Royal Medical Center vs Defy Medical: Cost, Care, and Who Fits Which

Royal Medical Center vs Defy Medical comes down to a bundle versus a build. Royal lists $89 or $195 a month for injections; Defy bills by service and advertises more formats. Compare written quotes before calling either cheaper. If you want children soon or haven't confirmed low testosterone, start with a clinician before committing to treatment.

So which is cheaper over a year? That depends on which of Defy's own pages you believe. They don't agree, and we'll show you both numbers below.

By TRT Provider Guide · Last verified November 2026

Last updated: November 6, 2026.

Royal may fit you if you want a small published program payment, one bundled bill, and injections — and you're comfortable checking who your prescriber will be.

Defy may fit you if you want separate itemized charges, an advertised extended visit, a published broad lab panel, or a non-injection option.

Neither should be your automatic first stop if you're trying to have a baby soon, you want insurance to pay, or low testosterone hasn't been properly confirmed with repeat morning blood tests.

How we make money: TRT Provider Guide earns commissions from some providers we mention, including Male Excel. The clearly labeled Male Excel offer below is a paid referral; we may earn a commission from qualifying enrollments. Links to Royal Medical Center and Defy Medical on this page are ordinary links. Our affiliate disclosure

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.

What we actually verified (November 6, 2026)
Checked: Royal's program, FAQ, and August 25, 2026 terms pages, Royal's named physician's Florida, Oregon, and California records; Defy's cost FAQs, new-patient requirements, public lab prices, terms of service (April 2, 2026 and February 19, 2026), pharmacy list, and care team; Male Excel's prices and refund terms; Trustpilot review counts for both Royal and Defy; FDA, DEA, Endocrine Society, and HHS sources.
Confirmed in public documents: The prices and inclusions each provider publishes, public lab prices and stated schedules, refund and cancellation clauses, license records, platform-reported review counts, and federal telemedicine dates.
Provider-stated (not independently tested): Royal's inclusions and ineligibility refund; Defy's monthly averages, treatment formats, and visit length; Male Excel's service inclusions and refund offer.
Still unresolved: Defy's current TRT consultation and patient-account medication prices; either clinic's full state list, separately included diagnostic repeat test, and refill turnaround; Royal's cancellation notice, minimum term, and full refund rules; and the exact pharmacy and product you'd receive.
What we didn't do: We did not enroll as patients, buy treatment, or measure support response times or health outcomes. Prices and terms change, so get a written quote before you pay. Our method: How We Review TRT Providers.

Educational information, not medical advice. Testosterone is a prescription-only, Schedule III controlled substance. This comparison covers adult men seeking evaluation or care for low testosterone. ^{28 32}

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The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to check age/state eligibility for the featured Male Excel TRT offer. The tool does not compare online programs, prepare questions, replace the clinician routes above, or decide medical eligibility.

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Which costs less, Royal Medical Center or Defy Medical?

Royal's $89 plan is the lowest published monthly program price on this page: $1,068 for 12 payments. Royal's $195 plan comes to $2,340 for 12 payments. Defy publishes two different first-year averages — under $175 a month and about $250 a month — so the published estimates do not settle what your year would cost. ^{1 10 11}

Here's the thing most comparisons miss. A Royal price is an advertised program fee, subject to clinical approval. A Defy average is not a quote. Defy says plainly that its figure is an illustration, not a price guarantee.

Royal's two programs, side by side

Royal's current program-options page lists two monthly programs:

• $89 a month: testosterone cypionate injections, an estrogen blocker, consultations, labs, physical exams, and medication.
• $195 a month: everything above, plus a "testicular stimulant" — gonadorelin or enclomiphene. Royal's separate all-inclusive page also lists supplies and shipping. ^{1 2}

That separate page also names clomiphene as a possible add-on. Confirm which medicine, supplies, shipping, and repeat tests your own quoted program includes; the $89 options listing does not spell out shipping separately.

One thing to watch: an older Royal page still says "first month" in its title, but its current body and the program-options page list $89 a month. Ask Royal in writing which price applies to you after month one. ^{1 3}

Why Defy's number is harder to pin down

Defy doesn't charge a monthly fee. You pay when you buy a service. Its TRT cost FAQ says the average male patient spends under $175 a month in year one and about $125 a month after. That estimate includes testosterone, a weekly aromatase inhibitor (an estrogen blocker), labs, and visits. ¹⁰

But Defy's ED-treatment FAQ describes TRT differently: around $250 a month in year one and around $200 a month after. ¹¹

We don't average those, and we don't pick the one that makes Defy look best. We show both.

The cost over one, two, and three years at unchanged rates

How we calculated this: Royal rows use 12 payments per year, or 36 over three years, at the listed price, with no price changes and no extras. Defy rows multiply Defy's own published monthly averages by 12. Defy's averages are estimates, not quotes. These are not verified complete first-year bills or evidence of a minimum commitment.

*The $5,100 reference is $175 × 12 + $125 × 24. Defy says its first-year average is under $175 and the later average is about $125, so $5,100 is a calculation aid, not a ceiling. Both Defy scenarios assume the later-year estimate continues in year three.

What Defy's labs alone cost in year one

Defy publishes lab prices on its TestDefy store, which lets us build a lab-only illustration. The initial men's panel is $299. The follow-up TRT panel is $275. Defy schedules follow-up labs three months after your first visit, then every six months. Using an initial panel and follow-up panels at months three and nine gives this first-year illustration:

$299 + $275 + $275 = $849 in labs at public-store prices. ^{12 14 15}

That $849 illustration does not tell us what remains for visits and medicine. We could not verify that these public-store prices are the prices behind Defy's average. Your patient-account prices, accepted outside tests, extra diagnostic tests, and care plan may change the bill.

One caution: don't compare $849 in Defy labs to $1,068 in Royal payments. Royal's $1,068 includes visits and medicine. The $849 doesn't.

Bottom line on price: If the lowest published monthly program fee is your top priority, Royal's $89 plan wins — once you confirm the ongoing rate and inclusions. Defy can't be shown to be cheaper from its public numbers alone. You need a written quote.

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What do you pay before you know if you qualify?

Royal lists an $89 or $195 program payment and says it refunds that payment if its clinician finds you medically ineligible. At Defy, ask for your lab and consultation charges before you book; its public TestDefy initial panel is $299, but accepted outside labs may avoid a duplicate panel. Defy's terms say a completed evaluation isn't refunded just because no prescription is issued. ^{1 13 14 16}

This is the question that should decide a lot of readers. Here's the side-by-side.

Defy does not publish enough verified pricing here to promise a cheap first evaluation. If a small stated program payment is your priority, Royal is worth a closer look, and our Royal Medical Center TRT cost guide gives more background. Use the current prices above when older guides show a different offer.

But Defy's intake starts with lab work and a consultation. Its public initial panel advertises 50-plus markers, and Defy advertises extended visits of up to an hour. You get your lab results whether or not you start treatment; the public TestDefy test alone does not include a clinician's interpretation. If you want time to discuss those results, ask which clinician you'd see and how long your booked visit lasts. Our Defy Medical TRT cost guide shows ways to check the bill — starting with the next tip. ^{14 51}

Can you use labs you already have? Maybe. Defy says it can review your outside results, depending on how recent they are and which tests they include. Ask before you buy a duplicate panel. We couldn't find Royal's policy on outside labs, so ask Royal too. ¹³

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Is Royal Medical Center legit, and who would actually prescribe?

Royal is a real clinic in Deerfield Beach, Florida, and names Dr. Dagoberto Rodriguez, whose Florida license is clear and active. His record also includes a 2021 Oregon board order and a 2024 California license surrender. Those records concern him only — not every clinician at Royal.

Ask who would prescribe for you. ^{5 7 8 9}

We'd rather you hear this from us than find it after you've paid. Here's what the official records show.

What to do with this: Ask Royal for the name of the clinician who would prescribe for you, and check that person's license in the state where you live. Use the relevant state licensing board's public lookup, and verify authority where you will be during the visit. ³⁵

We could not verify a full state list or prescriber roster on the Royal pages checked. Royal's terms describe recurring billing and cancellation, but leave the notice period, minimum term, and full refund rules unresolved. Royal does name its pharmacy group: Belmar Pharma Solutions, a compounding pharmacy group. That does not identify the specific facility that would fill your prescription. ^{5 36 37}

Reviews: Trustpilot displayed 2,033 Royal reviews, with 8 in the past 12 months (checked November 6, 2026). Most of its published reviews are older than a year. Reviews describe what people went through. They can't tell you about medical quality or current policy. ²⁵

Does a flat, low program payment sound right for you? Get the prescriber's name and the renewal price in writing first.
See Royal's two current programs and its refund terms →

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Is Defy Medical legit, and what do you get for the upfront cost?

Defy is a long-running Tampa practice led by medical director Dr. Justin Saya, whose Florida license is clear and active. It treats patients by telehealth and in person. Its team includes physicians, nurse practitioners, and physician assistants. ^{19 20 23}

Trustpilot displayed 4,279 Defy reviews, including 503 in the past 12 months, when checked November 6, 2026. ²⁶

That review count matters. It gives you more recent patient feedback to read. It doesn't prove medical quality or predict your own care.

What Defy's process looks like:

1. Arrange qualifying initial lab work — the public TestDefy panel is $299 — or get approval to use recent outside labs.
2. Provide a physical exam done within the last six months, plus new-patient paperwork.
3. Attend your first consultation — Defy advertises extended visits of up to an hour.
4. Follow up at three months, with labs, then every six months, unless your clinician sets a different schedule. ^{12 17}

A few terms worth knowing before you start:

• Physical exams: Defy's current terms call for an updated physical every 24 months, or as documented in your care plan. ¹⁷
• "Optimal levels" consent: Defy's terms include consent to treatment aimed at "optimal" levels — even in some cases where your results fall within normal ranges for your age, or where other medical groups wouldn't recommend treatment. That doesn't mean any one prescription is wrong. It does mean you should ask your clinician to explain your diagnosis, your repeat test results, and why the proposed treatment fits you. ^{16 17}
• Consult fees: We could not verify current TRT consultation fees on the pages checked. Ask for them before you book.

Pharmacies: Defy lists APS, Empower, and Hallandale on its pharmacy-contact page. Its catalog also lists a commercially made testosterone cypionate dispensed through BoomRX, alongside compounded options. Ask for the exact product and dispensing facility before an order is filled. The catalog word "commercial" alone does not verify the manufacturer or FDA approval of your prescription. ^{22 38 39}

Want a published broad lab panel and an advertised extended visit? Ask for an itemized quote covering your consult, labs, medicine, and shipping before you book.
Start Defy's new-patient steps →

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What's actually in each protocol?

Royal bundles: both of its listed programs include an estrogen blocker, and the $195 plan adds gonadorelin or enclomiphene. Defy says it builds your plan after reviewing your labs, though its own lower cost estimate assumes testosterone plus a weekly estrogen blocker. Several of these medicines are compounded or used off-label. ^{1 10}

Royal also says it adjusts treatment based on clinical findings. A bundled price does not prove that everyone gets the same care. ²

Testosterone replacement: the exact product matters

Ask for the exact medicine, formulation, and dispensing pharmacy. Ask whether the exact product is FDA-approved or compounded, and whether it is available in your state. ^{1 21 30 31 32 38 39}

Non-testosterone medicines: add-ons are not TRT

^{2 3 10 40 41 43 44 45 46}

Plain English:

• FDA-approved means the FDA reviewed that exact product for safety and effectiveness for a specific use.
• Compounded means a medicine is mixed or changed to meet a patient's medical need. The FDA says compounded drugs are not FDA-approved and does not review their safety, effectiveness, or quality before marketing. That doesn't make them fake. It does mean you cannot assume equivalence to an approved product or that they're safer. ^{30 52}
• Off-label means a doctor prescribes an approved drug for a use the FDA didn't approve it for.

Do you have to take an estrogen blocker? On Royal's programs, it's listed in both tiers. At Defy, the protocol is individual, but its lower estimate assumes one. If you don't want one by default, ask before you pay — and ask whether the price changes.

Does a bundle mean you need every drug in it? No. A clinician should explain why each medicine fits you. A package price isn't a medical reason.

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How do labs and follow-ups compare?

Royal includes labs in its fee, with a stated follow-up check at 90 days and annual or clinician-directed physicals. Defy requires qualifying initial lab work, then routine follow-up labs at three months and every six months after. The intake pages we checked do not settle whether a separate repeat early-morning diagnostic test is required and included, so ask both clinics. ^{2 3 12 13}

That last point matters. Under the Endocrine Society's guideline, low testosterone is diagnosed when you have symptoms or signs and your blood tests show consistently low testosterone, checked in the morning, while fasting, on more than one day. One number isn't a diagnosis, and neither is a symptom quiz. ²⁸ Read more in why TRT needs two low testosterone tests.

What Defy's follow-up panel checks:

• Total and free testosterone — total includes bound and free testosterone; free is the part not attached to blood proteins
• SHBG (sex hormone-binding globulin) — a protein that binds testosterone
• Sensitive estradiol — a form of estrogen
• CBC — includes hematocrit, the share of your blood made of red cells, which testosterone can raise
• PSA (prostate-specific antigen) — a prostate marker
• CMP-14, lipid panel, TSH, and DHEA-S — a general chemistry panel, cholesterol, thyroid, and an adrenal hormone
• IGF-1 — insulin-like growth factor 1, a marker related to growth hormone

These are the published panel contents, not a claim that every listed test is required for every patient. ^{15 53}

If your health history is complex: Discuss prostate or breast cancer, a recent heart attack or stroke, untreated severe sleep apnea, or high hematocrit with your usual clinician before choosing a program. These can change whether testosterone is appropriate; ask whether you need urology, endocrinology, or another specialist. ²⁸

Questions for Royal: Which tests are in your "routine labs"? Is a second confirming test included? Who reviews my results, and how fast?

Questions for both: Where is the blood drawn, what does it cost if an extra test is needed, and who contacts me about an abnormal result? TestDefy lists Labcorp collection and optional mobile draws; its public on-demand tests exclude New York, New Jersey, Pennsylvania, Rhode Island, and Massachusetts. That is a testing-store restriction, not a verified list of states where Defy cannot treat patients. ^{14 15}

Want the full picture? See what blood tests are required before TRT and how often you need bloodwork on TRT.

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Which is better if you might want kids?

If you want kids soon, neither testosterone program should be your first step: testosterone can lower sperm production. A "testicular stimulant" in a bundle is not a fertility plan, and no clinic can promise to protect your fertility. If you're trying to conceive now or in the near future, see a urologist or reproductive urologist first. ^{28 29}

The Endocrine Society's guideline recommends against starting testosterone in men who plan to father a child soon. That's not a scare tactic. It's the standard.

What to know about the "add-ons":

• Enclomiphene, clomiphene, gonadorelin, and hCG are not testosterone replacement therapy. They work differently and aren't interchangeable.
• None of them is "natural TRT."
• None comes with a guarantee that your sperm count will stay normal or come back on a set timeline.

Royal's $195 plan lists gonadorelin or enclomiphene; its separate page also names clomiphene. Defy advertises supporting medicines when appropriate. Either way, raise fertility in your first conversation, not after you've started. ^{1 2 21}

Clomiphene use in men is off-label, while enclomiphene has no FDA approval. Approved hCG products, such as Pregnyl, have a narrow male indication for selected cases of hypogonadotropic hypogonadism — low testosterone caused by deficient hormone signals. That is not approval of a blanket promise to preserve fertility during TRT. ^{41 42 44}

Want children in the next year or two? Start with a urologist or reproductive urologist and bring your fertility questions.
Read the fertility questions to bring your clinician →

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Can you use either clinic in your state, and what happens after 2026?

We could not verify Royal's full state list; Defy says it offers telemedicine in most states. The current federal extension permits qualifying video prescribing without a prior in-person evaluation through December 31, 2026, subject to federal and state requirements. A permanent rule is pending. ^{23 33 35 47}

Testosterone is a Schedule III controlled substance — a medicine federal law regulates closely because it can be misused. You need a valid prescription from a clinician allowed to practice in the state where you are. For prescribing under this extension, the clinician must also meet the applicable DEA requirements; a questionnaire alone does not meet the video-visit requirement. ^{32 33 35}

What changes on January 1, 2027? We don't know yet, and we won't guess.

Here's what we can confirm:

• The DEA's fourth temporary extension of telemedicine rules runs through December 31, 2026.
• A final "special registration" rule for telemedicine prescribing went to White House review in August 2026, and the federal agenda listed it for November 2026.
• At our November 6, 2026 check, the official review record still listed it as pending. An agenda date is not an effective date or a guarantee of publication. ^{47 48}

What it means for you: Either clinic's sign-up steps could change in January. Defy offers in-person care in Tampa; Royal lists a Deerfield Beach office, but confirm whether the visit you need can take place there. A clinic's physical-exam paperwork rule and the federal prescribing rule are separate. ^{5 12 23 33}

If travel or regular local follow-up matters, compare online TRT with local care before committing.

Before you pay either clinic: Ask, "Who would prescribe for me, and are they authorized to treat me in the state where I will be during visits?" Then look that person up.

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What happens with insurance, cancellation, refunds, refills, and your records?

Defy doesn't accept insurance, though it may give you a superbill (an itemized receipt) to file yourself; we found no insurance billing on Royal's program pages. Defy has no subscription, while Royal's terms describe recurring billing until cancellation. Both explain how to request your medical records, but Royal's cancellation notice, minimum term, and full refund rules still need a written answer. ^{6 16 24 36}

^{6 16 17 18 24 36}

If you need insurance to pay, a cash-pay clinic isn't your best first move. Start with your own doctor or a urologist and ask about coverage for an FDA-approved product.

Royal's ineligibility refund is a specific promise. Its separate clause about services already provided or initiated is not a cancel-anytime money-back promise. ³⁶

Refills and support: Defy's terms require clinician approval and current required labs, physicals, and visits before a refill; an extra visit may be needed. We did not verify a guaranteed refill or support-response time for either clinic. Ask when to request refills, who handles an abnormal result between visits, what contact is included, and what happens if a pharmacy is delayed. ¹⁷

Thinking about switching later? Request your last two lab reports, your current prescription details, and your pharmacy information before you leave. Ask the new clinic whether it will accept them. Time it so you don't run short — and let your new prescriber decide any changes to your treatment. Don't change doses on your own.

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Royal Medical Center or Defy Medical: which should you choose?

Royal is the closer fit for a small stated program payment, bundled billing, and injections — after you've checked who would prescribe and what your quote includes. Defy is the closer fit for itemized care, an advertised extended visit, a published broad lab panel, or a non-injection option. If you're trying to conceive, need insurance, or haven't confirmed low testosterone, start with the appropriate clinician before choosing a treatment program.

Still weighing them? Send both clinics the same questions (below) and compare the written answers side by side.
Copy the 10 questions to send both clinics ↓

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What if neither Royal nor Defy fits you?

If you don't want an estrogen blocker by default, want at-home testing, and want a monthly membership with advertised unlimited provider access, Male Excel is another option to research. Its published monthly options cost more than Royal's $89 plan, and its site lists 11 excluded states. For fertility or insurance needs, start with a specialist or an insurance-billing clinician.

We may earn a commission if you use a paid Male Excel link and enroll.

Here's what Male Excel states on its own site (checked November 6, 2026):

• Membership: $99 a month on the monthly option. The company says it includes unlimited provider access, check-ins every 60 days, and full blood panels every six months. ²⁷
• Medicine: billed separately. Its product pages list cypionate from $62.50 a month, plus $15 a month for syringes, or cream from $90 a month. Packages that include thyroid medication have different prices. ^{49 54 55}
• Testing: starts with an at-home finger-prick test; the advertised $99 consultation offer includes that test. It is not a $99 visit plus another $99 kit. ⁵⁶
• Protocol: the company describes daily treatment and says it uses no estrogen blockers. ²⁷
• Guarantee: new members who complete 90 continuous days and meet the documented treatment-plan requirements can request a refund of their first three months of membership fees if symptoms do not improve. The request must arrive within 30 days after that period. Medicine and testing charges are outside this guarantee. ⁵⁷
• Testosterone type: compounded, which Male Excel itself notes is not FDA-approved. ^{54 55}
• Not available in: Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island, according to its current site. ²⁷

The honest math: using the advertised starting cypionate price of $62.50 a month, $15 a month for syringes, and the $99 monthly membership gives $2,118 for 12 monthly equivalents, or $2,217 with the $99 consultation-and-test offer. That's a starting-price illustration for this product and the monthly membership option, before shipping, taxes, and other charges — not a complete first-year quote or Male Excel's lowest possible price. Cypionate is billed at $125 every 60 days, so confirm the actual charge dates and how much treatment each order covers. ^{54 56 58}

Male Excel's site also says its providers may prescribe before your lab results arrive when they judge it appropriate. Our view: confirm the diagnosis first. The diagnosis standard calls for compatible symptoms or signs and consistently low results, including repeat morning testing. Ask how the proposed evaluation meets that standard before committing. ^{27 28}

No estrogen blocker by default and at-home testing matter most to you, and you're not in one of those 11 states?
Read our Male Excel cost guide →

See Male Excel’s current TRT offer → (paid referral).

Leaving Royal specifically? See our Royal Medical Center alternatives. Comparing Defy with others? See Male Excel vs Defy Medical and TRT Nation vs Defy Medical.

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The questions to ask both clinics before you pay

Send both clinics the same written questions so you can compare answers that actually match. Start with what's due now, what a full year includes, who would prescribe, and which medicine and pharmacy you'd get. If a cost isn't answered, mark it "quote needed" — don't assume it's included.

Copy this, paste it into an email or a contact form, and send it to both:

Hi — I'm comparing TRT programs and would like written answers before I pay:

1. What is due before my first visit, and is any of it refundable if I'm not prescribed treatment?
2. What will I pay each month after the first month, how often am I billed, and is there a minimum commitment?
3. What's the total I should expect for my first 12 months, including repeat diagnostic tests, routine labs, physicals, visits, medicine, supplies, and shipping? Please list charge dates and any prepaid treatment extending beyond that year.
4. Will you accept my recent lab results? Which tests must they include?
5. Do you confirm low testosterone with a second early-morning test before treatment? Is that included?
6. Who would prescribe for me, and are they authorized to treat me in the state where I will be during visits?
7. What exact medicine would I receive? Is it FDA-approved or compounded, and which pharmacy fills it?
8. Is an estrogen blocker or other add-on required? If I decline it, does the price change?
9. How do I cancel, how much notice do you need, and what isn't refundable?
10. How do I request my records if I switch clinics, and is there a fee?

I also need to know how fertility plans would change your advice, which follow-up tests and visits are required, when to request refills, and who handles questions or abnormal results between visits.

Thank you.

Fill in this table with their replies:

Add each charge only once. If a lab or visit is bundled, write "included" rather than adding its standalone price. Keep "quote needed" beside unanswered costs; an empty answer is not a $0 charge.

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How we compared Royal Medical Center and Defy Medical

We read each clinic's own pricing, lab, requirement, refund, and pharmacy pages and dated terms. We checked public license records and the review counts displayed by Trustpilot, then ran the same math on both. We kept provider claims separate from official records, and both separate from our own conclusions.

• Verified fact: something we confirmed in an official record or dated document, like a license status or the wording of a terms clause.
• Provider-stated: what a clinic says about itself, like Royal's inclusions or Defy's averages. We report these with credit to the clinic.
• Customer signal: review counts and published experiences. Useful for deciding what to read next, but they can't prove quality, safety, or policy. Both profiles show review invitations and paid Trustpilot subscriptions; that does not mean the reviewers were paid. ^{25 26}
• Our judgment: the "best for" calls above. They follow from the facts on this page. They aren't medical advice.

We did not sign up, buy treatment, or test either clinic as patients, so this is a comparison — not a hands-on review. We don't give numeric scores in this comparison. Read our full method: How We Review TRT Providers.

Want deeper single-clinic detail? See Royal Medical Center TRT reviews and Defy Medical TRT reviews.

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Royal Medical Center vs Defy Medical: FAQ

Royal has the clearer published program fee; Defy lists more treatment formats but needs an itemized quote. Neither a price, a review score, nor an intake questionnaire settles diagnosis, medical eligibility, or which medicine fits you.

Is Royal Medical Center cheaper than Defy Medical?

On published monthly program fees, Royal's $89 plan is the lowest here: $1,068 for 12 payments. Royal's $195 plan is $2,340 for 12 payments, while Defy's two monthly averages annualize to under $2,100 or about $3,000. Those figures do not establish your complete bill. Get written quotes from both. ^{1 10 11}

Does Royal Medical Center still cost $75 a month?

Not on Royal's current program-options page, which lists $89 and $195. An older page still says "first month" in its title, but its current body says $89/month and does not state a $119 renewal. Confirm your price in writing. ^{1 3}

How much is a Defy Medical consultation?

We could not verify current TRT consultation fees on the pages checked. Ask for an itemized quote before you book. The public initial panel is $299 on TestDefy; your patient-account price may differ. ¹⁴

Are Defy's $299 and $275 lab prices what patients pay?

They're Defy's public TestDefy prices. Your patient-account price could differ, so confirm it.

Does either clinic take insurance?

Defy doesn't accept insurance but may provide a superbill you can file yourself. We found no insurance billing on Royal's program pages.

Do Royal and Defy use compounded testosterone?

Royal names Belmar Pharma Solutions, a compounding pharmacy group, but that does not settle the exact product you would receive. Defy lists compounding pharmacies and a commercially made cypionate option. Compounded drugs aren't FDA-approved, so ask which product you'd get. ^{5 22 30 38 39}

Do I have to take an estrogen blocker?

Both of Royal's programs list one. Defy's cost estimate assumes one. Ask before paying whether you can skip it and whether the price changes.

Will I get a refund if I don't qualify?

Royal says it refunds the program payment if its clinician finds you medically ineligible. Defy's terms say a completed evaluation isn't refunded just because no prescription is issued.

Is Royal Medical Center legit?

It's a real Florida clinic. Its named physician has a clear, active Florida license. His record also includes a 2021 Oregon order and a 2024 California license surrender. Ask who would prescribe for you and check their license.

Can either clinic guarantee a prescription?

No. A payment, questionnaire, or ad doesn't guarantee treatment. A licensed clinician has to evaluate you.

Can I still get TRT online after 2026?

The current federal extension runs through December 31, 2026 for qualifying prescriptions under its conditions. The special-registration rule was still listed as pending at our November 6 check. That does not establish a blanket ban on online TRT in 2027; ask the clinic what rules apply when your appointment happens. ^{33 47}

Which has better reviews?

Both average well on Trustpilot. Defy has far more recent reviews: 503 in the past 12 months, versus 8 for Royal (checked November 6, 2026). That gives you more recent experiences to read, not proof of better medical care. ^{25 26}

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The short version: Royal offers the clearer bundled price and a stated medical-ineligibility refund. Defy publishes more detail on its team and service terms and advertises more format choices. If you want kids soon or need insurance to pay, start with the appropriate specialist or insurance-billing clinician.

Check age/state eligibility for the featured Male Excel TRT offer with our free Find My TRT Path tool.

Find My TRT Path is educational and non-diagnostic. It doesn't confirm low testosterone, decide whether you can be treated, or guarantee a prescription.

If you have chest pain, trouble breathing, signs of a stroke, or other severe symptoms, call 911 or go to an emergency room.

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About this page: Written by TRT Provider Guide. Editorial research; not clinically reviewed. Last verified November 2026 (sources checked November 6, 2026). TRT Provider Guide earns commissions from some providers, including Male Excel. The Royal and Defy links on this page are ordinary links.

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

Sources

Public sources checked November 6, 2026. The Florida license pages displayed record data as of November 5, 2026. Provider statements describe published offers and policies, not independently tested patient outcomes.

1. Royal Medical Center — Testosterone Cypionate Program Options
2. Royal Medical Center — All-Inclusive TRT
3. Royal Medical Center — $89 Testosterone/Anastrozole page, with older first-month title
4. Royal Medical Center — Men’s FAQs
5. Royal Medical Center — About
6. Royal Medical Center — Privacy notice and records access
7. Florida Department of Health — Dagoberto Jesus Rodriguez, ME58463
8. Oregon Medical Board — 2021 board action report and original Rodriguez order, PDF pages 26–28
9. Medical Board of California — 2025 Volume 170, Rodriguez surrender notice
10. Defy Medical — How much does TRT cost?
11. Defy Medical — How much does ED treatment cost? (also states a TRT average)
12. Defy Medical — Patient requirements for TRT
13. Defy Medical — Using your own lab results
14. TestDefy — Public initial men’s panel
15. TestDefy — Public follow-up TRT panel for men
16. Defy Medical — Terms of Service, April 2, 2026
17. Defy Medical Store — Terms and Conditions, February 19, 2026
18. Defy Medical — Clinical procedures, including conflicting lab-refund language
19. Defy Medical — Care team
20. Florida Department of Health — Justin Michael Saya, ME109185
21. Defy Medical — TRT services and advertised formats
22. Defy Medical Store — Pharmacy contact information
23. Defy Medical — About and contact
24. Defy Medical — Privacy policy and records access
25. Trustpilot — Royal Medical Center profile
26. Trustpilot — Defy Medical profile
27. Male Excel — Service, state, and pre-lab prescribing statements
28. Endocrine Society — Testosterone Therapy in Men with Hypogonadism guideline
29. Endocrine Society — Hypogonadism in Men, patient resource
30. FDA — Understanding the risks of compounded drugs
31. FDA — Testosterone information
32. DEA — Controlled substance list
33. DEA — Fourth temporary extension through December 31, 2026 and prescribing conditions
34. Federal Register — Special Registrations for Telemedicine, proposed rule
35. HHS — Licensing across state lines
36. Royal Medical Center — Terms and Conditions, August 25, 2026
37. Belmar Pharma Solutions — Pharmacy group
38. Defy Medical Store — Commercial testosterone cypionate listing, BoomRX
39. Defy Medical Store — Compounded testosterone cypionate listing
40. DailyMed — Anastrozole prescribing information
41. DailyMed — Clomid (clomiphene citrate) prescribing information
42. DailyMed — Pregnyl prescribing information
43. FDA — June 8, 2022 Pharmacy Compounding Advisory Committee transcript, enclomiphene discussion
44. Operation Supplement Safety, Uniformed Services University — Clomiphene and enclomiphene, January 12, 2026
45. Drugs@FDA — Factrel, NDA 018123
46. Drugs@FDA — Lutrepulse Kit, NDA 019687
47. OIRA — Pending regulatory review, Special Registrations for Telemedicine
48. Unified Agenda — Special Registrations for Telemedicine timetable
49. Male Excel — Pricing and injection-with-thyroid package
50. Defy Medical — Cost-of-TRT explanation
51. Defy Medical — Get started and advertised extended consultations
52. FDA — Compounding questions and answers
53. MedlinePlus — Testosterone levels test
54. Male Excel — Individual testosterone cypionate product and membership options
55. Male Excel — Individual testosterone cream product and membership options
56. Male Excel — Combined consultation and home-test offer
57. Male Excel — Excel Advantage Guarantee terms
58. Male Excel — Terms and Conditions, July 2026