Male Excel vs Keeps TRT: Which Online TRT Fits You?
Male Excel vs Keeps TRT comes down to price transparency and testing. Male Excel's published injection starting model is about $2,727 for year one before shipping. Keeps advertises $49 to start and an injectable page showing $99 beside $199, but its public billing documents do not establish a reliable first-year Keeps total.
Here's the strange part. Keeps' Terms say the membership renews every 84 days and medication is billed separately every 12 weeks. Its patient manual says membership is billed every 28 days, while the injectable offer is presented as a monthly subscription. We'll show all three and the one email worth sending before you hand either company your card.
When the answer changes: If low testosterone hasn't been confirmed with symptoms or signs plus consistently low testosterone on appropriate repeat morning testing, if near-term fertility matters, or if you live in one of the 11 states Male Excel doesn't serve, neither program may be your best first step.
Male Excel is best for you if you want the major recurring price components published before you pay, you'd rather start with an at-home test than a lab visit, you want a cream option, or you plan to use HSA or FSA funds if your plan allows it. It's not for you if you want a clearly published baseline panel that includes hematocrit, LH, FSH and prolactin before treatment, you want to use your own pharmacy, or you live in Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire or Rhode Island.
Keeps is best for you if you want a clearly listed multi-marker lab panel, updated labs before refills, and the right to choose your pharmacy. It's not for you if you need one clear, written billing schedule and complete renewal price before you pay for ongoing treatment.
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 with Male Excel or Hone Health through links on this page. We earn nothing from Keeps. Payment doesn't change what we publish. Our process is explained in How We Review TRT Providers.
This page is educational information, not medical advice. If you have chest pain, trouble breathing, sudden swelling in one leg, or signs of a stroke, call 911 or go to the nearest emergency room.
Male Excel vs Keeps TRT: what's the real difference?
Male Excel publishes more of its recurring price structure up front, while Keeps publishes a clearer list of baseline lab markers but has conflicting public billing documents. Male Excel's current site also gives two different descriptions of its starting test — an older page lists five hormone markers, while its homepage now advertises a 54-biomarker at-home draw — so we do not treat the old five-test list as the definitive current panel.
Here's every material difference we could verify from each company's own pages and legal documents on October 11, 2026. The last column tells you how much weight each fact deserves.
Male Excel vs Keeps TRT at a glance (checked October 11, 2026)
Three things jump out:
- Male Excel is easier to budget from public information. Its starting medication and membership components are published. Keeps' current promotional price and legal billing structure do not establish a reliable full-year total.
- The testing comparison is not a clean 5-vs-11 contest anymore. Keeps publishes an 11-test list in its patient manual. Male Excel's official pages currently conflict between a five-marker hormone page and a 54-biomarker homepage claim, so confirm the exact pre-treatment panel before paying.
- Keeps' billing still needs to be gotten in writing. Its Terms, patient manual and injectable offer describe the cadence differently.
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.
What we actually verified
Last verified: October 11, 2026
What we read directly:
- Male Excel: current pricing, TRT-online, at-home hormone-test, homepage, FAQ, Excel Advantage, guarantee terms, and Terms and Conditions (last updated July 2026)
- Keeps: TRT homepage, injectable TRT offer, Terms of Service (last updated May 11, 2026), telehealth consent (May 11, 2026), testosterone safety page, and patient manual
- Hone Health's current homepage and plan pages, for the alternative mentioned below
- The New York Attorney General's August 24, 2026 announcement about Thirty Madison
- Current FDA testosterone and compounding information, the AUA testosterone-deficiency guideline (2018; validity confirmed 2024), the Endocrine Society guideline, and current DEA/HHS telemedicine guidance
Confirmed from the companies' own documents: Male Excel's $99 consultation, $99 monthly membership, starting injection and cream prices, state exclusions, contracted-pharmacy rule, guarantee terms and arbitration opt-out; Keeps' $49 start, current injectable promotion, 84-day/12-week Terms billing structure, 28-day patient-manual billing language, listed lab markers, refill-lab rule, pharmacy-choice language, cancellation cutoff, guarantee terms and arbitration opt-out.
Provider-stated facts we did not independently test: shipping speed, clinician-access claims, turnaround times, Male Excel's outcome claims, and Keeps' "start in as little as 5 days" marketing.
Material conflicts or gaps: Male Excel's public pages currently describe its starting testing two different ways — five hormone markers on one page versus a 54-biomarker at-home draw on its homepage. Keeps' public documents conflict on billing cadence and do not establish a complete renewal quote, while its injectable offer shows a $99 promotional amount beside a $199 reference price. We also could not establish Male Excel's shipping charge, a complete Keeps TRT state list, or which pharmacy would fill an individual patient's prescription.
What we didn't do: We didn't sign up, get treated, contact support, or test cancellation at either company. This is a comparison built from public documents, not a hands-on review.
Keeps TRT vs Male Excel: which costs more over a year?
Male Excel's published components let us build a starting year-one model: about $2,727 for its injection plan or $2,871 for its cream, plus shipping and any dose-related changes. Keeps may cost less or more, but its current public offer and Terms do not establish a reliable first-year total, so we will not turn a promo number into an annual price.
The year-one math we can actually verify
We counted Male Excel's published required starting components at the lowest listed testosterone prices.
Male Excel's model is an editorial calculation from current starting prices, not a promise that every patient will pay exactly that amount. Its pricing page says treatment cost can change with the prescribed plan and dose.
Why "$49," "$99" and "$199" aren't the same kind of number
Every number below appears on a current provider page. They do not all mean the same thing.
- Male Excel's $99 is the initial consultation and at-home testing step. If prescribed treatment, the ongoing $99 medical membership is a separate recurring charge.
- Male Excel's $120 and $132 are monthly-equivalent starting medication prices for 60-day supplies, billed every other month. Membership and shipping are separate.
- Keeps' $49 is the advertised starting evaluation package: blood work, clinician consultation and personalized plan.
- Keeps' injectable page currently shows $99 beside a $199 reference price and says "$100 OFF TODAY." The public page does not establish how long that $99 amount lasts or whether $199 is the renewal price.
- Keeps' Terms do not use one all-in monthly figure. They say the Program Membership Fee is charged every 84 days and compounded medication is billed separately every 12 weeks, with the actual amounts presented during enrollment.
Keeps' own documents disagree on billing
This remains the most useful billing finding on the page.
The Terms are the controlling agreement for the service, but the patient manual and offer page create a real consumer-information conflict. Before paying for ongoing Keeps treatment, ask for the exact charge amounts, dates, renewal price and fee split that apply to your account.
There's also relevant company history. On August 24, 2026, the New York Attorney General announced a $400,000 settlement with Thirty Madison, Keeps' parent company, after finding subscription-disclosure and cancellation violations across its services. The announcement is not specific to Keeps TRT, so it does not prove a TRT billing problem. It does make written confirmation of the applicable TRT renewal terms especially sensible. Our Keeps TRT cost guide breaks this down further.
Costs neither company fully publishes
- Extra or follow-up labs. Male Excel says blood testing is part of ongoing monitoring, but its public pricing page does not itemize a separate lab fee. Keeps' Terms say extra tests or services requested by a clinician may fall outside the Program Membership.
- Dose changes. Male Excel says the prescribed treatment and dose can change cost.
- Male Excel shipping. Its price cards say shipping and handling are extra but do not publish the amount.
Do the math on your own quote
Once you have a written quote, use:
Year one = start fee + all membership charges dated in the first 365 days + all medication charges dated in the first 365 days + shipping + extra labs
For Male Excel, the published starting model uses 12 monthly membership charges and six 60-day medication charges. For Keeps, use the actual amounts and dates shown in your enrollment offer rather than converting the public $99 or $199 display into an annual total.
Want the major recurring price components published before you pay for treatment? That's where Male Excel is clearer today. See Male Excel's current TRT pricing →
Which one publishes a clearer pre-treatment lab panel?
Keeps publishes the clearer marker list: its patient manual names 11 tests and says updated labs are required before refills or dose changes until the clinician advises otherwise. Male Excel's public pages currently conflict — its hormone-test page lists five markers, while its homepage advertises a 54-biomarker at-home draw — so we cannot honestly declare a current 5-vs-11 winner without the exact Male Excel panel for a new patient.
What guidelines say should happen before TRT
The American Urological Association says low testosterone should be diagnosed only after two total-testosterone measurements on separate occasions, both taken early in the morning, and that symptoms or signs must also be present. It treats total testosterone below 300 ng/dL as a reasonable cutoff that supports diagnosis, not a diagnosis by itself.
The Endocrine Society likewise recommends diagnosing hypogonadism only when compatible symptoms or signs occur with unequivocally and consistently low testosterone, confirmed with a repeat morning fasting total-testosterone measurement using an accurate assay.
The AUA also recommends or conditionally uses other tests depending on the situation: LH in men with low testosterone; prolactin when LH is low or low-normal; baseline hemoglobin/hematocrit before testosterone therapy; PSA in men over 40; and FSH when fertility evaluation makes it relevant.
What each provider actually publishes
The honest catch with Male Excel
Male Excel's starting panel should not be treated as definitively five tests. That is no longer safe. Its older hormone-test page still lists testosterone, estradiol, DHEA-S, free T3 and PSA, but its current homepage advertises a 54-biomarker at-home draw. Before paying, ask Male Excel which panel a new TRT patient receives today and whether it includes total testosterone, LH, FSH, prolactin and hemoglobin/hematocrit.
The convenience advantage still appears real: Male Excel advertises an at-home testing path, while Keeps lets patients use an assigned in-person lab or request an at-home kit. Convenience does not replace the diagnostic standard.
Does an at-home start fit your life better? Start Male Excel's online assessment and $99 testing step → A clinician decides whether treatment is appropriate. Paying for the consultation does not guarantee a prescription.
Want the clearest published baseline marker list of these two? Keeps currently provides that in its patient manual. See Keeps' $49 starting offer → Get the billing schedule and exact renewal price in writing before ongoing treatment.
Want a lab-heavy alternative with a published membership price? Hone Health currently lists a $65 initial test covering 50+ biomarkers and a $155/month Premium membership, with medication extra and repeat testing every 90 days. See Hone Health's current plans →
How follow-up works once you start
- Male Excel says its ongoing care includes 60-day reviews and blood testing every 6 months. Its current homepage describes full hormone and health panels, while older pages list a narrower hormone set; ask which monitoring panel applies to your plan.
- Keeps says updated labs are required before each refill or dose change until the clinician advises otherwise. Its patient manual describes a renewal form, labs and a clinician follow-up before the next 12-week medication supply.
The AUA recommends checking testosterone after treatment begins and then every 6 to 12 months once stable, with hematocrit monitoring on a similar interval or sooner depending on prior values.
What will Male Excel or Keeps actually prescribe?
Both programs describe compounded testosterone, which is not FDA-approved. Male Excel's pricing page lists compounded injections and cream alongside thyroid medication, while its homepage says thyroid support is used when clinically appropriate. Keeps has a dedicated injectable TRT offer and a safety page that also describes other testosterone routes; its injectable offer advertises anastrozole as included, but any medication still depends on clinician judgment. Each also describes non-testosterone options, and those options are not TRT.
Compounded vs FDA-approved, in plain words
An FDA-approved testosterone product has been reviewed by the U.S. Food and Drug Administration for safety, effectiveness and quality, and comes with official labeling. A compounded preparation is mixed by a pharmacy for an individual prescription. The FDA says compounded drugs are not FDA-approved and haven't gone through its review for safety, effectiveness or quality.
Both companies say this themselves. Male Excel's footer states its compounded medications are "Not FDA-approved or evaluated for safety, effectiveness, or quality." Keeps says its medications "have not been reviewed or approved by the FDA for quality, safety, or effectiveness."
That doesn't make either one illegal or fake. It means you're not getting an FDA-approved product, and the two aren't interchangeable. If an FDA-approved testosterone product matters to you — or you want insurance to help pay — a primary care doctor, urologist or endocrinologist is the right route, not either of these programs.
Testosterone is also a Schedule III controlled substance under federal law. It requires a valid prescription, and controlled-substance prescribing must comply with federal and state law.
Male Excel adds thyroid medicine to both testosterone plans
Male Excel's current injection and cream price cards pair testosterone with thyroid medication and say thyroid "helps with testosterone effectiveness." Its homepage, however, describes thyroid support as used "when clinically appropriate." If thyroid treatment is not something you expect, ask whether it is part of your specific prescription and why.
Male Excel's own safety information says thyroid medicine should not be used for weight loss, and that larger doses can cause serious side effects like a racing or irregular heartbeat. Its starting kit does check free T3, a thyroid hormone. If your thyroid results come back normal, ask your provider directly why you'd need the tablet and whether you can decline it.
Keeps includes anastrozole
Keeps' injectable page advertises "Bonus: Free Anastrozole Included." Anastrozole is an aromatase inhibitor; its FDA-approved indications are for certain breast-cancer uses in postmenopausal women, so use in men receiving TRT is off-label. The offer does not mean every patient should receive it. If a Keeps clinician prescribes it, ask why it is indicated in your case and what monitoring will be used.
Injections or cream?
- Male Excel offers injections and a cream. Its injection plan uses small daily shots under the skin; its cream is applied twice a day. Topical testosterone can transfer to other people through skin contact and can cause harmful androgen exposure, especially in children. Male Excel's safety information explains how to lower that risk.
- Keeps has a dedicated injectable TRT offer. Its testosterone safety page also describes topical and oral-dissolving routes, but that does not prove every format is currently available to every patient or in every state. Confirm the treatment format before paying.
We don't give dosing advice. Your clinician decides the medication and dose.
Would you rather use a cream than needles? Male Excel is the one of these two that lists a cream option and its price up front. See Male Excel's cream and injection prices →
The non-testosterone pills: Triclozene and enclomiphene
Both companies describe non-testosterone options intended to stimulate the body's own testosterone production. They are not TRT. Clomiphene use in men is off-label, and enclomiphene is not an FDA-approved drug.
- Male Excel's Triclozene is a compounded blend of clomiphene citrate, thyroid and selenomethionine. Clomiphene is FDA-approved to help women ovulate; using it in men is off-label.
- Keeps offers enclomiphene. Enclomiphene is not an FDA-approved drug.
Already on TRT somewhere else?
Keeps says it will consider your previous prescription but requires fresh labs through its own lab partners first, and it lists the documents it wants to see. Male Excel has a section for men already taking testosterone; ask how it handles your current dose before you switch.
Can you cancel Male Excel or Keeps, and do you get money back?
You can cancel either one, but neither refunds charges that have already gone through. Male Excel says "no contract, cancel anytime," and its Terms say all sales are final. Keeps' Terms require you to email trt@keeps.com at least 48 hours before your billing cycle ends, and its fees are non-refundable once charged.
How to cancel each one
- Keeps: Its Terms say to email trt@keeps.com at least 48 hours before the end of your current billing cycle. Cancelling stops both the membership and the medication subscription. Its patient manual also says you can cancel in your portal. Use email anyway, so you have a dated record.
- Male Excel: Its price cards say "No Contract, Cancel Anytime." Its Terms say cancellation takes effect under its cancellation policy, but we couldn't find step-by-step instructions on its public pages. Call 833-625-3392 or message support from your account, and ask for written confirmation.
Copy this cancellation message
Please cancel all future membership and medication renewals on my account, effective before my next billing date. Please confirm in writing that no further membership or medication charges will be made, and tell me the status of any order that has already been submitted to the pharmacy.
What the money-back guarantees really cover
Our take: Keeps' guarantee is tied to a lab number, which is objective. But testosterone treatment usually raises testosterone levels, so most men won't qualify. Male Excel's is tied to how you feel, which matters more to most men, but its own assessment decides. Neither is a reason to choose one company over the other.
Arbitration: the 30-day window most people miss
Both companies require you to settle disputes through private arbitration instead of court, and both let you opt out within 30 days of first accepting their terms:
- Male Excel: email legal@excelmedical.com.
- Keeps: email legal@joinKeeps.com with your name, address, the email and phone on your account, and a clear statement that you're opting out.
If clear, published fees and no long-term contract are what you need to feel comfortable, Male Excel lists every fee and labels each plan "No Contract, Cancel Anytime." Review Male Excel's plans and fees before you start →
Is Male Excel or Keeps available in your state?
Male Excel prescribes hormone treatment in every state except Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire and Rhode Island. Keeps' Terms say its services are available in all 50 states and D.C., but that TRT "may not be available in every state," and Keeps doesn't publish which ones.
You'll also need to be physically in your state when you have your telehealth visits. Both companies ask you to confirm where you are.
What happens after December 31, 2026?
Current federal guidance from DEA and HHS allows qualifying DEA-registered practitioners to prescribe Schedule II–V controlled medications through telemedicine without a prior in-person medical evaluation when the applicable conditions are met. That temporary extension runs through December 31, 2026, and prescriptions still must comply with federal and state law.
Male Excel warns that a testosterone treatment plan may require an in-person medical exam based on DEA and state rules. Keeps' Terms say its program may be discontinued and provide for notice so patients can find a local provider. Before starting either service late in 2026, ask: "What happens to my care if the federal controlled-substance telemedicine rules change after December 31, 2026?"
Weighing a local clinic instead? See Male Excel vs Gameday Men's Health.
Do Male Excel or Keeps take insurance, HSA or FSA?
Neither accepts insurance, and Male Excel says it isn't enrolled in Medicare or Medicaid. Keeps says it's cash-pay only. Male Excel labels its plans "FSA/HSA Eligible"; Keeps doesn't say either way. If you have good insurance, an in-network doctor and an FDA-approved testosterone product may cost you much less.
When your own doctor is the cheaper route
If you have insurance, an in-network primary care doctor, urologist or endocrinologist may be able to order the diagnostic workup and prescribe an FDA-approved testosterone product under your plan's coverage rules. Your actual cost depends on deductibles, copays, prior authorization, the product prescribed and your network. TRT Provider Guide's Find My TRT Path tool can help you weigh that route against online care.
What if you want kids? Male Excel vs Keeps on fertility
Testosterone therapy can lower sperm production, so neither program is the right first step if you're trying to conceive. The AUA says testosterone should not be prescribed to men currently trying to conceive, and the Endocrine Society recommends against starting it when you're planning fertility in the near term. The non-testosterone pills both companies offer are not TRT and don't guarantee fertility.
Why testosterone changes the fertility picture
When testosterone comes from outside your body, your brain sends fewer signals (LH and FSH) to your testicles. Those signals drive sperm production, which doctors call spermatogenesis. Less signal can mean fewer sperm. Recovery after stopping varies from man to man, and no one can promise it.
Both companies' own fine print acknowledges this. Keeps' site says TRT "may impair fertility." Male Excel's safety information says testosterone in large doses may lower sperm count.
Do Triclozene or enclomiphene solve it?
They're different drugs that work differently, and the AUA says certain non-testosterone medicines may be used for men who want to protect fertility. But Triclozene is compounded and off-label, enclomiphene isn't FDA-approved, and neither company is a fertility clinic. Choosing one as a workaround isn't something to decide from a comparison page.
If you want kids in the next year or two, start with a urologist who specializes in male fertility (a reproductive urologist) or a fertility-aware endocrinologist. If you're not sure where you fall, map your fertility-aware care route with Find My TRT Path.
Who shouldn't start TRT at Male Excel or Keeps?
Some men need specialist or in-person evaluation before testosterone is considered. The Endocrine Society recommends against starting testosterone in men planning fertility in the near term and in men with breast or prostate cancer, a palpable prostate nodule or induration, PSA above 4 ng/mL, PSA above 3 ng/mL with high prostate-cancer risk without further urologic evaluation, elevated hematocrit, untreated severe obstructive sleep apnea, severe lower urinary tract symptoms, uncontrolled heart failure, myocardial infarction or stroke within the last 6 months, or thrombophilia.
That list comes from the Endocrine Society's 2018 guideline. If any item applies to you, see your own doctor or a urologist or endocrinologist before going online.
Two more things worth knowing, whichever program you pick:
- Blood pressure and cardiovascular labeling. In 2025, FDA required blood-pressure information across testosterone labeling and removed boxed-warning language about increased major cardiovascular-event risk after reviewing TRAVERSE. FDA made additional testosterone-label updates in 2026. Ask your clinician how the current labeling applies to the specific product you are prescribed.
- Hematocrit and PSA. These need checking before and during treatment. With Male Excel, ask whether and when hematocrit is checked, since its published panels don't list it.
If you're not sure your testosterone is truly low, read how low testosterone is diagnosed and why you may need two tests before you pay anyone.
What does the Thirty Madison settlement change about this comparison?
It does not prove that Keeps TRT itself overcharged or blocked cancellation. The New York Attorney General's August 2026 settlement concerned subscription disclosures and cancellation practices at Thirty Madison across its services, so we use it as a reason to verify the current TRT renewal schedule in writing — not as evidence about treatment quality or medical outcomes.
We removed individual review quotes from this comparison because we could not re-verify the exact reviewer identity and date from the original source during this audit. Customer reviews can flag questions about billing, shipping and communication, but they do not establish safety, effectiveness or current policy.
Male Excel or Keeps: which should you choose?
Choose based on what matters most to you, not an overall score. Male Excel fits readers who want the major recurring price components published, an at-home start and a cream option. Keeps fits readers who want the clearest published baseline marker list, updated labs before refills and written pharmacy choice. Choose neither yet if low testosterone has not been properly evaluated, near-term fertility matters, or a complex health issue changes the care route.
Does the Male Excel column sound like your situation? If you want published recurring price components, an at-home start and no long-term contract, it's the stronger fit of these two. Start your $99 Male Excel consultation and home test → A licensed provider reviews your results and decides whether treatment fits. Not every applicant gets a prescription.
Does the Keeps column fit better? That's a reasonable choice. Start with Keeps' evaluation → and send the billing question below before your first prescription.
Questions to get answered in writing before you pay either company
Email both companies the same questions before you pay for treatment. Written answers settle what neither company publishes: your real charge schedule, follow-up lab costs, your pharmacy, and what happens if you're not prescribed anything.
- Exactly how much will you charge me, and on what dates, during my first 12 months?
- Which exact baseline markers will you test, and will you confirm low total testosterone with an appropriate repeat early-morning measurement before diagnosing testosterone deficiency?
- Do you check my hematocrit before I start and while I'm on treatment?
- Which follow-up labs are included, and what do extra ones cost?
- Which pharmacy fills my prescription, and can I use a different one?
- If thyroid medicine or anastrozole is proposed, why is it indicated for me, and what happens if it is not clinically appropriate?
- What happens to my prescription if federal telehealth rules change after December 31, 2026?
- How do I cancel, and what's refunded if your clinician decides I'm not eligible?
Save the replies. If a company won't answer a question in writing, that tells you something too.
How we compared Male Excel and Keeps
On October 11, 2026, we read both companies' pricing pages, legal terms, consent forms, test pages and Keeps' patient manual, then calculated year-one cost the same way for each. We didn't sign up or get treated. Medical and legal claims come from the FDA, the AUA, the Endocrine Society, the DEA and HHS, and the New York Attorney General.
We follow How We Review TRT Providers. That method keeps four kinds of information separate: facts we verified in a company's own documents, claims a company makes that we couldn't test, customer-experience signals, and our own editorial conclusions. We calculate the complete cost instead of repeating a teaser price, and we don't assign numeric scores.
For year one, we calculated Male Excel from its published starting consultation, membership and testosterone prices and left shipping and dose changes out because their dollar amounts are not fixed publicly. We did not publish a Keeps year-one total because its current promo display, Terms and patient manual do not establish one reliable set of renewal amounts and dates.
Prices and policies change. We re-check both companies monthly. If you spot something out of date, tell us and we'll fix it.
Male Excel vs Keeps TRT: frequently asked questions
Is Male Excel better than Keeps?
It depends on what you value. Male Excel is stronger on published recurring price components, an at-home start and a cream option. Keeps publishes a clearer baseline marker list, requires updated labs before refills until the clinician advises otherwise, and gives patients pharmacy choice in its telehealth consent.
Which is cheaper, Male Excel or Keeps TRT?
We can model Male Excel's injection starting plan at about $2,727 for year one before shipping. We cannot verify a comparable Keeps annual total from public documents because its current offer, Terms and patient manual do not establish one set of renewal amounts and dates.
How much does Male Excel cost per month?
A $99 monthly membership plus medication: injections from $120 a month or cream from $132 a month, billed every 60 days, plus shipping. Your first step is a $99 consultation with an at-home test.
How much does Keeps TRT cost per month?
Keeps currently advertises $49 to start. Its injectable page shows $99 beside a $199 reference price with a $100 discount, but the public page does not establish the promo length or renewal price. Its Terms use separate 84-day membership and 12-week medication charges.
Is Male Excel or Keeps testosterone FDA-approved?
No. Both prescribe compounded testosterone, and both say on their own sites that it isn't FDA-approved.
Does either take insurance?
No. Both are cash-pay. Male Excel isn't enrolled in Medicare or Medicaid.
Can I use my HSA or FSA?
Male Excel labels its plans HSA/FSA eligible. Keeps doesn't say. Check with your plan administrator either way.
Do I need a blood draw for Keeps?
Keeps' patient manual describes assigned in-person lab partners and says you can request an at-home kit; it also says a kit is sent automatically when an accessible testing center is not available within 50 miles.
Is Male Excel's at-home test enough to diagnose low testosterone?
Male Excel currently has conflicting public descriptions of its panel: one page lists five hormone markers, while its homepage advertises a 54-biomarker at-home draw. Regardless of panel size, diagnosis should follow guideline-based clinical evaluation, including symptoms or signs and appropriate repeat early-morning total-testosterone testing.
Why does Male Excel show thyroid medicine with testosterone?
Male Excel's price cards pair thyroid medication with its injection and cream packages, while its homepage says thyroid support is used when clinically appropriate. Ask whether thyroid treatment is actually part of your prescription and what finding supports it.
Why does Keeps advertise anastrozole with injectable TRT?
Keeps' injectable page advertises anastrozole as included. Its use in men receiving TRT is off-label, and the product-page bundle does not mean it is appropriate for every patient. A clinician should decide whether it is indicated.
What's the difference between Triclozene and enclomiphene?
Triclozene is Male Excel's compounded blend of clomiphene, thyroid and selenomethionine. Enclomiphene is Keeps' option. Neither is testosterone or TRT, and neither is FDA-approved for this use in men.
How do I cancel Keeps TRT?
Email trt@keeps.com at least 48 hours before your billing cycle ends, as its Terms require. Ask for written confirmation.
How do I cancel Male Excel?
Male Excel says "cancel anytime," but we couldn't find written step-by-step instructions on its site. Call 833-625-3392 or message support, and get confirmation in writing.
Can I switch from Keeps to Male Excel, or the other way?
Usually, yes. Keeps asks for proof of your current prescription and fresh labs through its own lab partners. Ask Male Excel what it needs before you switch, and time your cancellation so you're not paying both.
Will online TRT still be allowed in 2027?
The current federal temporary extension for qualifying controlled-substance telemedicine prescribing runs through December 31, 2026. What follows can change, and state law still applies. Ask the provider what its plan is if an in-person evaluation becomes required.
Which is better if I want to have kids?
Neither. Testosterone can lower sperm production. See a reproductive urologist first.
Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.
Sources
- Male Excel, Hormone Treatment Costs — https://maleexcel.com/treatments/hrt-costs/ (checked Oct 11, 2026)
- Male Excel, At-Home Testosterone Test (updated July 14, 2026) — https://maleexcel.com/treatments/male-hormone-test/
- Male Excel, TRT FAQs (updated Sept 7, 2026) — https://maleexcel.com/faq/
- Male Excel, The Excel Advantage — https://maleexcel.com/the-excel-advantage-hormone-optimization-for-men/
- Male Excel, Excel Advantage Guarantee terms — https://maleexcel.com/terms-conditions-excel-advantage-guarantee/
- Male Excel, Terms and Conditions (last updated July 2026) — https://maleexcel.com/terms-conditions/
- Keeps TRT homepage — https://trt.keeps.com/ (checked Oct 11, 2026)
- Keeps injectable TRT page — https://trt.keeps.com/medication/cypionate (checked Oct 11, 2026)
- Keeps Terms of Service (last updated May 11, 2026) — https://trt.keeps.com/legal/terms-of-service
- Keeps / KMG Medical Group Telehealth Informed Consent (last updated May 11, 2026) — https://trt.keeps.com/legal/telehealth-consent
- Keeps patient manual — https://trt.keeps.com/keeps/documents/keeps-patient-manual.pdf (checked Oct 11, 2026)
- New York Attorney General, Thirty Madison settlement announcement (Aug 24, 2026) — https://ag.ny.gov/press-release/2026/attorney-general-james-secures-400000-online-medication-provider-deceiving
- American Urological Association, Evaluation and Management of Testosterone Deficiency (2018; validity confirmed 2024) — https://www.auanet.org/guidelines-and-quality/guidelines/testosterone-deficiency-guideline
- Endocrine Society, Testosterone Therapy in Men With Hypogonadism (2018) — https://www.endocrine.org/clinical-practice-guidelines/testosterone-therapy
- U.S. FDA, FDA issues class-wide labeling changes for testosterone products (Feb 28, 2025) — https://www.fda.gov/drugs/drug-alerts-and-statements/fda-issues-class-wide-labeling-changes-testosterone-products
- U.S. FDA, Understanding the Risks of Compounded Drugs — https://www.fda.gov/drugs/human-drug-compounding/understanding-risks-compounded-drugs
- HHS & DEA, Telemedicine Flexibilities for Prescribing Controlled Medications Through 2026 — https://www.hhs.gov/press-room/dea-telemedicine-extension-2026.html
- DEA, Drug Scheduling — https://www.dea.gov/drug-information/drug-scheduling
- FDA, Testosterone Information — https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information
- Hone Health homepage and plan information — https://honehealth.com/ (checked Oct 11, 2026)