1st Optimal vs Blokes: Which TRT Clinic Is Better in 2026?
1st Optimal wins overall, scoring 7.6/10 vs 7.6/10. 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 $166/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 | 7.6/10 | 7.6/10 |
| Starting price | $166/mo | $99/mo |
| Treatment types | injections, peptides, comprehensive labs | injections, 1:1 coaching |
| Best for | Best for Comprehensive Labs | Best Coached TRT |
| Overall ranking | #14 | #15 |
| Price & Value (25%) | 6.0 | 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%) | 8.0 | 8.0 |
Pros & cons
1st Optimal
Pros
- + Deep, context-rich lab work
- + Metabolic & thyroid screening
- + Peptide options available
Cons
- − Weaker on Price & Value (6.0/10)
- − 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 Treatment Options (7.0/10)
- − Weaker on Price & Value (7.5/10)
- − Weaker on Clinical Oversight (7.5/10)
The bottom line
After scoring all 20 clinics on price, clinical oversight, treatment options, experience and transparency, 1st Optimal (7.6/10) comes out ahead of Blokes (7.6/10) — but the right choice depends on what matters most to you.
Choose 1st Optimal if you want best for comprehensive labs — from $166/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 Defy Medical (8.2/10) from $200/mo — read the review →
Ready to start TRT?
Our verdict for this matchup is 1st Optimal.
Related comparisons
Top picks
How we score: every clinic is rated on five weighted criteria from documented evidence, re-verified monthly. Scores are never influenced by affiliate commissions. “Visit”/“Try” links may be affiliate links that support our work. Educational information only — not medical advice.