 60 days Set by your clinic
First test Finger-prick blood spot kit, mailed in On-site testosterone + PSA test
Markers in first test Testosterone, estradiol, DHEA-S, free T3, PSA Testosterone, plus PSA "if appropriate"
Testosterone formats Daily under-the-skin injections, twice-daily cream Weekly injections, pellets, Kyzatrex pill (select clinics)
Non-testosterone options Triclozene (clomiphene-based pill) Clomid / enclomiphene (select clinics)
FDA-approved testosterone option Not listed Kyzatrex at select clinics
Can you pick your pharmacy? No Not stated for clinic patients
States All except AL, AK, AR, CT, HI, ID, LA, MN, MS, NH, RI Wherever there's a clinic
Insurance / Medicare / Medicaid Not accepted Not accepted
Contract "No Contract, Cancel Anytime" Auto-charges until your clinic's cancellation cutoff
Refunds "All sales are final," plus a narrow 90-day guarantee Not refundable unless another policy applies
Arbitration Required, but you can opt out within 30 days Required, no opt-out found

Sources: Male Excel pricing, Male Excel test, Male Excel FAQ, Male Excel Terms, Gameday TRT page, Gameday homepage, Gameday Terms. Checked October 11, 2026.


Male Excel vs Gameday Men's Health: which costs less for a full year?

Male Excel is easier to price before you start. At its current published starting rates, 12 months of injections model to $2,727 plus shipping, and 12 months of cream model to $2,871 plus shipping. Gameday's current national TRT page does not publish one nationwide treatment price, so your local written quote decides which is cheaper.

Two kinds of prices can make this comparison confusing: a medication-only starting price and a clinic package quote. They are not the same thing.

What Male Excel actually publishes

Male Excel's price page lists:

  • A required $99 online medical consultation
  • A required $99 monthly Medical Membership
  • Testosterone cypionate injections starting at $120/month, supplied in 60-day quantities
  • Testosterone cream starting at $132/month, supplied in 60-day quantities
  • Triclozene starting at $95/month in one part of the page and $120/month in another; Triclozene contains clomiphene and is not testosterone replacement therapy
  • Shipping and handling as an extra charge whose amount is not published on the price page

Male Excel also says medication cost can change if the prescribed dose changes. So the totals below are starting-price models, not guarantees.

The year-one ledger

We counted the required charges Male Excel currently publishes. Anything not published is listed as unknown, never as $0.

Male Excel vs Gameday Men's Health table 4: The year-one ledger
Option What's published 12-month starting-price model Still unknown
Male Excel — injections $99 consult + 12 × $99 membership + 12 × $120 medication equivalent $2,727 Shipping; any price change tied to the prescribed dose
Male Excel — cream $99 consult + 12 × $99 membership + 12 × $132 medication equivalent $2,871 Shipping; any price change tied to the prescribed dose
Male Excel — Triclozene (not testosterone) $99 consult + membership + a page that currently shows both $95 and $120 monthly starting figures Do not use for an apples-to-apples TRT comparison Which listed price applies; shipping; prescribed regimen
Gameday Men's Health Free first consultation and on-site testing are advertised nationally Quote required Treatment price, later lab charges, supplies, billing cycle, and clinic-specific package terms

Our math uses the companies' current public pages checked October 11, 2026. Male Excel prices are starting figures, not guaranteed future charges.

The useful conclusion is not “Gameday costs $199” or “Male Excel is cheaper.” Male Excel wins on national price transparency. Gameday can only be compared honestly after your local clinic gives you the full first-year quote.

Your year-one quote worksheet

Bring this to a Gameday consult, or keep it open while you review Male Excel's intake. Fill in what each one tells you.

Male Excel vs Gameday Men's Health table 5: Your year-one quote worksheet
Question Male Excel Your Gameday clinic
What do I pay today? $99 consultation ______
What's the monthly or per-cycle charge? $99 membership + medication supplied every 60 days ______
How often am I billed? Monthly membership; medication in 60-day supplies ______
Which follow-up labs are included? ______ ______
What do extra labs cost? ______ ______
Shipping or supply fees? Shipping amount not published ______
12-month total if nothing changes $2,727 + shipping at the injection starting rate ______

If your Gameday quote is lower than Male Excel's complete first-year total after you include labs, supplies, visits, and any recurring fees, Gameday is cheaper on paper. If it is higher, Male Excel is. The point is to compare totals, not teaser prices.

Pay from an HSA or FSA?

Male Excel marks its treatment price cards as FSA/HSA eligible. Gameday's current national pages and Terms we reviewed do not give a simple national HSA/FSA promise for clinic TRT, so confirm eligibility with your plan administrator and the specific clinic before you count on tax-advantaged reimbursement.

The trade you should know about

Male Excel is primarily remote, not a regular face-to-face clinic. Its own site says an in-person medical exam may still be required based on DEA and state law. If sitting across from a clinician and getting labs in the same building matters to you, Gameday is the better fit even if its local quote is higher.

Male Excel's membership includes provider continuity, unlimited messaging with its support team, and unlimited e-visits with a medical provider, according to its price page. That can remove routine clinic travel for people who prefer remote care.

"Male Excel is more cost effective than many of the clinics around me and much more convenient." — Dan, shown as a verified patient on Male Excel's pricing page (a testimonial the company chose to feature)

Does home care fit how you live? Start Male Excel's online assessment to see the next steps and current pricing. A licensed provider still decides whether treatment is appropriate.

Rather do it in person? Read our Gameday Men's Health cost breakdown, then find your nearest clinic and ask for the complete 12-month total in writing.


How does each one test you before prescribing?

Gameday advertises in-clinic testosterone testing and PSA screening when appropriate, with results in as little as 15 minutes. Male Excel mails a blood-spot kit that checks five markers, with results about five business days after its lab receives the kit. Major guidelines require symptoms or signs plus consistently low testosterone confirmed with appropriate repeat early-morning testing. Neither company's public pre-treatment page fully explains how it satisfies that diagnostic standard.

This is where your money and your health meet. So we lined up each company's public test against what the two main U.S. guidelines say.

A few quick definitions first:

  • Total testosterone: all the testosterone in your blood. It's the main number used to diagnose low testosterone.
  • PSA (prostate-specific antigen): a protein tied to prostate health. It's checked before and during testosterone therapy.
  • Hematocrit: the share of your blood made of red blood cells. Testosterone can raise it, and too high can be a problem.
  • Hypogonadism: the medical name for when the body doesn't make enough testosterone.

The diagnosis gate: guideline vs each company

Male Excel vs Gameday Men's Health table 6: The diagnosis gate: guideline vs each company
What guidelines call for Source Male Excel (public pages) Gameday (public pages)
Diagnose only after two total testosterone measurements on separate occasions, both early morning AUA Statement 2 (Strong) One mailed blood-spot kit is described publicly; a second early-morning measurement is not described One in-clinic testing visit is described publicly; a second early-morning measurement is not described
Confirm with a repeat morning fasting test Endocrine Society Not described Not described
Low testosterone plus symptoms and/or signs AUA Statement 3 Online consult covers symptoms In-person consult covers symptoms
Check hemoglobin and hematocrit before offering testosterone AUA Statement 11 (Strong) Not listed in the 5-marker test or the 6-month panel on its program page Not listed on public pages
Check PSA in men over 40 before starting AUA Statement 12 Yes, PSA is in the kit PSA "if appropriate"
Sample type — Blood spot from a finger prick, mailed to its affiliated lab (AEMA Labs) Point-of-care test in the clinic
Time to result — About 5 business days after the lab gets your kit As little as 15 minutes

Guidelines: AUA Evaluation and Management of Testosterone Deficiency (2018, validity confirmed 2024); Endocrine Society Testosterone Therapy in Men with Hypogonadism (2018). Company pages checked October 11, 2026.

What this means for you

Gameday wins on speed and on a real exam. A clinician can see you, check your blood pressure, and talk face to face.

Male Excel's public kit lists five markers: testosterone, estradiol, DHEA-S, free T3, and PSA. That is more information about what the company measures, but it does not by itself show that its diagnostic process meets guideline requirements.

The public-information gap is the same at both. Neither pre-treatment description we found shows the required repeat early-morning testosterone measurement, and neither public pre-treatment description lists baseline hemoglobin/hematocrit. That doesn't prove they skip these steps. It means you should ask before treatment is prescribed.

A same-day start may feel great after years of feeling off. But one low number on one morning isn't a diagnosis. Testosterone naturally drops later in the day and can dip when you're sick or sleeping badly. That's exactly why the guidelines ask for a repeat test.

Two questions to ask before your first prescription

  1. "Will you confirm a low result with a second early-morning blood test before prescribing?"
  2. "Will you check my hematocrit (a CBC) before I start, and how often after?"

Clear answers to those questions are a good sign, but they are not a substitute for an appropriate clinical evaluation.

Like the idea of a five-marker test without a clinic trip? Begin Male Excel's online intake and order the at-home hormone test ($99). Ask the two questions above during your consult.

Want results before you leave the building? Book Gameday's free consult and bring the same two questions.


Can you use Male Excel or Gameday where you live?

Male Excel's FAQ says its providers prescribe hormone treatment in every state except Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island. Gameday's clinic care depends on having a location near you, and its telehealth FAQ conflicts with its Terms about telehealth geography, so verify the exact service available to you before relying on remote care.

Male Excel's state list

Male Excel's FAQ (updated September 2026) lists 11 excluded states:

AL · AK · AR · CT · HI · ID · LA · MN · MS · NH · RI

If you live in one of those states, Male Excel can't treat you. Skip ahead to Gameday, or see the routes in "If neither one fits" below.

Gameday's clinic map

Gameday says it has 400+ clinics in the U.S. and Canada. Use its location finder to see what's near you.

One catch: a clinic in your state doesn't mean every treatment is offered there. Kyzatrex, pellets, and Clomid/enclomiphene are each marked "Offered at select clinics." Call ahead before you book for a specific treatment.

Gameday telehealth: two documents, two answers

Male Excel vs Gameday Men's Health table 7: Gameday telehealth: two documents, two answers
Gameday's telehealth FAQ Gameday's Terms of Service (Jan 31, 2026)
"Telemedicine services are currently only available in Florida." Authorized for telehealth in all states except AK, HI, ME, MS, ND, VT, WA, WY, and DC

The homepage FAQ adds that telehealth is at "select locations only" and that "most initial visits and labs must be completed in person."

So assume you'll go in. Ask your clinic whether any follow-ups can be done by video.

Live in one of Male Excel's 11 excluded states? Male Excel isn't an option for you. Find a Gameday clinic, compare other routes in our Gameday Men's Health alternatives guide, or use Find My TRT Path.


What medicine would you actually get?

Male Excel publicly lists daily subcutaneous testosterone cypionate injections and twice-daily testosterone cream, with thyroid tablets included in those plans; its site says its compounded medicines are not FDA-approved. Gameday lists testosterone cypionate injections, pellets, and Kyzatrex, an FDA-approved oral testosterone product, with some options limited to select clinics. Ask exactly which product your clinician would prescribe and whether it is FDA-approved or compounded.

"TRT" doesn't tell you much. Two plans can both say testosterone and still be very different medicines.

Two terms come up a lot:

  • FDA-approved means the FDA reviewed that exact product's safety, effectiveness, and manufacturing before it could be sold.
  • Compounded means a pharmacy mixed it for patients. The FDA says compounded drugs are not FDA-approved, and it doesn't check their safety, effectiveness, or quality before they're sold.

Compounded doesn't automatically mean bad. It does mean nobody reviewed that exact product the way an approved drug is reviewed.

And one rule applies everywhere: testosterone is a Schedule III controlled substance. That's a federal category for drugs with some misuse risk. You need a valid prescription, and your prescriber has to follow DEA and state rules.

Format by format

Male Excel vs Gameday Men's Health table 8: Format by format
Format Male Excel Gameday
Injections Testosterone cypionate, once daily under the skin, with insulin-type syringes listed on the price page Testosterone cypionate; Gameday's national page describes intramuscular or subcutaneous use, usually weekly or 2–3 times a week
Cream Testosterone Lipoderm cream, twice daily Not listed on its national pages
Pellets Not offered Offered at select clinics; a minor in-office procedure every 3–6 months
Testosterone pill Not offered Kyzatrex, at select clinics
Non-testosterone pill Triclozene (clomiphene citrate + thyroid + selenomethionine) Clomid / enclomiphene, at select clinics
Thyroid medicine Bundled into all three plans Not part of its TRT plans

Daily small shots vs weekly shots

Male Excel's plan uses a small injection every day. Gameday's national page says injections are usually weekly or 2–3 times a week.

Some men like daily shots because each one is tiny, done with a thin insulin needle. Others would rather think about it once a week, or have a nurse do it in clinic. That's a lifestyle choice. Your clinician sets the medical plan.

The thyroid tablets in every Male Excel plan

All three Male Excel price cards include desiccated thyroid, and the medicine price is quoted for both drugs. Male Excel's own safety page says the product "is not an Orange Book product." In other words, the FDA hasn't rated it as equivalent to an approved drug. The same page warns that thyroid hormone should not be used for weight loss.

Ask: "Is the thyroid medicine optional? What lab result shows I need it?"

Kyzatrex: the FDA-approved pill

Kyzatrex is an oral testosterone undecanoate capsule. The FDA approved it in 2022 for adult men with certain types of hypogonadism. Gameday lists it at select clinics but doesn't publish a price.

If you specifically want an FDA-approved testosterone product, this is a real point for Gameday. Confirm your clinic carries it before you book.

Gameday's telehealth FAQ says, "We exclusively use compound medications." That line covers its Florida telehealth service. For clinic care, ask which product you'll get and whether it's FDA-approved or compounded.

Triclozene, Clomid, and enclomiphene are not testosterone

These pills don't replace testosterone. They nudge your own body to make more. Clomiphene (the drug in Clomid) is FDA-approved for helping women ovulate, not for treating low testosterone in men. Prescribing it for men is off-label.

That means Male Excel's "$95" pill and Gameday's "Clomid / Enclomiphene" card belong in a different bucket from testosterone therapy. They're a different treatment with different trade-offs, not a cheaper version of TRT.

Pellets

Gameday offers them at select clinics. Male Excel doesn't offer them at all.

A pellet is placed under the skin and releases testosterone for months. The upside is no daily or weekly dosing. The downside is that once it's in, the dose can't easily be adjusted.

A label line worth knowing

Male Excel prints full safety information on its site. That includes the boxed warning about testosterone cream rubbing off on children and partners. Its cream information also says it "is not known if" the cream "is safe or effective in treating men who have low testosterone due to aging." The same caution appears on FDA-approved testosterone labels.

We give Male Excel credit for printing it. You should know it before you start.


Where each company's own pages disagree

We read both companies' price pages, FAQs, and legal terms side by side. We found several places where public documents don't match or leave a material question unresolved. Some may be stale-page problems rather than policy conflicts. Every one is a reason to get your quote and plan in writing.

Male Excel vs Gameday Men's Health table 9: Where each company's own pages disagree
# Company One page says Another page says What to do
1 Gameday Telehealth FAQ: only available in Florida Terms: telehealth authorized in all states except 8 states plus DC Plan on in-person care
2 Gameday Telehealth FAQ: "We exclusively use compound medications" Kyzatrex page: "an FDA-approved oral testosterone therapy" Ask which product, and FDA-approved or compounded
3 Gameday Homepage: free consultation and on-site testing Current national TRT page does not publish one nationwide TRT price Free first visit ≠ a published full-year price. Get the total in writing
4 Gameday Brand pages say "we" treat you Terms: Gameday "does not provide any medical services"; clinics are independently owned Get your local clinic's legal name on your receipt
5 Male Excel "Prices as low as $95 a month" Fine print: plus $99/month membership and a $99 consult Real monthly floor is $194, on a pill that isn't testosterone
6 Male Excel Triclozene at "$120/month" Same page, lower card: "Starting at $95/month" Ask which price applies
7 Male Excel Triclozene footnote: "Price above shown for 60g of testosterone" Triclozene contains clomiphene, thyroid, and selenomethionine, not testosterone A copy-paste error on a page last updated May 2025. Confirm at checkout
8 Male Excel Terms: "All sales are final" Excel Advantage Guarantee: 3 months of membership fees back after 90 days in some cases Both are true. The guarantee is narrow (next section)

Checked October 11, 2026.


Insurance, HSA, cancelling, and refunds: what's the fine print?

Neither company accepts insurance, Medicare, or Medicaid, and both say payments are final. Male Excel has no contract and offers a narrow 90-day guarantee that refunds membership fees. Gameday auto-charges until the cancellation cutoff your clinic gives you at purchase, and it publishes no guarantee.

Male Excel vs Gameday Men's Health table 10: Insurance, HSA, cancelling, and refunds: what's the fine print?
Male Excel Gameday Men's Health
Insurance Not accepted; not enrolled in Medicare or Medicaid Not accepted; not enrolled in Medicare or Medicaid
HSA/FSA "FSA/HSA Eligible" on its treatment price cards Confirm with your plan administrator and clinic; no simple national clinic-TRT promise found in the pages we reviewed
Contract "No Contract, Cancel Anytime" Subscriptions auto-charge; cancel before the cutoff date given to you at purchase
Refunds "All sales are final" Not refundable unless another policy applies; telehealth sales final
Guarantee Excel Advantage: membership fees back for 3 months if your symptoms don't improve after 90 days of following the plan None published
Pharmacy choice Prescription can't be sent to another pharmacy Telehealth uses Belmar Pharmacy and OpenLoop Health; clinic pharmacy not stated
Arbitration Required, with a 30-day opt-out Required, no opt-out found; 1-year deadline to file a claim

Sources: Male Excel Terms, Excel Advantage Guarantee terms, Gameday Terms, Gameday telehealth FAQ. Checked October 11, 2026.

"Cancel anytime" isn't "refund anytime"

Male Excel lets you stop without a contract, but you won't get back what you've already paid. Gameday works the same way, with one added wrinkle: you have to cancel before a cutoff date your clinic sets. Ask for that date in writing on day one.

What Male Excel's guarantee actually covers

Male Excel's guarantee comes with specific conditions, so read them before you count on it.

  • What you get back: three months of membership fees (3 × $99 = $297). Not the consult fee. Not medicine.
  • What you have to do: stay in the program for 90 days in a row, follow the plan, and keep your appointments. You may need to show proof.
  • How "no improvement" is judged: by Male Excel's own assessment.
  • Deadline: ask within 30 days after day 90.

That's narrow. It's still more than Gameday publishes.

One more lock-in to know

Male Excel's Terms say it "will not be able to send your prescription… to a different pharmacy." If shopping around for medicine prices matters to you, that's a real limit.

If being able to stop anytime matters to you, read Male Excel's membership terms and start the intake. Going with Gameday? Ask your clinic for its cancellation cutoff in writing before you sign.


Will online TRT change after December 31, 2026?

The current federal telemedicine flexibility for prescribing Schedule II–V controlled substances without a prior in-person medical evaluation runs through December 31, 2026, when its conditions are met. Testosterone is Schedule III. What happens after that date depends on federal action that has not yet taken effect, plus state law and each prescriber's authority.

This matters more to a primarily remote program such as Male Excel than to a patient already receiving in-person care at a Gameday clinic. It does not mean every Gameday service is unaffected: Gameday also operates telehealth services, and those services remain subject to applicable federal and state rules.

Male Excel vs Gameday Men's Health table 11: Will online TRT change after December 31, 2026?
Through Dec. 31, 2026 After Dec. 31, 2026
Federal rule A DEA-registered practitioner may prescribe Schedule II–V controlled substances by telemedicine without a prior in-person medical evaluation when the temporary rule's conditions are met Do not assume the current flexibility continues; recheck DEA/HHS rules before relying on a fully remote path
Male Excel Primarily remote care can operate under the current framework where federal and state requirements are met; Male Excel already warns that an in-person exam may be required Its process may need to change depending on the rule then in effect and state law
Gameday clinic care In-person clinic care already includes face-to-face visits In-person clinic care is less dependent on the remote-prescribing exception
Gameday telehealth Subject to the same applicable controlled-substance and state-law framework Must be rechecked under whatever rule is then in effect

Sources: HHS/DEA extension through 2026, HHS telehealth prescribing guidance, and DEA drug scheduling. Checked October 11, 2026.

What this means for you: starting through a lawful telehealth program before year-end does not guarantee that every later refill can remain fully remote. Ask the provider what will happen in your state if the federal rule changes.

If an in-person exam is a must for you anyway, find your nearest Gameday clinic. If you'd rather start with a remote process, ask Male Excel during its online assessment how it currently handles in-person-exam requirements in your state.


Thinking about having kids? Read this first

Testosterone from outside the body can lower sperm production. The AUA says it should not be prescribed to men who are currently trying to conceive. The Endocrine Society recommends against starting it in men planning fertility in the near term. If that's you, start with a urologist or reproductive urologist, not either program.

Here's the short version of why.

When you take testosterone, your brain sees plenty of it and turns down the signals your testes need to make sperm. Making sperm is called spermatogenesis. The two signals are LH (luteinizing hormone) and FSH (follicle-stimulating hormone). For some men, sperm counts drop a lot. Recovery after stopping varies, and nobody can promise how long it takes.

Both guidelines put this plainly:

  • AUA Statement 23: testosterone "should not be prescribed to men who are currently trying to conceive." AUA Statement 16 adds that the long-term effect on sperm production should be discussed with any man interested in future fertility.
  • Endocrine Society Recommendation 2.2: against testosterone therapy "in men planning fertility in the near term."

What about Clomid, enclomiphene, or Triclozene? They work differently and are sometimes used when fertility matters. But they aren't testosterone therapy, they aren't "natural TRT," and none is FDA-approved for treating low testosterone in men. That decision belongs with a fertility-aware specialist.

If kids are in your plans, start with our guide to whether TRT affects fertility, or use Find My TRT Path to map a fertility-first route.


Male Excel or Gameday: which one should you choose?

Choose Male Excel if you want care at home, one published price, and one dedicated provider. Choose Gameday if a clinic is close and you want an in-person exam, same-visit results, or pellets or an FDA-approved testosterone pill. Choose neither yet if you need insurance, you're trying to conceive, or your diagnosis isn't confirmed.

Male Excel vs Gameday Men's Health table 12: Male Excel or Gameday: which one should you choose?
If this sounds like you… Start here
"There's no clinic near me." Male Excel
"I want to sit down with a real person." Gameday
"I want to know the price before I book anything." Male Excel (published), or get Gameday's quote in writing
"I want the lowest complete first-year cost." Compare Male Excel's published starting-cost model with your written Gameday quote, including labs, supplies, and visits
"I'm nervous about needles and want a nurse to help." Gameday (in-clinic injections)
"I want an FDA-approved testosterone pill." Gameday, if your clinic carries Kyzatrex
"I want pellets." Gameday (select clinics)
"I live in AL, AK, AR, CT, HI, ID, LA, MN, MS, NH, or RI." Male Excel's FAQ says it does not prescribe hormone treatment there. Check Gameday locally or use our alternatives guide
"I need insurance to pay." Neither. Start with primary care or an in-network urologist
"We're trying for a baby." Neither. See a urologist or reproductive urologist
"I'm not sure my testosterone is actually low." Neither yet. Get two morning tests through your doctor or Find My TRT Path

Choose Male Excel if you want it handled from home

Its strengths:

  • A national published starting fee structure you can read before you pay.
  • A dedicated provider, with unlimited messaging and unlimited e-visits included in the $99 membership.
  • A five-marker home test.
  • Check-ins every 60 days.
  • 6-month blood tests for testosterone, estradiol, DHEA, free T3, and PSA (per its program page).
  • A written 90-day membership guarantee.
  • Thorough safety disclosures.

Its limits:

  • It is primarily remote rather than a regular in-person clinic; an in-person exam may still be required by law.
  • Shipping is extra, and the amount is not published on the national price page.
  • Compounded medicines that aren't FDA-approved.
  • Thyroid medicine bundled into every plan.
  • You can't move your prescription to another pharmacy.
  • Excluded in 11 states.
  • Federal telemedicine rules after December 31, 2026 remain a live compliance issue for remote controlled-substance prescribing.

If that's the trade you want, start Male Excel's free assessment. It takes a few minutes and shows your next steps and current pricing. A licensed provider decides whether treatment fits you.

Choose Gameday if you want a real room and a real person

Its strengths:

  • A free first visit and test.
  • Results in as little as 15 minutes.
  • In-person exams, with nurse-given injections if you want them.
  • Weekly instead of daily shots.
  • Pellets and FDA-approved Kyzatrex at select clinics.
  • 400+ locations (company-stated).
  • Its core clinic model already includes in-person care, so clinic-based treatment is less dependent on the current federal remote-prescribing flexibility.

"…with just one visit, which was free by the way…" — Dwayne W., shown on Gameday's homepage (a testimonial the company chose to feature)

Its limits:

  • Price, labs, billing cycle, and cancellation cutoff vary by clinic owner.
  • No published guarantee.
  • Its homepage says qualified patients may begin treatment the same day; because major guidelines call for repeat early-morning testosterone confirmation, ask how your clinic handles that requirement before prescribing.
  • Its telehealth pages contradict each other.
  • Review scores live on separate local listings. A great clinic in one city tells you little about the one in yours, so read reviews for your specific location.

If that's your style, find your nearest Gameday clinic and ask for the 12-month total in writing before you start.


What if neither one fits?

If you need insurance billing, a fertility-first plan, a standard lab blood draw, or care in a state Male Excel doesn't serve and Gameday has no clinic, a different care route makes more sense. Your primary care doctor, an in-network urologist, or a reproductive urologist may be the better first stop.

  • Need insurance billing? Start with your primary care doctor or an in-network urologist or endocrinologist and check your own plan's formulary and authorization rules.
  • Trying to conceive? See a reproductive urologist first.
  • Want other online or local options? Compare them in our Gameday Men's Health alternatives guide.
  • Not sure which route fits? Use Find My TRT Path.

What to ask before you pay either one

Ask each company the same questions and get the answers in writing. Two questions do most of the work: "What will I pay in my first 12 months, every fee included?" and "Will you confirm a low result with a second morning test, and check my hematocrit, before prescribing?"

Ask Male Excel

  1. Will you confirm a low result with a second early-morning test before prescribing?
  2. Will you check my hematocrit (CBC) before I start, and how often after?
  3. What is my exact medicine and dose, and is it compounded or FDA-approved?
  4. Is the thyroid medicine optional? What lab result supports it?
  5. What does shipping cost per 60-day refill?
  6. Which Triclozene price applies, $95 or $120? (Only if you're considering it.)
  7. Will my state need an in-person exam, now or in 2027?
  8. How do I claim the Excel Advantage Guarantee, and what proof do you need?

Ask your Gameday clinic

  1. What is my 12-month total, with labs, supplies, and visits included?
  2. Am I billed monthly or every four weeks?
  3. Will you confirm a low result with a second early-morning test before prescribing?
  4. Will you check my hematocrit (CBC) before I start, and how often after?
  5. Is my testosterone FDA-approved or compounded? Which pharmacy fills it?
  6. Do you carry Kyzatrex here, and what does it cost?
  7. What is my cancellation cutoff date, and how do I cancel?
  8. What is this clinic's legal business name?

How we compared Male Excel and Gameday Men's Health

We followed TRT Provider Guide's published method, How We Review TRT Providers. That means separating verified facts from company claims, counting the full cost instead of the headline price, and dating every fact. We didn't open accounts or complete checkout with either company.

Our How We Review TRT Providers method looks at the same things for every provider:

  • Clinical eligibility and the testing process
  • Clinician access
  • State availability
  • Treatment formats
  • Medicine and pharmacy transparency
  • Fertility handling
  • Monitoring
  • Total cost
  • Cancellation and support
  • How honest the claims are

For this page, we read 12 public documents from the two companies on October 11, 2026. We checked medical claims against the AUA and Endocrine Society guidelines and FDA records, and checked the telemedicine rule against current HHS and DEA materials. We did all the cost math ourselves.

We don't give providers star scores. Each fact here is labeled as one of four things:

  • Verified: we confirmed it from the company's own documents or an official source.
  • Company-stated: the company says it, but we couldn't test it.
  • Customer report: a pattern from patients, not proof of policy.
  • Our judgment: an editorial call built from the facts above.

Prices and rules change. We recheck this page monthly, and weekly on the telemedicine rule through January 2027. If you spot something out of date, let us know and we'll fix it.


Frequently asked questions

Is Male Excel cheaper than Gameday Men's Health?

You cannot answer that nationally from current public pricing. Male Excel's injections model to $2,727 for 12 months at its current starting rates, plus shipping. Gameday does not publish one current nationwide TRT price, so compare that Male Excel total with your local Gameday clinic's complete written first-year quote.

How much does Male Excel cost per month?

It's $99 a month for the required membership plus medicine. Medicine is listed at $120 a month for injections, $132 for cream, and $95 or $120 for Triclozene, billed every 60 days. There's also a $99 starting consult and shipping. That averages $219 a month on injections.

How much does Gameday Men's Health cost?

Gameday's current national TRT page does not publish one nationwide treatment price. The brand advertises a free first consultation and on-site testing, but independently operated clinics can differ. Ask your location for the complete 12-month total, including treatment, later labs, supplies, visits, and any recurring fees.

Does Gameday Men's Health take insurance? Does Male Excel?

Both are presented as cash-pay routes. Male Excel says its HRT is not covered by insurance. Gameday's Terms state that Gameday and affiliated physician practices do not accept commercial insurance and are not enrolled in Medicare or Medicaid. Male Excel marks its treatment price cards as HSA/FSA eligible; confirm any reimbursement with your own plan.

Is Gameday's testosterone test really free?

Gameday advertises a free consultation and an on-site testosterone and PSA test at its clinics. Follow-up labs aren't promised free. Ask your clinic what later labs cost.

Is Male Excel's at-home test good enough?

It's a mailed blood-spot test that checks five listed markers. That public page does not, by itself, show the full diagnostic process required by major guidelines. Ask whether a low result is confirmed with an appropriate second early-morning testosterone measurement and whether baseline hemoglobin/hematocrit is checked before testosterone therapy.

Are Male Excel and Gameday medications FDA-approved?

Male Excel's site says its compounded medicines are not FDA-approved. Gameday's telehealth service uses only compounded medicines. At select clinics, Gameday offers Kyzatrex, which the FDA approved in 2022. For clinic injections, ask which product you'd get.

Is Male Excel available in my state?

Male Excel serves every state except Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island, per its FAQ in October 2026.

Is Gameday Men's Health a franchise?

Yes. Ream Franchise Group LLC runs the brand. Its clinics are independently owned and operated, and its Terms say the brand itself does not provide medical services.

Will Male Excel still work after December 31, 2026?

The current federal telemedicine flexibility runs through December 31, 2026 when its conditions are met. Male Excel already says an in-person exam may be required under DEA and state law. Recheck the federal and state rules before relying on a fully remote process after that date.

Which is better if I want to have kids?

Neither, as a first stop. Testosterone can lower sperm production. Both the AUA and Endocrine Society advise against starting it if you're trying to conceive or planning to soon. See a urologist or reproductive urologist first.

Can I switch from Gameday to Male Excel, or the other way?

Yes. Neither requires a long contract. Cancel before your clinic's cutoff date at Gameday, or stop your Male Excel membership. Payments already made aren't refunded, so time the switch around your next charge.


Still not sure which TRT care route fits you? Use our free Find My TRT Path tool. It helps you sort out the care route and the questions to ask before you pay. It's educational. It doesn't diagnose low testosterone or decide whether you qualify for a prescription.

If you have chest pain, trouble breathing, signs of a stroke, or other sudden, severe symptoms, call 911 or go to the nearest emergency room.


Sources

Male Excel (all checked October 11, 2026):

Gameday Men's Health (all checked October 11, 2026):

Guidelines, FDA, and federal rules: