1st Optimal vs Blokes: Which TRT Clinic Is Better in 2026?
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Short answer
1st Optimal wins overall, scoring 8.1/10 vs 7.0/10, mainly on transparency and clinical oversight. If price is your priority, Blokes is cheaper at $99/mo on a 12-month plan ($1,188 upfront).
1st Optimal
Maps your hormones within metabolic, thyroid and lifestyle context. Thorough, with higher upfront labs.
from $169/mo with a 120-day minimum, billed monthly
Visit 1st Optimal
Blokes
Coaching-forward online TRT from $99/mo. Injections with supplies, quarterly labs, and dedicated 1:1 clinician coaching bundled. Full term billed upfront.
from $99/mo on a 12-month plan ($1,188 upfront)
Visit Blokes1st Optimal wins overall, scoring 8.1/10 vs 7.0/10. If price is your priority, Blokes is cheaper at $99/mo on a 12-month plan ($1,188 upfront).
1st Optimal vs Blokes, side by side
| Feature | 1st Optimal | Blokes |
|---|---|---|
| Our score | 8.1/10 | 7.0/10 |
| Starting price | $169/mo with a 120-day minimum, billed monthly | $99/mo on a 12-month plan ($1,188 upfront) |
| Treatment types | injections, peptides, comprehensive labs | injections, 1:1 coaching |
| Best for | Best for Comprehensive Labs | Best Coached TRT |
| Overall ranking | #2 | #21 |
| Price & Value (25%) | 7.5 | 7.5 |
| Clinical Oversight (25%) | 8.5 | 7.5 |
| Treatment Options (20%) | 8.0 | 7.0 |
| User Experience (15%) | 8.0 | 8.0 |
| Transparency (15%) | 8.5 | 4.0 |
Sources: 1st Optimal pricing verified on 1stoptimal.com, Blokes pricing verified on joiandblokes.com
1st Optimal vs Blokes: plans, price and what's included
Without committing, Blokes costs $840 less than 1st Optimal over 12 months ($1,188 against $2,028), and $70 less in the first month. Both offer injections. Only 1st Optimal lists peptides and comprehensive labs; only Blokes lists 1:1 coaching.
| 1st Optimal | Blokes | |
|---|---|---|
| Starting price | from $169/mo with a 120-day minimum, billed monthly | from $99/mo on a 12-month plan ($1,188 upfront) |
| Plans it publishes | One published rate | One published rate |
| Commitment | 120-day minimum, billed monthly. (1stoptimal.com, read Oct 14, 2026) | Three-month minimum. (joiandblokes.com, read Oct 14, 2026) |
| Labs | Not stated by the clinic (1stoptimal.com, read Sep 11, 2026) | Initial labs billed separately; follow-up labs included (joiandblokes.com, read Sep 24, 2026) |
| What the price covers | Rate holds? Not stated | "From" price |
| First month | $169 | $99 |
| 12 months, no commitment | $2,028 | $1,188 |
| Cancelling | After 120 days, submit the membership change request form at least 7 days before the next billing date. Prescribed treatments and telemedicine services are not refunded. (1stoptimal.com, read Oct 14, 2026) | After the initial commitment, email info@joiandblokes.com before the next monthly processing date. Prescription products cannot be returned; all sales are final. (joiandblokes.com, read Oct 14, 2026) |
| Formats | injections, peptides, comprehensive labs | injections, 1:1 coaching |
| States served | State list not on file | 34 of 51 (not: AL, AR, CT, DE, GA, HI, LA, MN, MS, MO, NC, ND, OK, PA, RI, SC) (not confirmed: DC) (joiandblokes.com, read Oct 9, 2026) |
First-month and 12-month figures come from our 12-month cost model, at each clinic's no-commitment rate. “About per year” for a prepaid plan is our arithmetic on the billing cycle the clinic prints.
Who should pick which
Pick 1st Optimal if
- you want peptides or comprehensive labs, which Blokes does not list
Pick Blokes if
- you want the lower 12-month cost without committing: about $1,188 against $2,028 for 1st Optimal, on our cost model
- you want 1:1 coaching, which 1st Optimal does not list
Pros & cons
1st Optimal
Pros
- + Deep, context-rich lab work
- + Metabolic & thyroid screening
- + Peptide options available
Cons
- No criterion where it scores below Blokes, and no state restrictions.
Blokes
Pros
- + 1:1 coaching + unlimited messaging included
- + Quarterly lab panels bundled (no separate lab bill)
- + FinvsFin #1-ranked online TRT clinic 2026
Cons
- − Not available in 16 states
- − Weaker on Transparency (4.0 vs 8.5/10)
- − Weaker on Clinical Oversight (7.5 vs 8.5/10)
The bottom line
After scoring all 39 clinics on our 5-criterion rubric (price & value, clinical oversight, treatment options, user experience and transparency), 1st Optimal (8.1/10) comes out ahead of Blokes (7.0/10). But the right choice still depends on what matters most to you.
Choose 1st Optimal if you want best for comprehensive labs. From $169/mo with a 120-day minimum, billed monthly.
Visit 1st Optimal →Choose Blokes if you want best coached trt. From $99/mo on a 12-month plan ($1,188 upfront).
Visit Blokes →Editor's overall pick
Not sold on either? Our highest-rated clinic overall is Male Excel (8.1/10), from $99/mo membership; medication billed on top. Read the review →
Ready to start TRT?
Our verdict for this matchup is 1st Optimal.
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How we score: every clinic is rated on five weighted criteria from documented evidence. Prices are checked weekly by an automated job against each clinic's live page; a price unconfirmed for 45 days is automatically relabeled “Last confirmed” instead of “Verified.” Scores are never influenced by affiliate commissions. “Visit” buttons are affiliate links that support our work. Educational information only. Not medical advice.