Fountain TRT vs Keeps TRT: Which TRT Clinic Is Better in 2026?
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Short answer
Fountain TRT wins overall, scoring 7.8/10 vs 6.3/10, mainly on transparency and treatment options.
Fountain TRT wins overall, scoring 7.8/10 vs 6.3/10.
Fountain TRT
All-inclusive concierge TRT with a real choice of route (injections, topical cream or enclomiphene) from $199 per 4-week cycle, cheaper if you prepay.
from $199/4 wks
Visit Fountain TRT
Well-known brand (from hair loss) with a simple digital sign-up. A promotional $49 covers labs, consult and plan, but ongoing treatment cost isn't shown until after the eligibility quiz.
Price on consultation
Visit Keeps TRTFountain TRT vs Keeps TRT, side by side
| Feature | Fountain TRT | Keeps TRT |
|---|---|---|
| Our score | 7.8/10 | 6.3/10 |
| Starting price | $199/4 wks | Price on consultation |
| Treatment types | injections, cream, enclomiphene | injections, oral testosterone (ODT), enclomiphene |
| Best for | Best All-Inclusive Concierge Care | Best for Beginners |
| Overall ranking | #7 | #27 |
| Price & Value (25%) | 7.0 | 6.0 |
| Clinical Oversight (25%) | 8.0 | 7.0 |
| Treatment Options (20%) | 8.0 | 6.0 |
| User Experience (15%) | 8.5 | 8.5 |
| Transparency (15%) | 7.5 | 4.0 |
Sources: Fountain TRT pricing verified on fountain.net, Keeps TRT pricing verified on jointitan.com
Fountain TRT vs Keeps TRT: plans, price and what's included
Both offer injections and enclomiphene. Only Fountain TRT lists cream; only Keeps TRT lists oral testosterone (ODT).
| Fountain TRT | Keeps TRT | |
|---|---|---|
| Starting price | from $199/4 wks | Price on consultation |
| Plans it publishes |
| One published rate |
| Commitment | None on the Starter plan. The Standard and Pro plans are paid upfront for 12 or 48 weeks. (fountain.net, read Oct 14, 2026) | No minimum term stated. The membership fee is charged every 84 days and medication every 12 weeks until you cancel. (jointitan.com, read Oct 14, 2026) |
| Labs | Initial and follow-up labs included (fountain.net, read Sep 18, 2026) | Initial and follow-up labs included (jointitan.com, read Sep 11, 2026) |
| What the price covers | Rate holds? Not stated | Total not verified |
| First month | $199 | Not modeled |
| 12 months, no commitment | $2,595 | Not modeled |
| Cancelling | Cancel at any time by contacting Fountain; the account closes at the end of the current billing period. Its pages do not say whether unused weeks of a prepaid plan are refunded. (fountain.net, read Oct 14, 2026) | Email trt@keeps.com at least 48 hours before the current billing cycle ends. Membership and medication fees are not refunded once charged. (jointitan.com, read Oct 14, 2026) |
| Formats | injections, cream, enclomiphene | injections, oral testosterone (ODT), enclomiphene |
| States served | 25 of 51 (not: AL, AK, AR, CT, DE, GA, HI, KS, KY, LA, ME, MA, MS, MO, NV, NH, ND, OK, RI, SC, SD, TN, VT, WV, WY, DC) (fountain.net, read Sep 18, 2026) | State list not on file |
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 Fountain TRT if
- you want cream, which Keeps TRT does not list
Pick Keeps TRT if
- you want oral testosterone (ODT), which Fountain TRT does not list
Pros & cons
Fountain TRT
Pros
- + Three delivery routes: injections, topical cream or enclomiphene
- + All-inclusive membership. Labs, video visits and medication in one fee
- + Optional ancillaries (anastrozole, tadalafil) named publicly
Cons
- − Not available in 26 states
Keeps TRT
Pros
- + Trusted, established brand
- + Fast digital onboarding
- + $49 promotional entry covers bloodwork, consult and plan
Cons
- − Weaker on Transparency (4.0 vs 7.5/10)
- − Weaker on Treatment Options (6.0 vs 8.0/10)
- − Weaker on Price & Value (6.0 vs 7.0/10)
The bottom line
After scoring all 39 clinics on our 5-criterion rubric (price & value, clinical oversight, treatment options, user experience and transparency), Fountain TRT (7.8/10) comes out ahead of Keeps TRT (6.3/10). But the right choice still depends on what matters most to you.
Choose Fountain TRT if you want best all-inclusive concierge care. From $199/4 wks.
Visit Fountain TRT →Choose Keeps TRT if you want best for beginners. Price on consultation.
Visit Keeps TRT →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 Fountain TRT.
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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. “Pick the program” buttons are affiliate links that support our work. Educational information only. Not medical advice.