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Mantality Health Reviews (2026): Cost, Contracts, Clinics, and What We Found

Mantality Health reviews include strong local ratings displayed on its own pages. It lists 8 Midwest clinics for adult men who want in-person, self-pay care. The catch: no public TRT price or named dispensing pharmacy. Get your contract in writing; insurance needs or near-term fertility plans may point you elsewhere.

Mantality Health review table 1: Comparison
Clinics listed Public TRT price Stated lab schedule BBB snapshot
8 clinics, 6 states Not published on the pages reviewed About every 90 days B−; not a clinical rating

Sources: Mantality's locations and TRT pages; BBB profile, checked November 3, 2026. 2 5 48

· A public-source profile: we checked Mantality's own pages, its terms, the BBB, review sites, and medical guidelines. We did not become a patient.

In a July 2026 BBB reply, Mantality said one patient had signed a three-month contract. That does not establish the terms of every plan. Ask for your own agreement before you sign. 14

Mantality is a good fit if you:

  • Live within driving distance of one of its 8 clinics (Missouri, Wisconsin, Ohio, Iowa, Michigan, Nebraska)
  • Want face-to-face visits and blood drawn on site
  • Pay cash or with an HSA or FSA card

Skip it, or start somewhere else, if you:

  • Need fully remote care and Mantality has not confirmed it can serve you in your state
  • Need insurance to pay for treatment
  • Are trying to have a baby now or in the near term (start with a urologist or reproductive urologist)

How we make money: TRT Provider Guide has affiliate relationships with Male Excel and Hone Health. The Male Excel consultation offer below is a paid referral link and we may earn a commission. Other provider links, including Mantality's booking links, go directly to the cited pages. That never changes what we report. Read our affiliate disclosure.

Book Mantality's free consultation →
Mantality advertises a free consultation; labs and treatment are not described as free. Bring the 10 questions further down this page.

Not near a Mantality clinic? Jump to the online options ↓

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 page is educational information, not medical advice. If you have chest pain, trouble breathing, sudden weakness, or trouble speaking, call 911.


Mantality Health at a glance (checked November 3, 2026)

Mantality Health describes its care as self-pay and lists 8 clinics in Missouri, Wisconsin, Ohio, Iowa, Michigan, and Nebraska. It offers TRT alongside separate treatments such as enclomiphene, peptides, ED medication, NAD+, and IV therapy. It says it rechecks labs about every 90 days. 1 2 5 8

Mantality Health review table 2: Mantality Health at a glance (checked November 3, 2026)
What you want to know What we found Status
Care model In-person clinics plus telehealth follow-ups Mantality says this 6
Where 8 clinics: 2 in Missouri, 2 in Wisconsin, 1 each in Ohio, Iowa, Michigan, Nebraska Checked on official locations page 5
Price Not published on the TRT pages reviewed. "Reviewed during your consultation." Public-page check 1 2
Insurance Most programs are self-pay; HSA/FSA accepted for eligible services. Mantality says this 1 6
First step Advertised free consultation; 50+ marker panel in the evaluation Mantality says this; lab cost needs confirmation 2 13
Lab rechecks About every 90 days Mantality says this 2
Testosterone named Testosterone cypionate (on its contact page) Checked 8
FDA-approved or compounded? Not stated for the exact testosterone product Not found on reviewed TRT pages
Which pharmacy? Not stated for testosterone Not found on reviewed TRT pages
Fertility plan? Not described on reviewed TRT pages Requires a clinical discussion
Contract length No general TRT agreement found. In one BBB reply, Mantality said that patient signed a 3-month contract. Checked on BBB 14
Ownership Acquired in 2024 by Agentis Longevity, per the deal's adviser Attributed 18
BBB B−, not accredited Checked on BBB 48

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. If you are considering cash-pay online TRT, use TRT Provider Guide's Find My TRT Path tool to check the featured Male Excel offer's age and state eligibility — and bring the questions in this guide to any clinician before you pay. The tool is educational. It doesn't read labs, diagnose low testosterone, clear contraindications, or decide whether treatment is right for you.


Is Mantality Health legit?

Yes, as an established clinic business: Mantality has a documented history and lists 8 physical clinics. Its public pages leave price, contract length, and pharmacy unresolved; we did not independently verify each prescriber's license or its current certification status. 5 48 19

Where Mantality came from

Mantality didn't start as Mantality. A September 2016 public-relations post on Patch describes then-owner Kevin Meuret adding the Mantality brand to his low-testosterone clinics, which included Midwest Men's Clinic and Low T St. Louis. The BBB lists the business start date as March 4, 2013, and names Meuret Holdings, LLC and Kevin Meuret on the profile. 48 19

Mantality's own pages say "since 2014," "12 years," and "10+ years." Different pages, different numbers. Either way, this is not a pop-up clinic. 1 3 10 48

Who owns it now

In 2024, Agentis Longevity bought Mantality, according to Agenda Health, the M&A firm that advised on the deal. Agentis is backed by the private equity firm Shore Capital Partners. 18 32

Why that matters to you: private equity ownership isn't good or bad by itself. Mantality also markets "longevity" products — peptides, NAD+, IV drips, and a scored assessment called the Longevity Quotient. Ask which, if any, would be recommended in your case and which are optional. You can say no. 8 9

Mantality's history at a glance

Mantality Health review table 3: Mantality's history at a glance
Year What happened Source
2012–2013 A 2016 public-relations post says the first Omaha clinic opened in 2012; the BBB lists March 4, 2013, as the Chesterfield business start date PR post on Patch; BBB profile 48 19
Mid-2010s Clinics rebrand as Mantality Public-relations post on Patch 19
2024 Acquired by Agentis Longevity (Shore Capital Partners–backed) Agenda Health deal page; Agentis About page 18 32
Oct 2026 Longevity Quotient launch advertised at participating clinics; the page lists an October 28 Milwaukee start Mantality LQ page; completed rollout not independently confirmed 9

Licensing and safety signals

  • LegitScript seal: Mantality's site displays one. We did not confirm its current certification in the certifier's directory. A displayed seal is not a check of your individual prescriber or pharmacy. 1
  • BBB rating: B−. The BBB lists the reason as failing to respond to 1 complaint. It's not accredited. 48
  • Blood work first: Mantality describes lab testing and clinical review before treatment. A lab panel alone does not establish that low testosterone has been properly confirmed; ask how a low result is repeated and interpreted. 2 4 21

Find the clinic nearest you and its hours →


What do Mantality Health reviews actually say?

It depends on where you look. Mantality displays local ratings of 4.7 to 5.0 at the four clinics below, while Trustpilot shows a 3.2 TrustScore from one review. The two BBB complaints below concern billing. 6 14 15 29 30 31

We compared the review sources below. The last column explains how each source can help your decision without treating a service review as clinical evidence.

Mantality Health review table 4: What do Mantality Health reviews actually say?
Source Score Reviews What it tells you How to use it
Local rating displayed by Mantality — Chesterfield, MO 4.7 284 Clinic-level customer feedback Check recent reviews for this clinic. 6
Local rating displayed by Mantality — Omaha, NE 4.7 275 Clinic-level customer feedback Check recent reviews for this clinic. 29
Local rating displayed by Mantality — Cleveland, OH 5.0 104 Clinic-level customer feedback Check recent reviews for this clinic. 30
Local rating displayed by Mantality — Grand Rapids, MI 4.9 71 Clinic-level customer feedback Check recent reviews for this clinic. 31
Yelp — Omaha, NE Current figure not verified Not used in this comparison A separate local listing Read the listing directly; no current score claimed here. 16
Yelp — St. Louis, MO Current figure not verified Not used in this comparison A separate local listing Read the listing directly; no current score claimed here. 47
Trustpilot 3.2 1 One person's Pittsburgh-specific experience One report, not a national verdict. 15
BBB B− rating 2 complaints in 12 months Billing disputes (details below) Read the allegations and response; the grade is not a clinical rating. 14 48
Indeed (employees) 3.8 12 What it's like to work there Context only. Not patient feedback. 17

Local rating figures are as displayed on Mantality's own clinic pages on November 3, 2026, not an independent check of live review-platform listings. We could not retrieve the current Yelp figures. Counts change; check the clinic you'd actually visit.

What patients praise

The testimonials Mantality publishes highlight friendly staff, blood work, and follow-up calls. These are provider-selected accounts, not a representative patient survey. 1

One Des Moines patient, Kyle Keough, says, "Mantality called me the morning after my lab draw." (Published by Mantality on its homepage; a provider-selected account, not an independently verified response-time measure. Any relationship beyond being a patient is not disclosed alongside the quote.) 1

What patients complain about

Both BBB complaints filed in the last 12 months are billing disputes:

  • January 29, 2026 (unanswered): A patient says that around August for three years he was charged $45 for medication that didn't ship until months later, and never got credit for the missing months. The BBB marks this complaint unanswered.
  • July 9, 2026 (answered): A patient says he was charged for services he didn't get. Mantality replied on July 28 that the patient had signed a three-month contract covering May through July, and that medication already shipped couldn't be returned.

These are customer allegations and a company response, not findings of wrongdoing. 14 But they point at the two questions that matter most before you pay: How long am I committing for, and what happens to shipped medication if I stop?

A separate September 2023 BBB review complains about insurance coverage. Mantality replied then that coverage depended on the patient's insurance. Its current pages describe most programs as self-pay — and that's worth knowing before your consult, not after. 1 6 49

Why the scores disagree so much

  • Sample size and selection. A one-review profile and a 284-review clinic listing aren't the same kind of signal. Neither proves clinical quality or a representative patient experience.
  • Each clinic is rated separately. A bad Omaha experience doesn't tell you much about Grand Rapids.
  • Listings can cover different places and timeframes. Third-party pages include locations such as North Liberty, Iowa, and Pittsburgh, Pennsylvania, which are not listed in Mantality's current clinic directory. That does not prove they closed. Confirm the address with Mantality before you travel. 5 15 51

How much does Mantality Health cost?

Mantality doesn't publish a TRT price on the pages we reviewed. Its site says most programs are monthly self-pay memberships, with pricing discussed after the lab review and HSA/FSA accepted for eligible services. Your full first-year cost needs a written quote covering tests, visits, medication, supplies, shipping, and any minimum commitment. 1 2 6

The honest trade-off

Mantality does not publish a TRT price on the pages we reviewed. If seeing your exact cost before you walk in is your top priority, ask for a written quote first and compare the published online fees below. Mantality offers something an online-only visit can't give you: a clinician in the room and blood drawn on site. Confirm that this is how your clinic would handle your first visit. 2 6

For a lot of men, that's worth a price conversation.

What we know about Mantality's cost

  • The consultation is advertised as free. The labs and treatment are not described as free. Ask what you'll pay before a treatment decision is made.
  • It's a monthly membership. Mantality's FAQ says most programs are memberships, not insurance-billed.
  • Included does not always mean every test. Chesterfield lists its 50+ marker initial panel and quarterly lab review as included. That does not establish that every repeat blood draw, confirmatory test, or outside-lab charge is included. Ask for those items in the quote. 6
  • There may be a minimum term. In the BBB reply above, Mantality said that patient signed a 3-month contract. We don't know if every plan works that way. Ask.
  • One customer-reported number: the January BBB complaint describes a $45 medication charge. That's one person's account of one charge, not a price list.
  • Launch offer (limited time, participating clinics): Mantality's LQ page advertises 15% off labs and the first month of treatment for eligible new patients. The clinic confirms eligibility when you book; the page does not establish that every clinic or TRT plan qualifies. 9

What the published fees let you compare

We can't price Mantality for you. But we can compare the fees other programs publish and show exactly where a complete first-year total is still missing. These are provider-stated fees, not quotes for your prescription.

Mantality Health review table 5: What the published fees let you compare
Cost item Mantality Health Male Excel Hone Plus Hone Premium for men
Care model In-person clinic + telehealth Online; confirm any in-person requirement Online; initial at-home test Online; initial at-lab test
Starting test / consultation Advertised free consult; lab cost not published $99 starter test and consultation $45 at-home, eight-biomarker test $65 at-lab panel
Diagnostic confirmation Process and separate fee not published Confirm the required repeat test and any charge $45 at a lab or $80 at home, per plan documents $25 at a lab, per plan documents
Monthly membership Not published $99 monthly plan; separate annual-plan offer described below $135 $155
Injectable testosterone Not published Two different offers: medication alone from $125 per 60-day supply, or a general-page bundle advertised from $120/month Starts at $28/vial; actual prescription cost separate Starts at $28/vial; actual prescription cost separate
Supplies and shipping Not published Injection-only page lists syringes at $15/month and shipping extra Free shipping stated; confirm supplies Free shipping stated; confirm supplies
Known fee subtotal Unknown until quoted $2,727 illustrative general-page bundle subtotal; limits below $1,710 or $1,745 for 12 membership payments plus listed starting tests, before medication $1,950 for 12 membership payments plus listed starting tests, before medication
Testosterone type Cypionate named; exact product's approval status not stated Advertised injection is compounded, not FDA-approved Advertised injection is compounded, not FDA-approved; outside-pharmacy options differ Advertised injection is compounded, not FDA-approved; outside-pharmacy options differ
Follow-up labs About every 90 days stated; confirm all draw and testing charges Six-month blood testing advertised as included; ask about other required tests Follow-up testing included under the plan's schedule Follow-up testing included under the plan's schedule

Prices checked November 3, 2026, on the providers' own pages. None of these rows is a complete patient-specific first-year quote. Male Excel and Hone Health are affiliate partners of TRT Provider Guide. 26 27 33 34 35 36 37 38

How we calculated the subtotals: Hone Plus is 12 × $135 + $45 + either $45 or $80 = $1,710 or $1,745. Hone Premium is 12 × $155 + $65 + $25 = $1,950. Medication is extra. Hone's plan-specific documents list those confirmation fees, but a separate retesting FAQ says clinically necessary retesting has no extra charge. Get the fee that applies to you in writing. 27 33 34 39

For Male Excel's general-page injection-and-thyroid bundle, $99 + 12 × ($99 + $120) = $2,727 is an illustrative subtotal, not a complete bill. It uses monthly equivalents, excludes shipping and any other required charges, and does not describe the separate injection-only offer. That offer lists a $62.50 monthly medication equivalent, billed $125 every 60 days, plus supplies and membership. A 60-day refill cycle is not two calendar months; ask for the actual charge dates. 26 35 36

Our rule of thumb: If Mantality's quote is higher than another complete written offer, ask what the difference pays for: visits, testing, medication, supplies, shipping, or a longer commitment. Compare the same services and treatment format. In-person care can reasonably cost more.

Your first-year quote worksheet

Bring this to your consult, or ask for these answers in writing. A blank line is not $0.

Mantality Health review table 6: Your first-year quote worksheet
Cost item Included, extra, or unknown? Amount and how often
Consultation / exam
First blood panel
Confirmation test (second morning test)
Setup or enrollment fee
Membership payments and actual charge dates during the first 12 months
Testosterone: exact product, fill quantity, and billing cycle
Syringes, supplies, shipping
Follow-up visits
Follow-up labs
Other medications they add
Minimum contract length
What you still owe if you stop at month 1, 3, or 6

First-year total = one-time fees + membership payments due in the first 12 months + medication and other charges not included in those fees − any discount you've confirmed in writing.

If any line is still blank, your quote isn't finished. Ask for the missing piece.

Want the price in writing before you commit? Use the worksheet above. Ask Mantality for an itemized quote →


Does Mantality take insurance?

Mantality describes its care as self-pay; its national FAQ says most programs are not insurance-billed. It accepts HSA and FSA cards for eligible services. If insurance matters, start by checking in-network primary care, urology, or endocrinology and your plan's actual coverage and out-of-pocket cost. 1 6

A few things to know:

  • HSA/FSA isn't insurance. It's your own pre-tax money. Check with your plan that the specific service counts.
  • Ask about prior authorization. Your insurer may require a pre-approval step. Ask which visits, tests, and records it needs.
  • Check the exact medicine. Ask your plan about the prescribed product, pharmacy network, deductible, copay, and any exclusions. FDA approval does not by itself guarantee coverage.

If insurance billing is a must for you, get Mantality's billing answer before you book. Start with your doctor, and read how getting TRT actually works. For a broader budget comparison, use our TRT cost guide.


Where are Mantality's clinics, and can you start online?

Mantality lists 8 clinics in 6 Midwest states. It says telehealth consults are available at all clinics, with outside labs such as Quest or Labcorp, but its clinic pages also describe an in-person first assessment and blood draw. Ask which applies to you before you book. 5 6 7

Mantality clinic list (checked November 3, 2026)

Mantality Health review table 7: Mantality clinic list (checked November 3, 2026)
Clinic name Actual address Hours we could confirm Local rating displayed by Mantality
Chesterfield, MO 124 Chesterfield Towne Center, Chesterfield, MO 63005 Mon 7a–12p · Wed 11a–5:30p · Fri 6:30a–2p 4.7 (284)
St. Louis, MO 4167 Crescent Dr, Suite 100, St. Louis, MO 63129 See clinic page See clinic page
Cleveland, OH 1440 Rockside Rd, Suite 109, Parma, OH 44134 Mon 11a–6p · Tue 11a–6p · Wed 6:30a–2p 5.0 (104)
Des Moines, IA 230 S 68th St, Suite 1201, West Des Moines, IA 50266 See clinic page See clinic page
Grand Rapids, MI 1971 E Beltline Ave NE, Suite 212, Grand Rapids, MI 49525 See clinic page 4.9 (71)
Green Bay, WI W5361 County Hwy KK, Appleton, WI 54915 See clinic page See clinic page
Milwaukee, WI 2323 N Mayfair Rd, Wauwatosa, WI 53226 See clinic page See clinic page
Omaha, NE 11704 W Center Rd, Omaha, NE 68144 See clinic page 4.7 (275)

Sources: the official clinic directory, Chesterfield and Cleveland hours, and the four clinic pages displaying ratings. Confirm hours and address before traveling. 5 6 29 30 31

Two practical details from the clinic pages:

  1. Clinics aren't open every day. Chesterfield and Cleveland list three clinic days a week; other clinics post different hours. If you work a weekday job, check hours before you commit to blood draws every 90 days.
  2. The "city" isn't always the city. The Green Bay clinic is in Appleton. The Cleveland clinic is in Parma. Put the real address in your map.

Can you do the whole thing online?

Maybe — and Mantality's own pages don't fully agree.

  • Its locations page says telehealth consults with labs drawn near you, and that it "ships nationwide."
  • Its Chesterfield page says telehealth is available at all clinics with labs at Quest or Labcorp — and, a few lines later, that your first assessment and blood draw happen in person.
  • Its Cleveland page says the first visit and labs are typically in person.

"Ships nationwide" doesn't mean a Mantality clinician can prescribe in every state. Testosterone is a Schedule III controlled substance — a drug with abuse potential that requires a valid prescription and a prescriber authorized to treat you where you are located. 25 24

About the federal rules: as checked November 3, 2026, the temporary federal extension permits qualifying controlled-substance prescribing by telemedicine without a prior in-person evaluation through December 31, 2026, when its conditions are met. For testosterone under this pathway, that includes an audio-video visit and a prescription for a legitimate medical purpose in the usual course of practice. Other federal and state requirements still apply; confirm the requirements for your clinician and state, and recheck before any later renewal. 24

Ask before you book: "Which of my visits must be in person, and where will my labs be drawn?"


Who treats you, and how does Mantality decide you need TRT?

Mantality says a licensed clinician reviews your symptoms, history, and a 50+ marker blood panel before prescribing. Medical guidelines say low testosterone should be diagnosed only with symptoms or signs plus consistently low levels on repeat early-morning tests. Ask how Mantality confirms a low result before treatment starts. 2 20 21

Who you'll likely see

Mantality's marketing talks about "board-certified physician" oversight. Its clinic pages tell a fuller story. The Chesterfield page lists Morgan Ackerman, DNP, FNP-BC — described there as a doctorate-trained family nurse practitioner. The same page says most follow-ups can be handled by telehealth with a nurse practitioner or physician assistant. 6

Just know who you're actually seeing, who prescribes, and what supervision or collaboration applies in your state. Ask for your prescriber's name and license, then look them up on your state's licensing board website.

What's in the blood panel

Mantality's contact page lists the tests below; its Chesterfield page specifically names total and free testosterone. These are provider-stated inclusions, not a check of a patient's lab order. 6 8

  • Testosterone (total and free)
  • SHBG — a protein that binds and carries testosterone in the blood
  • PSA — a blood marker used as one part of prostate assessment
  • Blood counts, including red cells (TRT can raise your red blood cell count)
  • Diabetes markers, cholesterol, thyroid (TSH), liver, and kidney function

Total testosterone includes testosterone bound to proteins and testosterone that is unbound. Free testosterone is the unbound part. 21

What the guidelines say about diagnosis

  • Endocrine Society (2018): diagnose low testosterone only in men with symptoms or signs and clearly, consistently low levels, confirmed by repeat fasting morning tests. 21
  • American Urological Association (AUA): a total testosterone below 300 ng/dL is a reasonable cutoff supporting diagnosis, with two early-morning measurements on separate occasions plus symptoms or signs. 20
  • One low number or a symptom quiz is not a diagnosis.

Mantality's FAQ says it recommends TRT only for men with clinically confirmed low testosterone, not for performance. Good. But its TRT page also pitches "optimized" over "normal" levels. Those two ideas pull in different directions. 2 Ask directly: "Will you confirm my low result with a second morning test before prescribing?"

If low testosterone has not been properly evaluated, start with a clinician who can decide which tests you need and interpret the results. Here's how TRT testing works.

Who handles results, refills, and problems?

Mantality advertises unlimited provider messaging and says patients can manage refills through its portal. The reviewed standard-TRT pages do not give a response-time, after-hours, or refill-turnaround promise. Ask who handles an abnormal result, how early to request a refill, and who helps if a shipment is late. 2 4

TRT can raise red blood cell levels and blood pressure, so a large panel alone is not a safety plan. Ask what your clinician will monitor, who acts on results, and how your other health conditions affect the plan. 21 23


What testosterone does Mantality prescribe — FDA-approved or compounded?

Mantality names testosterone cypionate, by injection, and mentions topical options. It doesn't say whether the product is FDA-approved or compounded, or which pharmacy fills it. Ask — FDA says compounded drugs should be used for patients whose needs cannot be met by an FDA-approved drug. 8 22

Why the difference matters

  • FDA-approved testosterone (like generic testosterone cypionate from a standard pharmacy) has been reviewed by the FDA for safety, effectiveness, and manufacturing quality.
  • Compounded testosterone is custom-made by a pharmacy. It is not FDA-approved, and the FDA doesn't review it for safety, effectiveness, or quality before it's sold.

FDA approval does not make treatment risk-free, but it means the product met FDA approval standards. Ask why a compounded option is proposed if an FDA-approved product could meet your needs. 22

What "bio-identical" means

Mantality says its protocols use "bio-identical hormones." That phrase does not identify the exact medicine or establish FDA approval, safety, or superiority. Ask for the product name and whether it is commercially manufactured or compounded. 22

Other things you may be offered

Mantality Health review table 8: Other things you may be offered
Offer What it is What to know
Enclomiphene A pill Mantality lists for "testosterone optimization" Not testosterone and not TRT. It nudges your body to make more of its own. It isn't an FDA-approved drug in the U.S. 8 43 44
Peptide treatments Mantality advertises peptide injections from compounding pharmacies Compounded preparations are not FDA-approved. Ask for the exact substance, its evidence and risks, and why it is being recommended. 12 22
Tadalafil An erectile-dysfunction medicine; Mantality describes it as generic Cialis FDA-approved tadalafil tablets exist. Confirm the exact product and pharmacy offered to you; a compounded preparation would not be FDA-approved. 52 22 42
NAD+ and IV therapy Infusions or shots Wellness add-ons, not part of TRT
Longevity Quotient Mantality describes a score using 60+ blood markers, body composition, grip strength, and cognitive screening Price not published on the reviewed page; independent validation of the score was not established. 9

These are separate treatments or services, not interchangeable forms of TRT. If you only came for TRT, say so, and ask what each proposed addition is for and whether it is needed in your case.


What if you want kids someday?

Testosterone therapy can shut down sperm production. The AUA says testosterone should not be prescribed to men who are currently trying to conceive, and the Endocrine Society advises against starting it in men planning fertility soon. Mantality's reviewed TRT pages don't describe a fertility plan. 2 21 40

Here's why: when you take testosterone, your brain sees plenty of it and tells your testicles to slow down. That includes making sperm — a process called spermatogenesis. Recovery varies. In one infertility-clinic study, some men had not reached the study's sperm-count goal after 12 months of recovery treatment. 41

If children are in your plans:

  • Now or in the near term? Start with a urologist or a reproductive urologist before choosing testosterone treatment.
  • Someday, not now? Raise it at your first visit, before any prescription. Ask: "How do my plans for children affect treatment, and should I see a reproductive urologist or have a semen analysis before starting?"

Nobody can promise you'll stay fertile on TRT or recover on a set schedule. Be wary of anyone who does.

Read our guide: fertility questions before testosterone treatment →


Can you cancel Mantality, get a refund, or take your records?

We did not find a general TRT cancellation policy on the reviewed pages. In a 2026 BBB reply, it said a patient had signed a 3-month contract and that shipped medication couldn't be returned. Ask for the actual agreement before you sign, and read the cancellation part first. 14

Three things in the fine print

1. A monthly payment can still mean a longer commitment. That BBB reply is the clearest look we found at how Mantality's TRT agreements work. A monthly bill does not necessarily mean month-to-month cancellation. Your signed agreement determines any remaining payments and exceptions. 14

2. "Cancel anytime" applies to the Longevity Quotient, not necessarily TRT. The LQ page says "cancel anytime." That's a separate membership. Don't assume it covers your testosterone plan. 9

3. The website's online-purchase terms ask buyers not to dispute card charges. Mantality's Terms of Use ask online buyers to settle refunds directly with Mantality and name Missouri law as governing. That does not establish whether a clause is enforceable or which terms apply to your clinic membership. Ask for the agreement you would sign. 11

Getting your records

Mantality's privacy notice says you can request copies of your records. Ask how, how long it takes, and whether there's a fee. You'll want those records if you ever switch providers. 28

Questions to ask about leaving

Mantality Health review table 9: Questions to ask about leaving
Question Why it matters
Is this month-to-month, or a set term? Tells you what you owe if you stop
What do I still owe if I cancel at month 1, 3, or 6? Gets a real number
How much notice do I need to give, and how? Avoids an extra month's charge
What happens with medication already shipped? Mantality told the BBB it can't be returned
How do I get my labs and visit notes? Lets the next clinician review your history and decide whether more testing is needed

Cancelling your membership and stopping testosterone are two different things. Talk to a clinician before changing your treatment.


The Mantality claims audit: what it says vs. what we found

We compared Mantality's marketing to its own pages and public records. The clinic list and dated business records are checkable; outcome claims, review totals, and certification need a different level of evidence. Price, the agreement for your plan, and the dispensing pharmacy remain unanswered on the reviewed pages.

Mantality Health review table 10: The Mantality claims audit: what it says vs. what we found
What Mantality says What we found What it means for you
"Trusted by 3,000+ Men" (homepage) Its About page and a transfer landing page say 20,000+ These are provider claims with an unclear shared scope or date; both are lower bounds, so they are not inherently contradictory. Don't use either as a quality signal. 1 3 10
"Since 2014" / "12 years" / "10+ years" BBB lists a business start date of March 4, 2013; roots go back to earlier low-T clinics Long history either way. 1 3 19 48
"Rated 4.8/5 from over 3,000 verified reviews" Mantality displays local counts of 284, 275, 104, and 71 at four clinics. A landing page uses 4.9. These are provider-displayed figures, not an independent review-count audit. Four selected clinic pages do not establish or disprove the claimed company-wide total. 1 6 10 29 30 31
"94% of men report renewed energy and focus within 60 days" No underlying study, survey method, or sample size supplied on the reviewed page An unverified provider outcome claim, not a prediction of your benefit. 2
"Pricing you'll know before you start" / "Easy, upfront pricing" No TRT price on the reviewed pages. "Pricing is reviewed during your consultation." The published promise is a price discussion before treatment; it is not a public price list. 1 2
Care "grounded in Endocrine Society protocols" Same site promotes "optimized" over "normal" levels Ask how they define low. Guidelines require consistently low tests plus symptoms or signs. 2 21 50
"Same physician at every visit" Clinic page says most follow-ups are with an NP or PA Ask who your prescriber is. 2 6
"Ships nationwide" Clinic pages also describe in-person first visits and labs Shipping reach is not a state-by-state prescribing list. Confirm service in the state where you will be located. 5 6 7
Labs about every 90 days, 50+ markers A provider-stated panel and follow-up schedule The AUA describes testosterone checks every 6–12 months during therapy; other tests and earlier checks depend on the patient. More frequent broad panels alone do not prove better care. 2 20 21
LegitScript certified Seal is displayed on the site; current certification not independently confirmed Check the certifier's current record. A badge does not verify your clinician's license or the exact medicine. 1

Mantality vs. online TRT programs

Mantality offers local visits and on-site labs; online programs may fit readers who prefer remote care. If you can't use a Mantality clinic or need another care model, compare the published fees and testing process below, then confirm your state's availability, exact medication, and complete quote.

Mantality Health review table 11: Mantality vs. online TRT programs
Mantality Health Male Excel Hone Health
Best for Men near a Midwest clinic who want face-to-face care, subject to clinical evaluation and an acceptable quote Readers comparing remote care with published fee components who are comfortable discussing a compounded product Readers comparing an at-home starting test or an at-lab plan with a published follow-up schedule
How care works In-person + telehealth Online video visits and messaging Online visits; test method depends on plan
Published price No public TRT price found Fee components published; injection offers differ Plan-specific fees published; confirmation-fee FAQ conflicts
Complete first-year cost Requires a written quote Requires a written quote; $2,727 bundle subtotal is not all-in Requires medication and actual billing details in addition to the $1,710/$1,745 Plus or $1,950 Premium fee subtotal
Insurance billing Most programs self-pay; HSA/FSA for eligible services Self-pay; HSA/FSA stated Self-pay; HSA/FSA stated
Testosterone type Cypionate; exact product's approval status not stated Advertised injection is compounded, not FDA-approved Advertised injection is compounded, not FDA-approved; an outside pharmacy may offer a different product
Contract and cancellation General TRT agreement not found on reviewed pages; 3-month term in one BBB reply Pricing page says no contract; confirm the applicable monthly or annual offer and order cutoff Membership and medication orders require separate cancellation actions
In-person visit needed? Clinic pages describe an in-person first visit; confirm your route Male Excel says DEA and state laws may require one Ask which visits and lab collections must be in person for your plan and state

Checked November 3, 2026. State availability for Male Excel and Hone varies — check your state on their sites. Published service coverage is not a guarantee of clinical eligibility. 1 6 14 26 27 33 35 36 37 38 45

Male Excel: compare its published offers before choosing

Male Excel publishes fee components, but its pages describe different offers. Its general pricing page lists a $99 monthly membership and a testosterone-and-thyroid bundle starting at $120 a month. Its injection-specific page lists testosterone medication alone from $125 every 60 days, syringes at $15 a month, and shipping extra. A $99 starter includes testing and a consultation. 26 35 36

Male Excel says the membership includes unlimited e-visits with your provider and messaging with the support team. FSA and HSA cards work, and the pricing page says no contract. Its online-TRT page also says six-month blood testing is included. The injection page mentions a $79 monthly rate with an annual plan alongside the $99 monthly plan; ask for the billing commitment, cancellation terms, and required testing costs that apply to your offer. 26 35 36

Know before you choose it: Male Excel's advertised testosterone injection is compounded and not FDA-approved. It describes the program as small daily injections under the skin. Its general-page bundle also includes thyroid tablets — ask whether you actually need thyroid medication and whether it is included in the specific offer you are considering. Membership and medication are separate charges. Male Excel also notes that DEA and state laws may require an in-person exam, and its terms say prescriptions must be filled through its contracted pharmacies. 26 35 46

Skip it if you want an FDA-approved testosterone product through the advertised program or need insurance billing.

Does that sound like what you want? Review Male Excel's published pricing →
Compare it with the injection-specific offer and request one written quote. A licensed clinician decides whether treatment is right for you.

Check Male Excel's online consultation and state eligibility →

Hone Health: compare at-home and at-lab testing plans

Hone Plus lists a $45 at-home starting test, a $135 monthly membership, and a confirmatory test priced at $45 in a lab or $80 at home. Premium lists a $65 at-lab starting panel, a $155 monthly membership, and $25 at-lab confirmation. These are different plans; the Premium testing fees do not belong with the Plus membership price. 27 33 34

Hone says membership covers ongoing appointments and follow-up testing under the chosen plan's schedule. Ask whether your diagnostic samples and collection timing are appropriate; two tests alone do not establish a diagnosis. Testosterone medication starts at an advertised $28 per vial, which is not a complete monthly medication quote. 27 33 34 20 21

Know before you choose it: membership and medication are billed separately. Hone's advertised injection is compounded and not FDA-approved; its policy also allows an outside pharmacy, with ongoing membership and separate medication charges. Confirm the exact product, pharmacy, and total. Hone's cancellation policy requires separate actions for membership and pending medication orders, and says processed or shipped medication orders cannot be canceled or refunded. It doesn't take insurance. It also says it does not handle prior authorizations; confirm any outside-pharmacy drug coverage with your insurer. 37 38 45

Skip it if you want a clinician in the room or one bill that covers everything.

Want to compare the testing route? Review Hone's Plus lab requirements →

Find My TRT Path offers an educational age and state eligibility check for the featured Male Excel offer. It doesn't diagnose you, clear medical risks, or decide whether you need treatment. Use Find My TRT Path →

Want the bigger picture first? Read online TRT vs. a local clinic.


Who should choose Mantality — and who shouldn't?

Consider Mantality if you live near one of its 8 clinics, want in-person care with on-site labs, and are paying cash or with HSA/FSA. Get the quote and agreement first; start elsewhere if Mantality cannot serve your state, you need insurance billing, or your fertility plans or health history call for a specialist first.

Mantality Health review table 12: Who should choose Mantality — and who shouldn't?
If this is you… Your best next step
Near a Mantality clinic, paying cash, want face-to-face care Book Mantality's free consult. Bring the 10 questions below.
Not near a listed clinic or need fully remote care Ask whether Mantality can serve you where you are located; if it cannot, compare the online options. If you are considering the featured Male Excel offer, Find My TRT Path checks its age and state eligibility.
Need insurance to pay An in-network primary care doctor, urologist, or endocrinologist
Trying to have a baby soon A urologist or reproductive urologist. Read our fertility guide.
Symptoms or an unconfirmed low result Arrange a clinical evaluation and ask whether repeat morning testing is needed. Here's how TRT testing works.
Had a heart attack or stroke recently, prostate or breast cancer, a high red blood cell count, or untreated severe sleep apnea See your doctor or a specialist before any TRT clinic. 21
Want a full price before you book Request a written Mantality quote, then compare it with complete written offers; published starting fees alone are not enough

If you're in that first row, you've done the hard part. You know what Mantality does well, what it doesn't publish, and what to ask.

Book your free Mantality consultation — and take the questions below with you →


10 questions to ask at your free Mantality consultation

Use the free consult to fill every gap Mantality's website leaves open. Ask for the full monthly price, the contract length, the exact testosterone and pharmacy, how they confirm low testosterone, and how they handle fertility. Get the money answers in writing.

  1. What is my total first-year price and payment schedule, and what's included — labs, visits, medication, supplies, shipping?
  2. Is there a minimum contract? What do I owe if I stop early?
  3. Is my testosterone FDA-approved or compounded? Which pharmacy fills it?
  4. Will you confirm a low result with a second early-morning test before prescribing?
  5. Who is my prescriber, and what is their license? Will I see the same person each time?
  6. I may want kids. How do my plans change the treatment discussion, and should I see a fertility specialist first?
  7. What monitoring do I need for blood counts, blood pressure, and prostate health? Who responds to abnormal results, and how do I reach them?
  8. Which visits must be in person, and what are this clinic's hours? How far ahead must I request refills, and who helps if a shipment is late?
  9. Will you add other medications or services? What does each one cost?
  10. How do I get copies of my labs and records if I leave?

Prefer to ask in writing? Copy this

I'm comparing care options before I commit. Please send me a dated, itemized quote for my first 12 months, with required and optional charges listed separately. Please also send the agreement I would sign, including the contract length, cancellation terms, refunds, and what I'd still owe if I stop early. I'd also like to know who would prescribe for me, whether the testosterone is FDA-approved or compounded, which pharmacy fills it, and which visits must be in person.

Send it through Mantality's contact page or to info@mantalityhealth.com. 8


What we actually verified

This profile is built from Mantality's own pages and terms, the BBB, review platforms, a deal announcement, and medical and regulatory sources, all checked November 3, 2026. It separates what we confirmed in public sources, what Mantality says, and what those sources leave unanswered. It is not a hands-on patient review.

Checked and confirmed (November 3, 2026):

  • 8 clinics in 6 states, with addresses, on Mantality's locations page
  • No TRT price on any page we reviewed
  • Testosterone cypionate and enclomiphene named on Mantality's contact page
  • Posted hours for the Chesterfield and Cleveland clinics
  • BBB rating (B−), business start date, and both 2026 complaints, including Mantality's 3-month-contract reply
  • Chargeback language in the website's online-purchase terms
  • "Cancel anytime" wording on the Longevity Quotient page; no general TRT cancellation agreement found
  • Plan-specific fees, conflicting disclosures, and cost subtotals for Male Excel and Hone Health on their official pages

Mantality says this (we didn't independently test it):

  • Free consultation; 50+ marker panel; labs about every 90 days
  • Self-pay with HSA/FSA accepted
  • Unlimited provider messaging; medication shipped to your door
  • Telehealth available at all clinics

Not established by this public-source review:

  • Mantality's TRT price and contract terms for your plan
  • Whether its testosterone is FDA-approved or compounded, and which pharmacy fills it
  • Its fertility process
  • Each clinician's current license status
  • Real-world response times, shipping speed, and refill turnaround
  • The full diagnostic repeat-test process and whether every required repeat draw, assay, or outside-lab fee is included

How we did it: We followed our published method, How We Review TRT Providers. It separates verified facts, provider-stated facts, customer experiences, and our own conclusions. Here, we calculated the fees the sources support and identified what a complete quote still needs. We did not open a patient account, contact Mantality, or receive treatment. No clinician reviewed this page.

Read our editorial standards and privacy policy, or send a correction or provider update.


Mantality Health FAQ

Mantality's public pages answer where its clinics are and describe its care model, but they do not supply a complete TRT price or agreement. These answers separate what is published from what you need to ask before you pay.

Is Mantality Health legit?

Yes, as an established clinic business: its history and 8 listed clinics are documented. Price, contract terms, and dispensing pharmacy remain gaps in the reviewed pages; this review does not certify every prescriber, product, or current certification. 5 48 19

How much does Mantality Health cost per month?

Mantality doesn't publish a TRT price on the reviewed pages; it says pricing is discussed after the lab review. Ask for a dated, itemized quote covering the first year. The published online fees above are comparison inputs, not all-in monthly prices. 1 2

Does Mantality take insurance?

Mantality describes its care as self-pay, and its national FAQ says most programs are not insurance-billed. It accepts HSA and FSA cards for eligible services. Confirm the billing arrangement for your plan. 1 6

Is the Mantality consultation really free?

Mantality's booking page advertises a free consultation. It doesn't say the blood panel is free. Ask what you'll pay before any treatment decision. 13

Does Mantality have a contract?

We did not find a general TRT agreement on the reviewed pages. In a July 2026 BBB reply, Mantality said a patient had signed a 3-month contract and that shipped medication couldn't be returned. Ask about your plan's term before signing. 14

Where are Mantality clinics?

Chesterfield and St. Louis, Missouri; Parma (Cleveland), Ohio; West Des Moines, Iowa; Grand Rapids, Michigan; Appleton (Green Bay) and Wauwatosa (Milwaukee), Wisconsin; and Omaha, Nebraska. 5

Can I do Mantality fully online?

Mantality says it offers telehealth and outside-lab testing, but its clinic pages also describe in-person first assessments and blood draws. Confirm the route for your clinic, the state where you will be located, and your clinical situation before booking. 5 6 7

Does Mantality use compounded testosterone?

The reviewed TRT pages don't say. Mantality names testosterone cypionate but not the exact product's approval status or dispensing pharmacy. Ask. 2 8

How often does Mantality check labs?

Mantality says about every 90 days. Ask which tests and charges are included, when your clinician may test sooner, and who acts on abnormal results; the schedule should fit your treatment and health history. 2 21

Can I keep my fertility on Mantality's TRT?

Mantality's reviewed TRT pages don't describe a fertility plan. 2 21 40 Testosterone can suppress sperm production, and guidelines say it shouldn't be prescribed to men trying to conceive. Talk to a urologist first if kids are in your near-term plans.

Who owns Mantality Health?

Agentis Longevity, a Shore Capital Partners–backed company, acquired Mantality in 2024, according to the deal's M&A adviser. The BBB profile lists Kevin Meuret and Meuret Holdings, LLC. 18 32 48

Why do Mantality ratings differ between review sites?

Review sites may cover different clinics, timeframes, and groups of reviewers. We did not verify current Yelp scores. Compare recent reviews for the clinic you'd use, and keep star ratings separate from clinical evidence.

What is the Mantality Longevity Quotient?

Mantality describes a 0–99 score using 60+ blood markers, body composition, grip strength, and cognitive screening, with an advertised assessment time of about 15 minutes. The reviewed page does not publish its price or establish independent validation of the score. Its "cancel anytime" offer should not be assumed to cover a TRT agreement. 9

Is this a hands-on Mantality review?

No. It's a research-based profile built from public sources. We didn't become a patient.


Considering the featured Male Excel offer? Use our free Find My TRT Path tool to check its age and state eligibility — or bring the 10 questions above to your Mantality consult.


Sources

  1. Mantality Health — Homepage and FAQ
  2. Mantality Health — Testosterone Replacement Therapy
  3. Mantality Health — About Us
  4. Mantality Health — How It Works
  5. Mantality Health — Locations
  6. Mantality Health — Chesterfield, MO clinic
  7. Mantality Health — Cleveland, OH TRT page
  8. Mantality Health — Contact and treatment FAQ
  9. Mantality Health — Longevity Quotient
  10. Mantality Health — Transfer Your Care
  11. Mantality Health — Terms and Conditions
  12. Mantality Health — Peptide Therapy
  13. Mantality Health — Book an appointment
  14. Better Business Bureau — Mantality Health complaints
  15. Trustpilot — Mantality Health
  16. Yelp — Mantality Health, Omaha; current figures not verified
  17. Indeed — Mantality Health employee reviews
  18. Agenda Health — Hormone Replacement Therapy transactions
  19. Brandvein Aaranson Public Relations, via Patch — Low Testosterone Treatment Centers Add New Services (September 27, 2016)
  20. American Urological Association — Issuer announcement of its Testosterone Deficiency Guideline (2018)
  21. Endocrine Society — Testosterone Therapy in Men With Hypogonadism (2018)
  22. U.S. FDA — Compounding and the FDA: Questions and Answers
  23. U.S. FDA — Class-wide labeling changes for testosterone products (February 28, 2025)
  24. Federal Register — Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities (effective through December 31, 2026)
  25. U.S. DEA — Drug Scheduling
  26. Male Excel — Hormone Treatment Costs
  27. Hone Health — Plus Membership for Men (updated September 29, 2026)
  28. Mantality Health — HIPAA Notice of Privacy Practices
  29. Mantality Health — Omaha, NE clinic
  30. Mantality Health — Cleveland, OH clinic
  31. Mantality Health — Grand Rapids, MI clinic
  32. Agentis Longevity — About Us
  33. Hone Health — Premium Membership for Men (updated September 29, 2026)
  34. Hone Health — Plus TRT Lab Testing Schedule (updated October 23, 2026)
  35. Male Excel — Testosterone Cypionate Injections
  36. Male Excel — TRT Online
  37. Hone Health — Advertised testosterone product and compounding disclosure
  38. Hone Health — Can I use my own pharmacy?
  39. Hone Health — Retesting and Confirmatory Testing FAQ (updated September 9, 2026)
  40. AUA/ASRM — Diagnosis and Treatment of Infertility in Men, Part II (2020/2021)
  41. Kohn et al. — Age and duration of testosterone therapy predict time to return of sperm count after human chorionic gonadotropin therapy (2017)
  42. U.S. FDA — Cialis tablet approval record
  43. U.S. FDA — June 8, 2022 Pharmacy Compounding Advisory Committee transcript, enclomiphene discussion
  44. U.S. FDA — 503A bulk-substance nominations under evaluation (updated May 14, 2026)
  45. Hone Health — Order Cancellation and Refund Policy (updated October 23, 2026)
  46. Male Excel — Terms and Conditions
  47. Yelp — Mantality Health, St. Louis; current figures not verified
  48. Better Business Bureau — Mantality Health business profile
  49. Better Business Bureau — Mantality Health customer reviews and business response
  50. Endocrine Society — Statement on Testosterone Replacement Therapy (July 16, 2026)
  51. Birdeye — North Liberty listing; not confirmation of current clinic status
  52. Mantality Health — Erectile Dysfunction Treatment

Not sure which TRT route fits you?

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