TTRT Picks

Ranked worst-first · full evidence per clinic

Lowest-Rated Online TRT Clinics

A low score here is a measurement against our published rubric, the same five-category methodology we use for every clinic, not an accusation. See our editorial policy →for exactly how it's calculated, including how an FDA warning letter or a confirmed government action caps a clinic's transparency score regardless of how it scores elsewhere.

Every entry below is labeled “Affiliate partner” when it is one, computed the same way as everywhere else on this site. Not curated for this page. A “worst of” list that quietly omitted our own partners, or hid their commission, would be exactly the failure this page exists to catch.

#39

The Man Clinic 4.6/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#38

Renew Vitality 5.0/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#37

REGENX Health 5.0/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#36

Prime Men's Health 5.3/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#35

Gameday Men's Health 5.9/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#34

FYRE Body 5.9/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#33

Hims 6.1/10

2 open FDA warning letters · FTC, joined by California and Utah lawsuit

#32

Taurus Meds 6.1/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#31

Opt Health 6.2/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#30

PeakPerforMAX 6.3/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#29

Fridays 6.3/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#28

TestDepot 6.3/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#27

Keeps TRT 6.3/10

New York Attorney General (Letitia James) settlement

#26

Zevay 6.3/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#25

NRG Clinic 6.4/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#24

Royal Medical Center 6.5/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#23

Henry Meds 6.8/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#22

Enhanced 6.8/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#21

Vita Bella Health 7.0/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#20

Blokes 7.0/10

1 open FDA warning letter

#19

TRT Nation 7.1/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#18

LifeMD 7.1/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#17

AlphaMD 7.2/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#16

HeydayMD 7.2/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#15

Maximus 7.2/10Affiliate partner

1 open FDA warning letter

#14

Viking Alternative Medicine 7.3/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#13

DudeMeds 7.3/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#12

GobyMeds 7.5/10Affiliate partner

BBB F, 4 unanswered complaints

#11

Peter MD 7.5/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#10

Marek Health 7.6/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#9

MangoRx 7.6/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#8

Ageless 7.8/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#7

Fountain TRT 7.8/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#6

Ulo 7.8/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#5

Rugiet 7.9/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#4

Defy Medical 7.9/10

BBB C, 1 unanswered complaint

#3

Hone Health 7.9/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#2

1st Optimal 8.1/10

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

#1

Male Excel 8.1/10Affiliate partner

No FDA letter, government action, or negative BBB record found. Scored lower on the rubric alone.

Ranking recalculates automatically from the same evidence used everywhere else on this site. Nothing here is hand-typed. Commission never moves a score; see affiliate disclosure →.