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.
Hims 6.5/10
2 open FDA warning letters · FTC, joined by California and Utah lawsuit
NRG Clinic 6.7/10
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Vita Bella Health 7.0/10
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Fountain TRT 7.5/10
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Marek Health 7.6/10
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Peter MD 7.6/10Affiliate partner
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
MangoRx 7.6/10Affiliate partner
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
TRT Nation 7.7/10
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Hone Health 7.8/10Affiliate partner
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Ulo 7.8/10
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Ageless 7.8/10Affiliate partner
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Male Excel 8.0/10Affiliate partner
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
DudeMeds 8.0/10Affiliate partner
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Rugiet 8.0/10
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
1st Optimal 8.1/10
No FDA letter, government action, or negative BBB record found — scored lower on the rubric alone.
Viking Alternative Medicine 8.1/10
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 →.