Male Excel vs Lifeforce: Which Online TRT Program Fits You, and What Each Really Costs
Male Excel vs Lifeforce comes down to your state, your testing preference and the bill you are willing to accept. In the 27 states both serve, Lifeforce currently publishes lower starting injection pricing on two live offer pages — about $179 to $188 a month before the effect of its 25-day prescription-renewal schedule — versus Male Excel's $219 plus shipping. Male Excel wins in 12 states Lifeforce doesn't serve, and for men who want an at-home test.
It also has the only written 90-day refund here. That's the short answer. The longer one has a twist: both companies advertise "$99 a month," and those two numbers don't mean the same thing. We'll show you exactly where the money goes, which state list you're on, and the one lab test you should ask about no matter which company you pick.
Comparing Lifeforce vs Male Excel from the other direction? Same page. Same numbers.
Disclosure: TRT Provider Guide may earn a commission if you start with Male Excel through links on this page. We earn nothing from Lifeforce. That doesn't change our numbers, our verdict, or the drawbacks we report — including the places where Lifeforce comes out ahead. Read our full disclosure.
Male Excel vs Lifeforce at a glance (checked October 12, 2026)
Prices are each company's advertised starting rates for a typical starting dose. They are not a personal quote.
What we actually verified (October 12, 2026): We read both companies' live TRT pricing, program, FAQ, lab-kit, pharmacy, guarantee, terms and refund pages — including three separate Lifeforce TRT sign-up pages — plus both Trustpilot profiles, the American Urological Association (AUA) testosterone guideline, the Endocrine Society guideline, FDA's compounding guidance, the FDA label listing for Kyzatrex, and the federal telemedicine extension. Company-stated, not tested by us: clinician access, lab turnaround, outcome statistics. Couldn't confirm: Male Excel's shipping charge and whether its six-month labs cost extra; Lifeforce's cream and Kyzatrex prices; whether either company requires two early-morning testosterone tests before treatment. We did not enroll, pay, receive treatment or contact either company. This is a comparison of public documents, not a hands-on review.
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.
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.
One quick note so you're on the right page: "Lifeforce" here means the telehealth company at mylifeforce.com, co-founded by Tony Robbins. It isn't his book Life Force*, a multivitamin with a similar name, or a European wellness company that shares the name.*
Can Male Excel or Lifeforce treat you in your state?
Male Excel lists testosterone therapy in 39 states and Lifeforce in 28. They overlap in 27. Male Excel alone serves 12 more states, Lifeforce alone serves Mississippi, and neither serves 10 states.
Start here. If your state is on the wrong list, nothing else on this page matters.
We lined up Male Excel's FAQ (it lists the states it does not serve) against Lifeforce's TRT page (it lists the states it does serve). Here's the result.
Sources: Male Excel FAQ, "What states do you cover?" (page updated September 7, 2026); Lifeforce TRT FAQ, "Is TRT through Lifeforce available in my state?" Both read October 12, 2026. Washington, D.C. isn't addressed by either list — ask before you pay.
Why the lists differ so much. Testosterone is a Schedule III controlled substance. That's a federal category for drugs with accepted medical use and some potential for misuse, so it needs a valid prescription. Each company decides where its clinicians can prescribe it online. Neither company explains its list.
Three state details worth knowing:
- New York and New Jersey: Lifeforce says an at-home blood draw is required there. It doesn't publish the price. Ask.
- States outside Lifeforce's TRT list: Lifeforce says its clinicians may suggest clomiphene or peptides instead. Those aren't testosterone replacement therapy. See our treatment options guide before you agree to a substitute.
- "Listed" isn't "approved." A state on a list means a company offers care there. It doesn't mean you'll be prescribed anything.
For Male Excel's full state rules, see our Male Excel state availability page.
Live in one of the 12 states only Male Excel serves — or anywhere it serves and you'd rather do your test at home? Your first step is free and takes a few minutes.
Take Male Excel's free online assessment → Free symptom questionnaire. Nothing to pay until you choose the $99 home test and online visit. It isn't a diagnosis.
In Mississippi or a shared state and leaning toward Lifeforce's lower published starting price? See Lifeforce's current TRT program → In one of the 10 states neither serves? Jump to what to do instead →
How much do Male Excel and Lifeforce really cost?
On the Lifeforce pages that publish an injection price, the recurring starting subtotal is about $179 to $188 a month — $99 for care plus $80 to $89 for medication — with free shipping. Male Excel's published starting subtotal is about $219 a month — a required $99 membership plus $120 for medication — plus shipping. Lifeforce's current main page now starts at $25 and says the medication price varies, so use the year-one figures below as modeled scenarios rather than a personal quote.
Why "$99 vs $99" isn't a real comparison
Both companies say "$99 a month." Here's the catch.
At Male Excel, $99 is the Medical Membership. It's required. It covers your provider, messaging and check-ins. Medication is a separate bill, starting at $120 a month for injections, sent as a 60-day supply and charged every other month. Its pricing page says shipping and handling are extra.
At Lifeforce, $99 is the ongoing membership after the first month, covering labs, clinician visits and monitoring. Medication is separate. Lifeforce's current main TRT page starts the evaluation at $25 and says medication cost varies by product, dose and administration method. Two other still-live Lifeforce TRT pages publish injection figures of $80 and $89 a month.
So neither $99 is the price of treatment. Put both on the same scale and the gap shows up.
Year one, line by line
How we did the math: start fee + care fees + medication charges. Male Excel bills its published starting injection price as a 60-day supply, so six $240 medication shipments plus the $99 start fee and 12 membership payments total $2,727 before shipping. A seventh 60-day medication charge before day 365 would make that $2,967. Lifeforce's current main page does not publish a fixed injection price, so our Lifeforce totals are scenarios built from its other live $80/$89 injection pages. Its help center says pharmaceutical subscriptions follow a 25-day renewal schedule; if that cadence produces more than 12 medication charges in your first 365 days, the effective annual cost is higher than $179–$188 multiplied by 12. Your real bill depends on what is prescribed and when each renewal lands.
Male Excel's cream costs $132 a month for medication, or about $2,871 in year one plus shipping. Lifeforce doesn't publish prices for its cream or for Kyzatrex. Ask at your visit.
Male Excel costs more. Here's what the difference buys.
Male Excel does not have the lower published starting price. Under the modeled scenarios above, its first-year total is roughly $250 to $650 higher before shipping, unless Male Excel's seventh medication shipment lands inside year one or your Lifeforce prescription renews more often than the simple monthly headline suggests. If the lowest starting price is your priority and Lifeforce serves your state, choose Lifeforce. We'd rather you pick the program that fits than the one that pays us. See Lifeforce's full cost breakdown →
But that extra money isn't for nothing. Because Male Excel runs the whole thing — the test kit, the visits, the refills — through one at-home system, it can do three things Lifeforce doesn't:
- Treat men in 12 more states, including Ohio, Pennsylvania, Georgia and Indiana.
- Skip the lab trip entirely. You prick your finger at home and mail the card.
- Put a written refund behind your first 90 days. If you follow the plan and don't feel better, Male Excel's guarantee can return up to three months of membership fees.
For the man in Columbus or Pittsburgh, the comparison is over before price comes up. For the man who hates waiting rooms, that's worth something real.
Your first 90 days: money out, money back
Male Excel's written guarantee is easier to model than Lifeforce's first-90-day cash flow. Male Excel can refund up to $297 in membership fees if you meet the guarantee's conditions after 90 continuous days. Lifeforce's public pages do not support one exact day-90 spend because the $99 membership starts after the first month while prescription subscriptions follow a separate 25-day renewal schedule.
That means a single "$487 by day 90" style figure would create false precision. The useful comparison is simpler: Lifeforce has the lower entry price, while Male Excel has the only published refund here that is tied to symptom improvement after a 90-day protocol. Those are two different kinds of financial protection.
The other prices you'll see online
Can you use HSA or FSA money?
Both companies say yes. Male Excel labels its TRT plans "FSA/HSA Eligible." Lifeforce's TRT pages say "HSA/FSA eligible." Your plan administrator decides what actually qualifies, and some plans want a letter of medical necessity. We're not tax advisors. Check with your plan before you count on it. More detail: Male Excel HSA and FSA.
Can the price go up later?
Yes, at both. Male Excel's FAQ says a dose change changes your medication cost. Lifeforce says medication cost varies by type, dose and how it's taken. Ask for your renewal amounts in writing before you start.
Choose the one whose bill fits how you want to pay.
Deeper dive: Male Excel cost · Lifeforce TRT cost
Which one tests you more thoroughly before and during treatment?
Lifeforce's published first panel includes a CBC and luteinizing hormone (LH); a CBC ordinarily includes hematocrit, and the AUA guideline specifically calls for baseline hemoglobin/hematocrit before testosterone therapy and LH in men with low testosterone. Male Excel's published five-marker at-home kit does not list CBC, hematocrit or LH, and its published six-month panel does not list them either. Neither company's public pages we checked state that every new TRT patient must have two separate early-morning testosterone measurements before treatment.
This is the biggest medical difference between the two. It's also the one the ads skip.
What the guidelines say
Low testosterone isn't diagnosed from one number. The American Urological Association says the diagnosis should be made only after two total testosterone tests taken on separate occasions, both early in the morning, together with symptoms or signs. It calls under 300 ng/dL a reasonable cutoff — not a diagnosis by itself. The Endocrine Society agrees that symptoms plus consistently low levels, confirmed by repeat morning testing, come first.
The AUA also says clinicians should:
- Measure LH in men with low testosterone. LH (luteinizing hormone) is the brain's signal that tells the testicles to make testosterone. It helps show why your level is low.
- Measure hemoglobin and hematocrit before offering testosterone. Hematocrit is how much of your blood is made of red cells. Testosterone can push it too high, which thickens the blood.
- Recheck testosterone every 6 to 12 months once you're on treatment.
Side by side
Sources: Lifeforce TRT pages; Male Excel hormone-test page and Excel Advantage page. All read October 12, 2026.
More biomarkers doesn't automatically mean better care
Lifeforce's marketing leans on "50+ biomarkers." Its own TRT FAQ calls the starting panel a "comprehensive 10-biomarker panel." Both can be true for different plans. Either way, the count isn't the point. What matters is whether the right tests are there — and on that, Lifeforce's published starting list covers the two the guideline names that Male Excel's doesn't.
Male Excel's kit has a real upside: no needle, no lab, no drive. For some men that's the difference between starting and putting it off another year. If that's you, it's a fair trade — just close the gap by asking.
If you choose Male Excel, ask for these before you start:
- "Will you confirm low testosterone with two early-morning tests on different days?"
- "Will you check my hematocrit and LH before treatment? Can I get a lab draw for that?"
- "How will you watch my hematocrit once I'm on testosterone?"
Read more: Do you need two low testosterone tests? · TRT and high hematocrit · TRT blood tests · Male Excel's at-home test
What testosterone would you actually get?
Male Excel describes its testosterone treatment as compounded and says compounded medicines aren't FDA-approved. Its published injection and cream prices also include thyroid tablets. Lifeforce says TRT medication is billed through a licensed compounding pharmacy, but that alone does not prove that every finished injection it dispenses is compounded; its menu also includes Kyzatrex, an FDA-approved oral testosterone product, though Lifeforce doesn't publish that price.
FDA-approved vs compounded, in plain words
An FDA-approved drug went through FDA review for safety and effectiveness before it was sold, and it's made to a fixed standard.
A compounded drug is mixed by a pharmacy for an individual prescription. FDA says plainly that compounded drugs aren't FDA-approved, and that it doesn't check their safety, effectiveness or quality before they're sold. That does not mean every compounded drug is unsafe. It means FDA has not reviewed that compounded drug before marketing to verify safety, effectiveness or quality, so it matters which finished product you are actually getting.
One sentence on Lifeforce's TRT page muddies this. It says its doctors "prescribe FDA-approved testosterone through licensed compounding pharmacies," while the same page says TRT medication is billed separately through a licensed compounding pharmacy. A compounding pharmacy can dispense more than one kind of product, so the pharmacy type alone does not establish whether your finished prescription is FDA-approved or compounded. Kyzatrex, on the other hand, is an FDA-approved finished drug. Ask for the exact product name, manufacturer or compounding pharmacy, and whether the finished prescription is FDA-approved or compounded.
Daily shots vs weekly shots
Male Excel calls daily dosing its "gold standard." Some men like the steady routine. Others don't want 365 shots a year. Neither is a medical upgrade on its own — it's a lifestyle choice, and it's yours. See Male Excel's testosterone injections.
Male Excel's plans include a second medicine
Male Excel prices its injection and cream with daily thyroid tablets included. Its own safety information describes the thyroid product's use as treating hypothyroidism (an underactive thyroid) and notes it is "not an Orange Book product." Ask whether you actually need it, and what your plan costs without it.
Kyzatrex vs Triclozene
Kyzatrex is FDA-approved oral testosterone (testosterone undecanoate, approved under NDA 213953). Like all testosterone, it's Schedule III.
Triclozene is Male Excel's oral product. Male Excel's pricing page describes it as clomiphene citrate with thyroid ingredients. Its TRT page separately mentions enclomiphene citrate. Those are related but different drugs. Neither is testosterone replacement therapy. Learn more: Male Excel Triclozene · Best oral TRT providers · Oral testosterone cost
Creams can rub off on others
Testosterone on your skin can transfer to a partner or child through touch. Male Excel publishes the full warning on its site. If you're choosing any cream, read testosterone cream transfer risk first.
Who fills the prescription?
Lifeforce names three pharmacies — Tailor Made Compounding (Kentucky), GoGoMeds (Kentucky) and Precision Pharmacy (New York) — and says you can request a different pharmacy if it can fill your prescription (page updated December 1, 2025).
Male Excel's terms (updated July 2026) say it can't send your prescription to a different pharmacy. Its terms also say medication won't ship in child-resistant packaging, so store it safely.
What happens if TRT doesn't work, or you want to quit?
Male Excel has the only written refund in this comparison tied to how you feel: up to three months of membership fees (about $297) if you're a new member, follow the plan for 90 days in a row and don't improve. Lifeforce refunds membership only if you ask within 30 days — or 15 days after your first lab order — and haven't used any services. At both, shipped medicine generally can't be refunded.
Cancelable and refundable are two different promises. Both companies offer the first. Only one offers a version of the second.
Male Excel's Excel Advantage Guarantee, plainly
- For new members who follow the plan for 90 days in a row.
- You must attend scheduled appointments and follow your provider's advice. Proof may be required.
- "Improvement" is judged by Male Excel's own assessment and your provider's feedback.
- You must ask within 30 days after day 90.
- It refunds membership fees for the first 90 days only. At $99 a month, that's up to $297. Medication and the $99 start fee aren't covered.
That's about a third of what you'll have spent by day 90. Narrow, but written down — which is more than most cash-pay programs offer. Outside the guarantee, Male Excel's terms say all sales are final.
Lifeforce's refund rule, plainly
Lifeforce's refund policy (updated January 1, 2026) says membership may be refunded only if both are true:
- You ask within 30 days of buying, or 15 days after your first lab order — whichever comes first.
- You haven't used any services.
If you've used labs or a visit, any refund is partial and up to Lifeforce. Prescriptions generally can't be refunded or returned.
What that means: once your blood is drawn, plan on the $49 being spent. Your real protection is stopping the $99 before day 30.
How to stop billing
Screenshot every cancellation confirmation. Full details: Male Excel cancellation policy.
The "billed while waiting" risk
Some Lifeforce reviewers report a monthly charge landing before they'd seen results or a clinician. That's a customer-experience report, not a policy. But the fix is simple: book your Quest draw the day you sign up, and set a reminder for day 25.
Want the only refund in this comparison tied to how you feel? Read the conditions first. Then start.
Start your Male Excel assessment → Read the full Excel Advantage Guarantee terms. It refunds membership fees, not medicine, and only if you meet its conditions.
Who actually treats you, and how easy are they to reach?
Male Excel runs care through its own practice, with in-house providers, unlimited messaging and e-visits, and phone support seven days a week. Lifeforce is a technology company that arranges care through separate medical practices by state, with scheduled check-ins, clinician messaging and weekday phone support.
Lifeforce advertises "in-house MDs." Its own sign-up quiz asks whether you'd rather see a licensed doctor or a physician assistant or nurse practitioner, and some reviewers name non-MD clinicians. That's normal in telehealth and not a red flag. Just ask who your clinician will be.
A famous co-founder doesn't change what you'll pay or how you're tested. Judge the plan, not the face on the ad.
Before you pay either one, ask for your clinician's name. Then look up their license on your state medical board's website. It takes two minutes.
Do Male Excel's and Lifeforce's marketing claims hold up?
Both companies market harder than their own documents support. Lifeforce's TRT page shows a 4.5-star Trustpilot rating beside the phrase "50,000+ men on Trustpilot," but Trustpilot's current profile shows 4.2 stars from 206 reviews; Lifeforce separately labels 50,000+ as patients on the same landing page. Male Excel uses "clinically proven" language in its marketing, while its own safety text says the safety and effectiveness of its testosterone cream for age-related low testosterone are not known.
We read each company's marketing next to its own policies, Trustpilot and FDA categories on the same day. Here's what didn't line up.
Lifeforce
Male Excel
What this means for you: neither company's gaps change what you'll actually pay — that's in the cost table above. They change how much weight to give the ads. Trust the policy pages. Treat the marketing as marketing.
What do customers say about Male Excel and Lifeforce?
On Trustpilot as checked for this audit, Male Excel has 4.5 stars from 6,630 reviews and Lifeforce has 4.2 stars from 206. Reviews describe service and billing experiences — they can't tell you whether treatment works or is safe for you.
Both companies invite customers to leave reviews. Both pay for Trustpilot subscriptions.
Two short service quotes, one from each:
"The doctor was excellent explaining everything." — Israel, Male Excel customer, Trustpilot, September 21, 2026
"She didn't try to upsell me on additional services." — George Cordova, Lifeforce customer, Trustpilot, June 23, 2026
And the honest counterweight: several recent Lifeforce reviewers describe waiting weeks for results or appointments while membership charges continued. A recent Male Excel reviewer found the two separate billing schedules — monthly membership, every-other-month medication — confusing. Neither pattern proves policy. Both tell you what to ask.
Both companies display a LegitScript seal, a third-party certification for health-care websites that sell prescription products. It's a good sign. It isn't a judgment of medical quality.
More: Male Excel reviews · Lifeforce TRT reviews
Male Excel or Lifeforce: which would we choose?
If we lived in one of the 27 states both serve and our low testosterone had been properly confirmed, we'd start with Lifeforce: its published starting price is lower, shipping is advertised as free, and its first published lab panel includes CBC and LH, which close two gaps in Male Excel's public five-marker starter list. We'd choose Male Excel in its 12 exclusive states, or if we wanted an at-home test, a written 90-day membership-fee guarantee and seven-day phone support.
No fake tie. Here's who each one fits.
Choose Lifeforce if…
- You live in a state both serve, or in Mississippi.
- The lowest monthly price matters most.
- You want a CBC, LH and a metabolic panel listed in the published starting panel.
- You want an FDA-approved testosterone option (Kyzatrex) on the menu.
- You'd rather inject weekly or every two weeks than every day.
- You want to choose your own pharmacy.
Choose Male Excel if…
- You live in Delaware, Georgia, Indiana, Missouri, Montana, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota or Utah.
- You'd rather do your test at home than visit a lab.
- You want a written refund tied to how you feel after 90 days.
- You want phone support on weekends.
- You like small daily doses and frequent provider check-ins.
- You want a company with a long public review record.
Choose neither yet if…
- Low testosterone hasn't been confirmed with repeat morning tests → Do you need two low testosterone tests?
- You want children in the next few years → Does TRT affect fertility?
- You need insurance to pay → Does Male Excel accept insurance? and online vs local TRT
- You live in one of the 10 states neither serves → Male Excel alternatives
- You have a health history that needs an in-person workup → see the next section
What could change our answer
A Lifeforce price increase. A Male Excel price cut. Male Excel adding hematocrit and LH to its kit. Lifeforce adding your state. Any of those would move the line, and we'll update this page when they do.
Does one of those lists sound like you? Here's the next step for each.
Whichever you choose, send the questions below first.
What should you ask Male Excel and Lifeforce before you pay?
Ask each company the same three questions in writing: every charge in your first year and what's refundable; the exact finished medicine, whether that finished product is FDA-approved or compounded, and which pharmacy fills it; and which tests confirm low testosterone and track your blood count. Getting those answers in writing makes the comparison much easier.
The three questions that settle most of it
- "Please list every charge for my plan in the first 12 months, with amounts and dates, and tell me which are refundable."
- "Please name my exact medicine, whether it's FDA-approved or compounded, and the pharmacy that fills it."
- "Will you confirm low testosterone with two early-morning tests, and will you check my hematocrit before and during treatment?"
Copy and send: questions for Male Excel
- What's the shipping charge per order?
- On what dates will my membership and medication be charged?
- Are the six-month blood tests included in my membership, or extra?
- Can I get a lab blood draw instead of the finger-prick kit if needed?
- Will you check LH and hematocrit before I start?
- Do I need the thyroid tablets? What does my plan cost without them?
- Is my testosterone FDA-approved or compounded?
- How do I decline a refill without canceling my membership?
- Which guarantee terms apply to me, and what proof will you need?
- Will my state require an in-person exam after December 31, 2026?
- What's my provider's name and license number?
- How do I get copies of my records and lab results?
Copy and send: questions for Lifeforce
- Will my $99 bill on day 30 even if I haven't had my clinician visit yet?
- Is my injection $80 or $89 a month, and is it billed every 30 days or every 25?
- What do your cream and Kyzatrex cost?
- What exact injection would I receive, who makes or compounds it, and is that finished product FDA-approved or compounded?
- What does the at-home blood draw cost in my state?
- Do I need any separate diagnostic purchase to get medication?
- Is my clinician an MD, a PA or an NP — and what's their license number?
- How do I cancel membership and medication separately?
- How do I get copies of my records and lab results?
Print both lists. Keep the replies. If anything goes wrong later, you'll have the company's own words in writing.
When is neither Male Excel nor Lifeforce the right first step?
If low testosterone hasn't been confirmed with repeat early-morning tests, if you want children in the next few years, or if you have prostate, blood-count, sleep-apnea or heart concerns, start with a clinician who can examine you in person. Online TRT fits best once those questions are settled.
Your low testosterone isn't confirmed yet
One low number isn't a diagnosis. Neither is a symptom quiz. The guidelines call for symptoms plus consistently low levels on repeat early-morning tests. If you haven't had that, get it first — through your own doctor or a lab — then compare programs. TRT blood tests explained.
You want children soon
Testosterone from outside the body can lower sperm production. The Endocrine Society recommends against starting testosterone in men planning fertility in the near term. The AUA says men who want to keep their fertility should have a reproductive health check before treatment.
Neither company is a fertility program. Lifeforce's FAQ says its clinicians may suggest clomiphene or enclomiphene if fertility matters, and Male Excel's TRT page mentions enclomiphene. Those aren't testosterone, aren't TRT, and come with their own approval questions — enclomiphene isn't FDA-approved for any use. No program can promise to protect or restore your fertility. Start with a urologist or reproductive urologist. Read Does TRT affect fertility? and TRT providers for fertility.
Your health history needs a full workup
See your primary care doctor, a urologist or an endocrinologist first if you have:
- A high red blood cell count
- Untreated severe sleep apnea
- A history of prostate or breast cancer
- A recent heart attack or stroke
- Signs of a pituitary or testicular problem
Chest pain, trouble breathing, or sudden weakness or numbness? That's not a TRT question. Call 911.
You need insurance
Both companies are cash-pay. Male Excel says its approach isn't covered by insurance. If insurance is what makes treatment affordable, an in-network doctor is usually the cheaper route. See online vs local TRT.
You live where neither one treats
That's Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, New Hampshire and Rhode Island. Confirm any company's state coverage in writing before paying. Then compare your other options: Male Excel alternatives.
Not ready for either one? Find My TRT Path asks about your testing, fertility plans, state, budget, insurance and format preferences, then shows the care route that fits and the questions to ask. It's free and educational. It doesn't diagnose low testosterone or guarantee a prescription.
Map the care route that fits your situation →
Will online TRT rules change after December 31, 2026?
Possibly. The current federal temporary extension allows controlled-medication prescribing by telemedicine without a prior in-person medical evaluation when its conditions are met, and it runs through December 31, 2026. State law and the prescriber's authority still apply, and Male Excel separately warns that an in-person exam may be required under DEA or state rules.
The Drug Enforcement Administration (DEA) and the Department of Health and Human Services extended these telemedicine flexibilities for a fourth time, through the end of 2026, while they work on permanent rules. Prescriptions still have to be for a legitimate medical purpose, from a licensed clinician, following federal and state law.
As of October 12, 2026, no permanent replacement had been published. Nobody knows yet whether there will be a fifth extension, a new rule, or a return to in-person requirements.
What to do: don't prepay months past December without written terms on what happens if the rules change. Ask both companies directly. We'll update this section as soon as the government acts.
How we compared Male Excel and Lifeforce
We read both companies' live pricing, program, lab, pharmacy, guarantee, terms and refund pages on October 12, 2026, checked both Trustpilot profiles, the AUA and Endocrine Society guidelines, FDA sources and the federal telemedicine rule, and did the math shown on this page. We didn't enroll or pay, so this is a comparison of public documents, not a hands-on review.
We followed How We Review TRT Providers, TRT Provider Guide's documented method. It keeps four kinds of information apart: what we verified, what a company says, what customers report, and what we conclude. It counts complete cost instead of repeating a teaser price. And it looks at the same things for every provider: clinical eligibility, testing, clinician access, state availability, treatment formats, medication and pharmacy transparency, fertility handling, monitoring, total cost, cancellation, support and claims transparency.
We don't give either company a score. We show the evidence and tell you who each one fits.
What we actually verified — October 12, 2026
Pages we read: Male Excel's pricing page, FAQ, TRT online page, hormone-test page, Excel Advantage page, guarantee terms and terms and conditions. Lifeforce's three live TRT sign-up pages, pharmacy information page and refund policy. Trustpilot profiles for maleexcel.com and mylifeforce.com.
Verified from those pages: the provider-published prices and price conflicts, state lists, published lab panels, follow-up descriptions, treatment formats, pharmacy statements, refund rules and support hours used on this page. These are document verifications, not proof that every patient receives the same service or prescription.
Verified from primary sources: testosterone's Schedule III status; FDA's statement that compounded drugs aren't FDA-approved; Kyzatrex's FDA approval (NDA 213953); the AUA and Endocrine Society testing and fertility recommendations; the federal telemedicine extension through December 31, 2026.
Company-stated, not tested: clinician access and response times, lab turnaround (Male Excel about five business days after its lab gets your kit; Lifeforce 2 to 7 business days depending on the page), patient counts, and outcome claims.
Checked earlier and dated: Lifeforce's 25-day prescription renewal schedule (help center, October 7, 2026).
Customer-experience signals: Trustpilot patterns and the two short attributed service quotes, labeled as such. The current profile counts used here were rechecked during this audit.
Our calculations: monthly, 90-day, year-one and year-two totals; the state overlap.
Couldn't confirm from the public pages checked: Male Excel's shipping charge; the exact extra charge, if any, for every six-month lab scenario; Lifeforce's cream and Kyzatrex prices; Lifeforce's at-home blood draw price; the exact finished Lifeforce injection product every patient receives; or whether either company requires two separate early-morning testosterone measurements for every new TRT patient before treatment.
What we didn't do: create an account, pay, receive treatment, test cancellation or contact support.
Spot something that's changed? Tell us through our corrections page. Read our editorial standards and advertising policy.
Male Excel vs Lifeforce: frequently asked questions
Is Male Excel or Lifeforce cheaper?
Lifeforce has the lower published starting injection subtotal on the live pages that show a medication price: about $179 to $188 a month — $99 for care plus $80 to $89 for medication — with free shipping. Male Excel's published starting subtotal is about $219 a month plus shipping. For year one, our Lifeforce scenarios run about $2,074 to $2,473 depending on the live start offer and how its 25-day prescription-renewal schedule lands; Male Excel is $2,727 plus shipping for six 60-day medication shipments, or $2,967 if a seventh bills before day 365.
Does Lifeforce's $99 a month include testosterone?
No. Lifeforce's $99 covers ongoing care, labs and monitoring after the first month. Medication is separate. Its current main TRT page says medication cost varies, while two other live Lifeforce TRT pages publish $80 and $89 injection figures. Lifeforce doesn't publish prices for its cream or Kyzatrex.
Does Male Excel's $99 a month include testosterone?
No. Male Excel's $99 is a required Medical Membership. Injections start at $120 a month and cream at $132, billed in 60-day supplies, plus shipping. There's also a one-time $99 fee for the home test kit and first online visit.
Which states do Male Excel and Lifeforce serve?
Both offer TRT in 27 states. Only Male Excel serves Delaware, Georgia, Indiana, Missouri, Montana, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota and Utah. Only Lifeforce serves Mississippi. Neither serves Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, New Hampshire or Rhode Island.
Does Male Excel or Lifeforce do a real blood draw?
Lifeforce uses a blood draw at a Quest lab, or an at-home draw in New York and New Jersey. Male Excel mails a finger-prick kit you do at home. Lifeforce's published first panel includes hematocrit and LH; Male Excel's published kit doesn't list them.
Is the testosterone from Male Excel or Lifeforce FDA-approved?
Male Excel describes its testosterone treatment as compounded, and its site says compounded medicines aren't FDA-approved. Lifeforce says TRT medication is billed through a licensed compounding pharmacy, but that statement alone does not establish the FDA status of every finished injection it dispenses. Lifeforce also lists Kyzatrex, an FDA-approved oral testosterone product. Ask for the exact finished product you'd receive.
Does Male Excel make you inject every day?
Yes. Male Excel's injection plan is one small shot under the skin every day, using insulin-type syringes. Its other testosterone option is a twice-daily compounded cream. Lifeforce's FAQ says its injections are typically weekly or every two weeks.
Can I get my money back from Male Excel or Lifeforce?
Male Excel's guarantee can refund up to three months of membership fees (about $297) if you're a new member, follow the plan for 90 days in a row and don't improve. Lifeforce refunds membership only if you ask within 30 days, or 15 days after your first lab order, and haven't used services. Neither generally refunds medicine.
Can I cancel Male Excel or Lifeforce anytime?
Both say yes, with no contract. At Lifeforce, cancel before day 30 to avoid the first $99, and cancel any medication subscription separately. At Male Excel, membership and medication refills are separate too. Stop both and keep the confirmations.
Can I use HSA or FSA money at Male Excel or Lifeforce?
Both companies say their TRT plans are HSA/FSA eligible. Your plan administrator decides what qualifies, and some plans ask for a letter of medical necessity. Check with your plan before you pay.
Do Male Excel or Lifeforce take insurance?
No. Both are cash-pay. If you need insurance to cover testosterone, an in-network primary care doctor, urologist or endocrinologist is usually the better route.
Is Lifeforce the same as Tony Robbins' book Life Force?
No. Tony Robbins co-founded the telehealth company Lifeforce (mylifeforce.com) and sits on its board, according to Lifeforce. His book is a separate thing. He isn't the clinician who treats you.
Which is better if I want to have kids?
Neither is a fertility program. Testosterone can lower sperm production, and the Endocrine Society recommends against starting it if you plan to have children soon. See a urologist or reproductive urologist first.
Do I need an in-person visit for Male Excel or Lifeforce?
Not under current federal rules, which allow telemedicine prescribing of controlled medicines like testosterone without a prior in-person visit through December 31, 2026. Male Excel notes that DEA and state laws may require an exam. Ask both what changes in 2027.
Are Male Excel and Lifeforce legit?
Both are prescription-based telehealth programs that publish laboratory and clinician-evaluation steps. On Trustpilot as rechecked for this audit, Male Excel has 4.5 stars from 6,630 reviews and Lifeforce has 4.2 from 206. A public badge or review score does not tell you whether a program is medically appropriate for you — state access, diagnosis, testing, product and cost matter more.
Can I switch from one to the other?
Yes, if the new company serves your state. Expect new labs and a new visit. Get copies of your records and lab results first, and confirm your last charge and any pending shipment before you cancel. Don't stop or change testosterone without talking to a clinician.
The bottom line on Male Excel vs Lifeforce
In the 27 states both serve, Lifeforce is the better default for most men: lower published price, free shipping, and a first lab panel that matches what the urology guideline asks for. Male Excel is the clear call in its 12 exclusive states, and a fair choice anywhere for the man who wants an at-home test, a written 90-day refund and someone on the phone on Sunday. Check your state, send the three questions, then start.
Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.
This page is educational information, not medical advice. Testosterone is a Schedule III controlled substance and requires a valid prescription from an authorized clinician. TRT Provider Guide isn't a clinic, pharmacy, lab or medical practice. We don't diagnose low testosterone, read lab results or recommend doses. For chest pain, trouble breathing or another emergency, call 911.
Sources
All checked October 12, 2026, unless noted.
Male Excel
- Male Excel, How Much Does Testosterone Replacement Therapy Cost? (page updated May 6, 2025)
- Male Excel, TRT FAQs (page updated September 7, 2026)
- Male Excel, TRT Online
- Male Excel, At-Home Testosterone Test (page updated July 14, 2026)
- Male Excel, The Excel Advantage
- Male Excel, Excel Advantage Guarantee terms
- Male Excel, Terms and Conditions (last updated July 2026)
- Trustpilot, Male Excel reviews
Lifeforce
- Lifeforce, Current TRT program (redirects to $25 evaluation; medication price varies)
- Lifeforce, Still-live TRT offer page ($45/$49 start; $89 medication)
- Lifeforce, Current TRT landing page ($25 start, state list, lab panel, FAQ)
- Lifeforce, Pharmacy Information (updated December 1, 2025)
- Lifeforce, Refunds and Returns (updated January 1, 2026)
- Lifeforce, Help Center (checked October 7, 2026)
- Trustpilot, Lifeforce reviews
Medical and regulatory
- American Urological Association, Evaluation and Management of Testosterone Deficiency guideline
- American Urological Association, Follow-up laboratory testing table
- Bhasin S, et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2018. doi:10.1210/jc.2018-00229
- U.S. Food and Drug Administration, Compounding and the FDA: Questions and Answers
- DailyMed (National Library of Medicine), Kyzatrex (testosterone undecanoate) label
- U.S. Department of Health and Human Services, DEA telemedicine extension for 2026
- Drug Enforcement Administration, Drug Scheduling