TTRT Picks

LifeMD vs Keeps TRT: Which TRT Clinic Is Better in 2026?

✓ 39 clinics scored independently✓ Checked weekly against each clinic's live page✓ Scores from evidence · partners first at equal scores

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Short answer

LifeMD wins overall, scoring 7.1/10 vs 6.3/10, mainly on treatment options and user experience.

Our pick: LifeMD

LifeMD wins overall, scoring 7.1/10 vs 6.3/10.

Winner
#18 of 39

LifeMD

7.1

Publicly traded telehealth company (NASDAQ: LFMD) whose men's program prescribes FDA-approved testosterone (cypionate injections, 1.62% gel or the XYOSTED autoinjector) after required labs, with follow-up labs at 3 and every 6 months. It publishes no TRT price.

Price on consultation

Visit LifeMD
#27 of 39

Keeps TRT

6.3

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 TRT

LifeMD vs Keeps TRT, side by side

FeatureLifeMDKeeps TRT
Our score7.1/106.3/10
Starting pricePrice on consultationPrice on consultation
Treatment typesinjections, gel, autoinjector (XYOSTED), clomiphene, sermorelininjections, oral testosterone (ODT), enclomiphene
Best forBest for FDA-Approved OptionsBest for Beginners
Overall ranking#18#27
Price & Value (25%)6.06.0
Clinical Oversight (25%)8.07.0
Treatment Options (20%)8.56.0
User Experience (15%)6.58.5
Transparency (15%)6.04.0

Sources: LifeMD pricing verified on lifemd.com, Keeps TRT pricing verified on jointitan.com

Pros & cons

LifeMD

Pros

  • + Labs required before any prescription, with follow-ups at 3 months and every 6 months
  • + FDA-approved options: cypionate injections, 1.62% gel and the XYOSTED autoinjector
  • + At-home Tasso kit, LabCorp or Quest for bloodwork

Cons

  • − Weaker on User Experience (6.5 vs 8.5/10)

Keeps TRT

Pros

  • + Trusted, established brand
  • + Fast digital onboarding
  • + $49 promotional entry covers bloodwork, consult and plan

Cons

  • − Weaker on Treatment Options (6.0 vs 8.5/10)
  • − Weaker on Transparency (4.0 vs 6.0/10)
  • − Weaker on Clinical Oversight (7.0 vs 8.0/10)

The bottom line

After scoring all 39 clinics on our 5-criterion rubric (price & value, clinical oversight, treatment options, user experience and transparency), LifeMD (7.1/10) comes out ahead of Keeps TRT (6.3/10). But the right choice still depends on what matters most to you.

Choose LifeMD if you want best for fda-approved options. Price on consultation.

Visit LifeMD →

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 LifeMD.

Related comparisons

Male Excel vs LifeMD→Male Excel vs Keeps TRT→1st Optimal vs LifeMD→1st Optimal vs Keeps TRT→Hone Health vs LifeMD→Hone Health vs Keeps TRT→

Top picks

Male Excel

8.1

from $99/mo membership; medication billed on top

1st Optimal

8.1

from $169/mo with a 120-day minimum, billed monthly

Hone Health

7.9

from $155/mo membership; medication billed on top

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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”/“Try” links may be affiliate links that support our work. Educational information only. Not medical advice.