TRT Nation vs Royal Medical Center: Real Cost, Real Doctors, Real Fine Print (2026)

TRT Nation vs Royal Medical Center favors Royal on advertised price: $89 monthly with labs, versus $99.99 plus labs. That means $1,068 versus $1,199.88 before TRT Nation’s testing costs, if rates hold. Confirm Royal’s renewal terms and read the clinician records below. Unresolved diagnosis or fertility needs put clinical care—not either checkout—first. ^[1][8]

By TRT Provider Guide · Last verified: October 2026 (sources checked October 15, 2026) · Editorial research, not clinically reviewed · How We Review TRT Providers
Last updated October 15, 2026 · Last reviewed October 15, 2026

Educational information, not medical advice. Treatment decisions belong with a licensed clinician.

That's the price. It's the easy part.

The harder part is who actually writes your prescription. One of these clinics names its doctor publicly, and that doctor has a licensing record you should read before you pay. The other doesn't name its prescribers on the pages we checked. TRT Nation also publishes state exclusions that do not agree across its own pages. We lined it all up below. ^{[3][4][5][14][15][17]}

The quick answer

Prices and terms from each company's own pages, checked October 15, 2026. Cost figures are our arithmetic from published prices, not personal quotes or verified all-in bills. The Florida record is an independent official source. ^{[1][2][3][4][5][6][8][9][10][12][15]}

Royal is worth comparing first if: your diagnosis is settled, you want the lower advertised price with labs built in, and you will confirm the renewal rate, included testing and assigned prescriber before paying.

TRT Nation is worth comparing if: you have acceptable outside labs, prefer its stated order-and-refill model, and have confirmed your state is served. Outside labs can reduce its bill; they do not make $99.99 cheaper than Royal's advertised $89.

Neither is the right starting point if: your low testosterone hasn't been properly evaluated, fertility needs are unresolved, or you need an insurance-covered prescription rather than an unverified cash-pay package. We'll show you where to start instead. This comparison concerns U.S. adult men evaluating testosterone deficiency—not hormone care for women or adolescents, gender-affirming care, or performance use. ^[20][21][22]

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.

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TRT Nation vs Royal Medical Center: which costs less?

Royal has the lower advertised base fee: $89 a month with labs, physicals and provider visits, or $1,068 across 12 months if that rate holds. TRT Nation's $99.99 base fee is $1,199.88 across 12 months before lab costs, and three $129 panels bring that scenario to $1,586.88. These are price scenarios, not proof that Royal is better clinically or that either figure is your complete bill. ^{[1][6][8][10]}

Here's the whole year, laid out the same way for both.

How we did the math: TRT Nation: $99.99 × 12 = $1,199.88. Three $129 panels add $387. TRT + hCG: $180 × 12 = $2,160, plus the same modeled lab charges. Royal: monthly price × 12. The later-year TRT Nation examples assume one paid panel; they are not a testing recommendation or a promised schedule. ^{[1][3][4][6][8][9]}

TRT Nation's FAQs describe testing at about 10 weeks, another six-month checkpoint and then yearly, but disagree on the starting point for that six-month interval. Three first-year panels are a budgeting example, not a verified requirement for every patient. A second diagnostic morning test, extra safety tests or a clinician-directed change can add costs. ^{[3][4][20][21]}

For the same $99.99 base fee, two paid panels produce $1,457.88, while four produce $1,715.88. Those are sensitivity checks—not suggested testing schedules. A repeat testosterone measurement need not cost the same as a full panel; ask for the exact charge.

Not included unless confirmed: outside lab bills, extra diagnostic or monitoring tests, any separate services, a different prescription, state-specific pricing and any charges beyond the advertised package. Neither clinic's public prices establish every patient's complete first-year cost.

What TRT Nation's $99.99 actually buys

TRT Nation's checkout lists testosterone cypionate, anastrozole, syringes and standard shipping in the $99.99 plan, with a provider consultation included. No separate membership fee is listed. That part of the marketing holds up. ^[2]

Two catches. First, the plan has a 2.5-month minimum purchase. Multiplying $99.99 by 2.5 and rounding to cents gives $249.98, not $99.99. Second, labs aren't included. Add TRT Nation's $129 panel and the calculated starting subtotal is $378.98. We did not complete a purchase or verify a final card charge. ^[1][2][6]

A second TRT Nation price, $130 a month, also appears in its checkout, and its product page warns that California pricing may vary. Ask which price applies to you before you pay. ^[1][2]

What Royal's $89 actually buys

Royal's main testosterone page shows two plans. The $89 plan covers testosterone plus an estrogen blocker. The $195 plan adds a "testicular stimulant." Royal says labs, physicals and provider visits are included in both. Its men's FAQ also includes treatment supplies and shipping; ask what extra testing, if any, falls outside that fee. ^[8][13]

The current program-options page we could verify also showed $89 and $195. We could not establish a currently orderable $75 testosterone-only offer, so it is not part of the cost verdict. Ask for a testosterone-only quote if an additional medicine is not clinically needed. ^[9]

Royal's first-month wording needs a written answer

Royal's $89 product page carries a title referring to the first month, while its body lists $89 a month. Its web address also ends in "first-month-promo." Those details do not establish the renewal price. ^[10]

We don't know whether your renewal price will stay at $89. Ask this one question before you pay, and get the answer by email: "What will I be charged in month one, and what will I be charged in month two?"

At an unchanged $89, Royal's advertised yearly fee is $518.88 below TRT Nation's three-panel scenario. That difference is arithmetic under those assumptions, not guaranteed savings.

Cash out the door vs. the yearly average

TRT Nation's 2.5-month minimum also makes cash flow different from a monthly average. Illustration only: five blocks at the calculated $249.98 each total $1,249.90; add three $129 panels and the subtotal is $1,636.90, nominally covering 12.5 months. That is not a prediction that five charges will fall inside your first year. Ask for payment dates and days supplied, because refill timing and the actual checkout price control your bill. ^[1][4][7]

Royal's billing schedule was not established from the pages we checked. One customer reported in September 2024 being billed two months at a time. That is a historical customer account, not a current billing rule. Two $89 monthly units would total $178, but only Royal can confirm your actual first charge. ^[18]

What outside labs change—and what they don't

TRT Nation does not include labs in its price. If you want labs bundled into the advertised fee, Royal offers that structure; confirm which tests it includes. ^[6][8]

But because TRT Nation accepts suitable outside results, you may avoid buying a panel you already have. One accepted panel replaces one $129 charge—not every future test. Its annualized base fee falls to $1,199.88 before outside lab costs only when no paid TRT Nation panel is needed. Royal at $89 all year is still $131.88 lower, so compare the actual quotes rather than assuming outside labs make TRT Nation cheaper. ^[2][3][4][5]

Just know TRT Nation's own pages disagree on how old those labs can be. Its checkout and main FAQ say within 120 days. Its homepage and a second FAQ page say up to six months. Ask before you rely on old results. ^[2][3][4][5]

Sounds like your situation? If a bundled price is what you want, see Royal Medical Center's current $89 and $195 plans. If you already have recent labs, see TRT Nation's current testosterone pricing. Either way, read the next two sections before you enter a card number.

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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 map your situation to the right care route and the questions to ask before you pay.

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What happens to your money if you're not approved?

Both clinics publish a refund statement for the consultation or medical-approval stage, but the promises are narrow. Royal says your program payment is refunded if a provider finds you medically ineligible. TRT Nation's checkout promises a full refund if you and the provider decide at the consultation that treatment isn't for you, yet its separate refund policy reserves the right to refuse refunds on all purchases. ^{[2][7][9][12]}

This is the question we'd ask first if it were our money. Here's how each one reads, in plain English.

Sources: TRT Nation checkout and refund policy; Royal program-options and qualification pages, all checked October 15, 2026. ^{[2][7][9][12]}

What does that mean in practice?

• At TRT Nation, two of its own documents point in different directions. The checkout promise is the more specific one, but we can't tell you which one wins in a dispute. Screenshot the checkout footnote before you pay.
• At Royal, the refund covers one situation: being turned down. It says nothing about changing your mind later, side effects, or leaving mid-cycle.
• Lab fees may be separate. If you buy TRT Nation's $129 panel, ask whether a refund includes it. The lab-order page offers Labcorp or Quest and says the selected lab provider cannot be changed after payment. ^[2][6]

One more thing worth knowing. A June 2026 Trustpilot reviewer described being asked to pay for 2.5 months up front before speaking to a provider. That's one person's report, not a policy. But it matches what TRT Nation's checkout shows: you pay first, then book the consultation. ^[2][19]

Get these three answers in writing before your first charge:

1. If I'm not approved, what exactly is refunded, and how fast?
2. Am I billed monthly or in blocks? What's my first charge and its date?
3. Once I'm approved, how do I cancel, and what's refundable then?

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Who would actually prescribe for you, and what do the license records show?

Royal Medical Center names Dagoberto Rodriguez, MD, whose Florida license is active and whose public record also shows discipline on file. In 2021 he signed an Oregon order involving practice and prescribing to Oregon patients without an Oregon license. TRT Nation doesn't name its prescribers on the pages we checked; with either clinic, ask who will prescribe for you and verify that person yourself. ^{[3][5][14][15][17][39]}

Credit where it's due: Royal tells you who its doctor is. That transparency is also what let us check the public record. Here's what it shows.

What the official records say about Royal's named physician

What this means for you

Let's keep it in proportion. The Oregon order and the other-state entries discussed above date from 2021 and 2022. His Florida license is active, and the latest entry in the profile says obligations were satisfied. That does not erase the disciplinary history: Florida's separate board-action search also lists an older case under a different disposition. A public complaint is an allegation, not proof by itself. None of these records tells you how Royal treats patients now, or who else prescribes there. Florida's record also lists a physician assistant who prescribes under his supervision. ^[15][16][37]

What the record does tell you is that state licensing at an online clinic is not a formality. Testosterone is a Schedule III controlled substance and requires a valid prescription. Your prescriber must be licensed or otherwise authorized to treat you in the state where you are located. ^[27][28][29]

Here's what that means for an Oregon reader. Royal's named physician agreed never to reapply for an Oregon license. Before considering Royal there, ask exactly who would prescribe for you and check that person's authorization. The order does not establish that Royal as a business is banned nationwide or that TRT Nation is the safer choice. ^[17][29]

And TRT Nation? We couldn't run the same check, because it doesn't name its clinicians on the pages we reviewed. That isn't evidence of a problem. It's a gap you have to close yourself.

Check your prescriber in three steps

1. Ask the clinic for the full name and license type of the person who will prescribe for you.
2. Look them up on your state's licensing board. For physicians, start with the Federation of State Medical Boards directory. ^[33]
3. Read what's there. An active license and a disciplinary history can show up on the same record.

If a clinic can't give you a name before you pay, that's your answer.

Want to pick a named clinician before you pay? Compare online and local TRT care. Look for a practice—online or local—that lets you identify and check your assigned clinician before making a financial commitment.

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Which states do TRT Nation and Royal Medical Center serve?

TRT Nation's homepage excludes six states, while its "FAQs 2026" page excludes five; the difference is North Dakota. A definitive current state list for Royal was not established from the public material we could verify. Confirm the clinician, medication and state together before paying either one. ^[4][5][12]

We compared the published state statements and intake pages. They do not give you a verified promise of patient-specific access.

Checked October 15, 2026. This is a comparison of provider disclosures, not a state-eligibility checker. ^{[2][4][5][6][12]}

Put side by side:

• Alabama, Alaska, Arkansas, Missouri and Hawaii: both of TRT Nation's published exclusion lists name these states. Do not treat a selectable form option as an exception.
• North Dakota: TRT Nation's pages conflict. Get its current answer in writing.
• Royal, including Oregon, Louisiana and Mississippi: no state-specific recommendation is supported without confirmation of the actual clinician and dispensing arrangement.

A form that accepts your state is a starting point, not a promise. Federal guidance is clear that the clinician must be licensed or otherwise authorized where you are located. Royal's FAQ also says some states limit a shipment to a one-month supply; that is Royal's explanation, not a state rule independently established here. Ask how often you'll reorder and whether that changes your bill. ^[13][29]

If neither clinic serves your state

Don't pay a third clinic just because its form accepts your ZIP code. Ask who can provide the evaluation, monitoring and refills where you live. Compare online and local care, or use Find My TRT Path to identify the care route and questions to check first. Other cash-pay options are covered after the two-provider verdict below.

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Are labs and doctor visits included?

Royal Medical Center says its plans include labs, physicals and provider consultations, with follow-up labs at 90 days. TRT Nation lists a $129 panel and a first follow-up around 10 weeks, but its FAQs disagree on when the next six-month interval starts. Neither clinic's advertised panel proves that all testing needed for a new diagnosis is included. ^{[2][3][4][6][8][10][11]}

Sources: TRT Nation lab form, checkout and FAQ; Royal product pages and FAQ. ^{[2][3][4][6][10][11][13]}

A few quick definitions. Total testosterone is all the testosterone in your blood. A CBC (complete blood count) includes hematocrit, the share of your blood made of red blood cells, which testosterone can push up. A CMP checks blood sugar, kidney and liver markers. PSA (prostate-specific antigen) is a prostate blood test. These are different checks, not interchangeable ways to diagnose low testosterone. ^{[21][40][41][42]}

TRT Nation states a minimum age of 24. That is its enrollment rule, not a diagnostic standard; meeting an age requirement does not establish that testosterone is appropriate. ^[2][5]

One low number isn't a diagnosis

This is where the testing plan matters more than the price. The Endocrine Society's July 2026 statement says suspected low testosterone should be confirmed with at least two early-morning fasting tests, along with matching symptoms or signs. Results must be consistently low and measured with an accurate lab method. A single result, or a single number like 300 ng/dL, isn't a diagnosis on its own. ^[20][21]

TRT Nation's FAQ says it uses "symptom-informed clinical judgment." Read that carefully. Symptoms need evaluation, but they do not replace the repeat testing and clinical workup needed for a new diagnosis. A transfer patient already taking testosterone needs a clinician's review of existing diagnostic and treatment records—not instructions from this page to interrupt care or manufacture a low result. ^{[3][4][20][21]}

So ask either clinic: "Does my price include the second morning test needed to confirm a new diagnosis?" For more, see TRT blood tests. Also ask who reviews each result, who answers a new symptom between visits, and whether that contact can cost extra.

When a general online plan is not enough

A history of prostate or breast cancer, high hematocrit, untreated severe sleep apnea, a recent heart attack or stroke, or suspected pituitary or testicular disease needs direct clinical assessment before a general TRT plan. These are not problems a checkout questionnaire can clear. The Endocrine Society sets specific precautions and recommendations; your clinician must apply them to your situation. ^[21]

Blood pressure also belongs in the monitoring plan. FDA's class-wide review found blood-pressure increases with testosterone products and required added or updated warnings. That does not mean a particular clinic's protocol or compounded preparation has been FDA-approved. ^[23][34]

For chest pain, severe trouble breathing or other possible emergency symptoms, call 911 or seek emergency care rather than waiting for a portal reply. ^[43]

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Is the testosterone FDA-approved or compounded?

The public pages checked do not identify the exact finished testosterone product you would receive. Royal names Belmar Pharma Solutions and says a provider may prescribe a compounded drug, while TRT Nation uses several descriptions of its pharmacy sourcing. Ask whether your prescription is for an FDA-approved product or a compounded preparation before comparing them as though they are the same. ^{[3][4][5][9][10][23]}

Two terms matter here. FDA-approved means the FDA reviewed the finished product's safety, effectiveness and manufacturing before it could be sold. Compounded means a pharmacy prepared it, often for an individual prescription, without that FDA review of the finished preparation. Compounding is legal when the rules are followed. It just isn't the same thing. ^[23]

Checked October 15, 2026. ^{[3][4][5][8][9]}

Here's the trap in that wording. "FDA-registered" is a facility claim, not drug approval. "FDA-approved" refers to a reviewed drug product. A facility's registration does not make every preparation it supplies FDA-approved, and neither clinic's pharmacy wording identifies the exact product in your shipment. ^[23]

Royal gets the transparency point here. It names its pharmacy and prints a plain compounding disclaimer on its product pages. TRT Nation uses three different descriptions across its own site.

Ask either clinic, word for word: "Is the testosterone cypionate you'll send me an FDA-approved product or compounded, and which pharmacy location fills it?" Ask for the pharmacy's legal name, address and applicable state license so you can check the correct facility. We did not independently verify the license of an assigned dispensing location for either provider. If FDA approval matters to you, or you want insurance to pay, a clinician who can prescribe the appropriate covered FDA-approved product is the care route to investigate—not a promise that either cash plan meets that need.

These compared prices concern testosterone cypionate injection plans. A gel, cream, oral product or other treatment format needs its own prescription and quote. Don't carry an injection-plan price or approval claim over to another format. ^[1][2][8][9] See TRT treatment options.

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Do you have to take an estrogen blocker?

An estrogen blocker appearing in a package does not establish that every patient must take one. TRT Nation's checkout lists anastrozole, and Royal's $89 and $195 plans list an estrogen blocker. Anastrozole's FDA-approved uses are for specified breast-cancer treatment in postmenopausal women, so its use alongside TRT in men is off-label. ^[2][8][24]

Anastrozole is an aromatase inhibitor, one kind of medicine called an "estrogen blocker." It reduces conversion of androgens, including testosterone, into estrogens. It's a separate prescription with its own effects. ^[24]

We're not telling you whether you need it. That's your prescriber's call, based on your labs and symptoms. But a bundle shouldn't make the decision for you. Royal reviewer Matthew Beachy wrote in February 2026 that he felt pushed toward an estrogen blocker despite considering his levels fine and reporting no symptoms. That's one person's account, not a policy or a verified assessment of his labs. ^[18]

Ask before you choose a plan: "What finding would make you prescribe anastrozole? Is it clinically needed for me, and what would my plan cost without it?"

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What if you want children?

Testosterone from outside your body can lower or shut down sperm production, and no online plan can promise to protect or restore fertility. TRT Nation advertises TRT + hCG at $180 a month, while Royal's $195 plan adds gonadorelin or enclomiphene—different drugs, not equivalent fertility options. If children are a near-term goal, see a urologist or reproductive urologist before choosing a testosterone program. ^{[1][8][21][22]}

The guidance is direct. The Endocrine Society recommends against starting testosterone in men planning fertility in the near term. The AUA/ASRM explanation of male infertility describes how outside testosterone can suppress the hormone signals needed for sperm production. Future fertility plans also need discussion before treatment; an add-on medicine is not a guarantee. ^[21][22]

Here's how the two "fertility-support" bundles compare, and why the price table isn't the decision.

Sources: provider pages; hCG and clomiphene labeling; FDA's enclomiphene review and the Department of Defense's current medication summary. Ask for the exact product and indication, not just the bundle name. ^{[1][2][8][9][11][25][26][35][36]}

The added medicines—hCG, gonadorelin, enclomiphene and clomiphene—are not testosterone replacement therapy. A package that also contains testosterone is still a testosterone treatment plan, and none of these add-ons guarantees fertility. TRT Nation markets enclomiphene with "preserves natural fertility" language, and Royal says its stimulant helps maintain natural function. Those are marketing claims, not promises you can bank on. Paying $195 instead of $89 is not a fertility plan. ^{[1][11][21][22]}

If kids are part of your next few years, your next step is a reproductive urologist, not a bundle. Not sure where you fit? Map your care route with Find My TRT Path. It's educational, not a diagnosis, and it gives you the questions to bring to that appointment. More on TRT and fertility.

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Can either clinic treat you online after 2026?

The current temporary extension does not establish prescribing access after 2026. It allows qualifying DEA-registered practitioners to prescribe controlled substances through audio-video telemedicine without a prior in-person evaluation through December 31, 2026, subject to federal and state requirements. That is a dated legal permission, not a guarantee that either clinic can prescribe for you now or in 2027. ^[28][29][38]

TRT Nation calls itself "100% online," and Royal advertises telehealth. Those descriptions do not prove which legal prescribing basis applies to each patient. The broad audio-only exception described by DEA concerns certain opioid-use-disorder medicines—not testosterone—so a phone call or questionnaire alone should not be treated as proof that this extension's requirements are met. ^{[5][8][28][38]}

December 31 is the end date of this extension, not a promise about next year. Ask either clinic: "If an in-person visit becomes required in 2027, how will you handle my care?" Get a clear continuity plan rather than a promise that the rules will not change.

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Can you cancel, refill, or switch?

TRT Nation says it does not refill prescriptions automatically; its FAQs say a refill request can be made as early as week 8 of a 2.5-month supply. Royal's general cancellation terms and billing schedule were not established from the pages checked, while TRT Nation reserves a no-refund policy. Get the terms for your exact order in writing before your first charge. ^{[4][7][9][12]}

TRT Nation:

• Refills are on you. Its policy says it will not refill prescriptions automatically. Put the reorder date in your calendar the day your first box ships. ^[7]
• You can request a refill as early as week 8 of a 2.5-month supply. ^[4]
• Its policy says litigation to enforce or collect charges will take place in Florida. That is a venue statement, not a finding that Florida law governs every possible dispute. ^[7]

Royal Medical Center:

• No published cancellation policy, minimum term or billing interval on the pages we checked.
• A 2024 reviewer reported a $40 missed-appointment fee. Royal replied publicly that patients aren't charged unless they miss multiple appointments. ^[18]

Switching from another clinic? TRT Nation's FAQs 2026 page says transfer patients are not required to lower their testosterone first. Royal's qualification form asks whether you're currently on TRT. Either way, keep copies of your labs and prescriptions so your next clinician isn't starting from zero. Cancelling a billing plan isn't a medical plan. Talk to a prescriber about continuity before a switch. ^[4][12]

Getting your records: ask for the records custodian, request method, turnaround and any copy fee. Neither clinic's page set established a complete transfer process. HHS says patients generally have access rights to records held by a HIPAA-covered provider; those rights do not mean every online service or inquiry form is covered by HIPAA. ^[44]

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What do real customers say about TRT Nation and Royal Medical Center?

Royal's Trustpilot profile shows 4.5 stars and 2,033 reviews, but only 10 were posted in the last year. TRT Nation's unclaimed profile shows 2.1 stars from 31 reviews, while its own site displays a separate 4.9-rated review widget. These are different samples, not a fair clinical head-to-head score. ^[5][18][19]

Sources: Trustpilot profiles; TRT Nation homepage widget. ^[5][18][19]

How to read it: most of Royal's displayed review count predates the last year, so recent feedback is thin. TRT Nation's Trustpilot profile has a small sample, and the platform warns that a profile without a history of requesting reviews may not be representative. Its separate website widget is not a reason to disregard complaints on another platform. Both sources tell you something. Neither tells you everything. ^[5][18][19]

The patterns are more useful than the stars.

TRT Nation, praise: some reviewers describe price, refills and phone support. One reviewer with two-plus years there wrote:

"Their customer service is prompt and courteous" — Larry C, Trustpilot, September 22, 2026 (one customer's experience) ^[19]

TRT Nation, complaints: individual reviewers describe paying before the consult, waits for a first appointment, disputes over lab requirements and shipping problems. These accounts were not independently verified. ^[19]

Royal, praise: some reviewers describe flat pricing, named staff and long relationships with the clinic. One five-year patient wrote about a staff member:

"he gets my orders in so quickly" — Darvin Jackson, Trustpilot, April 28, 2026 (one customer's experience) ^[18]

Royal, complaints: individual reviewers describe pressure toward an estrogen blocker, a payment-method problem, a missing-item dispute and a missed-appointment fee. The fee discussion and some other reports are historical, not proof of current policy. ^[18]

Reviews can point you to the right questions. They can't tell you whether TRT is safe or effective for you, or what the current policy is.

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TRT Nation or Royal Medical Center: which should you choose?

Royal is the lower-advertised-price option to investigate, not an unconditional clinical winner. At an unchanged $89, its annualized fee is $1,068 with labs advertised as included; TRT Nation is $1,199.88 before testing costs, even when outside results are accepted. Compare the written renewal price, actual testing needs, prescriber and pharmacy before choosing, and put unresolved diagnosis or fertility needs ahead of either checkout. ^{[1][6][8][10][20][21]}

That's our editorial conclusion from the verified facts above. It isn't a medical recommendation. The links to the two compared providers are plain source links, not paid referral links. ^{[1][2][4][5][8][10][15][17][20][21][22][29]}

Do Royal's published terms fit what you're looking for? Open Royal's preliminary TRT questionnaire. It is not a diagnosis or approval; a licensed provider must still review your case. Email them the three money questions first. ^[12]

Already have acceptable labs and prefer TRT Nation's order model? Review TRT Nation's new-patient checkout. Confirm the actual first charge and screenshot the refund footnote before you pay. ^[2]

Still between the two, or not sure TRT is your next step? Use Find My TRT Path to sort out the care route first.

If neither clinic fits, what about other cash-pay options?

Start with an in-network or local clinician when diagnosis, fertility, an examination or covered medication is the unmet need. A different cash-pay subscription does not automatically solve any of those problems.

For readers whose clinical needs fit remote care but whose preferred services are missing, the two alternatives below have different price structures. They are not cheaper versions of the same thing, and neither earns an automatic recommendation for your state.

• Male Excel advertises a $99 entry consultation with an at-home hormone test, a $99 monthly membership, and injections from $120 a month, billed every other month. Those starting inputs total $2,727 across 12 monthly price units, before shipping and any separate required testing or other charges. It advertises unlimited e-visits and messaging, but the injection package also lists thyroid medication. Ask why each medicine is needed and for a testosterone-only quote when appropriate. The entry kit does not establish that a full new-diagnosis workup is included. ^[30][45]
• Hone Health publishes a state-by-state availability table. Its Plus plan for men's testosterone care is $135 a month, with $180 to start for the initial $45 test/consultation and first $135 month. Twelve membership months plus that $45 entry fee total $1,665 before medication and any extra confirmatory testing. Hone says you can cancel anytime; its current Plus list includes Hawaii but does not list Alabama or Arkansas. ^[31][32]

Want to examine the membership tradeoff? Compare Male Excel's costs and billing terms. Male Excel is an affiliate partner; we may earn compensation from eligible referrals through that guide. For Hone, read its official service-availability table rather than assuming a general signup page confirms your state. Availability doesn't mean approval. Any clinic still needs to evaluate you.

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What should you ask before you pay?

Every gap in this comparison becomes a question on this list. Ask by phone or email, and get the answers in writing before your first charge. A clinic that answers all of them clearly is one you can compare fairly.

1. What's my first charge, its date, and what will I pay in month two? (Royal: does $89 stay $89? TRT Nation: is my price $99.99 or $130?)
2. Am I billed monthly or in blocks?
3. If I'm not approved, exactly what's refunded, and how fast?
4. Once approved, how do I cancel, and what's refundable?
5. Which lab tests are included, how often, and does that cover a second morning test to confirm a new diagnosis?
6. Will you accept my existing labs, and how old can they be?
7. What's the full name and license type of the clinician who will prescribe for me, and are they authorized to treat me where I am located?
8. Is my testosterone FDA-approved or compounded, and which pharmacy location fills it?
9. Why would I need anastrozole, and what does the plan cost without it if it isn't clinically needed?
10. If I want children someday, how does that change your plan, or should I see a urologist first?
11. Which visit format and any in-person evaluation are required now, and how will you handle my care if requirements change in 2027?
12. How do I get copies of my labs and prescriptions if I leave?

Copy this email

Hello — I'm comparing TRT programs before paying. Please send me, in writing: my first charge and its date, the billing interval, the ongoing monthly price, and any required charge not included. Please confirm which lab tests are included and how often, including repeat morning testing for a new diagnosis; whether outside labs are accepted and how recent they must be; the full name of the clinician who would prescribe for me and their authorization in my state; whether the testosterone is FDA-approved or compounded and which pharmacy location fills it; whether an estrogen blocker is clinically required; your refund terms if I'm not approved; and how cancellation and records transfer work after approval. I understand any prescription depends on a clinician's review. Thank you.

Don't put lab results or health history in a general inquiry. Save those for your intake.

Fill in your own year-one number

Add each required payment once. A first payment covering 2.5 months is not just a month-one fee: do not then add another full payment for months already covered. Keep an annualized price comparison separate from actual payment dates. Until required charges are known, the total is a subtotal—not a complete quote.

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What did we actually verify?

What we actually verified — October 15, 2026. We compared public offers, policies, official clinician records and primary medical sources. That establishes what those documents say, not what either clinic would prescribe or deliver to an individual patient.

Sources we read directly: TRT Nation's testosterone page, new-patient checkout, two FAQ pages, homepage, About page, lab-order form and refund policy. Royal Medical Center's main testosterone page, program-options page, $89 and $195 product pages, qualification form, men's FAQ and About page. Florida Department of Health license verification, practitioner profile and board-action search for license ME58463. The Oregon Medical Board's October 2021 order. Both Trustpilot profiles. Endocrine Society guidance and ASRM's coauthored male-infertility explanation. FDA compounding information and drug labels. The Federal Register telemedicine extension, DEA and HHS guidance. Male Excel and Hone Health pricing and offer pages.

Confirmed from those documents: the displayed $99.99, $130, $129, $180, $89 and $195 prices in their respective offers; the published plan inclusions; both TRT Nation refund statements; conflicting TRT Nation lab-age, follow-up-interval and state language; Royal's first-month title versus monthly body wording; Royal's named pharmacy; and the official license status and board-record entries shown. This does not verify a final checkout total or resolve conflicting terms.

Provider-stated, not independently tested: plan delivery, lab and follow-up services, standard shipping, clinician access, pharmacy sourcing and refill handling. A named pharmacy brand is not a verified patient-specific dispensing facility.

Customer-experience signals (labeled, not verified): Trustpilot reports about prepayment, billing, wait times, fees and estrogen-blocker advice.

Our calculations: every annualized subtotal, price difference and cash-flow illustration. They use the stated assumptions, do not establish a clinical testing schedule and are not personal quotes.

What we could not confirm: Royal's billing schedule, renewal price, general cancellation terms and complete lab panel; the full cost of repeat diagnostic testing for either clinic; TRT Nation's assigned prescriber and which refund document would control a dispute; your exact medication and dispensing location; individual state access; and the underlying case documents behind the Florida entries. The self-reported actions in other states were not each independently checked with those states' boards.

What this page is not: a hands-on review. We didn't enroll, pay, receive care, test support response times or obtain a personalized written quote from either clinic. We are not a clinic, pharmacy, laboratory, insurer or medical practice. Read How We Review TRT Providers.

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What else should you know before choosing?

The remaining questions are mostly about what applies to your exact plan: renewal price, lab acceptance, medication and access. These answers summarize the evidence above; where a public page leaves a material term open, get that term in writing rather than assuming it is included.

Is TRT Nation cheaper than Royal Medical Center?

At the listed base prices, no. TRT Nation is $1,199.88 across 12 monthly price units before lab costs; Royal at an unchanged $89 is $1,068 with labs advertised as included. Outside labs can reduce TRT Nation's testing bill but do not, by themselves, reverse that comparison. Your actual quote can differ. ^{[1][6][8][10]}

How much does Royal Medical Center TRT cost?

Royal's main page and program-options page list $89 and $195 monthly plans. Its $89 product page also uses first-month wording, so the ongoing rate needs written confirmation. A currently orderable $75 offer was not established from the pages checked. ^[8][9][10]

How much does TRT Nation cost?

Its main advertised price is $99.99 a month with a 2.5-month minimum. Multiplying and rounding gives $249.98; adding one $129 panel gives $378.98, but those are calculated amounts, not a verified checkout receipt. A $130 monthly option also appears in checkout, and California pricing may vary. ^[1][2][6]

Does Royal Medical Center include labs?

Royal says its plans include labs, physicals and provider consultations, with follow-up labs at 90 days. A complete itemized panel and allowance for repeat diagnostic testing were not established, so ask what happens when your clinician needs another test. ^[8][10][11]

Does TRT Nation include an estrogen blocker?

Its checkout lists anastrozole in the $99.99 plan, along with syringes and shipping. Inclusion in a package does not establish that it is clinically necessary for you. ^[2][24]

Can I get a refund if I'm not approved?

Royal says your program payment is refunded if you're found medically ineligible. TRT Nation's checkout promises a full refund if you and the provider decide treatment isn't for you at the consultation, but its separate policy reserves the right to refuse refunds. ^{[2][7][9][12]}

Who is Royal Medical Center's doctor?

Royal names Dagoberto Rodriguez, MD, whose Florida license is active with discipline on file. He agreed in a 2021 Oregon order never to reapply for an Oregon license, and his Florida profile lists 12 additional self-reported entries from other states in 2022. That does not tell you who Royal would assign to you. ^{[14][15][16][17]}

What pharmacy does Royal Medical Center use?

Belmar Pharma Solutions, according to Royal's website. The exact facility that would dispense your prescription remains unconfirmed. TRT Nation does not name a dispensing pharmacy on the pages we checked. ^[3][9][10]

Is the testosterone FDA-approved?

That cannot be determined for your prescription from these public offers. Both reference compounding, and compounded drugs aren't FDA-approved. Ask for the exact finished product, manufacturer or compounder, and dispensing pharmacy before paying. ^[3][9][23]

What states does TRT Nation serve?

Its published lists conflict. Both exclude Alabama, Alaska, Arkansas, Missouri and Hawaii; the homepage also excludes North Dakota. A form option is not proof that a clinician and pharmacy can serve you. ^[4][5][29]

What states does Royal Medical Center serve?

A definitive current service-area list was not established from the pages we could verify. Ask Royal whether the assigned clinician and dispensing pharmacy can serve you in the state where you will be located. Its preliminary questionnaire is not clinical approval. ^[12][29]

Do TRT Nation or Royal Medical Center take insurance?

Both offers advertise cash prices, and insurance billing was not established for these plans. For covered care, check an in-network clinician, the lab and the exact prescribed product with your insurer. An FDA-approved product is not automatically covered by every plan. ^[1][8]

Will either one protect my fertility?

No program can promise that. Testosterone can lower sperm production. If you want children soon, see a urologist or reproductive urologist before starting. ^[21][22]

Can I use labs from my own doctor?

TRT Nation says yes, if they're recent enough and include the required markers. Its pages say 120 days in some places and six months in others. Royal's qualifier asks about labs from the past six months but doesn't publish an acceptance rule. ^{[2][3][4][5][12]}

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

Find My TRT Path is educational and non-diagnostic. It doesn't confirm low testosterone, decide eligibility, or guarantee a prescription. Read our privacy policy before sharing personal information.

Related: TRT Nation cost · Royal Medical Center TRT cost · Online vs. local TRT · TRT cost guide · TRT and fertility · TRT treatment options

About this page. Written by TRT Provider Guide, the independent decision resource for testosterone replacement therapy care. Editorial research, not clinically reviewed. Last verified October 15, 2026. Editorial standards · Affiliate disclosure · Corrections

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Sources

All checked October 15, 2026. Customer reports and board orders keep their original dates.

1. TRT Nation — Testosterone Therapy — $99.99/mo, 2.5-month minimum, California footnote, TRT + hCG $180/mo, enclomiphene.
2. TRT Nation — New-patient checkout — Plan inclusions (testosterone cypionate, anastrozole, syringes, shipping), $130/mo option, hCG add-on, $129 labs, 120-day outside labs, consultation refund footnote.
3. TRT Nation — FAQs — Lab timing, outside labs, messaging, compounding-pharmacy sourcing and qualification language.
4. TRT Nation — FAQs 2026 — Plan contents, $129 labs, six-month outside labs, state exclusions, refills from week 8, transfer patients.
5. TRT Nation — Homepage — State exclusions, age 24+, six-month outside-lab wording, pharmacy wording and provider-embedded review widget.
6. TRT Nation — Lab orders — Panel prices and contents, Labcorp/Quest and lab-company selection terms.
7. TRT Nation — Refund and cancellation policy — No-refund reservation, manual refills, 2.5-month purchase period and Florida litigation venue.
8. Royal Medical Center — Testosterone Therapy — $89 and $195 plans, inclusions, telehealth, "FDA-Registered Compounding."
9. Royal Medical Center — Testosterone Cypionate Program Options — Displayed $89/$195 options, medical approval, ineligibility refund and compounding disclaimer.
10. Royal Medical Center — $89 product page — First-month title, $89/month body text, 90-day labs, pharmacy disclosure and compounding notice.
11. Royal Medical Center — All-Inclusive TRT $195 — Inclusions, clomiphene/enclomiphene/gonadorelin, follow-up labs, annual physicals.
12. Royal Medical Center — Preliminary TRT questionnaire — State and lab-recency questions, preliminary-screening limits and refund notice.
13. Royal Medical Center — Men's FAQ — Program inclusions, one-month shipping limits in some states.
14. Royal Medical Center — About — Named physician and license number.
15. Florida Department of Health — License verification, ME58463 — Clear/Active, discipline on file, public complaint, data as of October 14, 2026.
16. Florida Department of Health — Practitioner profile — Training, certification, financial responsibility, Florida action status and self-reported other-state entries; pages 2–4.
17. Oregon Medical Board — Board Action Report, October 15, 2021 — Stipulated order for Dagoberto Jesus Rodriguez, MD, effective October 7, 2021.
18. Trustpilot — Royal Medical Center — Dated review snapshot; Darvin Jackson, April 28, 2026; Matthew Beachy, updated February 16, 2026; Phil Scott II, September 1, 2024; and historical fee discussion with Royal's reply.
19. Trustpilot — trtnation.com — Dated review snapshot; Larry C, September 22, 2026; June 15, 2026 prepayment account; and individual service complaints.
20. Endocrine Society — Statement on Testosterone Replacement Therapy (July 2026) — At least two early-morning fasting tests with compatible symptoms.
21. Endocrine Society — Testosterone Therapy clinical practice guideline — Diagnosis, fertility, monitoring.
22. AUA/ASRM — Diagnosis and Treatment of Infertility in Men, Part II — Coauthored explanation published in 2021; Medical & Nutraceutical Interventions section, testosterone-related sperm suppression and specialist evaluation. Used here for that mechanism, not represented as the full 2024 amendment.
23. FDA — Understanding the Risks of Compounded Drugs — Compounded drugs are not FDA-approved.
24. DailyMed — Arimidex (anastrozole) prescribing information — Approved indications.
25. DailyMed — Pregnyl (hCG) prescribing information — Approved indications, including selected male conditions.
26. Clomid prescribing information — Approved indication in women with ovulatory dysfunction.
27. eCFR — 21 CFR 1308.13, Schedule III — Testosterone as a Schedule III anabolic steroid; current rule checked on the audit date.
28. Federal Register — Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities — Through December 31, 2026.
29. HHS — Licensing across state lines — Clinician authorization where the patient is located.
30. Male Excel — HRT costs — $99 consultation, $99 monthly membership, injections from $120 monthly billed every other month, thyroid package and separate shipping.
31. Hone Health — Membership overview — Plus $135/month; $45 entry test and consultation; $180 initial total with first month; medication separate and additional confirmatory testing caveat.
32. Hone Health — Service availability by state — Plus-plan list, updated September 4, 2026, including Hawaii but not Alabama or Arkansas.
33. Federation of State Medical Boards — State medical board directory — Official links for license lookups.
34. FDA — Class-wide testosterone labeling changes — February 28, 2025 action; blood-pressure findings and warnings.
35. FDA — Pharmacy Compounding Advisory Committee transcript — June 8, 2022, printed pages 53–54: no FDA-approved drug containing enclomiphene.
36. Operation Supplement Safety, Uniformed Services University — Clomiphene and enclomiphene — January 12, 2026 medication-status summary; enclomiphene is not an FDA-approved drug.
37. Florida Department of Health — Board-action search for ME58463 — Two Florida case entries with different disposition labels; underlying case narratives not established here.
38. DEA — Fourth temporary telemedicine extension — Audio-video authority, limits of audio-only prescribing and December 31, 2026 end date.
39. TRT Nation — About — Public company description reviewed when checking clinician-name disclosure.
40. MedlinePlus — Complete blood count — What a CBC measures.
41. MedlinePlus — Comprehensive metabolic panel — Blood chemistry, kidney and liver measures.
42. MedlinePlus — Prostate-specific antigen test — What PSA testing measures.
43. MedlinePlus — Recognizing medical emergencies — Emergency symptoms and seeking immediate care.
44. HHS — Your medical records — Access rights for records held by covered providers and limits on fees.
45. Male Excel — At-home hormone test and consultation — $99 entry offer and included test; not proof that every diagnostic or safety test is included.