Male Excel vs Royal Medical Center: Which TRT Program Fits You? (2026)

Last updated: September 28, 2026

By TRT Provider Guide · Last verified: September 28, 2026 · Editorial research from public records and both companies' own pages. Not a hands-on review. Not medically reviewed.

This page is educational information, not medical advice. Chest pain, trouble breathing, sudden leg swelling, or signs of a stroke need emergency care — call 911.

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Male Excel vs Royal Medical Center comes down first to price and care structure. Royal currently publishes a $195 all-inclusive TRT plan and an $89 testosterone/anastrozole plan. Male Excel's injection option starts at about $219 a month before shipping, plus a $99 initial test and consultation. If fertility or diagnosis is unsettled, neither should be your first move.

That's the short answer. But two things on these companies' own pages — and one public record — could change which one you pick. We found them while checking every price line by line. They're below.

Quick picks:

• Lowest currently listed monthly TRT price? Royal Medical Center.
• Male Excel's stated no-estrogen-blocker approach, daily injections or a cream, and support 7 days a week? Male Excel.
• Live in Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, or Rhode Island? Male Excel says it doesn't prescribe hormone treatment there.
• Trying to have a baby soon, or haven't had low testosterone properly confirmed? Start with the diagnostic or fertility care question before choosing either program.

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 earn a commission if you start care with Male Excel through links on this page. Royal Medical Center doesn't pay us. That's why you'll see us say plainly where Royal wins.

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Best for / not for you if

Male Excel is best for men in a state it serves who want its published daily-injection or testosterone-cream options, prefer its stated approach of not routinely blocking estrogen, and value 60-day reviews plus seven-day support.

Male Excel is not for you if the lowest published monthly price matters most, you want one flat program bill, or you live in one of its 11 excluded states.

Royal Medical Center is best for men who want the lower currently listed monthly price and an injection-based program. Royal says its $195 plan includes medication, supplies, labs, physician consultations, monitoring, and shipping.

Royal is not for you if you do not want an estrogen blocker included in the plan you are considering, or you want complete cancellation and refund terms in writing before you commit.

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Male Excel vs Royal Medical Center at a glance

Both publish direct-pay TRT programs and ship medication after clinical approval. The real differences are how they charge, what drugs each published plan includes, how they describe monitoring, what treatment formats they offer, and how much of the fine print is public before you pay.

Sources: Male Excel pricing, FAQ, testing, guarantee, TRT-online and terms pages; Royal Medical Center current TRT catalog, product pages, FAQ, About, contact, qualification and program pages. Checked September 28, 2026. Full source list at the bottom.

Male Excel publishes its state list, so this is the easiest thing to settle first. If your state isn't one of the 11 above, see Male Excel's current plan prices →

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Which one should you choose?

Pick by your top priority, not by the brand. Lower published price and a simpler monthly program price point to Royal. Male Excel's stated no-estrogen-blocker approach, daily dosing option, cream option, 60-day reviews, and seven-day support point to Male Excel. Fertility plans or unconfirmed low testosterone point to neither — yet.

• If the lowest currently listed monthly price matters most → Royal. Its $89 plan is lower than Male Excel's published injection starting subtotal.
• If you want the $195 all-inclusive bundle → Royal. Twelve published $195 payments equal $2,340, versus about $2,727 before shipping for Male Excel's injection model using its current starting prices.
• If you'd rather use a program that says it does not routinely block estrogen → Male Excel.
• If you'd rather use daily small injections or skip needles with a cream → Male Excel publishes those options.
• If you want support on a Saturday → Male Excel publishes seven-day support hours.
• If you live in one of Male Excel's 11 excluded states → Not Male Excel. Confirm Royal can treat you and who your prescriber will be before you pay.
• If you're trying to conceive in the near term → Neither first. Start with a reproductive urologist or another fertility-aware clinician.
• If you have not had low testosterone properly confirmed → Get a proper diagnostic evaluation before treating a provider comparison as the deciding step.

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.

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Which is cheaper — Male Excel or Royal Medical Center?

Royal has the lower currently listed monthly TRT prices. Its $195 all-inclusive plan comes to $2,340 for 12 monthly payments, while Male Excel's published injection starting model comes to about $2,727 plus shipping when you add the $99 initial test/consultation, twelve $99 membership payments, and twelve monthly equivalents of medication starting at $120.

Here's the current published pricing on the same yardstick.

The year-one cost ledger

How we did the math: Male Excel injections = $99 + (12 × $99) + (12 × $120) = $2,727. Cream = $99 + (12 × $99) + (12 × $132) = $2,871. Royal all-inclusive = 12 × $195 = $2,340. Royal $89 plan = 12 × $89 = $1,068.

These are arithmetic models from the companies' current published starting prices. They are not patient invoices. Male Excel sells medication in 60-day supplies, so actual charge dates do not fall into neat monthly slices; dose changes, shipping, taxes, state-specific requirements, or a refill date near the 365-day mark can change what leaves your account in the first calendar year.

Why Male Excel's "$95 a month" isn't its testosterone price

Male Excel's pricing page says prices can start as low as $95 a month, but that figure is for Triclozene, a clomiphene-based oral compound with thyroid ingredients. It is not testosterone replacement therapy. The page also says the monthly Medical Membership is extra.

For testosterone itself, the current published floor is $120 a month equivalent for injections or $132 for cream — plus the required $99 membership. So the starting monthly equivalent is $219 for injections or $231 for cream, before shipping.

Male Excel doesn't hide the membership. It's in the fine print under the price and in its own section on the page. But the big starting number for the lowest-priced oral option is not the number you'll pay for testosterone therapy.

Royal's current catalog has one naming problem worth noticing

Royal's current TRT catalog lists a plan as "Testosterone Only Therapy – $89." But the product page itself is titled "Testosterone/Anastrozole Therapy – $89" and says the plan includes an estrogen blocker.

That is not a price conflict, but it is a real labeling inconsistency. If you are looking for testosterone without an aromatase inhibitor, do not rely on the category name. Ask what is actually in the prescription you would receive.

Royal also still has an older $75 product page accessible by direct URL. We did not use that as a current plan in our comparison because Royal's current TRT catalog and current program-options page list $89 and $195 as the active options.

What each bill looks like on your card

Royal: the current programs are presented as monthly prices.

Male Excel: medication is supplied in 60-day quantities while the $99 membership bills monthly. At the published injection starting price, a 60-day medication order is about $240 before shipping, in addition to membership charges. Your exact first charges depend on the timing of the initial $99 test/consultation, membership activation, prescription approval, and pharmacy order.

If a tight monthly budget is the issue, billing cadence matters as much as the annual arithmetic.

Run your own year-one numbers

Already have a quote from either company? Fill in this worksheet. It turns a monthly price into what you'll actually pay.

Here's the honest part about Male Excel

Male Excel is not the cheaper published choice in this comparison. Royal's current $89 plan and its $195 all-inclusive plan both sit below Male Excel's injection starting subtotal.

But Male Excel publishes several pieces of its care model clearly:

• unlimited e-visits and messaging through the membership
• structured 60-day reviews
• comprehensive blood testing every 6 months, according to its current TRT page
• a separate written 90-day guarantee that can refund eligible membership fees when its conditions are met
• an explicit 11-state exclusion list
• seven-day support hours

If you want the lowest listed Royal price, read our full Royal Medical Center cost breakdown. If you'd pay more for Male Excel's published access model, treatment formats, and written guarantee, keep going.

If that trade sounds right for you, take Male Excel's free online assessment →

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How are the treatments different?

Male Excel publishes daily subcutaneous testosterone cypionate injections and topical cream, and says its protocol does not routinely block estrogen. Royal's current TRT pages center on testosterone cypionate injections; its $89 and $195 pages include an estrogen blocker, and its FAQ includes instructions for patients prescribed two injections per week. Your actual prescription and schedule should come from the clinician treating you.

For a deeper look at treatment formats, see our guides to daily vs weekly testosterone injections and under-the-skin vs muscle injections.

Should you be on an estrogen blocker?

An estrogen blocker — in this context, an aromatase inhibitor such as anastrozole — reduces conversion of testosterone to estrogen. Whether one belongs in a specific man's plan is a clinical decision, not something a comparison page can decide from one lab number.

The AUA testosterone-deficiency guideline says clinicians may use aromatase inhibitors, hCG, selective estrogen receptor modulators, or combinations of them in men with testosterone deficiency who want to maintain fertility. That is a conditional recommendation, and it does not say every man on TRT should receive an aromatase inhibitor.

One Royal reviewer described a concern this way on Trustpilot: the clinic "insisted I take an AI even though my levels were fine." That's one person's report, not proof of Royal's current prescribing policy or of what your clinician would recommend.

Ask Royal: "Is anastrozole medically indicated for me? If not, can my prescription omit it, and does that change the program or price?"

The thyroid question for Male Excel

Male Excel's current published injection and cream pricing bundles desiccated thyroid tablets with testosterone. Its own safety information says the thyroid product is not an Orange Book product and has not been subjected to FDA therapeutic-equivalency testing.

Male Excel's safety information also says its desiccated thyroid should not be used for weight loss.

Ask Male Excel: "What diagnosis or thyroid result supports thyroid medicine for me? If thyroid medicine isn't indicated, what are my treatment and pricing options?"

Is the testosterone compounded or FDA-approved?

This matters, and neither company's public pages establish what your exact testosterone prescription would be.

• FDA-approved testosterone means a specific drug product went through FDA approval for its labeled use.
• Compounded testosterone is prepared by a compounding pharmacy for an individual prescription and is not FDA-approved.

Royal names Belmar Pharma Solutions as a dispensing pharmacy and publishes a compounding disclaimer. Its TRT pages say a provider may prescribe a compounded drug where appropriate, but that does not prove every Royal testosterone prescription is compounded.

Male Excel refers to contracted pharmacies in its current terms and markets testosterone cypionate injections and a topical cream, but the public pages we checked do not establish the approval status or dispensing pharmacy for your specific testosterone prescription.

Ask both: "What exact testosterone product would I receive? Is it an FDA-approved product or a compounded preparation, and which licensed pharmacy will dispense it?"

Want to compare Male Excel's published treatment formats and current starting prices? Start with its assessment →

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How do Male Excel and Royal Medical Center handle labs and monitoring?

Male Excel starts with an at-home blood-spot test, publishes 60-day reviews, and says comprehensive blood testing occurs every six months as part of its TRT program. Royal says its programs start with comprehensive labs and a physical exam, then repeat labs around 90 days after starting. Neither public site gives enough detail to assume that its advertised initial process, by itself, satisfies every diagnostic or monitoring need for every patient.

A few terms, in plain English:

• Total testosterone is the amount of testosterone measured in your blood.
• Estradiol is a form of estrogen that is also present in men.
• PSA (prostate-specific antigen) is a blood marker used as part of prostate evaluation.
• Hematocrit is the percentage of your blood volume made up of red blood cells.

Two things to ask about labs

1. How will my diagnosis be confirmed? The AUA says low testosterone should be diagnosed only after two total-testosterone measurements on separate occasions, both in the early morning, and the diagnosis also requires symptoms or signs. The Endocrine Society's July 2026 statement likewise says diagnosis requires symptoms plus consistently low, accurately measured testosterone and says at least two early-morning fasting testosterone tests should be used. A single symptom quiz or one lab result is not enough.

Male Excel's public startup kit is a finger-prick blood-spot panel. Ask how a new diagnosis is confirmed against current guideline standards and what additional testing, if any, is required before a testosterone prescription. Ask Royal the same question about its "comprehensive" lab process.

2. Will you check my hemoglobin and hematocrit? The AUA guideline says hemoglobin and hematocrit should be measured before testosterone therapy to assess the risk of an abnormally high red-blood-cell count. Male Excel's public five-marker startup panel does not list hematocrit, although its current program materials say it performs broader ongoing monitoring. Ask what additional baseline testing applies to you.

For more on what a proper workup includes, see our guide to TRT blood tests.

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Will either one treat you in your state?

Male Excel publishes a clear state exclusion list. Royal's current TRT catalog includes a state filter with all 50 states, but that is not the same thing as a verified roster proving which clinician can prescribe which treatment in every state.

Male Excel's current FAQ says its medical providers prescribe hormone treatment in all states except Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island.

Royal: its shop has a "Filter by State Availability" menu listing all 50 states. Royal also publicly names Dr. Dagoberto Rodriguez. His Florida license is currently Clear/Active, and his Florida practitioner profile lists additional state licenses; those self-reported profile entries are not a substitute for checking the medical board in the state where you live.

Royal's FAQ says some states allow only a one-month supply to be shipped at a time. If that applies to you, ask how it changes your refill timing and billing.

Ask either provider: "Who will be my prescriber, and are they currently licensed and authorized to treat me in my state?"

If you're in one of Male Excel's excluded states and Royal cannot confirm your care arrangement, see our Male Excel alternatives or online vs local TRT.

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Who is prescribing, and what do the public license records show?

Male Excel uses affiliated professional medical groups and assigns clinicians through its platform. Royal publicly identifies Dr. Dagoberto Jesus Rodriguez, MD. His Florida license ME58463 was Clear/Active in the latest Florida Department of Health record we checked, with an expiration date of January 31, 2027; that same Florida record says discipline is on file.

Male Excel

Male Excel's terms say Excel Medical itself is a technology platform and not the healthcare provider. Clinical care is delivered through affiliated professional entities including Male Excel Medical P.A. and related state entities, each described as independently owned by a licensed physician. Its public startup pages say a licensed provider reviews results and conducts the consultation.

The public page does not tell you in advance which clinician will write your prescription. Look up your assigned clinician on your state medical board's website before you rely on their license status.

Royal Medical Center

Royal lists Dr. Dagoberto Rodriguez, MD, Florida license ME58463. Florida's public verification page currently shows that license as Clear/Active.

Because Royal names him publicly, we also checked official disciplinary records:

• Oregon, October 7, 2021: The Oregon Medical Board entered a stipulated order involving Rodriguez while he was an applicant. The order says the Board found conduct that violated Oregon's Medical Practice Act, including practicing medicine in Oregon without a license and violation of the federal Controlled Substances Act. He withdrew his Oregon application and agreed never to reapply.
• Tennessee, May 2022: The Tennessee Department of Health reported that his Tennessee license was reprimanded based on disciplinary action by another state, with three Type C penalties totaling $300 and costs.
• California, October 9, 2024: The Medical Board of California reports that Rodriguez surrendered his California physician's license to resolve an administrative disciplinary action tied to the Oregon discipline. The California summary says there were no admissions to the California charge.

These records do not mean his Florida license is inactive; Florida currently lists it as Clear/Active. They are relevant because state licensure matters for controlled-substance prescribing, and because a reasonable reader comparing remote TRT providers may want to verify the clinician who would actually treat them.

If you're leaning toward Royal, ask who your prescriber will be and check that person's current license in your state before you pay. You can start with your state medical board and the Florida Department of Health license lookup.

Does Male Excel sound like the better fit so far? See what's included in its $99 initial test and consultation →

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What happens if you want to stop? Cancellation, refunds, and contracts

Male Excel says its subscription can be canceled at any time, while its general terms say sales and subscription fees are nonrefundable unless another written policy applies. Its separate Excel Advantage Guarantee can refund the first 90 days of membership fees for eligible members who meet its conditions. We did not find a public Royal cancellation policy or post-enrollment refund policy.

Male Excel: cancel anytime is not the same as refund anytime

Male Excel's current pricing says "No Contract, Cancel Anytime." Its terms say subscription cancellation takes effect as described in its cancellation policy and separately say sales, fees, and subscription charges are generally nonrefundable.

The separate Excel Advantage Guarantee says:

• What's refunded: membership fees for the initial 90-day period if the guarantee conditions are met.
• What you must do: participate for 90 continuous days, attend scheduled appointments, and follow the protocol and provider recommendations.
• How improvement is judged: by Male Excel's defined assessment and/or the member's reported health and well-being.
• When to claim: within 30 days after the 90-day period ends.

Male Excel's terms also include binding individual arbitration for disputes that are not resolved informally, subject to stated exceptions. The terms allow an arbitration opt-out by written notice within 30 days after first accepting the terms or, for an unregistered user, first using the services.

Royal: ask for the agreement before you pay

Royal's current qualification page says pre-qualification and payment do not guarantee a prescription and says program payment is refunded if a provider determines you are medically ineligible. We did not find equally clear public language covering cancellation after enrollment, notice periods, minimum commitments, or refunds after care has begun.

Ask Royal for the patient agreement before you pay. Look for any minimum term, cancellation fee, notice period, refill commitment, and what happens to money already paid if you stop.

Want a written Male Excel refund condition before you start? Read Male Excel's guarantee terms first →

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Does Male Excel or Royal Medical Center take insurance?

Male Excel says it does not accept commercial health insurance and is not enrolled in Medicare or Medicaid. Royal publishes direct-pay TRT prices, but we did not find a clear insurance-policy statement on the current TRT pages reviewed, so do not assume its $89 or $195 price is an insurance benefit.

Male Excel's terms say it does not "accept commercial health insurance plans" and is not enrolled in federal or state healthcare programs such as Medicare and Medicaid. Its pricing pages list current TRT options as HSA/FSA eligible, but your account administrator ultimately decides whether and how an expense is reimbursable.

HSA/FSA isn't insurance. It's tax-advantaged money subject to plan and tax rules. Keep itemized receipts and confirm documentation requirements with your administrator.

If you want an insurance-billed path or a named FDA-approved product filled through your plan's pharmacy benefit, see TRT providers that take insurance and TRT providers that accept HSA or FSA.

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What if you want kids? TRT, fertility, and testicle size

Exogenous testosterone can suppress sperm production. The AUA says testosterone therapy should not be prescribed to men who are currently trying to conceive, and the Endocrine Society advises against testosterone therapy in men planning fertility in the near term. Royal's $195 plan includes what it calls a "testicular stimulant," but that does not guarantee preserved fertility.

When testosterone is taken from outside the body, it can suppress the hypothalamic-pituitary-gonadal signaling that supports the testes' own testosterone production and sperm production. The degree and duration of suppression vary.

The AUA also says reproductive health should be evaluated before treatment in men interested in fertility, and its guideline discusses selected alternatives such as hCG, selective estrogen receptor modulators, and aromatase inhibitors in men with testosterone deficiency who want to maintain fertility.

What the add-on drugs are — and aren't

These are not interchangeable with standard testosterone replacement therapy.

• Clomiphene citrate is a selective estrogen receptor modulator. Its FDA-approved labeling is for ovulatory dysfunction in women; use in men is off-label.
• Enclomiphene citrate is not an FDA-approved drug product. In 2022, an FDA advisory committee considered whether enclomiphene citrate should be added to the 503A bulk-substances list for compounding and recommended against inclusion.
• hCG has FDA-approved uses in males with selected forms of hypogonadotropic hypogonadism. Use alongside exogenous TRT to try to preserve spermatogenesis is a different clinical use and should not be treated as a guarantee.
• Gonadorelin is a gonadotropin-releasing hormone drug. Do not assume a compounded or clinic-supplied gonadorelin product has an FDA-approved indication for maintaining fertility during TRT.

Royal markets its stimulant as helping prevent testicular shrinkage and maintain natural hormone production. That's Royal's claim. It is not a promise that sperm production or fertility will be preserved.

Male Excel sells a clomiphene-based oral product separately from testosterone therapy. Do not call clomiphene, enclomiphene, hCG, or gonadorelin "TRT."

Learn more in clomiphene vs TRT, enclomiphene vs clomiphene, and our TRT and fertility guide.

See a reproductive urologist or another fertility-aware clinician first if: you're trying to conceive now, you plan to try in the near term, or you've had fertility trouble before.

Planning children soon? Use Find My TRT Path to map the right care route and the questions to bring to a fertility-aware clinician.

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Do you need an in-person visit? What changes after December 31, 2026

As of September 28, 2026, federal temporary telemedicine flexibilities still allow qualifying DEA-registered practitioners to prescribe Schedule II-V controlled substances by telemedicine without a prior in-person medical evaluation when the federal conditions are met. That temporary extension runs through December 31, 2026. State law, state licensure, DEA requirements, and other federal rules still apply.

Testosterone is a Schedule III controlled substance. It requires a valid prescription issued for a legitimate medical purpose by an appropriately authorized practitioner.

What we know today: DEA and HHS extended the current controlled-substance telemedicine flexibilities through December 31, 2026.

What we do not know yet: The rules that will apply to every TRT telemedicine patient after the temporary extension ends. Do not assume today's remote-prescribing pathway will remain unchanged in 2027.

How each company words it:

• Male Excel: its current site says a testosterone treatment plan may require an in-person medical exam based on DEA and state laws.
• Royal: its public process includes a physical examination, but the pages we reviewed do not clearly explain where that exam happens for every remote patient.

Ask both: "Under the rules that apply to my state and prescription, do I need an in-person exam now? If federal rules change after December 31, 2026, how would you handle continuity of care?"

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Who should choose neither — yet?

Skip the provider decision for now if low testosterone has not been properly confirmed, if near-term fertility is a priority, or if your medical history points to a more complex evaluation. Current guidelines call for symptoms or signs plus consistently low testosterone confirmed with appropriate testing; a symptom quiz or a single number is not enough.

How low testosterone is actually diagnosed

A quiz can't diagnose low testosterone. Neither can one number.

Current major guidance agrees on the core idea:

• You need symptoms or signs consistent with testosterone deficiency.
• You need consistently low, accurately measured testosterone.
• You need repeat early-morning testing. The AUA calls for two early-morning total-testosterone measurements on separate occasions. The Endocrine Society's July 2026 statement says diagnosis should use at least two early-morning fasting testosterone tests.

The AUA uses 300 ng/dL as a reasonable cutoff to support diagnosis, but it also says a number below 300 alone does not define testosterone deficiency.

Situations that deserve clinician-first evaluation

Examples include:

• known or suspected prostate or breast cancer
• an elevated hematocrit or another reason your red-blood-cell count needs evaluation
• untreated severe obstructive sleep apnea
• a recent heart attack or stroke
• very low testosterone with findings that raise concern for pituitary disease
• infertility or near-term fertility plans
• testicular symptoms or another possible underlying cause of low testosterone

The exact next step depends on the finding. Primary care, urology, endocrinology, reproductive urology, or another appropriate in-person clinician may be a better starting care route.

Where to go instead

• Primary care for an initial workup, especially when insurance coverage and broader health screening matter
• Urology or endocrinology for a confirmed or complex hormone problem
• Reproductive urology if fertility is central to the decision
• Emergency care for chest pain, trouble breathing, stroke symptoms, or another medical emergency

If you want an insurance-billed, FDA-approved product from a regular pharmacy, a local or in-network clinician is often the more direct care route. See online vs local TRT.

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Side effects and monitoring questions to ask either provider

Testosterone therapy can raise hematocrit, can increase blood pressure, can affect PSA and prostate monitoring, and can suppress sperm production. Different products also carry formulation-specific risks, so the exact FDA-approved label or compounded-drug disclosure matters.

The FDA's testosterone labeling changed twice in ways that make older articles easy to get wrong:

• In February 2025, FDA required class-wide labeling changes after reviewing the TRAVERSE cardiovascular-outcomes trial and blood-pressure studies. That included removing the boxed-warning language about increased major cardiovascular risk and adding or updating blood-pressure information.
• In June 2026, FDA requested another class-wide update that removed the prior limitation-of-use statement for age-related hypogonadism and revised prostate-related safety information.

That means the older line "FDA still hasn't approved testosterone for low levels caused by normal aging alone" is no longer an accurate summary of current FDA labeling policy. FDA-approved testosterone products still have specific labeled indications, and a clinician still has to establish an appropriate diagnosis and prescription.

Male Excel's topical-testosterone safety information also warns about secondary exposure to women and children. If you use a topical product, follow the product-specific instructions supplied with your prescription.

We don't give dosing or injection instructions. Your prescriber should.

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What real customers say

Reviews can show patterns in service, billing, and communication. They can't prove that a treatment works, that it's safe, or what a company's current policy is. Treat them as one signal among many.

Royal Medical Center had about 2,033 Trustpilot reviews in the profile we checked in September 2026.

Male Excel had more than 6,400 Trustpilot reviews in the profile we checked in September 2026.

Three short quotes that speak to this decision — about service and fit, not medical outcomes:

"The staff has been nothing less than amazing." — Captain Balentine, Royal Medical Center reviewer, Trustpilot, January 30, 2026

"insisted I take an AI even though my levels were fine" — Matthew Beachy, Royal Medical Center reviewer, Trustpilot, review updated February 16, 2026

"Male Excel is more cost effective than many of the clinics around me and much more convenient." — "Dan," testimonial published by Male Excel on its pricing page

Customer experiences are individual, not typical results or evidence of medical outcomes. We have no relationship with the Trustpilot reviewers. The Male Excel quote comes from Male Excel's own website, where the company labels Dan a verified Male Excel patient.

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Before you pay either one: 10 things to get in writing

These are the questions that separate a price from a bill. Email them, and keep the replies.

1. What exact testosterone product would I receive — FDA-approved or compounded — and which pharmacy fills it?
2. What will I be charged in month two, month thirteen, and on medication-refill months?
3. Is anything charged outside the advertised monthly price? Think startup fees, labs, physicals, shipping, supplies, taxes, or state-specific requirements.
4. Are the estrogen blocker, thyroid medicine, or other add-on drugs medically indicated for me? Are they optional, and does the price change?
5. Who will be my prescriber, and are they licensed in my state?
6. How do you confirm low testosterone? How many serum tests are required, and when are they drawn?
7. Will you check hemoglobin/hematocrit and other safety labs — and when?
8. What does it cost to cancel? Is there a minimum term, a notice period, or a signed agreement?
9. What's the refund policy for membership/program fees and medicine?
10. Will I need an in-person exam under the rules that apply to my state now or after December 31, 2026?

Screenshot these at checkout, too: the total due today, recurring amount, medication quantity, next charge date, and cancellation instructions.

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What we actually verified

Checked: September 28, 2026. We read both companies' public pages and terms, recalculated the published price models, checked customer-experience quotes against their original pages, and checked medical and legal claims against FDA, DEA/HHS, AUA, Endocrine Society, and state medical-board sources. We did not sign up, receive treatment, inspect a patient chart, or see anyone's prescription.

Verified from Male Excel's first-party pages:

• $99 initial at-home test/consultation path
• $99/month medical membership
• injections starting at $120/month equivalent and cream starting at $132/month equivalent, with 60-day supplies and shipping/handling extra
• its 11 excluded states
• its current no-insurance statement
• current published FSA/HSA eligibility language
• 60-day reviews and six-month blood-testing language
• current support hours
• general nonrefundability language in its terms
• its separate 90-day membership-fee guarantee conditions
• binding individual-arbitration terms and the 30-day opt-out
• its stated no-estrogen-blocker approach
• its current bundled-thyroid pricing

Verified from Royal Medical Center's first-party pages:

• current TRT catalog lists $89 and $195 options
• $89 product page includes testosterone injections, an estrogen blocker, routine labs, and a physical exam
• $195 page says medication, supplies, labs/monitoring, consultations, and shipping are included and lists testosterone injections, a "testicular stimulant," and an estrogen blocker
• follow-up labs after 90 days and annual/as-directed physicals
• Belmar Pharma Solutions is named on the site as a dispensing pharmacy
• Royal's pre-qualification/payment language says a prescription is not guaranteed and says payment is refunded if the clinician determines the person is medically ineligible
• current support hours
• Royal's 50-state product-filter interface

Verified from primary government or guideline sources:

• Dr. Dagoberto Rodriguez's Florida license ME58463 was Clear/Active on the latest Florida page we checked
• Oregon Medical Board 2021 stipulated order
• Tennessee Department of Health May 2022 reprimand
• Medical Board of California 2024 surrender record and summary
• AUA testosterone-deficiency diagnostic and fertility guidance
• AUA/ASRM male-infertility guidance
• Endocrine Society July 2026 statement and guideline resources
• FDA's 2025 and 2026 testosterone-labeling updates
• DEA/HHS telemedicine extension through December 31, 2026
• FDA compounding information and enclomiphene advisory-committee materials

Provider-stated, not independently confirmed for every patient: Royal's "no hidden fees" statement, the exact contents of Royal's "comprehensive" lab work, how either provider's published protocol is implemented for a particular patient, and which exact pharmacy/product will fill a particular testosterone prescription.

We could not confirm from the public material reviewed:

• Royal's complete clinician-by-state roster
• Royal's post-enrollment cancellation, minimum-term, and refund rules
• whether Royal has any state-specific or onboarding charge outside a particular written agreement
• Male Excel's exact shipping/handling charge before checkout
• the exact approval/compounding status and dispensing pharmacy for either reader's future testosterone prescription
• either provider's complete medical-record transfer process from the pages reviewed

Customer-experience signals: Trustpilot review counts and two Royal excerpts, plus one provider-published Male Excel testimonial, all labeled as individual experience rather than medical evidence.

Our editorial conclusions follow from the dated facts above. A lower published subtotal is not proof of better care, and a more detailed website is not proof of better medical outcomes.

Read our full method: How We Review TRT Providers. Spot something out of date? Send a correction.

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Final verdict: Male Excel or Royal Medical Center?

Royal has the lower currently listed monthly prices. Male Excel publishes more detail about its state exclusions, guarantee, 60-day review structure, treatment formats, support hours, and no-estrogen-blocker approach. Those are different strengths, not proof that one provider is medically better for everyone.

If price is your first filter, Royal deserves the first look. Its current catalog lists an $89 testosterone/anastrozole plan and a $195 all-inclusive plan. Get the exact prescription, complete written bill, prescriber identity, and exit terms before you pay.

If you want Male Excel's daily-injection or cream options, its stated no-routine-estrogen-blocker approach, seven-day support, and the terms it publishes in advance, the higher starting subtotal may be worth it for that specific fit.

We would not turn this into a universal winner. Fertility plans, diagnosis quality, state access, the exact medication, insurance needs, clinician licensure, and the written agreement can all change the right care route.

If Male Excel fits what you want, take its free assessment and review the current intake path →

Leaning Royal? Read our Royal Medical Center cost breakdown before you call →

Want more depth on one company? See our Male Excel reviews, Male Excel cost, Royal Medical Center reviews, and Royal Medical Center alternatives. Already on TRT and switching? Read how to switch TRT providers.

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Frequently asked questions

Is Male Excel or Royal Medical Center cheaper?

Royal has the lower currently listed monthly TRT prices. Its $195 all-inclusive plan is $2,340 across 12 monthly payments, while Male Excel's injection starting model is about $2,727 plus shipping using the current $99 initial test/consultation, $99 monthly membership, and $120 monthly-equivalent starting medication price. Royal also currently lists an $89 testosterone/anastrozole plan.

How much does Male Excel really cost per month?

At current published starting prices, the ongoing monthly equivalent is about $219 for injections or $231 for cream before shipping. That's the required $99 membership plus medication starting at $120 or $132 a month equivalent. There's also a $99 initial at-home test/consultation. Medication is supplied in 60-day quantities, so actual charges do not land as identical monthly payments.

What does Royal Medical Center's $195 plan include?

Royal says it includes testosterone injections, a testicular stimulant such as clomiphene, enclomiphene, or gonadorelin, an estrogen blocker, ongoing lab work, physician monitoring, supplies, and shipping. Royal calls it all-inclusive and says there are no hidden fees. Ask for the patient agreement so you can compare that promise with the actual terms that would apply to you.

What is Royal Medical Center's $89 plan?

Royal's current product page calls it Testosterone/Anastrozole Therapy – $89 and lists testosterone injections, an estrogen blocker, routine labs, and a physical exam. Royal's catalog also labels it "Testosterone Only Therapy – $89," so the public naming is inconsistent. Confirm the exact prescription before you pay.

Does Royal still have a $75 TRT plan?

A $75 product page is still reachable by direct URL, but Royal's current TRT catalog and current program-options page list $89 and $195 as the active options. We therefore did not use $75 as a current plan in this comparison.

Do I have to take an estrogen blocker with Royal?

Royal's current $89 and $195 published plan pages include an estrogen blocker. That does not prove every patient receives the same prescription. Ask whether an aromatase inhibitor is clinically indicated for you, whether the plan can omit it, and whether the price changes.

Why does Male Excel use daily injections?

Male Excel says its protocol uses daily micro-dosing. That's the company's published approach, not proof that daily dosing is superior for every patient. Your clinician should determine the treatment format and schedule that are appropriate for you.

Does Male Excel make me take thyroid medicine?

Male Excel's current public injection and cream pricing bundles thyroid tablets with those packages. That does not establish that thyroid medicine is clinically appropriate for everyone. Ask what thyroid diagnosis or result supports it in your case and what options exist if it is not indicated.

What states does Male Excel not serve?

Its current FAQ lists Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island.

Does Royal Medical Center treat patients outside Florida?

Royal's TRT catalog displays a filter containing all 50 states, and its named physician's Florida practitioner profile lists other state licenses. Neither fact is a complete current clinician-by-state roster. Ask who would prescribe for you and verify that person's current license in your state.

Can I use my HSA or FSA?

Male Excel currently labels its TRT plans as FSA/HSA eligible. Royal's public TRT pages reviewed did not give an equally clear statement. Your HSA/FSA administrator or tax adviser is the right source for whether a specific expense and document set qualifies.

Can I cancel Male Excel anytime? Will I get money back?

Male Excel says subscription services may be canceled, with timing governed by its cancellation policy, while its general terms say sales and subscription fees are nonrefundable unless another policy applies. Its separate 90-day guarantee may refund the initial three months of membership fees if you satisfy its written conditions and submit the request on time.

Does Royal Medical Center charge a cancellation fee?

We did not find a current public cancellation-fee schedule or post-enrollment refund policy on the Royal pages reviewed. Ask for the patient agreement before paying and check the minimum term, notice period, cancellation charges, and refund rules.

Is the testosterone compounded?

You cannot tell that from the brand name alone. Royal names a compounding pharmacy and publishes compounding disclosures, but its pages say compounded drugs may be prescribed where appropriate rather than saying every testosterone prescription is compounded. Male Excel's public pages also do not establish the approval status of your future prescription. Ask for the exact product and dispensing pharmacy.

Will TRT affect my fertility?

It can suppress sperm production. AUA guidance says exogenous testosterone should not be prescribed to men who are currently trying to conceive, and fertility plans should be addressed before treatment. Add-on drugs are not a guarantee that fertility will be preserved.

Do I need an in-person exam?

Not every patient needs a prior in-person exam under the current federal temporary telemedicine rule. Through December 31, 2026, qualifying DEA-registered practitioners can prescribe controlled medications through telemedicine without a prior in-person evaluation when all federal and state requirements are met. State rules and the patient's specific situation can still require an in-person step.

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

A new clinician can evaluate a transfer of care, but the new provider decides what records, labs, examination, and prescription process it requires. Bring your recent records and ask what can be accepted. Don't stop or change testosterone on the basis of a comparison page; make medication changes with the clinician managing your care. See how to switch TRT providers.

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Sources

Male Excel (first-party, checked September 28, 2026):

• Hormone Treatment Costs
• TRT Online
• TRT FAQs
• At-Home Testosterone Test
• Testosterone Cypionate Injections
• The Excel Advantage
• Excel Advantage Guarantee Terms
• Terms & Conditions

Royal Medical Center (first-party, checked September 28, 2026):

• TRT for Men catalog
• All-Inclusive TRT $195
• Testosterone/Anastrozole Therapy $89
• Testosterone Cypionate Program Options
• Men's FAQs
• TRT Qualification
• About
• Contact

Primary regulators and guidelines:

• Florida Department of Health — Dagoberto Rodriguez license verification
• Oregon Medical Board — Dagoberto Rodriguez stipulated order
• Tennessee Department of Health — May 2022 Disciplinary Action Report
• Medical Board of California — 2024 action summary
• AUA Testosterone Deficiency Guideline
• AUA/ASRM Male Infertility Guideline
• Endocrine Society: Testosterone Therapy in Men With Hypogonadism
• Endocrine Society July 2026 Statement on Testosterone Replacement Therapy
• FDA Testosterone Information
• FDA: 2025 class-wide testosterone labeling changes
• HHS/DEA: Telemedicine flexibilities through 2026
• DEA: 2026 telemedicine extension
• FDA: Bulk Drug Substances Used in Compounding
• FDA: June 8, 2022 Pharmacy Compounding Advisory Committee

Customer-experience sources:

• Royal Medical Center on Trustpilot
• Male Excel on Trustpilot

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