1st Optimal vs Blokes: Which TRT Clinic Is Better in 2026?
Summarize this page with
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.
1st Optimal wins overall, scoring 8.1/10 vs 7.0/10. If price is your priority, Blokes is cheaper at $99/mo.
1st Optimal
Maps your hormones within metabolic, thyroid and lifestyle context — thorough, with higher upfront labs.
from $169/mo
Visit 1st OptimalBlokes
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
Visit Blokes1st Optimal vs Blokes, side by side
| Feature | 1st Optimal | Blokes |
|---|---|---|
| Our score | 8.1/10 | 7.0/10 |
| Starting price | $169/mo | $99/mo |
| Treatment types | injections, peptides, comprehensive labs | injections, 1:1 coaching |
| Best for | Best for Comprehensive Labs | Best Coached TRT |
| Overall ranking | #2 | #17 |
| 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 blokes.co
Pros & cons
1st Optimal
Pros
- + Deep, context-rich lab work
- + Metabolic & thyroid screening
- + Peptide options available
Cons
- − Weaker on Price & Value (7.5/10)
- − Weaker on Treatment Options (8.0/10)
- − Weaker on User Experience (8.0/10)
Blokes
Pros
- + 1:1 coaching + unlimited messaging included
- + Quarterly lab panels bundled (no separate lab bill)
- + FinvsFin #1-ranked online TRT clinic 2026
Cons
- − Weaker on Transparency (4.0/10)
- − Weaker on Treatment Options (7.0/10)
- − Weaker on Price & Value (7.5/10)
The bottom line
After scoring all 20 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.
Visit 1st Optimal →Choose Blokes if you want best coached trt — from $99/mo.
Visit Blokes →Editor's overall pick
Not sold on either? Our highest-rated clinic overall is Male Excel (8.1/10), from $99/mo — read the review →
Ready to start TRT?
Our verdict for this matchup is 1st Optimal.
Related comparisons
Top picks
We email you when a price we track changes.
No spam, no daily digest — just the clinics you're comparing, when their verified price moves.
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”/“Try” links may be affiliate links that support our work. Educational information only — not medical advice.