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Peter MD vs Marek Health: Which TRT Option Fits You (and What It Really Costs)

Compare Peter MD's prepaid injection plans with Marek Health's separately billed coaching and custom labs, including complete quotes, state access and cancellation terms.

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By the TRT Provider Guide Editorial Team · Last verified: (sources checked November 11, 2026) · Editorial research, not clinically reviewed · How We Review TRT Providers

Last updated: .

Peter MD vs Marek Health comes down to one trade: a low price you pay up front, or coached care you pay for as you go. Peter lists a $948 annual plan; Marek starts at $749 for intake and labs. Neither is a complete cost. Testing, fertility, state access and commitment can change the answer.

The answer changes if you live in Alabama or Idaho, might quit in the first few months, want to have a child soon, or haven't had your testosterone tested twice in the morning. We cover each of those below.

Peter MD vs Marek Health table 1: Comparison
If this is you… Start by looking at… The catch
Your clinician has recommended testosterone injections, you can commit to a year, and you want a fixed plan price Peter MD You prepay $948; labs cost extra, and medicine purchases are final once received
You want a coach, a big custom lab panel, or an FDA-approved oral option to discuss with a prescriber Marek Health Intake and starting labs cost at least $749 before a treatment decision
You live in Alabama or Idaho Marek Health, after confirming your treatment is available Peter MD lists both states as excluded from its injectable TRT offer
You're trying to have a child soon, or have complex symptoms or test results A urologist or your own doctor first A standard testosterone plan should not come before that workup

These are our editorial fit calls based on each company's published terms. They aren't medical advice.

Best for: U.S. adult men comparing cash-pay evaluation and care for suspected or diagnosed testosterone deficiency. Not for you if: you need insurance-funded care, fertility treatment, or a specialist workup first. This comparison does not cover adolescent care, testosterone use in women, gender-affirming hormone care, or nonmedical performance use.

TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

How we make money: TRT Provider Guide has an affiliate relationship with Male Excel and may earn a commission from qualifying referrals through clearly marked paid links on this site. The separately labeled Male Excel offer is a paid referral; provider pricing and research links remain ordinary links. That never changes our facts or who we say a provider fits. Read our affiliate disclosure.

This page is educational information, not medical advice. Only a licensed clinician can decide whether testosterone treatment is right for you. Call 911 for chest pain, trouble breathing or signs of a stroke. A new painful, swollen leg needs prompt medical assessment.

Peter MD vs Marek Health at a glance

Peter MD vs Marek Health table 2: Peter MD vs Marek Health at a glance
Peter MD Marek Health
How you pay Prepaid plan (12 or 6 months) or monthly billing; medicine included; confirm the minimum term No required subscription; you pay for each service as you go
Published entry price $79/month on the 12-month plan, billed $948 up front $299 intake + labs from $450, then about $80–$200/month on average
Year one $1,167.50 in a scenario with the annual plan, starter panel and one follow-up; extra testing may be needed $1,599 is Marek's historical average, not a quote for a year of your treatment
Two years Renewal price and full testing needs are not established Historical averages do not establish the cost of your prescription
First labs $95 panel at a Quest lab Custom panel from $450 at Quest (Labcorp on request)
Who you talk to A licensed provider by video A dedicated health coach, plus a licensed medical provider who prescribes
FDA-approved testosterone option Exact injection product status not identified on reviewed public pages Lists Kyzatrex, an oral testosterone undecanoate capsule
Refunds Medicine purchases are final once received Web sales are final
States Injectable TRT offer excludes Alabama and Idaho Says it serves all 50 states, with some state limits

Built from each company's own pages, checked November 11, 2026: Peter MD plans and inclusions, Peter MD annual product, and Marek pricing. Our math and its assumptions are shown below.

Already know which way you lean?

Peter MD vs Marek Health: what's the real difference?

Peter MD sells testosterone treatment as a plan: you pay for 12 months, 6 months, or monthly, and the medicine is included. Marek Health sells a coached program: you pay for an intake visit, a custom lab panel, and then treatment and follow-ups as you go. That is a difference in how care is packaged, not proof of better medical care.

That's why the two show up in the same search. They sit at opposite ends of online TRT. In a Reddit thread, u/20sticks11 asked the question a lot of men are thinking: are you "able to purchase a la carte or do they make you go on a monthly subscription?" At Marek, it's à la carte. At Peter MD, it's a plan. Those current terms come from the providers, not the Reddit replies. Peter MD · Marek

Here's who you're dealing with:

  • PeterMD (getpetermd.com) is a Florida-based telehealth company. You'll still see its old name, Peter Uncaged MD, on older comparison pages. Same company. Peter MD's identity and privacy notice
  • Marek Health LLC is based in Pontiac, Michigan. Care is provided through affiliated medical groups, including Marek Medical Group and 136 New York Medical PC. It was co-founded by Derek of the More Plates More Dates podcast. Marek company information · Clinical entities

Both are cash-pay. Both market telehealth care; Peter MD's terms also describe in-person consultations. Both say treatment requires a licensed clinician's prescription. Testosterone is a Schedule III controlled substance in the U.S. That means federal law treats it as a drug with some risk of misuse, so it can't be sold without a valid prescription. Peter MD terms · Marek terms · DEA schedules

Why most comparisons you'll find are wrong

We read the comparison pages that show up for this search. Most repeat numbers that no longer match either company's own site:

Peter MD vs Marek Health table 3: Why most comparisons you'll find are wrong
What you'll see elsewhere What the companies' own pages say now (Nov 2026)
"Marek costs $225 a month" or "$250 a month" $299 one-time intake, labs from $450, then about $80–$200 a month on average
"Marek costs $299 a year" $299 is a one-time intake fee, not a yearly price
"Peter Uncaged MD, $99 a month" Renamed PeterMD; $79 a month on the 12-month plan, $139 with monthly billing and a minimum-term question
"Peter MD is the best value, period" Its annual plan has a low advertised rate, but complete costs and early-exit terms decide value

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. Use Find My TRT Path to check age and state eligibility for the featured Male Excel offer; it does not choose a clinical care route. If a specialist or urgent care is the right next step, start there.

Which is cheaper, Peter MD or Marek Health?

Peter MD's lowest advertised plan rate requires paying $948 up front, with labs extra. Marek starts at $749 for intake and entry-level labs, then charges for ongoing care. The published parts let you build scenarios, but they do not establish which company will cost less for your full year.

Neither company's public price list establishes one complete first-year bill for every patient. So we built scenarios from the parts each company publishes. The method is plan or program charges plus separately billed tests and services; unknown charges are not $0.

Year one: what the published parts add up to

Peter MD vs Marek Health table 4: Year one: what the published parts add up to
Path and assumption The math Listed-component subtotal
Peter MD, 12-month plan, accepted recent labs and one follow-up $948 + one $124.50 follow-up panel $1,072.50
Peter MD, 12-month plan, starter panel and one follow-up $948 + $95 starting panel + $124.50 follow-up $1,167.50
Peter MD, 12-month plan, two follow-up panels $948 + $95 + $249 $1,292
Peter MD, two 6-month plans at an unchanged price, starter and one follow-up $654 × 2 + $95 + $124.50 $1,527.50
Peter MD, 12 months at $139, starter and one follow-up $139 × 12 + $95 + $124.50 $1,887.50
Marek, illustrative $80/month for 12 treatment months $299 intake + $450 labs + $80 × 12 $1,709
Marek, its own historical first-year average Marek's figure; not the same as the scenarios $1,599
Marek, illustrative $200/month for 12 treatment months $299 + $450 + $200 × 12 $3,149

Prices checked November 11, 2026: Peter MD plan, starter labs, follow-up labs, and Marek pricing. These are illustrations, not complete quotes. Peter's rows assume the test counts shown; its published 90-day follow-up does not establish all testing needed over a year. Marek's $80–$200 is an average spending range, not a minimum, maximum or price for a specific prescription. Twelve treatment months can extend beyond the first 12 calendar months after intake.

Peter's annual product lists supplies, shipping and physician consultations as included. Marek says its ongoing average covers treatment, coaching, follow-up labs, portal access and provider oversight. Confirm what your quote includes before adding those items again. Add any required repeat diagnostic tests, baseline tests missing from a panel, extra monitoring, outside visits, medicine changes and shipping not already included. Peter MD inclusions · Marek pricing · Marek terms

What that means: Peter MD's prepaid plan is the simpler price to check. Marek needs a personal quote. Subtracting an assumed Peter subtotal from a Marek average does not prove your savings.

Is Peter MD's $79 a month real?

Yes, with a condition. The $79 is the 12-month plan, and you pay all $948 at once. The 6-month plan is $654 up front. Monthly billing is advertised at $139, with the first two months charged together and a six-month minimum described in the FAQ.

Two things to know before you click "buy." Peter MD's $139 monthly plan card also shows a $1,068 total, which is not 12 × $139; get the full charge schedule in writing. And lab work is separate: the starting panel is $95, and a follow-up panel is $124.50. Plan card · Monthly product

What Marek's $80 to $200 a month covers

Marek says that monthly average covers your prescribed treatment, your coaching, follow-up lab panels, portal access and provider oversight. The reviewed pages do not establish your exact medicine cost. Before any of that, you pay $299 for the intake (a 45-minute session with a coach, which Marek says also covers your first medical provider exam) and at least $450 for labs. That's at least $749 before treatment starts.

Why Marek's own average looks lower than its parts

Marek says the average client spends about $1,599 in year one and $850 a year after that. But $299 plus $450 leaves $850 for the rest of year one. At Marek's published $80 figure, $850 covers less than 11 months.

Marek does not publish enough detail about the people, prescriptions and treatment periods behind those averages to explain the difference. The two figures are not interchangeable. Budget from the parts, not the average. Marek pricing

Year two: where the assumptions change the gap

Peter MD vs Marek Health table 5: Year two: where the assumptions change the gap
Path and assumption Year two Two-year illustration
Peter MD, 12-month plan, renewed at $948 $948 + two $124.50 follow-up panels = $1,197 $2,364.50
Peter MD, monthly plan $139 × 12 + $249 = $1,917 $3,804.50
Marek, sum of its two historical averages $850 $2,449
Marek, illustrative $80/month for 24 treatment months $80 × 12 = $960 $2,669
Marek, illustrative $200/month for 24 treatment months $200 × 12 = $2,400 $5,549

Peter MD's plan page says you can go monthly after the first term. It doesn't publish a renewal price, so this table assumes the same $948. Confirm before you renew. Its annual-plan total also assumes one follow-up panel in year one and two in year two; those counts are not a confirmed monitoring schedule. Marek's averages do not establish the cost of 24 months on a specific prescription.

Here's the twist in that tempting $85 gap. Subtract $2,364.50 from $2,449 and you get $84.50. But one number assumes Peter's renewal price and test count; the other adds Marek's historical averages. That is math, not a verified price advantage.

So the honest answer is: Peter MD offers a low prepaid plan rate. The full-year and two-year winner depends on complete quotes. Get the medicine, testing, follow-up and renewal costs for the same period before choosing on price.

Want to see more detail? We break down each company on its own in our Peter MD cost guide and Marek Health TRT cost guide.

Ready to compare real prices?

Is Marek Health worth the extra money?

Marek's added services are a health coach and a custom lab panel, with a broader list of treatment options to discuss with its prescriber. If your clinician has confirmed that straightforward testosterone treatment fits you, the value question is whether you want that extra coaching and testing. A larger drug list alone does not show better care.

Here's what the price difference actually buys. This is the table we wish we'd had when we started researching these two.

Peter MD vs Marek Health table 6: Is Marek Health worth the extra money?
What you get Peter MD Marek Health This matters most if…
A dedicated health coach with monthly check-ins Not identified in the reviewed plan Yes, Marek says You want someone to walk you through results and keep you on track
Lab panel Set panels ($95 to start, $124.50 follow-up) Coach-built panel, from $450 You want broader testing, like thyroid, cholesterol and metabolism
Testosterone test method Free testosterone by dialysis; total testosterone by mass spectrometry (MS), per its starter panel Says it uses liquid chromatography–mass spectrometry (LC/MS) You want to check the test method and lab reference range; method alone does not settle a diagnosis
Use your own recent labs Possibly No You already have good, recent labs
FDA-approved testosterone option Exact injection product not identified on reviewed pages Lists Kyzatrex (oral capsule) You want a manufactured product
Non-testosterone medicines listed hCG as an add-on hCG (Pregnyl) and recombinant FSH A specialist is assessing your fertility plan; availability does not prove the medicine fits
Range of medicines TRT plus some add-ons 700+ therapies, Marek says; we did not independently count them You want to ask which options are relevant to an actual diagnosis
Named pharmacies Two named in its terms Seven named in its terms You want to know who fills your prescription
Prepay needed for the lowest price Yes, $948 No Cash flow matters, or you're unsure you'll stay

From each company's product pages and terms, checked November 11, 2026.

The one thing Marek won't do

Marek says it does not accept your existing lab work as a substitute for its required starting panel, and intake plus labs starts at $749 before a treatment decision. Its FAQ says a full, custom Marek panel is required to start. Marek FAQ

If you already have good recent labs, Peter MD is worth checking first. It may be able to use your recent results, subject to its clinician's review and any further tests needed.

But because Marek builds your panel from scratch, Marek says you get a coach who goes through every result with you, screen by screen. And if treatment isn't right for you, Marek says you still leave with a plan. Its FAQ gives examples like a thyroid issue or a lifestyle problem that testosterone wouldn't fix. For a guy who isn't sure why he feels off, that starting $749 buys an assessment and lab review, not a promised prescription or diagnosis. Marek FAQ

Does that sound like your situation?

What if you start and want out?

Peter MD says medicine purchases are final once you receive them, but its policy does not clearly price an early exit from unused prepaid care. Marek has no required subscription, but its web sales and booking deposit are nonrefundable. If you aren't sure you'll stay, get the exit terms before you prepay.

This is the part the "best value" badges skip. A low price is only low if you use what you paid for.

What stopping early could leave you paying for

Peter MD vs Marek Health table 7: What stopping early could leave you paying for
You stop after… Peter MD, 12-month plan Peter MD, monthly billing Marek
1 month of treatment $948 plan + $95 starter panel = $1,043 in listed purchases; the unused-service refund is not clear First two months + starter panel = $373 paid; six months at $139 plus starter labs would be $929 if that minimum applies, before extra tests At least $749 for intake and starting labs, plus whatever care or medicine you already bought
6 months You already prepaid the year; $1,167.50 assumes starter labs and one follow-up, with other needs extra $1,053.50 assumes six months at $139, starter labs and one follow-up; confirm the actual obligation $1,229–$1,949 is only a $749 + six months at $80–$200 illustration; it is not a refund or exit quote
A full year $1,167.50 is the one-follow-up scenario, not a confirmed complete bill $1,887.50 is the 12-month, one-follow-up scenario, not a confirmed complete bill $1,709–$3,149 is the 12-treatment-month illustration above, not a required or maximum bill

Cash already paid, services used, the minimum you still owe and any refund are different numbers. These calculations do not establish the amount either provider would refund or charge when you leave. Peter MD monthly product · Peter MD minimum term · Peter MD refund policy · Marek pricing · Marek refund policy

Peter MD's refund and cancel rules

  • Refunds: Peter MD's policy says medicine purchases are final once received. Do not count on a refund: the policy does not clearly explain unused prepaid services or a decision not to prescribe.
  • Cancelling auto-renewal: its policy asks you to email at least 48 hours before renewal. Its FAQ also points to your Member Account page. Do both, and keep the reply.
  • Minimum term: the monthly plan is labeled monthly, but the FAQ describes a six-month TRT minimum. Get the answer for your plan in writing.

Read Peter MD's renewal and refund policy →

Marek's refund rules

  • No subscription: Marek says there is no required subscription or minimum commitment. Check and cancel any recurring orders you separately authorized.
  • Refunds: its policy says web sales and the booking deposit are nonrefundable, subject to applicable law and any stated exception.
  • Appointments: reschedule at least 24 hours ahead. Later changes or missed visits can cost up to $50; cancelling without rescheduling does not make the booking refundable. Mobile blood draws have a separate 48-hour notice rule, with fees up to $50.
  • One thing to ask: Marek's terms allow recurring purchases you authorize. Ask what, if anything, renews automatically for you. Marek terms

Read Marek's cancellation and refund policy →

Don't want either kind of risk?

Some readers land here and realize they don't want to prepay $948, and they don't want to spend $749 before a treatment decision. If that's you, one more option is worth a look.

Male Excel starts with a $99 at-home hormone test and consultation. If treatment is prescribed, you pay a membership of $99 a month (or $79 a month paid yearly up front), with medicine usually billed separately every 60 days. It says there's no long-term contract and you can cancel anytime.

At its posted starting injection price, 12 months of monthly membership, testosterone and syringes, plus the first test and consultation, add up to $2,217 before shipping and extra care: $99 + ($99 × 12) + ($62.50 × 12) + ($15 × 12). That is a scenario with unchanged prices and 12 treatment months, not a complete quote. The annual membership option lowers that subtotal to $1,977, but requires $948 in membership fees up front. Choosing monthly membership avoids that prepayment. Male Excel pricing · Injection product

Cancel anytime does not mean every payment is refundable. Its terms generally make sales and fees final; a separate conditional guarantee covers up to three months of membership fees, not medication. Terms · Guarantee

Know the catches first. Male Excel's listed testosterone injections and cream are compounded. It also offers thyroid medicines; ask why any additional medicine is needed. Its pricing page excludes Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Mississippi, New Hampshire and Rhode Island. Its FAQ also excludes Alabama and Minnesota, so those two states need a written answer before payment. Male Excel pricing · FAQ · Testosterone cream

If a smaller first step fits what you're looking for, see Male Excel's current pricing → (ordinary research link)

Paid referral: See Male Excel’s current TRT offer →

Is Peter MD or Marek Health available in my state?

Peter MD lists Alabama and Idaho as excluded from its injectable TRT offer, and its lab panels also exclude New York and New Jersey. Marek says it serves all 50 states, though some medicines and tests are limited by state rules. Always confirm your state and exact care plan before paying, because coverage changes.

Peter MD vs Marek Health table 8: Is Peter MD or Marek Health available in my state?
Where you live Peter MD Marek Health
Alabama, Idaho Injectable TRT and its lab panels are listed as unavailable Says its program serves all 50 states; confirm your treatment and labs
New York, New Jersey Its lab panels are unavailable; ask whether an outside lab order and results can be used Says its program serves all 50 states; confirm your treatment and labs
Alaska, Hawaii, Montana, Nebraska, North Dakota, South Dakota, Vermont, West Virginia Peter MD lists its lab panels as "limited" here. Call before you pay Says its program serves all 50 states; confirm your treatment and labs
Minnesota The starter-panel page also lists limited access here Says its program serves all 50 states; confirm your treatment and labs
Everywhere else No exclusion on the reviewed injectable page; confirm clinician, pharmacy and lab access Says its program serves all 50 states; confirm your treatment and labs

From Peter MD's TRT page, starter panel, follow-up panel and Marek's FAQ, checked November 11, 2026.

A note on reading this table: a company not listing your state as excluded isn't the same as a promise it can treat you there. Prescribing depends on the clinician, the lab and the medicine. Confirm access for your address and the state where you will be during visits.

What to do next, by state:

  • Alabama: Ask Marek to confirm your treatment and lab access, or compare a local clinic. Male Excel's own state lists disagree about Alabama.
  • Idaho: Marek, or a local clinic. Male Excel doesn't serve Idaho either. See online TRT vs a local clinic.
  • New York or New Jersey: Ask Peter MD whether an outside order and your exact results are acceptable. Ask Marek which lab process is available in your state.

Do you see a doctor or a coach?

At Marek, a health coach is your main day-to-day contact, and a licensed medical provider (an MD, DO, PA or NP) makes treatment decisions. Marek says you see that provider at the start, again 6 to 12 weeks in, then every 6 months, with extra care when needed. Peter MD requires a provider video visit and describes a 90-day check-in, but not a complete continuing visit schedule.

How starting at Peter MD works

  1. Pick a plan and order the $95 starting labs (or ask whether your recent labs work).
  2. Get your blood drawn at a Quest lab. Peter MD says there are no at-home kits.
  3. Have a video visit with a licensed provider, who reviews your results.
  4. If you're prescribed treatment, it ships to your door.

How starting at Marek works

  1. Book the $299 intake: a 45-minute session with your coach to go over your history and goals and design your lab panel.
  2. Get your blood drawn at Quest (Labcorp on request). Results take about 5 to 14 business days, depending on the panel.
  3. Go through every result with your coach.
  4. Meet a licensed medical provider by telehealth, who decides on treatment.
  5. If prescribed, treatment ships to you. Marek says the whole process takes about 2 to 3 weeks.

A coach is not a prescriber. Coaching can help you stick with a plan, but medical decisions come from the provider. Ask each company how to get a medical question to your prescriber between visits, and how fast you'll hear back.

MD and DO mean physician; PA means physician assistant and NP means nurse practitioner. Ask for your assigned clinician's name and license so you can check the relevant state board. We did not verify an assigned clinician's credentials.

Both list weekday support hours of 9 a.m.–5 p.m., labeled EST, for existing patients or clients. That is an office schedule, not a promised clinical response time. Peter MD support · Marek FAQ

How do refills, shipping and records work?

Peter MD's annual product includes shipping. Marek's terms allow shipping charges and say delivery estimates are not guaranteed. Neither reviewed process establishes a total refill-to-delivery deadline for every prescription. Ask when to request a refill, what tests or visits must be current, what shipping costs, and whom to contact if a delay puts care at risk. Peter MD annual product · Marek terms

Before you leave either program, ask how to get your lab results, visit notes and prescription history sent to you or your next clinician, and whether there is a fee. Peter MD says support can help share information with your primary care provider; Marek describes a personal-data access request process. We did not establish a complete clinical-record transfer timetable or fee for either. Peter MD FAQ · Marek legal policies

Do you need an in-person exam?

Maybe, at Marek. Its FAQ says that for controlled substances, an in-person physical exam may be required in specific states. It says any MD, DO, PA or NP can do it, including at an urgent care, and it provides a form to bring.

Peter MD's contact page requires video, while its older FAQ describes an in-person visit using outdated federal wording. Its terms also describe in-person consultations. Male Excel's site says your state may require an exam. Ask any online provider which requirements apply to your state and plan before you pay. Peter MD contact · FAQ · Terms

Which blood tests are included, and can you use your own?

Peter MD's $95 starting product lists free and total testosterone, PSA, FSH and LH; its pages disagree about whether CBC is included. Marek requires its own custom panel, starting at $450, and says outside results cannot replace it. The reviewed pages do not spell out whether repeat diagnostic morning testing is included or how it is arranged.

A few terms first, in plain English:

  • Total testosterone is all the testosterone in your blood. Free testosterone is the small part not attached to proteins, ready for your body to use.
  • LH and FSH (luteinizing hormone and follicle-stimulating hormone) are signals from your brain telling your testicles to make testosterone and sperm.
  • PSA (prostate-specific antigen) is a protein from the prostate. Doctors use it to assess prostate risk before and during TRT, based on age, risk and shared decisions.
  • A CBC (complete blood count) includes hematocrit, the share of your blood made of red blood cells. Testosterone can push it up, which is why it's monitored.

What guidelines say about confirming low testosterone

Both major U.S. guidelines say one low number isn't enough. The Endocrine Society says to diagnose low testosterone only when symptoms or signs come with consistently low levels, confirmed by repeat morning fasting testing. The American Urological Association says to use two early-morning total testosterone tests on separate days, and treats below 300 ng/dL as a reasonable cutoff, not a diagnosis on its own. The Endocrine Society's July 2026 statement also calls for at least two early-morning fasting tests and accurate lab methods. Endocrine guideline · 2026 statement · AUA patient guidance

Here's how each company's published process lines up:

Peter MD vs Marek Health table 9: What guidelines say about confirming low testosterone
Peter MD Marek Health
Starting panel $95: free and total T, PSA, FSH, LH; confirm CBC, which is listed on a general page but omitted from the product's test list From $450: custom panel covering hormones, thyroid, metabolism, heart risk, organs and nutrients, Marek says
Uses your recent labs May be able to No
Follow-up labs $124.50 panel: PSA, CBC, sensitive estradiol, free and total T; a general therapy page describes a 90-day follow-up lab 6–12 weeks after starting, then every 6 months, with extra tests as advised (Marek says)
Second morning test described before treatment Not described Not described

From Peter MD's starting panel, follow-up panel, general therapy page and Marek FAQ, checked November 11, 2026. A larger panel does not replace repeat diagnostic testing.

The question to ask both: "How will you confirm low testosterone with repeat early-morning testing, and what will those tests cost?" See the tests and timing to discuss →

See your own doctor, a urologist or an endocrinologist first if your results are very low, you have breast swelling or tenderness, a history of prostate or breast cancer, a heart attack or stroke within the past six months, untreated severe sleep apnea, or a high hematocrit. Those situations need a proper medical workup, sometimes with specialist or in-person care, before a treatment decision. Endocrine Society guidance

Is the testosterone FDA-approved or compounded?

Marek lists Kyzatrex, an FDA-approved oral testosterone undecanoate capsule. Peter MD's reviewed public pages do not identify the exact injection product as manufactured or compounded. Compounded drugs are not FDA-approved; the FDA says they should be used when an approved drug cannot meet the patient's medical need. Kyzatrex label · FDA compounding guidance

This one matters more than most people think. FDA-approved means the FDA reviewed the exact product for safety, effectiveness and quality before it was sold. Compounded means a pharmacy mixed it for patients. The FDA says compounded drugs are not FDA-approved and haven't gone through that review.

Peter MD vs Marek Health table 10: Is the testosterone FDA-approved or compounded?
Peter MD Marek Health
Testosterone injections Testosterone cypionate Cypionate (in a choice of oils) and enanthate
Testosterone cream Mentioned on a general therapy page; exact product and price not established for this plan Listed; exact product and dispensing source must be confirmed
FDA-approved oral testosterone Not identified in the reviewed offer Kyzatrex: testosterone undecanoate
Exact injection product status in reviewed public pages Manufacturer or compounder not established Depends on the actual prescription; a drug name alone does not establish its source
Pharmacies named in terms Absolute Pharmacy and Partell Pharmacy Anazao, ReviveRX, Tailor Made Compounding, Empower, South Lake, Honeybee and Strive; your prescription may move between them

From each company's product pages and terms, checked November 11, 2026.

The named pharmacies are disclosures, not proof of which product you would receive. Both providers' terms allow a patient-chosen pharmacy; Marek says an outside-pharmacy prescription may carry management fees. Ask whether Peter's package price changes if you use your own pharmacy. Peter MD terms · Marek terms

Two cautions:

  • Peter MD's "Oral TRT" link led to an enclomiphene product in our check, not testosterone. Enclomiphene is a different medicine and isn't FDA-approved. Read the product name, not the menu label. Peter MD product · Federal drug information
  • Marek's FAQ says it uses "FDA-approved 503A/503B compounding pharmacies." The FDA doesn't approve compounding pharmacies. 503B "outsourcing facilities" register with the FDA and follow manufacturing-style rules. 503A pharmacies are mainly overseen by states. Neither makes the drug itself FDA-approved. Marek FAQ · FDA explanation

The question to ask both: "Is my testosterone a manufactured, FDA-approved product or compounded, and which pharmacy fills it?" Compare testosterone treatment formats →

Do the named pharmacies have records worth checking?

Yes. Peter MD's terms still name Absolute Pharmacy and Partell Pharmacy, and the official records add facts a pharmacy-name list misses.

  • Absolute Pharmacy: Florida's license record showed Clear and Ohio's showed Active when checked. Ohio's board record also reports a $50,000 settlement in November 2025 involving allegations about prior discipline, reporting failures and testosterone dispensing. The settlement included a written reprimand; Absolute neither admitted nor denied the allegations, but the board found violations of Ohio pharmacy law. An active license does not erase that history. Florida license · Ohio license and board action · Ohio settlement
  • Partell Pharmacy: Nevada's approved June 2025 minutes record an order revoking license PH02028 effective December 31, 2025. A newer Oklahoma record, issued in February 2026, lists National Health RX at the same Las Vegas address in good standing. We could not confirm the current Nevada status or the relationship between those operations. These records do not establish that Peter MD is currently using an unlicensed pharmacy. They do mean you should confirm the current dispensing entity and license, rather than rely on the old name in its terms. Nevada minutes · New Oklahoma record

We did not identify the pharmacy assigned to a particular patient or audit every pharmacy in either network. Before paying, ask for the exact product and dispensing pharmacy, then check that pharmacy's authority to serve your state.

Can you use insurance, an HSA or an FSA?

Neither company bills insurance, but Peter MD says its plans can be paid with HSA or FSA cards. Marek's pricing page says most services are HSA/FSA eligible, but its terms say you agree not to claim HSA or FSA reimbursement. Get that cleared up in writing before you count on those funds.

Peter MD vs Marek Health table 11: Can you use insurance, an HSA or an FSA?
Peter MD Marek Health
Bills insurance No No
Medicare or Medicaid No No, and its terms say not to submit claims
HSA/FSA Cards accepted, Peter MD says Pricing page: eligible with itemized invoices. Terms: you agree not to claim HSA/FSA reimbursement
Lab insurance requests Conditional on coverage, with a $25 processing fee Does not bill insurance or provide prior authorizations

Accepting an HSA card isn't the same as your plan agreeing the expense qualifies. Check with your plan administrator either way. Peter MD payment FAQ · Marek pricing · Marek conflicting terms

If you need insurance to pay for TRT, neither of these is your route. Start with your primary care doctor, a urologist or an endocrinologist in your network. They can help check covered lab work and prescribe FDA-approved products your pharmacy plan may cover. Compare online and local care →

Which is better if you want kids?

Neither company's standard testosterone plan is the right start if you want a child soon. Testosterone from outside your body can lower sperm production, and specialty guidance advises against it when trying to conceive. Marek lists hCG and FSH, and Peter MD sells an hCG add-on, but no medicine can promise to protect your fertility.

Here's why. Testosterone from a shot, cream or capsule can suppress the LH and FSH signals from your brain. Those are the same signals that drive sperm production, which doctors call spermatogenesis. Some men's sperm counts recover after stopping. No one can promise yours will, or say how long it takes.

Peter MD vs Marek Health table 12: Non-testosterone medicines: what each company lists for fertility-related discussions
Peter MD Marek Health
hCG Add-on Yes, brand-name Pregnyl
FSH Not identified in the reviewed offer Recombinant FSH; exact product not identified
Enclomiphene Yes Yes

None of these is "natural TRT." They are not testosterone replacement. hCG acts like LH and is sometimes used alongside testosterone to try to keep the testicles working. Pregnyl is FDA-approved for selected cases of low testosterone caused by weak pituitary signals; using hCG to try to preserve fertility during TRT is off-label, meaning outside its approved use. FSH products have their own specific uses, which depend on the exact medicine and diagnosis. Enclomiphene isn't FDA-approved. None of them is risk-free, and none guarantees your fertility. Pregnyl label · AUA/ASRM guidance · Enclomiphene status

Peter MD's order page says adding hCG means "nothing shuts down." Do not read that as a promise about sperm production or future fertility. An add-on does not replace a fertility assessment. Peter MD order page · AUA/ASRM guidance

If having children is part of your plan, see a urologist or reproductive urologist before starting either program. Read the fertility questions to bring to your clinician →

Will Peter MD and Marek still work after December 31, 2026?

Their 2027 refill process is not confirmed in the pages we reviewed; ask each company for its plan in writing. The temporary federal rules can allow authorized clinicians to prescribe testosterone through audio-video telehealth without a prior in-person visit through December 31, 2026, subject to federal and state requirements. A special-registration final rule remains under White House review as of November 11, 2026.

Here's the background. Since 2020, the DEA has let clinicians prescribe controlled substances, including testosterone, by telehealth without seeing you in person first. That permission has been extended four times. The current extension ends December 31, 2026.

The DEA's permanent "special registration" rule went to White House review on August 25, 2026. The federal agenda targeted November 2026. As of November 11, 2026, we found no published final rule and no fifth extension. An agenda target is not an effective date, and a provider cannot guarantee what a future rule will allow. DEA/HHS extension · Pending review · Regulatory agenda

What that means for you:

  • If you're thinking of prepaying Peter MD's $948 year in November or December, ask first: "If the federal rule changes on January 1, how will my refills work? Will I need an in-person visit?"
  • At Marek, ask whether your state will require the in-person exam its FAQ mentions.
  • One flag: an older answer in Peter MD's FAQ describes federal telehealth rules from 2023 that don't match the DEA's current extension. Ask for current terms, not the old answer.

Don't panic about this. The DEA has extended these rules four times so far. But "probably fine" isn't the same as "in writing." Get the provider's current refill and in-person-care plan before a long prepayment.

Worried about the deadline? Compare online care with a local clinic → and use Find My TRT Path as an educational starting point →

Is Peter MD legit? Is Marek Health legit?

Both have active public services and say care is provided by licensed clinicians; that does not verify the clinician assigned to you. Marek's Trustpilot profile showed 4.9 stars from roughly 1,000 reviews, while Peter MD's U.S. profile showed a removal notice. Reviews describe reported service experiences, not proof of medical results.

What Trustpilot's removal of Peter MD means, and doesn't

When we checked on November 11, 2026, Peter MD's Trustpilot page (getpetermd.com) showed a notice that the profile had been removed because the business went against Trustpilot's guidelines. Older cached copies on Trustpilot's other country sites can show review counts. We don't use those numbers to describe the current U.S. profile. Trustpilot's removal notice

What the notice doesn't tell you: which guideline was broken, or anything about Peter MD's medical care. It's a review-platform action, not a safety finding. But it does mean you can't lean on Peter MD's review count to decide. Ask the company directly about anything that matters to you.

One more thing: petermd.org is a different domain with its own Trustpilot page. We did not verify its relationship to getpetermd.com, so we do not substitute its reviews for this provider's.

What Marek reviewers say

The reviews we read included praise for coaches and complaints about communication. Natalia wrote in February 2026, "I have been so pleased with my whole experience at Marek." Her review describes a January experience. In July 2026, Patrick Crockett posted a one-star review titled "Poor Communication and Customer Service." Trustpilot labels both reviews unprompted; we did not independently verify their experiences or any relationship with the company.

Those are two people's experiences, not typical results, and they don't tell you anything about medical outcomes.

Where do the published details conflict or need a closer look?

Both companies publish details that conflict with other pages or need more context. None of these is proof of bad intent, but each one changes what you should confirm before paying. Here's what we found on November 11, 2026, and what to do about each.

Peter MD vs Marek Health table 13: Where do the published details conflict or need a closer look?
Company Topic Published claim What we verified or could not settle What to do
Peter MD Starting CBC General therapy page lists CBC in the $95 panel The actual starter product's test list omits CBC Confirm the tests and any added charge
Peter MD Monthly plan total $139 a month The same card shows a $1,068 total, which isn't 12 × $139 Ask for the full charge schedule
Peter MD Monthly commitment "Monthly plan" FAQ describes a six-month TRT minimum Ask whether the minimum applies to you
Peter MD Monthly billing Billed every month First charge covers two months ($278) Expect a two-month first charge
Peter MD Cancelling Member Account page (FAQ) Email at least 48 hours before renewal (policy) Do both; keep the reply
Marek HSA/FSA Eligible, with itemized invoices Terms: you agree not to claim HSA/FSA reimbursement Ask Marek and your plan administrator
Marek Year-one cost About $1,599 historical average; $80–$200 ongoing monthly average range The client mix and treatment periods are not published; neither figure is a personal quote Budget from an itemized quote
Marek Pharmacies "FDA-approved" compounding pharmacies The FDA doesn't approve compounding pharmacies Ask what product you'll get
Marek Subscription No required subscription Terms permit recurring purchases you separately authorize Ask what, if anything, renews, and how to revoke it

Peter MD or Marek Health: which should you choose?

Peter MD is the plan to check if your clinician recommends injections and you can pay a year up front. Marek is the program to check if you want a coach, custom labs or an oral testosterone option to discuss with a prescriber. Fertility plans, complex findings or a need to use insurance can make a specialist or local route the better starting point.

Peter MD vs Marek Health table 14: Peter MD or Marek Health: which should you choose?
If you… Your best next step
Have a clinician-confirmed need for TRT and want a fixed prepaid plan price Check Peter MD's 12-month plan and complete testing costs
Aren't sure you'll stay on TRT Don't prepay: Marek, or Peter MD's monthly plan once you confirm its minimum
Have good recent labs and want something simple Ask Peter MD whether those exact tests and dates are acceptable
Want a coach and help understanding your labs Marek
Need a fertility plan A urologist or reproductive urologist before choosing a medicine or program
Want an FDA-approved testosterone Ask about Marek's listed Kyzatrex, or a clinician who can prescribe an appropriate approved product to your pharmacy
Plan to stay two years or more on a simple plan Compare renewal and monitoring quotes; the published averages do not prove costs are close
Live in Alabama Confirm Marek's treatment and lab access, or compare local care
Live in Idaho Marek or a local clinic
Won't prepay a year and won't spend $749 before a treatment decision Check Male Excel's $99 first step, full ongoing quote and state limits, or consider local care
Need insurance to pay Your own doctor, a urologist or an endocrinologist
Are trying to have a child A reproductive urologist
Haven't had two morning testosterone tests Arrange a proper evaluation with primary care or a licensed clinician who will complete the workup before treatment

Your next step, whichever fits:

Your quote worksheet: 12 things to get in writing

Before you pay either company, ask the same questions of both and write down the answers. Leave a blank where they don't give you a clear answer. A blank isn't $0; it's a question still open.

Print this, or copy it into your notes app. You don't need to share any health details to use it.

Peter MD vs Marek Health table 15: Your quote worksheet: 12 things to get in writing
Question Peter MD Marek Health
1. What is my exact total for the first 12 months, including labs and shipping?
2. How much is due on day one, and what does it buy?
3. Is my testosterone FDA-approved or compounded? Which pharmacy fills it?
4. How will you confirm low testosterone with repeat early-morning testing, and are those tests included?
5. What baseline and follow-up checks do I need, including hematocrit and PSA when appropriate?
6. Who prescribes (MD, DO, PA or NP)? How do I reach them between visits, and how fast?
7. Can I use my own recent labs?
8. What's refundable if I stop in month one, or if I'm not prescribed treatment?
9. Is there a minimum term? What renews automatically, and how do I stop it?
10. If federal telehealth rules change after December 31, how will my refills and any in-person visit work?
11. When must I request a refill, what visits or labs must be current, and whom do I contact about a delay?
12. How can I obtain or transfer my labs, visit notes and prescription history, how long will it take, and what will it cost?

Want deeper profiles of each company before you ask? See our Peter MD profile and Marek Health profile.

What we actually verified

We compared Peter MD and Marek Health using each company's current public pages, policies and terms, checked on November 11, 2026, plus FDA, DEA, clinical guidance and the pharmacy-board records described above. We didn't enroll, draw labs, receive medicine or contact either company's support. This page hasn't been clinically reviewed.

What we actually verified

  • Checked: November 11, 2026.
  • Sources: Peter MD's TRT plan, product, lab, contact, FAQ, refund and terms pages. Marek's pricing, FAQ, treatments, how-it-works, legal and refund pages. Trustpilot pages for both. Male Excel's pricing, product, FAQ and terms pages. FDA, DEA, OIRA, Endocrine Society, AUA/Urology Care Foundation and joint AUA/ASRM sources, plus the pharmacy-board records linked above.
  • Confirmed as published: plan and lab prices, intake and lab fees, named coach and provider roles, state exclusions, refund and cancellation wording, named pharmacies and medical groups, product listings, HSA/FSA statements, and Trustpilot's removal notice for Peter MD.
  • Calculated by us: the first-year, two-year and stop-early component scenarios on this page, using the prices and assumptions shown. They are not complete patient quotes or confirmed refund obligations.
  • Stated by the companies, not tested by us: coaching quality, visit timing, response times, Marek's average spending figures, and Marek's 2-to-3-week start time.
  • Could not confirm: Peter MD's exact injection product or renewal price; whether its six-month minimum applies to every monthly plan; how either company arranges and bills repeat diagnostic testing; a complete annual quote; the assigned clinician and dispensing pharmacy; or a complete refill and clinical-record transfer timetable. We did not test patient-specific checkout or independently inspect every clinician or pharmacy license.
  • Method: How We Review TRT Providers. We separate verified facts, company statements, customer experiences and our own judgment. This comparison does not give providers scores.

Common claims we found that don't match the companies' own pages: "Marek costs $225 (or $250) a month," "Marek costs $299 a year," "Peter Uncaged MD is $99 a month," and "both offer monthly consultations." See the correction table near the top of this page.

Read our Editorial Standards and Privacy Policy, or report a correction.

Frequently asked questions

The short answers below use the same published terms and limits as the comparison above. None replaces a personal quote or a clinician's treatment decision.

Is Peter MD or Marek Health better?

Neither is better for everyone. Peter MD offers a $948 prepaid injection plan, with labs extra. Marek is the program to check if you want a coach, custom lab testing or an FDA-approved oral option to discuss with a prescriber. Complete quotes, not historical averages, decide which costs less.

Is Marek Health worth the money?

It may be if you'll use the coach and custom lab review. Marek requires its own starting panel even if you have recent results, so intake and labs start at $749. The apparent $85 two-year gap comes from unlike assumptions and does not prove the programs cost nearly the same.

How much does Peter MD cost per month?

$79 a month on the 12-month plan, billed $948 up front. $109 a month on the 6-month plan, billed $654 up front. $139 with monthly billing, with the first two months billed together and a six-month minimum described in its FAQ. Labs cost extra: $95 to start and $124.50 per follow-up panel.

How much does Marek Health cost per month?

After a $299 intake and labs starting at $450, Marek says ongoing treatment averages $80 to $200 a month. That covers treatment, coaching, follow-up labs and provider oversight. Using $80 or $200 for 12 treatment months gives component scenarios of $1,709 or $3,149 including intake and starting labs, not a confirmed price range for your prescription.

Is Peter MD's $79 a month the real price?

Yes, but only on the 12-month plan, and you pay all $948 at once. Its monthly plan card has a separate $139/$1,068 inconsistency, so get your charge schedule confirmed. Labs aren't included.

Can I use my own labs with Peter MD or Marek?

Peter MD says it may be able to use recent labs. Marek says no: it requires its own full custom panel to start. Either way, ask the company to review your exact tests and dates before you buy another panel.

Does Peter MD or Marek take insurance?

No. Both are cash-pay only and don't bill insurance, Medicare or Medicaid. If you need insurance to pay, start with your own doctor, a urologist or an endocrinologist.

Can I use an HSA or FSA at Peter MD or Marek?

Peter MD says it accepts HSA and FSA cards. Marek's pricing page says most services are eligible, but its terms say you agree not to claim HSA or FSA reimbursement. Get a written answer from Marek and check with your plan administrator.

Can I get a refund from Peter MD or Marek Health?

Do not count on one. Peter MD says medicine purchases are final once received, but its unused-service and no-prescription refund terms are not clear. Marek says web sales and the booking deposit are nonrefundable, with exceptions required by law or expressly granted. Late appointment changes can cost up to $50.

Can I cancel Peter MD after one month?

Its pages disagree. The monthly plan is labeled monthly, but its FAQ describes a six-month TRT minimum. Ask which terms apply to your plan before you pay, and cancel auto-renewal by email at least 48 hours ahead.

Does Marek's intake fee include testosterone?

No. The $299 covers a 45-minute coach session and, Marek says, your first medical provider exam. Labs and any prescribed treatment cost extra. Paying it doesn't guarantee a prescription.

Where doesn't Peter MD offer TRT? Is Marek in all 50 states?

Peter MD's reviewed injectable TRT offer excludes Alabama and Idaho, and its lab panels also exclude New York and New Jersey. Marek says it serves all 50 states, though some medicines and tests are limited by state law.

Does Peter MD or Marek offer hCG?

Both list it. Peter MD sells hCG as an add-on. Marek lists brand-name hCG (Pregnyl) and recombinant FSH. Neither can promise to protect your fertility. If you want a child soon, see a reproductive urologist first.

Is the testosterone from Peter MD or Marek FDA-approved?

Marek lists Kyzatrex, an FDA-approved oral testosterone undecanoate capsule. Peter MD's reviewed public pages do not identify the exact injection product as manufactured or compounded. Compounded testosterone is not FDA-approved. Ask each company which product you'd get.

Do I talk to a doctor or a coach at Marek?

A coach and a licensed medical provider. Your coach is your main contact for check-ins and going over labs. A licensed medical provider (MD, DO, PA or NP) makes treatment decisions and sees you at the start, 6 to 12 weeks in, then every 6 months, Marek says.

Do I need an in-person exam for Marek Health?

Possibly. Marek's FAQ says an in-person physical may be required in specific states for controlled substances. Marek says an MD, DO, PA or NP can complete its exam form, including at an urgent care; confirm the requirement for your state.

Why was Peter MD's Trustpilot profile removed?

Trustpilot's notice says the business went against its guidelines. It doesn't say which one. That's a review-platform action, not a finding about Peter MD's medical care, but it means you can't rely on Peter MD's review count.

Is Peter MD the same as Peter Uncaged MD?

Yes. Peter Uncaged MD is Peter MD's former name. Older comparison pages still use it, often with outdated prices.

What happens to online TRT after December 31, 2026?

The temporary federal rules allow telehealth prescribing of testosterone without a prior in-person visit through December 31, 2026, when federal and state requirements are met. As of November 11, 2026, the DEA's permanent rule hadn't been published. Ask any online provider how refills will work in January.

Marek Health vs Peter MD: which is better for a beginner?

If you're new and not sure why you feel off, Marek's coach and broad testing may fit if you want that service and accept the starting cost. Primary care is also a sensible place to investigate symptoms and arrange repeat testing. If a clinician has confirmed that injections fit you, Peter MD offers a simpler prepaid package; ask for the full cost before comparing it with Marek.

Considering the featured Male Excel offer? Use our free Find My TRT Path tool to check age and state eligibility.

This page is educational information from TRT Provider Guide, the independent decision resource for testosterone replacement therapy care. It is not medical advice. Testosterone is a prescription-only, Schedule III controlled substance. Only a licensed clinician can decide whether it's right for you. Call 911 for chest pain, trouble breathing or signs of a stroke. A new painful, swollen leg needs prompt medical assessment.

Sources

All checked November 11, 2026, unless noted.

Peter MD

Marek Health

Male Excel

Medical and regulatory

Pharmacy-board records

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