Male Excel vs TRT Nation: What to Budget for Your First Year

Male Excel vs TRT Nation favors TRT Nation on the published injection-price model, but not for every reader. Male Excel’s $99 membership excludes medication; TRT Nation’s $99.99 treatment rate requires a 2.5-month purchase. Compare Male Excel for its published cream option. Unconfirmed low testosterone, fertility plans, and health risks can change the starting point.¹²³

Last verified: September 2026 · Sources checked September 15, 2026 · By TRT Provider Guide · Editorial research, not medical advice. No clinician reviewed this page.

Disclosure: We have an affiliate relationship with Male Excel and no commercial relationship with TRT Nation. This page uses direct information links, not tracked enrollment links. TRT Nation has the lower published injection-price scenario, and we say so below. Our affiliate disclosure.

---

Best for / not for you if

Compare TRT Nation first if a lower published injection price matters most and you prefer to request each refill yourself. The $99.99 rate is not a monthly payment plan.²⁴

Compare Male Excel if you want a published cream option, live in Missouri, or value its stated dedicated-provider model and scheduled testing inside the membership fee.¹⁵⁶⁷

Pick neither for treatment yet if low testosterone has not been properly evaluated. Fertility plans, a prostate or breast cancer history, a recent heart event, untreated severe sleep apnea, or a high hematocrit (the share of your blood made up of red cells) deserve a clinician-led care decision before a price comparison.³⁸

Neither lists prescribing in Alabama, Alaska, Arkansas, or Hawaii. Both companies exclude those states in the public FAQs checked.⁶⁷

---

Male Excel vs TRT Nation: what are the main differences?

Male Excel separates membership from medication; TRT Nation publishes a treatment-package rate with separately charged testing. Their billing, test-acceptance rules, and stated treatment options differ, so the two headline prices are not like-for-like.¹²⁹

All provider figures below were read on public pages on September 15, 2026. Prices change. Check them again on the day you pay.

Table sources: Male Excel pricing, homepage, FAQ, terms, cream FAQ, and guarantee; TRT Nation pricing, enrollment, both FAQs, and cancellation policy. These establish what each company publishes, not what an individual patient will be prescribed or charged.^{156101112291374}

Male Excel vs TRT Nation looks like a coin flip. Both put a number near "$99" in their pricing. Both promise doctors, bloodwork, and medicine at your door. It would be easy to pick the one whose ad you saw last.⁵²

Here's the thing those two numbers hide: they are not the same kind of charge. Male Excel's $99 is a monthly membership you pay on top of your medicine. TRT Nation's $99.99 describes a treatment package, with bloodwork billed separately. Our twelve-month starting-price scenarios come to $2,727 at Male Excel and $1,586.88 at TRT Nation, the latter assuming three purchased lab panels. The $1,140.12 difference is between models, not a verified saving on your complete first-year bill.¹²¹⁴

Cost, treatment format, state availability, and clinical needs can change the answer. But first, a detail worth reading closely: both advertised packages list a second prescription drug. Male Excel lists thyroid medication; TRT Nation lists anastrozole. A package listing does not establish that every patient needs or receives that drug. Ask what your own prescription would contain.¹⁵⁹

---

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

The tool is educational. It does not diagnose low testosterone, decide your eligibility, or guarantee you a prescription.

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.

This comparison concerns U.S. adults evaluating male testosterone deficiency. It is not a guide to gender-affirming care, adolescent care, or nonmedical performance use.

---

What did we actually verify?

What we actually verified: We checked the contents of public documents and recalculated their published prices. We did not verify individual care, clinical outcomes, or the clinician and pharmacy assigned to a patient.

Our full method is published at How We Review TRT Providers. We don't score clinics out of ten. We show you what each one publishes and what it costs. Our editorial standards explain the difference between documented facts, customer reports, and editorial conclusions.

---

Why do both clinics say $99 when neither one costs $99?

Male Excel's $99 is a Medical Membership. Its own pricing page says the membership does not include medication, and that treatment can't start without it. TRT Nation's $99.99 is a treatment-package rate, with a $129 TRT lab panel charged separately.¹²¹⁴

Two identical-looking numbers describing two completely different things.

Let's take them apart.

The Male Excel stack

You pay $99 once for an online medical consultation. That comes with an at-home hormone test kit and a treatment plan if you're prescribed one.¹⁵

Then you pay $99 every month for Medical Membership. Male Excel's pricing page puts a note under the injection and cream tiers: the price does not include Medical Membership, which is required for treatment. The membership buys unlimited messaging with the support team, unlimited e-visits with your provider, and stated continuity with a dedicated medical provider.¹

Then you pay for medication on top. Injections start at $120/month, billed every other month as a 60-day supply. The cream starts at $132/month, same billing rhythm. Both prices come with an asterisk saying shipping and handling is extra, and that your actual price depends on the dose your provider prescribes.¹

So the published starting monthly equivalent for injections is $219 before shipping. Not $99.

One thing to flag on that page: Male Excel lists its oral option, Triclozene, at $120/month in one block and $95/month in another, on the same page, on the same day we read it. The $120 block's footnote describes testosterone rather than tablets. There is also an ingredient conflict: the pricing page calls it clomiphene with thyroid, while the linked oral-treatment page describes enclomiphene with thyroid. Get the actual ingredients and price in writing; those are not interchangeable drug names.¹¹⁵¹⁶

The TRT Nation stack

There's no membership fee in TRT Nation's published TRT package. That part of their marketing is accurate.¹³

The advertised base rate is $99.99/month for the testosterone plan. Labs are not included. Their TRT panel is $129, or you can bring outside results that the clinician accepts.²¹⁴⁹

The part to watch: TRT Nation's medication is sold with a 2.5-month minimum purchase. Their FAQ says so directly, and their product page carries that minimum. So $99.99 a month is a way of describing the price, not a way of paying it. Multiplying those figures gives about $249.98 per minimum purchase, not a checkout-confirmed charge. The FAQ allows refill requests from week 8; that is not a guarantee of approval or delivery.²⁷

That matters for a reason we'll come back to. Five orders of 2.5 months isn't twelve months. It's twelve and a half.

A second price needs checking. TRT Nation's treatment page says California pricing may vary, and its enrollment page displays both $99.99 and $130 monthly-equivalent TRT blocks. The read-only page did not establish which block would apply to an individual reader. Have the applicable rate confirmed before using either in your budget.²⁹

---

What's actually in the box? Is either plan just testosterone?

Male Excel's published TRT bundles include thyroid medication. TRT Nation's $99.99 package lists anastrozole, also called Arimidex. These are separate prescription drugs, so the quote needs to distinguish what is advertised from what your clinician actually proposes.¹⁹¹⁷

This is the finding we'd most want a friend to know before he paid either company: the extra medicine needs its own reason, not just a place in the package.

Male Excel: testosterone plus thyroid

Read the fine print under Male Excel's injection tier and it lists testosterone and a 60-count of thyroid medication. The cream tier also includes thyroid medication in its starting price. Its homepage says thyroid medication is used when clinically appropriate, so the bundle should not be read as proof that every patient receives it.¹⁵

Male Excel is upfront about including thyroid medication in these advertised prices. Thyroid optimization is part of how they describe their whole program, and they publish the thyroid-hormone boxed warning right on their own site. That is useful disclosure.¹

That warning is worth reading before you say yes. It states that in euthyroid patients (people whose thyroid is already working normally), doses within the range of daily hormonal requirements don't produce weight loss, and that larger doses may produce serious or even life-threatening toxicity, particularly when combined with certain stimulants.¹⁸

So the question isn't whether Male Excel is hiding something. They aren't. The question is for you and your provider: is my thyroid actually low, and if it isn't, why is thyroid medication in my plan? And the follow-up: what does my monthly price become if it's left out?¹⁹

There is also a current FDA issue to resolve. Male Excel's safety text describes desiccated thyroid. FDA says animal-derived thyroid products are not FDA-approved and are not eligible for compounding because they are regulated as biological products. FDA is applying a risk-based enforcement approach; that is not a blanket instruction for patients to stop their medicine.¹¹⁹

We did not identify the exact thyroid product that would be dispensed to an individual patient or verify its manufacture. Ask for its name, ingredients, manufacturer, and regulatory status—and why it is preferred over an FDA-approved thyroid product in your case. The package price does not answer that question.¹⁹

TRT Nation: testosterone plus an estrogen blocker

TRT Nation's FAQ spells out the listed contents of its testosterone plan: a 2.5-month supply of testosterone cypionate, Arimidex, syringes, and consultations and follow-ups. Its enrollment page uses the drug name anastrozole. Those are package descriptions, not your prescription.⁷⁹

Arimidex is the brand name for anastrozole. It's an aromatase inhibitor, which reduces the conversion of androgens into estrogens. Its FDA-approved uses concern breast cancer in postmenopausal women; using it in male testosterone care is off-label. Whether it belongs in a particular plan is a clinical decision, not a package feature you buy in advance.¹⁷

Two things to ask before you order:

Am I being started on an estrogen blocker by default, and what supports that decision? Ask why it is needed, what risks it adds, and how its effects would be monitored. A listed add-on is not evidence that it is appropriate for you.¹⁷

What treatment plan are you actually proposing for me? A published dose is not a prescription for everyone. Ask your prescriber to explain the plan, its goals, and how it would change if benefits do not appear or side effects develop.³

The honest read

We're not telling you every multi-drug plan is wrong. We're telling you that the advertised prices are not a clean comparison of testosterone alone, and each additional drug needs its own clinical reason. The public pages do not establish what either company would prescribe for you.¹⁹

That single question — "what's in my plan besides testosterone, and what does it cost without it?" — is worth more than every star rating on the internet.

---

What does a full year actually cost at each one?

The complete first-year bill cannot be established from these public prices alone. At unchanged advertised starting rates, the twelve-month subtotals are $2,727 at Male Excel for injections, $2,871 for cream, and $1,586.88 at TRT Nation with three purchased $129 panels. These are price-equivalent models, not complete quotes or calendars of charges.¹²¹⁴

Here's the arithmetic, so you can redo it yourself.

Sources and assumptions: We used Male Excel's $99 initial fee, $99 membership, and starting injection/cream bundles; TRT Nation's $99.99 base or $180 combined package; and $129 per purchased TRT panel. Male Excel's bundles list thyroid medication. hCG is a separate medicine added to testosterone, not another form of TRT. The table assumes unchanged prices and no extra medications, unpriced testing, or other charges; those missing costs are excluded, not declared free.¹⁵²⁹¹⁴

The three-panel TRT Nation model represents one initial panel and two later panels. It is a budget scenario informed by the published monitoring descriptions, not a recommended or guaranteed testing schedule. It does not prove that repeat diagnostic morning testing or every other clinically required test is covered.¹³⁷³

The modeled gap: $1,140.12 for injections. $1,284.12 for Male Excel's cream bundle versus TRT Nation's base injection package. The second comparison also changes the treatment format, so it is not a cream-to-cream saving.

Three honest notes on that table, because a number without its limits is just marketing:

These are twelve-month equivalents, not your payment calendar. Male Excel describes medication as a 60-day supply billed every other month, with membership monthly. TRT Nation requires a minimum 2.5-month purchase. If five orders were charged at the inferred, rounded price of $249.98 each, the treatment charges would total $1,249.90, not $1,199.88. That represents 12.5 advertised months, not twelve. Neither five orders nor that exact cart charge was verified for an individual patient.¹²

Don't let anyone, including us, turn "monthly equivalent" into "what leaves your account." A 60-day supply is not always two calendar months; ten weeks is not 2.5 calendar months. Record the actual supply period and charge dates in your quote.

Bringing your own labs changes TRT Nation's number. Each accepted outside panel can avoid a $129 provider-panel charge. But an outside lab is not automatically free, and a missing marker or an out-of-date report can still mean extra testing. Compare your actual out-of-pocket lab cost, not zero.¹⁴⁹

Male Excel says comprehensive testing every six months is included in membership. Its homepage establishes that published inclusion; the pricing page alone does not explain the whole testing plan. Ask for the exact panel, when repeat diagnostic and early follow-up tests are required, and whether any test could be billed separately.⁵¹

Use the applicable TRT Nation rate. At the separate $130 rate also displayed on enrollment, twelve months plus the same three-panel assumption would be $1,947: $130 × 12 + $387. We did not confirm who would be offered that rate. California readers should not assume the $99.99 headline applies.⁹²

For a wider view of visits, medication, testing, and insurance costs, see our TRT cost guide. For the provider-specific breakdown, see TRT Nation cost.

The part that costs us money to write

Male Excel is the company we have an affiliate relationship with. TRT Nation is not. We earn nothing if you choose them. And our published-price injection model is $1,140.12 lower at TRT Nation, before each reader's extra costs are known.

That's not a rounding error and we're not going to bury it in paragraph forty.

Male Excel does not offer the lower published injection-price model in this comparison. If the smallest comparable bill is your priority, investigate TRT Nation first—provided its evaluation, prescription, and support fit your needs. You do not owe the more expensive program a sale.

But price is not the only difference worth checking. Male Excel has a case to make for a reader who needs one of these features:

• A needle-free option at a published price. TRT Nation's $99.99 plan is an injection. Male Excel's cream bundle starts at $132/month plus membership and shipping; the cream adds $144 to the twelve-month Male Excel medication model.¹²
• A stated option in Missouri. TRT Nation excludes Missouri; Male Excel does not list it as excluded. The reverse applies in seven other states, so geography is not a general Male Excel advantage.⁶⁷
• Scheduled testing and stated dedicated-provider access inside membership. Male Excel says six-month comprehensive testing is included. TRT Nation also includes consultations, so a membership fee alone does not prove better access or care.⁵¹¹³

If those differences do not matter to you and the written quotes confirm the gap, investigate the lower-priced program with our blessing. We'd rather be the site you trust next year than the one that got a commission today.

➜ If needles are what's stopping you, Male Excel publishes a cream price. See Male Excel's current pricing and listed treatment options →

➜ If the number is what matters, read TRT Nation's current plan and what's included → (we have no commercial relationship with TRT Nation)

➜ Not sure which of those three things you actually need? Map it with Find My TRT Path →

---

Can you cancel? What are you locked into?

Male Excel's cream FAQ gives a 48-hour window after a renewal notice before billing and shipment; its homepage also describes a check-in and provider review before a refill. TRT Nation does not automatically refill prescriptions, but a purchase already made is subject to its payment and refund terms. Cancellation stops a future transaction; it does not necessarily undo an earlier one.¹¹⁵⁴

This is one of the most useful distinctions on this page: stopping the next order and getting money back for the last one are different questions.

These are provider-published terms, not a cancellation or refund process we tested.^11512749

What the guarantee is actually worth

Three months of membership at $99 is $297. Against the $2,727 twelve-month injection subtotal, that is roughly 11% of the modeled amount—not a promise to refund 11% of whatever you spend.¹¹²

The guarantee is a conditional partial refund, and Male Excel publishes its terms. But "money-back guarantee" is not the same as getting the whole bill back. You can request the membership fees back if you meet the conditions, including the claim deadline; the guarantee does not refund medication.¹²

And the fair reading of TRT Nation's policy

TRT Nation's cancellation policy reserves a no-refund, no-return position. Its enrollment page also says a full refund is issued if, during the consultation, you and the provider decide treatment is not for you at that time. Both statements were live when checked.⁴⁹

That doesn't make TRT Nation a bad company. It makes the stage of the purchase important. Before paying, ask which fees are refundable if you are not prescribed treatment, change your mind, or have already had medication dispensed. A prescription-return restriction does not by itself establish that every consultation or service fee must be nonrefundable.

Six things to get in writing before your first charge

1. My total charge today, including shipping.
2. My next charge, and the exact date.
3. What I do to stop it, and by when.
4. Whether anything is refundable once medication ships.
5. The minimum I'm committing to.
6. What's in my plan besides testosterone, and the price without it.

➜ If you'd rather use a renewal system than place each refill request, review Male Excel's cream-program renewal FAQ →

➜ If you'd rather request each prescription refill yourself, read TRT Nation's refund and cancellation policy → and its consultation-stage refund wording.

---

Does either one cover your state?

Both companies publish state exclusions, and they don't overlap neatly. Four states are excluded by both; seven are excluded by Male Excel but not TRT Nation, and Missouri is the reverse. For some readers, geography settles the shortlist before price does.⁶⁷

Source status: This is a cross-check of the two providers' public exclusion lists, not a state medical-board or individual licensure determination.⁶⁷

A caution that applies to both columns: "not excluded" is not the same as "approved." State telehealth rules change, clinician licensing varies, and where you physically sit during your appointment matters. Confirm before you pay, not after.²⁰

One more thing worth knowing, because it explains why state answers can differ: a general national-service claim is not a patient-specific availability check. Read the FAQ on the day you buy, and have the clinic confirm your location before a charge.⁶⁷²⁰

TRT Nation's FAQs illustrate the problem. Its 2026 FAQ gives the five-state exclusion list; its general FAQ says it serves most U.S. states and confirms availability during intake. Both statements are live, so the broader wording should not erase the named exclusions.¹³⁷

➜ Check Male Excel's current state exclusions →

➜ In one of the four states neither one lists? Use Find My TRT Path to compare care routes and questions to ask locally →

---

Switching from one to the other: will your labs transfer?

No, your labs do not transfer automatically. TRT Nation's enrollment page excludes saliva and finger-prick home kits, and Male Excel's starting kit uses a finger-prick sample. Do not assume that buying Male Excel's initial test also satisfies TRT Nation's requirements.⁵⁹

This is a costly assumption you can avoid by checking both companies' requirements before buying a test.

Here's the mismatch in plain terms.

Male Excel starts you with an at-home hormone test kit included in the $99 consultation. You do it yourself and mail it back. Its FAQ says results are available within about five business days after the lab receives the sample.¹⁶

TRT Nation excludes finger-prick and saliva kits at enrollment. Its FAQ gives identity verification as the reason it does not accept home-test results. You either bring acceptable outside results or buy its $129 panel, with Labcorp or Quest listed as collection options.⁹⁷¹⁴

So a man who uses Male Excel's starting finger-prick kit and then chooses TRT Nation should budget for another accepted test unless he already has other qualifying results. Get the clinic's answer before paying.⁹

If you're bringing outside labs to TRT Nation

They accept outside results that meet their requirements. Two things to pin down first.⁹

How old can they be? Their 2026 FAQ says up to six months. Their general FAQ and enrollment material use about 120 days or a 120-day limit. Both versions are live. Get the answer for your actual report in writing before you assume you've saved $129.⁷¹³⁹

Which markers do they need? Their published TRT panel lists total testosterone, a complete blood count (CBC), a comprehensive metabolic panel (CMP), estradiol, and PSA for patients 40 and older on enrollment; the FAQ says over 40. The outside-upload checklist does not repeat every item in the full panel. Have the clinician accept the actual report, including any needed estradiol and age-based PSA testing, rather than relying on a partial checklist.⁹⁷

If a marker is missing, ask what additional testing is required. A missing marker does not automatically establish that an entire panel must be repeated.

If you're already on testosterone somewhere else

TRT Nation publishes something here that we think deserves real credit. Its FAQ discusses patients transferring while already on testosterone and says they should not be required to crash their levels simply to change clinics. That is a provider statement, not a transfer process we tested.¹³

That's a useful question to settle before switching. Your new clinician needs your treatment history and a safe plan for continuity—not an artificial gap created to meet a website's intake workflow.³

A clean switch, in order

1. Ask the new clinic to confirm in writing that they'll accept your actual lab report, with its collection date and markers.
2. Ask who your prescribing clinician will be and how the new and current prescribers will handle continuity, testing, and the next refill.
3. Agree on that care plan before cancelling future charges at the old clinic. Get written confirmation of cancellation and any remaining balance.
4. Request your records before you close the account, including lab reports, prescription history, and visit notes.
5. Do not change your medication schedule to make a transfer line up without your prescriber's guidance. That's a clinical conversation, not a budgeting decision.

For providers covered by HIPAA, federal rules generally give patients access to their medical and billing records, subject to limited exceptions. HHS says a provider cannot deny access because a treatment bill is unpaid. We did not test either company's records-request process, turnaround, or copying fees; ask for the request form and the medical practice's privacy notice.²¹

Does the starting test cover the whole evaluation?

No. A test kit or a standard panel is not the same thing as a diagnosis or a complete safety review. Symptoms or signs, repeat early-morning testing when assessing untreated testosterone deficiency, and other clinically indicated checks still matter.³²²

This is a comparison of published testing descriptions, not proof that either program's actual care meets every guideline. Blood counts matter because testosterone can raise hematocrit; blood pressure also needs attention under current testosterone labeling.^597232425

Bring the report, not just the testosterone number. A clinician needs the units, lab reference range, collection time, medication history, and clinical context.³ Our blood tests for TRT guide explains the different checks.

➜ Switching because of price? See TRT Nation's outside-lab checklist and current enrollment terms →

---

Injections or cream: which one will you actually keep doing?

TRT Nation's $99.99 plan is an injection package, with syringes included. Male Excel lists injections and a compounded testosterone cream; its starting cream bundle is $12 more per month than its injection bundle, before the same membership charge. Clinical suitability, practical use, and household exposure all matter—not just whether you prefer a needle.²¹²⁵

Male Excel describes its cream as a twice-daily treatment. But its public instructions need clarification: the cream FAQ names the scrotum or inner thigh, while the safety text names shoulders, upper arms, or abdomen. Get written, product-specific instructions from the prescriber and dispensing pharmacist; do not choose an application site from this comparison.¹¹

Two practical things about topical testosterone that matter more than most men expect.

It can transfer. FDA-approved topical testosterone labels warn about accidental exposure, including reported effects in children. Male Excel's own safety text also warns that its cream can transfer to women and children. Discuss skin contact, clothing, handwashing, and household precautions with the clinician and pharmacist using the instructions for the exact dispensed product. Instructions for one approved gel should not be copied onto a different compounded preparation.²⁵¹¹ Our TRT treatment options guide separates delivery formats and their practical tradeoffs.

It's a daily habit, twice, in Male Excel's published description. Some men find that easier than a needle. Some find it harder. Be honest with yourself about which one you are before you pay for two months of it.¹

One correction while we're here: no cream offer was found on TRT Nation's live testosterone page, which showed injections, enclomiphene, and a testosterone-plus-hCG bundle. If a cream matters to you, ask them directly rather than assuming one is available.²

Male Excel describes its cream as "20x more powerful than commercial cream." We did not verify that comparison or establish an equivalent dose, effect, or safety profile. A marketing strength claim does not show better results for you.¹

➜ If needles are the reason you've been putting off a care discussion, see Male Excel's cream description, listed price, and safety information → Before committing, resolve the product and instruction questions above.

---

Is the testosterone FDA-approved, or is it compounded?

Male Excel explicitly describes compounded testosterone, including its Lipoderm cream. TRT Nation says its medicines are sourced from U.S. compounding pharmacies, but that does not establish the approval status of every product dispensed. A compounded preparation is not FDA-approved; confirm the exact product rather than judging approval from a pharmacy or clinic name.^5111326

Let's define this properly, because it gets muddied constantly.

An FDA-approved drug has been through FDA review for safety, effectiveness, and quality. There are FDA-approved testosterone products, including AndroGel; approval applies to the specific product and its labeled uses, not to every preparation containing testosterone.²⁶²⁵

A compounded preparation is made or altered to meet a medical need, subject to applicable compounding rules. Compounding can serve patients whose needs cannot be met by an approved medicine. But compounded drugs do not go through FDA premarket review for safety, effectiveness, or quality.²⁶

What "FDA registered" means, and doesn't. TRT Nation's FAQ refers to an FDA-registered pharmacy. Certain compounding outsourcing facilities register with FDA, but registration is about the facility—not approval of each medicine. We did not verify the registration or license of the facility that would fill your prescription. The word "bioidentical" in marketing also does not establish FDA approval.⁷²⁶

Who's dispensing:

Male Excel names WellDyneRx-Fl in Lakeland, Florida, and AnazaoHealth Corp. in Tampa, Florida, in its FAQ. Naming partners is useful transparency, but we did not verify which would fill an individual order or its current license. Male Excel's terms say prescriptions will not be sent to another pharmacy. If you want to use your own retail pharmacy, that is a material restriction—not just a preference to sort out after enrollment.⁶¹⁰

TRT Nation describes its pharmacies generically. On the pages we read, it does not name the pharmacy that will fill your prescription. Ask for the dispensing pharmacy's legal name and location, then check it with the relevant state pharmacy board.¹³

One more Male Excel term to notice: its terms say products will not be shipped in child-resistant packaging. Ask the pharmacist about safe storage and appropriate packaging before delivery, particularly where children could have access.¹⁰

If having an FDA-approved testosterone product is important to you, ask the prescriber for the exact product name, manufacturer, and approval status before paying. If the program cannot provide the approved product or pharmacy arrangement you need, compare an appropriately licensed online or local clinician who can prescribe to a pharmacy you can use. Male Excel's outside-pharmacy restriction matters here.¹⁰²⁶

Our online TRT versus local care comparison explains that care-route decision. A compounded cash-pay package is not a substitute for confirming an approved product and your insurer's actual benefits.

---

How is low testosterone evaluated—and what if your number is 340?

Low testosterone is not diagnosed from symptoms, a quiz, or one result. The AUA uses total testosterone below 300 ng/dL as a reasonable cutoff supporting diagnosis, together with symptoms or signs and repeat early-morning measurements. The Endocrine Society likewise calls for consistently low results and repeat morning fasting testing; a cutoff alone does not diagnose every patient.²³³²²

A few terms first, since they'll be on your results.

Total testosterone is all the testosterone measured in your blood. Free testosterone is the small portion not bound to proteins. Hypogonadism, in this context, means the body is not producing enough testosterone because of a problem involving the testes or their control signals. Hematocrit is the share of your blood made up of red cells, and testosterone can raise it, which is why it gets monitored. PSA is a prostate-related blood marker.³²³

The guideline says a few specific things worth knowing before you talk to anyone.

Timing matters. Testosterone levels can vary with the time of day, so the collection time is part of interpreting a result. Repetition matters. The AUA calls for two early-morning measurements on separate occasions, preferably from the same lab using the same method. And symptoms matter. A low number alone isn't the diagnosis. The diagnosis needs both.²³

A result of 340 ng/dL does not, by itself, prove that you need treatment or that nothing is wrong. A clinician may need to review test conditions, repeat results, symptoms, medicines, other causes, and—in appropriate cases—free testosterone. This page cannot interpret your personal result.³²²

Now the uncomfortable part.

Both companies market a symptom-focused approach. TRT Nation's FAQ describes evaluating some men who were told by another clinician that they did not qualify; Male Excel argues that symptoms can persist at levels described as normal. Those are the providers' positions, not evidence that either program is more appropriate than primary care or that symptoms alone establish a diagnosis.¹³¹

Being told your result is normal does not make persistent symptoms unimportant. "Your labs are normal, you're just getting older" is a genuinely lousy thing to hear when you can't get off the couch. The answer is a proper evaluation of what is causing the symptoms, not an automatic testosterone prescription.²²

But you should go in with your eyes open. A clinic selling an ongoing treatment program has a financial interest in enrollment. That doesn't establish that its prescribing is wrong. It does make this a fair question: what findings support this diagnosis, and what else did you consider?

See a specialist first, not a subscription, if any of these apply

• You have a history of prostate or breast cancer.
• Your hematocrit is already high.
• You have untreated severe sleep apnea.
• You've had a heart attack, stroke, or major cardiac event recently.
• Your clinician suspects a pituitary or testicular problem.
• You've been told you have a fertility problem.
• Your symptoms are severe, unusual, or came on fast.

These situations need an individual decision; some can be reasons not to start testosterone, while others call for more evaluation or specialist involvement. The first task is to address the health issue with primary care, urology, endocrinology, or reproductive urology—not to choose the lowest subscription price. Severe or sudden symptoms may need urgent assessment.³⁸

➜ Not sure whether you've been properly evaluated yet? Find My TRT Path will map your situation and the questions to ask →

---

Will this affect your ability to have kids?

Testosterone taken from outside the body can suppress sperm production, sometimes severely. The Endocrine Society advises against starting testosterone when near-term fertility is planned. Current or future fertility plans deserve a fertility-aware clinical discussion before a testosterone subscription; neither recovery nor protection from an add-on medicine can be promised.⁸³²³

Here's the mechanism in plain language. Your brain sends a signal to your testicles telling them to make testosterone and sperm. When testosterone arrives from a syringe or a tube, the feedback can turn those signals down, even when a blood testosterone result is within its reference range. Testosterone production drops. So does sperm production. In some men it stops entirely.⁸

The AUA guideline calls for discussing possible effects on sperm production before treatment and evaluating reproductive health when fertility matters. Decisions about treatment changes, testing, or fertility-directed medicines belong with a clinician who can assess your situation.²³⁸

Nobody can promise you'll become infertile. Nobody can promise you'll recover sperm production on a set timeline or to a particular level. Testosterone is not a reliable form of contraception, either.²³⁸

Where each company sits on this

TRT Nation lists a TRT + hCG bundle at $180/month and enclomiphene at $99.99/month. Its enclomiphene tile uses the marketing phrase "Preserves Fertility." The enclomiphene offer is separate from testosterone treatment and has a one-month minimum on enrollment—not the TRT package's 2.5-month minimum.²⁹

We're reporting that as their marketing language, in their words, because we won't repeat it as a promise. Enclomiphene is not FDA-approved for any indication. hCG is not testosterone: an FDA-approved product such as Pregnyl has selected male indications involving deficient pituitary hormone signals, but that does not make a TRT-plus-hCG package an approved guarantee of preserved fertility. We did not identify TRT Nation's dispensed hCG product.¹⁶²⁷⁸

Male Excel lists Triclozene, an oral blend with thyroid ingredients. Its pricing page says clomiphene; its linked oral page says enclomiphene. Clomiphene is FDA-approved for certain ovulation problems in women, and its use in men is off-label. Enclomiphene has no FDA-approved indication. A compounded combination is not FDA-approved just because one ingredient has an approved use elsewhere.^1151626

Neither clomiphene nor enclomiphene is testosterone. Calling either "the budget version of TRT" is a category error. If an oral alternative is proposed, get the exact ingredient and the fertility plan—not just the brand name.

The rule we'd give a friend

If children are on the table, a fertility-aware evaluation should come before a testosterone subscription. Start with a urologist or reproductive urologist and discuss which tests, if any, you need. That may include a semen analysis or hormonal testing, but this article is not ordering either for you. Make the decision with someone whose actual job includes fertility.⁸

Our TRT and fertility guide explains the questions to bring to that appointment.

There's no button in this section on purpose.

---

Will TRT actually do what the ads promise?

For appropriately diagnosed testosterone deficiency, the AUA guideline says treatment may improve sexual desire, erectile function, lean body mass, bone density, anemia, and depressive symptoms. It calls evidence inconclusive for energy, fatigue, cognitive function, diabetes measures, lipids, and quality of life. Those guideline statements are not proof that either company's particular program or compounded medicine will produce those results.²³²²

We mapped the marketing to the guideline. Here's what that looks like.

Marketing examples come from the providers' own pages. The clinical comparison comes from the AUA guideline and current Endocrine Society guidance; weight loss is not established by the guideline's separate statements about diabetes measures, lipids, or quality of life.^52232224

Read that table twice. An energy or mental-clarity promise can sound more certain than the guideline's evidence supports. And the word "may" matters even for outcomes that have supporting evidence.

That is not a reason to dismiss testosterone therapy. With a confirmed diagnosis, benefits and risks deserve an individual clinical discussion. It's a reason to set expectations from evidence rather than an ad, so you and your clinician can assess whether treatment is helping.²²

Two more facts from the FDA, stated precisely, because the internet garbles both:

FDA's 2025 labeling announcement describes approved testosterone use in men with low or absent testosterone associated with a medical condition. It is not a general anti-aging or weight-loss approval.²⁴

On February 28, 2025, the FDA issued class-wide labeling changes for testosterone products. It added results from the TRAVERSE trial to all labels, kept the Limitation of Use language for age-related hypogonadism, removed the cardiovascular language from the Boxed Warning, and required a new warning about increased blood pressure. So a warning was narrowed and a different one was added. Anyone telling you "the FDA removed the black box warning, testosterone is cleared" has read half the announcement.²⁴

FDA invited applications in April 2026 for a possible new indication involving low libido in men with idiopathic hypogonadism—low testosterone without an identified cause. That announcement invited evidence and applications; it did not itself approve the indication. Check the current label of the exact product being proposed.²⁸

---

Is TRT Nation legit? Is Male Excel legit?

Both companies maintain live U.S. treatment websites, enrollment information, and published legal terms. That is evidence of an operating public service, not independent confirmation of every clinician's license, pharmacy's license, prescription, or quality of care. Neither a review score nor a business-directory listing can establish medical suitability for you.¹⁰²⁹

What differs is how much each one tells you before you pay.

Male Excel publishes a state list, names pharmacy partners, publishes its guarantee terms, and includes thyroid safety warnings. Its BBB profile lists an A+ rating, the alternate name Male Excel Medical, P.A., a Charlotte address, and a business start date of January 1, 2019. Those are BBB-reported business details, not medical-board verification or a clinical endorsement.⁶¹²¹³⁰

TRT Nation publishes its plan contents, testing requirements, age minimum, and cancellation policy. It identifies Nation Medical Inc. in its terms, but the pages checked did not name the pharmacy that would fill your prescription. Its FAQs also differ on outside-lab age and delivery estimates. A link to a certification checker is not the same as a verified current certification; we did not independently establish a certification status for this comparison.²⁹¹³⁷

How easy is it to reach someone?

Contact hours are not a promise of a live clinician appointment during every listed hour. Before paying, ask who handles medical questions, the next available appointment, the expected response time, and what happens with a side effect or a delayed refill.¹¹³

Delivery is another estimate, not a guarantee. TRT Nation's general FAQ says processing and shipment typically take 1–3 business days after approval, with standard delivery taking 3–5 business days. Its 2026 FAQ instead describes arrival within 10 business days after consultation. Those clocks do not start at exactly the same event; neither is a delivery guarantee we tested. Male Excel's automatic-renewal language also does not establish an arrival date. Have the clinic confirm the steps from clinical approval to dispensing, tracking, and arrival before planning a transfer around a shipment.¹³⁷⁵

What patients actually report

These are individual experiences about service and billing, published on the provider's own review feed or a public review profile. They are not independently verified treatment experiences, not evidence that either treatment is safe or effective, and not representative of typical results. We picked them because they are specific about cost; reviewers' commercial connections, if any, were not independently established.

"Great, but their HCG is very, very expensive." — Danforth Smith, five-star review displayed on TRT Nation's own website.³¹

"Place is great, but dammm the HCG and Anavar is ridiculously priced." — Curtis Anderson, review displayed on TRT Nation's website, with an update dated August 21, 2026.³¹

"Ok but costly for trt" — Dark Side, Male Excel review on Trustpilot; experience dated August 27, 2026.³²

These three comments cannot tell us what patients generally experience. They do reinforce a useful question: what will the complete quoted plan cost, including medicines and services outside the headline? The written quote matters more than the star rating.

How to check a clinic before you pay

1. Treat certification badges as claims until you can verify the current status with the issuer.
2. Check the BBB profile for the legal entity name and whether complaints get answered.
3. Search your state medical board for the prescriber once you're assigned one.
4. Find the cancellation and refund terms, including any exception on enrollment. If you can't find them, ask before paying.
5. Ask which pharmacy fills your prescription and whether the product is FDA-approved or compounded.

---

What happens if the telehealth rules change?

Testosterone is a Schedule III controlled substance in the United States and requires a valid prescription. The current federal extension runs through December 31, 2026 and allows DEA-registered practitioners to prescribe Schedule II–V medicines by qualifying audio-video telemedicine without a prior in-person evaluation, subject to applicable requirements. It does not override state law or guarantee that a particular patient can avoid an in-person visit.³³³⁴²⁰

What will apply after that extension is not established by the extension itself. A clinic still needs to explain how it will handle any later legal or clinical requirements, including an in-person evaluation when required.³⁴

We're not going to tell you to rush and sign up before a deadline. That would be manufactured urgency about your health, and it's exactly the sort of thing this page exists to push back on.

What we will tell you is that it's a fair question to ask either company before you hand over a card:³⁴

"If the telemedicine rules change in January, what happens to my refills?"

A good answer will be specific. A vague answer tells you something too.

Male Excel already publishes a version of this on its own site, noting that based on DEA and state laws your treatment plan may require an in-person medical exam. That's an honest disclosure. Ask how any required visit would be arranged and who would pay.¹

---

So which one should you pick?

Investigate TRT Nation first for its lower published injection-price model and patient-requested refills. Compare Male Excel for its published cream option, stated Missouri availability, or dedicated-provider and scheduled-testing model—not because membership proves better care. Evaluation, fertility plans, exact medication, state rules, and the written quote can change either choice.^1562738

Here's the whole decision in one table. This is our editorial conclusion, drawn from the verified facts above using How We Review TRT Providers.

These are editorial next steps based on the dated sources above, not medical eligibility decisions. A “start here” choice means where to investigate—not an instruction to start a medicine.

➜ A cream option, a state list you can check today, and scheduled testing inside membership: see Male Excel's current membership and medication prices → Ask for the exact products and a written quote before enrolling.

➜ Comparing the lower published injection rate and manual refills: review TRT Nation's current treatment offer →, then check the lab and enrollment requirements and cancellation policy.

➜ Still weighing it: compare your care-route questions with Find My TRT Path →

---

Before you pay, what should you ask?

An itemized quote and clear care requirements are more useful than a headline price. Ask about each charge, the exact medicines, testing, the prescriber and pharmacy, and what happens if you change providers.

Copy this. Take it into the call. It works with either company, or with a local clinic.

The twelve questions

1. What is my total charge today, including shipping?
2. What is my next charge, and on exactly what date?
3. What do I do to stop it, and by when?
4. Is any part of this refundable once medication ships?
5. What is the minimum I'm committing to?
6. What is in my plan besides testosterone, and what does the price become without it?
7. What treatment plan are you proposing, why does it fit my evaluation, and how will benefits and side effects be assessed?
8. Is my medicine compounded or an FDA-approved product, and which pharmacy fills it?
9. Do you prescribe in my state? (Get this in writing.)
10. What labs are required, when, and what does each cost—including repeat morning testing and any blood counts or extra tests not in the package?
11. What happens to my refills if the telehealth rules change in January?
12. I may want children in the future. How will that affect the evaluation and treatment options?

A message you can send them, word for word:

Before I pay, please send me an itemized written quote for the initial evaluation and my first year. Please separate the membership or consultation fee, the medication, every required lab, supplies, shipping, and anything else. Please confirm the actual supply period and the date of each charge, whether you can accept my existing lab report, the exact medicines proposed and why, and which pharmacy will dispense. Please also send the cancellation and refund terms that apply to my purchase. I understand a quote doesn't establish medical eligibility or guarantee a prescription.

If a company won't put that in writing, you've learned something useful for free.

Copyable payment and care record

Use the actual written quote to fill this in. Leave an unknown visible until the company answers; do not turn it into $0.

Cash due during your first year = the sum of charges whose actual due dates fall inside that period. Keep that separate from the cost of exactly twelve treatment months. A payment for medicine extending beyond the period is still cash paid, but it also buys supply outside the period. This record is a budgeting aid, not a quote from either provider.

---

What else should you know before choosing?

The main differences are the kind of fee, the supply commitment, accepted testing, and the care you actually need. These questions give the quick answers, using the same assumptions as the comparison above.

Which is cheaper overall, Male Excel or TRT Nation? TRT Nation has the lower published injection-price model: $1,586.88 with three assumed $129 panels, versus $2,727 for Male Excel's starting injection bundle, membership, and initial consultation. The $1,140.12 model difference is not a verified saving on complete first-year bills. Extra testing, Male Excel shipping, applicable TRT Nation pricing, and actual charge dates can change the comparison.¹²¹⁴⁹

Does Male Excel's $99 membership include testosterone? No. Male Excel's pricing page states that medication prices exclude the required Medical Membership. The $99 membership and the prescribed medication are separate charges.¹

Can you actually pay TRT Nation $99.99 a month? That is the monthly-equivalent base rate, but the TRT offer requires a 2.5-month minimum purchase. Multiplying the published figures gives about $249.98, not a final cart amount we verified. The FAQ permits refill requests from week 8.²⁷

Does either one include bloodwork? Male Excel includes a home hormone test in the $99 initial consultation and says comprehensive testing every six months is included in membership. TRT Nation charges $129 for its TRT panel or accepts qualifying outside results. Neither statement proves that every repeat diagnostic or extra test is included.⁵¹¹⁴⁹

Can I take a Male Excel home test to TRT Nation? Do not assume so. Male Excel's starting test is a finger-prick kit, and TRT Nation's enrollment page excludes finger-prick and saliva home kits. Have any other lab report accepted before relying on it to avoid another charge.⁵⁹

Can I cancel Male Excel any time? Its pricing says cancel anytime. The cream FAQ gives a 48-hour renewal-notice window before billing and shipment, while the homepage also describes a check-in and provider approval. Confirm how to cancel both membership and pending medication charges; do not treat a missed check-in as proof of cancellation.¹¹¹⁵

Can I get a refund from TRT Nation? Its policy reserves a no-refund, no-return position, but its enrollment page also promises a full refund if you and the provider decide during the consultation that treatment is not for you at that time. Ask which provision applies to your purchase and stage of care before paying.⁴⁹

What does Male Excel's money-back guarantee actually cover? Three months of membership fees—$297 at $99/month—if you meet the conditions and symptoms do not improve after 90 days of continuous participation. You must follow the prescribed protocol, attend appointments, supply adherence documentation when requested, and submit the claim within 30 days after the 90-day period. The guarantee does not refund medication.¹²

What states does Male Excel cover? Its FAQ excludes Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island. Absence from that list is not confirmation that a particular clinician can treat you there; ask before paying.⁶²⁰

What states does TRT Nation cover? Its 2026 FAQ excludes Alabama, Alaska, Arkansas, Missouri, and Hawaii. Its general FAQ uses broader wording about most U.S. states and confirmation at intake. Use the named exclusions as a warning to check—not as an individual eligibility decision.⁷¹³

Is the testosterone FDA-approved at either one? Male Excel explicitly describes compounded testosterone, including its cream, which is not FDA-approved. TRT Nation's compounding-pharmacy sourcing statement does not establish the approval status of each dispensed medicine. Ask for the exact product; if an approved product is required and cannot be supplied, compare another clinician/pharmacy arrangement.^5111326

Does insurance cover either program? Treat both as cash-pay programs unless you have written confirmation of coverage for the exact services and medication. Male Excel says its program is not covered; TRT Nation says it does not bill insurance. Both mention HSA/FSA use, which is not the same as insurance coverage. Confirm qualified expenses and reimbursement with your plan administrator.¹¹³

How old do you have to be? TRT Nation publishes a minimum age of 24. Male Excel's terms limit use of its services to adults 18 or older, but that does not promise clinical acceptance or establish that every adult can be prescribed treatment.⁹¹⁰

Do I need two blood tests to be diagnosed? For evaluating untreated testosterone deficiency, the AUA calls for two early-morning total testosterone measurements on separate occasions, interpreted with symptoms or signs. The Endocrine Society recommends repeat morning fasting testing. A clinic's intake process does not replace that clinical evaluation; patients already on treatment need a clinician-led approach to reviewing their records and results.²³³²²

Will TRT affect my fertility? It can. External testosterone can suppress sperm production, sometimes severely, and recovery is not predictable for every man. Discuss current and future plans with a fertility-aware clinician before treatment; neither an hCG add-on nor an oral alternative guarantees preserved fertility.⁸²³¹⁶

---

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

---

Sources and verification

Provider pages, policies, review excerpts, and medical sources were checked on September 15, 2026. This comparison verifies what the cited documents say, not that every patient receives the advertised service. Prices are provider-stated; calculations and fit judgments are ours. A named pharmacy partner, a business listing, or a customer review is not an individual license check or clinical assessment.

Our method is How We Review TRT Providers. See our editorial standards, privacy policy, and affiliate disclosure. Found a changed price or policy? Send the source through our corrections process. Do not send personal lab results or medical records with a correction. The educational tool does not replace a clinician's evaluation.

This page is educational information, not medical advice. It does not diagnose low testosterone, determine your eligibility, or guarantee a prescription. Testosterone is a Schedule III controlled substance in the United States and requires a valid prescription. If you have chest pain, severe shortness of breath, fainting, or a sudden severe headache, call 911. Don't fill in a form.³³

Footnotes

1. Male Excel. Hormone Replacement Therapy Costs. Initial consultation; required membership; injection, cream and oral prices; supply and billing descriptions; shipping; support access and hours; ingredient and thyroid safety text. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵ ↩²⁶ ↩²⁷ ↩²⁸ ↩²⁹ ↩³⁰ ↩³¹ ↩³² ↩³³ ↩³⁴ ↩³⁵ ↩³⁶ ↩³⁷ ↩³⁸

2. TRT Nation. Testosterone Therapy. $99.99 base treatment offer, $180 TRT plus hCG offer, minimum purchase, California caveat, and separate enclomiphene offer. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²²

3. Endocrine Society. Testosterone Therapy in Men With Hypogonadism: Clinical Practice Guideline. Symptoms/signs plus unequivocally and consistently low testosterone; repeat morning fasting testing; additional evaluation, fertility, and conditions in which starting therapy is discouraged. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴

4. TRT Nation. Cancellation Policy. No automatic prescription refills; purchased-period payment; reserved no-refund/no-return position. Read with the separate enrollment exception. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

5. Male Excel. Homepage and program FAQs. Initial five-marker test; thyroid when clinically appropriate; provider check-ins; membership includes comprehensive six-month testing; refill review. Provider statements, not tested care. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹

6. Male Excel. Frequently Asked Questions. State exclusions; sample processing; pharmacy partner names; program descriptions. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹²

7. TRT Nation. FAQs 2026. Five-state exclusion list; six-month outside-lab language; panel contents; monitoring, 2.5-month supply and week-eight refill-request descriptions. URL year does not establish which conflicting page is newer. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²²

8. AUA/ASRM. Diagnosis and Treatment of Infertility in Men: Guideline Part II. Official ASRM publication of the 2021 guideline, including statement 39 on testosterone monotherapy and current or future fertility; selected uses and limits of hCG, selective estrogen receptor modulators, and aromatase inhibitors. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰

9. TRT Nation. New Patients. Read-only enrollment information: $99.99 and $130 TRT blocks; standard shipping; testing, 120-day outside-lab rule, finger-prick/saliva exclusion, Labcorp/Quest options, age 24, and consultation-stage full-refund wording. No checkout or intake was submitted. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵ ↩²⁶

10. Male Excel. Terms and Conditions. Use of services by adults 18+; no outside-pharmacy routing; packaging; purchase and privacy context. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

11. Male Excel. Testosterone Cream. Compounded Lipoderm cream; twice-daily description; conflicting application-site text; secondary-exposure warning; 48-hour renewal wording. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸

12. Male Excel. Excel Advantage Guarantee Terms. Eligibility, three-month membership-fee limit, adherence conditions, and request deadline in the Refund Process section. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

13. TRT Nation. FAQs. Published outside-test age; care and support descriptions; transfer discussion; pharmacy-sourcing claim; insurance; contact hours and delivery estimates. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶

14. TRT Nation. Lab Orders. $129 TRT panel and collection options. Other panels and individual diagnostic needs may differ. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹

15. Male Excel. Oral treatment page at the clomiphene-for-men URL. Body text describes enclomiphene with thyroid, unlike the pricing page’s clomiphene description. The exact patient prescription was not obtained. Checked September 15, 2026. ↩ ↩²

16. U.S. Department of Defense Operation Supplement Safety. Clomiphene and Enclomiphene: Drugs, Not Dietary Supplements. Updated January 12, 2026. Clomiphene’s approved female use and off-label male use; enclomiphene’s lack of FDA approval. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴

17. DailyMed. Anastrozole Prescribing Information. Indications and Usage and Clinical Pharmacology. Approved breast-cancer uses and aromatase inhibition; not approval for routine male TRT co-prescribing. Checked September 15, 2026. ↩ ↩² ↩³

18. DailyMed. Armour Thyroid Labeling. Boxed warning: thyroid hormone is ineffective for weight loss at replacement doses in people with normal thyroid function, and larger doses can cause serious toxicity. Used for the warning, not as proof this is Male Excel’s product or an FDA-approved medicine. Checked September 15, 2026. ↩

19. FDA. FDA’s Actions to Address Unapproved Thyroid Medications. Animal-derived/desiccated thyroid approval status, risk-based enforcement, ineligibility for compounding as biological products, and patient advice to discuss treatment with a clinician. Not a product-specific finding about an individual Male Excel prescription. Checked September 15, 2026. ↩ ↩² ↩³

20. HHS. Licensing Across State Lines. State-dependent licensure pathways and the need to verify patient location. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴

21. HHS. Medical Records. Access to records held by HIPAA-covered providers, limited exceptions, and prohibition on withholding records solely because a treatment bill is unpaid. Checked September 15, 2026. ↩

22. Endocrine Society. Statement on Testosterone Replacement Therapy. July 16, 2026 statement; diagnosis, testing, underlying causes, evidence, and limits of symptom-based prescribing. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸

23. Mulhall JP and colleagues. Evaluation and Management of Testosterone Deficiency: AUA Guideline. Journal of Urology, 2018;200:423–432. Statements on the diagnostic cutoff, separate morning measurements, symptoms, blood counts, fertility, benefits and inconclusive outcomes. Full-text publication reviewed through an accessible copy of the primary paper, alongside the Endocrine Society sources above; direct AUA website access was unavailable. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹

24. FDA. FDA Issues Class-Wide Labeling Changes for Testosterone Products. February 28, 2025 announcement: TRAVERSE results, retained age-related limitation, cardiovascular boxed-warning change, and blood-pressure warnings. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴

25. DailyMed. AndroGel 1.62% Prescribing Information. Current label includes approved indications, secondary-exposure warning, blood-pressure precautions, and monitoring. Product-specific directions are not instructions for a compounded cream. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴

26. FDA. Compounding and the FDA: Questions and Answers. Compounded drugs are not FDA-approved; purposes, quality concerns, and differences between pharmacy compounding and registered outsourcing facilities. Checked September 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷

27. DailyMed. Pregnyl Prescribing Information. Selected male hypogonadotropic hypogonadism indications. This label does not identify TRT Nation’s dispensed hCG product. Checked September 15, 2026. ↩

28. FDA. FDA Takes Step Forward on Testosterone Therapy for Men. April 16, 2026 invitation for applications concerning a proposed low-libido indication; an invitation is not an approval. Checked September 15, 2026. ↩

29. TRT Nation. Terms and Conditions. Nation Medical Inc. and published website/service terms. This is not verification of individual professional licenses. Checked September 15, 2026. ↩ ↩²

30. Better Business Bureau. Male Excel Business Profile. Displayed A+ rating, alternate business name, Charlotte location, and January 1, 2019 business start date. A directory record is not a medical or pharmacy license check. Checked September 15, 2026. ↩

31. TRT Nation. Review feed displayed on the Testosterone Therapy page. Danforth Smith and Curtis Anderson excerpts. Names and wording checked in the provider-published feed; the underlying external review accounts, purchasing history, and any material connections were not independently verified. Checked September 15, 2026. ↩ ↩²

32. Trustpilot. Male Excel Review Profile, page 6. Dark Side excerpt “Ok but costly for trt”; experience August 27, 2026. A customer-experience signal, not verification of medical claims elsewhere in the review. Checked September 15, 2026. ↩

33. DEA. Drug Scheduling. Testosterone is a Schedule III controlled substance. Checked September 15, 2026. ↩ ↩²

34. DEA. DEA Extends Telemedicine Flexibilities to Ensure Continued Access to Care. December 31, 2025 announcement of the extension through December 31, 2026; qualifying audio-video prescribing and continued federal/state compliance. Checked September 15, 2026. ↩ ↩² ↩³