Keeps TRT Review (2026)
Independently researched · scored on our public 5-criteria methodology
Summarize this page with
Well-known brand (from hair loss) with a simple digital sign-up — $49 covers labs, consult and plan, but ongoing treatment cost isn't shown until after the eligibility quiz.
Some links below may earn us a commission — see how we rank.
Keeps TRT has no signup link — Male Excel instead, which we may earn from →Short answer
Keeps TRT scores 6.3/10 (#20 of 20 clinics) — we rate it Best for Beginners. Keeps TRT does not publish a price before intake — the real cost depends on what you're prescribed.
Our verdict
Keeps TRT earns 6.3/10 and ranks #20 of 20online TRT clinics we've scored. We rate it Best for Beginners. Well-known brand (from hair loss) with a simple digital sign-up — $49 covers labs, consult and plan, but ongoing treatment cost isn't shown until after the eligibility quiz.
Is Keeps TRT legit?
How we checked it for this review.
- ✓ Connects you with U.S.-licensed clinicians for evaluation and prescriptions
- ✓ Requires lab work and ongoing monitoring (proper Schedule III handling)
- ✓ Scored independently on our public methodology — commissions never move the score
Independently verified on Trustpilot: 3.5/5 from 283 reviews (checked 2026-08-30). 227 of those (80%) are from the last 12 months — a rating resting mostly on old reviews reads differently than one built on recent ones. Covers Keeps' full product line (hair loss + TRT combined), not TRT-only. See reviews →
Confirmed regulatory action on file
New York Attorney General (Letitia James) settlement with Thirty Madison, Inc. dba Keeps — settled 2026-08-24, $400,000.
Failed to clearly disclose subscription terms, non-refundable fees, and auto-renewal policies; made cancellation difficult ("customers had to complete multiple steps to cancel their subscriptions, causing consumers to receive several additional emails before the company honored a request to cancel").
Required remediation: Pay $400,000 to the state; improve subscription disclosures; ensure rapid cancellation processing; refund eligible subscribers who filed complaints; provide restitution to those charged after requesting cancellation or for unshipped products; automatically process certain refunds.
A government enforcement action confirming or alleging deceptive billing, cancellation, or data-handling practices caps this provider's transparency score the same way an open FDA warning letter does — one cap regardless of how many actions are on file. See our editorial policy →
“Testosterone deficiency doesn't kill people as far as we know but it is really an important symptomatic condition that affects quality of life.”
Sources: Trustpilot
Third-party records
What we found outside Keeps TRT's own site — BBB, its named pharmacy partner (or lack of one), and whether it publishes a real HIPAA notice.
Better Business Bureau
A+ rating · not BBB accredited · 47 complaints filed (checked 2026-08-30)
47 complaints filed over 3 years; 17 closed in the last 12 months. 0 currently unanswered on the BBB record itself — see the separate, independently-confirmed 2026-08-24 NY Attorney General settlement over subscription-disclosure practices, reported on this provider's review page.
Pharmacy partner
Keeps TRT does not name the specific pharmacy that fills or compounds its medications (checked jointitan.com / keeps.com, 2026-08-30). That is the norm for this category, not unusual for Keeps TRT specifically — most providers we've checked don't name one either. Site language refers only to "U.S. licensed pharmacies," generic.
HIPAA disclosure
Published — a real HIPAA-specific notice, checked 2026-08-30. Published, one level removed: Keeps' own privacy policy defers to a shared "Thirty Madison KMG Notice of Privacy Practices" covering all of Thirty Madison's brands — real HIPAA language, explicitly naming Keeps as a covered brand.
What patients say in public forums
Unverified, self-reported experience from Reddit and other public forums — not part of our scoring evidence, and not representative of typical outcomes. Searched: r/Testosterone, r/trt, r/steroids, r/PeterAttia.
No discussion found under this provider's name, checked 2026-08-30.
Checked 2026-08-30. Searched via web search only.
Choose Keeps TRT if
- + You want best for beginners
- + You're looking for injections
- + You're looking for cream
Skip Keeps TRT if
- − Transparency & Trust scores lower (4.0/10)
- − Price & Value scores lower (6.0/10)
- − Treatment Options scores lower (6.0/10)
Keeps TRT pros & cons
What we like
- + Trusted, established brand
- + Fast digital onboarding
- + $49 entry covers bloodwork, consult and plan
What could be better
- − Transparency & Trust scores lower (4.0/10)
- − Price & Value scores lower (6.0/10)
- − Treatment Options scores lower (6.0/10)
How much does Keeps TRT cost?
Keeps TRTdoesn't publish pricing online — contact them directly for a personalized quote.
The $49 covers the initial blood panel, clinician consultation and personalized plan. Ongoing medication and membership costs aren't disclosed publicly — they appear only after the eligibility quiz.
Classified as “Total not verified” — see how we classify every clinic's price →
Sources: Pricing verified on jointitan.com
Quick facts
| Our score | 6.3/10 |
| Starting price | Price on consultation |
| Treatment types | injections, cream |
| Availability | All 50 states + DC |
| Insurance | Typically cash-pay (HSA/FSA often eligible) |
| Overall rank | #20 of 20 |
Score breakdown
How Keeps TRT works
- 1. Online intake. Complete a medical questionnaire about your symptoms and health history.
- 2. Bloodwork. Because testosterone is a Schedule III controlled substance, you'll do lab testing (at-home kit or a local lab) — never a questionnaire-only prescription.
- 3. Clinician review & delivery. A licensed clinician reviews your labs and, if appropriate, prescribes treatment shipped discreetly to your door, with ongoing monitoring.
Frequently asked questions
How much does Keeps TRT cost?
Keeps TRT doesn't publish pricing online — contact them directly for a personalized quote.
Does Keeps TRT take insurance?
Like most online TRT clinics, Keeps TRT generally operates cash-pay, though HSA/FSA funds are often eligible. Confirm directly at checkout.
Do I need bloodwork for online TRT?
Yes. Testosterone is a Schedule III controlled substance, so reputable clinics require lab work and ongoing monitoring — never a questionnaire-only prescription.
Is Keeps TRT available in my state?
Keeps TRT is available in All 50 states + DC. Telehealth TRT rules vary by state.
Alternatives to Keeps TRT
Helpful tools
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Keeps TRT has no signup link — Male Excel is our next pick, and one we may earn from.
Visit Male Excel →Top picks
Alexandru Vieru · Founder & Editor
Alexandru Vieru is the founder and editor of TRT Picks. He independently researches and verifies every clinic's pricing, treatment options and policies, and maintains the 5-point scoring model used across the site. He is not a licensed medical professional — every clinical claim is sourced to a primary reference (FDA, manufacturer pages, or peer-reviewed studies), and nothing here is medical advice.
Price on consultation — no public rate to verify. Scores are derived from our documented methodology and are never influenced by affiliate commissions. Educational information only — not medical advice.