Latest news with #TestosteroneReplacement
New York Post
18-07-2025
- Health
- New York Post
7 best sites to buy testosterone online in 2025
New York Post may receive revenue from affiliate and advertising partnerships for sharing this content and/or when you make a purchase. Whether you've searched the internet far and wide for the best TRT clinics, can't seem to escape posts about 'Low T' on social media, or just so happened to stumble upon this guide, you likely have more questions than answers when it comes to accessing online testosterone therapy. Most people are familiar with the physical and emotional changes associated with menopause, but the hormonal changes that men face in their late forties and fifties have also come into the conversation. Now, more experts are raising awareness about plummeting testosterone levels in men — a phenomenon often referred to as 'Andropause.' While it's natural for men's testosterone levels to fall as they age, the gap appears to be widening over time, and some experts have expressed concern. A 2023 study in the Journal of Clinical Endocrinology revealed that testosterone levels in American men have dropped at a rate of roughly 1% per year. Advertisement 'It's not just guys over 50,' explained Deep Patel, the co-founder of Ulo, a telehealth clinic that has recently expanded into the TRT space. 'More and more men in their 20s, 30s, and 40s are dealing with low T. A lot of it comes from stress, lack of sleep, diet, or genetics. And then there's the stuff you can't really control, like microplastic exposure.' post wanted picks Best TRT Clinic Overall: Ulo Ulo Best Alternative TRT Clinic: Hims Hims Best Holistic TRT Clinic: Hone Hone Best Quick Online TRT Clinic: PeterMD PeterMD Best TRT Prescription Alternative: Ro Patel and many other experts in the field have seen a growing demand for TRT services. But what is TRT, exactly? Testosterone Replacement Therapy is a treatement used to restore the male hormone to normal, healthy levels. There are a few forms of testosterone treatment available: injections, gels, and tablets. Advertisement There are several potential benefits of TRT, according to Patel: 'More energy, better workouts and faster recovery, higher libido, clearer thinking and focus, emotional stability, and a sense of drive and confidence that returns,' Patel shared. The efficacy of this type of treatment is well-documented for men with low testosterone, yet it can still be challenging for people less familiar with TRT to find sites to buy testosterone online that are reputable, transparent, and safe. To evaluate the best TRT clinics, The Post consulted several experts in the men's hormone space and vetted offerings across a number of telehealth sites, finding options that meet a range of needs, including clinics with personalized TRT programs, TRT alternatives, and the most affordable options for every man. Read on for our expert-backed guide to the best TRT clinics. Advertisement Best TRT Clinic Overall: Ulo Ulo Pros: The treatement is tailored to each person's needs and goals No charges until the prescription is approved by the provider Men can consider different forms of treatment, including injections, gels, and oral medication Cons: Service availability may vary by state due to different telehealth regulations After developing a telehealth platform that supports men's daily struggles (including hair loss and regrowth), Ulo expanded into the TRT space with personalized care for men at every stage of life. To get a TRT prescription at Ulo, patients must first complete a simple, at-home blood test. Then, a licensed physician will look at your lab work, discuss your history, and together, you can work out an appropriate course of treatment. Nobody is charged until they're prescription is approved by the provider. Ulo's founders have worked to create a platform that is user-friendly, highly responsive, and tailored to individuals' needs. It's not just about treating a problem, but looking at the whole picture — and this is the type of care you'll receive at Ulo. Price: $50 per blood test. Starts at $159/month for testosterone injections, $169/month for testosterone topical gel, and $189/month for oral medication. Best Alternative TRT Clinic: Hims Hims Pros: Hims offers a full suite of healthcare services, so you can access more than testosterone treatment Pricing starts at just $39/month with flexible plans available Dual-action treatments are available to target multiple health goals at once Cons: Hims does not offer testosterone injections Designed to support men every step of the way, Hims is among the most popular telehealth sites offering a range of healthcare solutions. The site is not just for men seeking TRT, but also offers weight loss support, anxiety medication, erectile dysfunction treatement, and more. Getting started is simple. Users will be directed to answer some basic health questions, and then they're connected with a provider who can review their information and create a personalized plan. While the brand does not offer testosterone injections, patients can still access other types of TRT as well as some treatments with dual-action benefits, so you can take care of hormone support in addition to other needs at the same time. Price: The price of medications varies, with Sex Rx + Testosterone Support starting at $39/month. Best Holistic TRT Clinic: Hone Hone Health Pros: Hone considers more than just testosterone with its in-depth biomarker testing Completely personalized TRT protocols based on individual hormone levels and symptoms Hone offers naturual supplements in addition to injections, gels, and tablets Cons: Service availability may vary by state due to different telehealth regulations For a more holistic approach to testosterone testing and treatement, consider Hone. This online clinic starts patients off with Doctor-designed blood tests, which evaluate 50 biomarkers, looking beyond testosterone to see the whole picture. It's more detailed and in-depth than some other blood tests, which could potentially flag other issues affecting hormone levels. After considering health history and individual goals, Hone formulates a plan to help patients optimize their healthspan. Treatment options include injections, gels, and tablets, as well as naturual supplements for testosterone and thyroid support. Price: $60 per Biomarker Test. Starts at $25/month for discounted access to a limited number of medications that don't require lab testing, and $149/month for everything Hone offers: regular lab testing, physician consults, and full access to our medications. Best Quick Online TRT Clinic: PeterMD PeterMD Pros: Patients can submit recent lab work to skip blood testing and get a prescription/treatement faster User-friendly website, simple to navigate different treatement options, and get signed up fast In-depth blood panels look beyond testosterone levels Cons: PeterMD offers tablets and injections, but no testosterone creams or gels Whether you're looking to up your libido, get more out of your workouts, or fight hair loss, PeterMD offers the support you need to find a solution. For men interested in TRT, PeterMD has a few paths to getting started. Men who have had their lab work done in the past six months can skip the blood-testing step and send their results right to PeterMD for evaluation. If you haven't had the necessary tests done, PeterMD will take care of that, too. There are a few different panels to select from, including a simple testosterone assessment panel, an optimization panel, a comprehensive panel, and a diagnostics panel that offers deeper insights into things like tumor markers, brain health, heavy metal exposure, and more. While this TRT clinic does not offer gels or creams, patients can still choose between oral treatement or injections. Pricing: Testosterone Assessment Panel starts at $95, and testosterone treatment starts at $99/month Advertisement Best TRT Prescription Alternative: Ro Testosterone Support Supplements Ro Pros: Ro offers a dietary supplement that supports testosterone production without hormones (a good alternative for those seeking natural solutions) All of the ingredients in Ro's Roman Tesosterone support have been researched and vetted by Doctors This formulation is said to be fast-working; ingredients are absorbed into the body in hours Cons: May not be suitable for those seeking medication Requires four tablets daily, not ideal for people who struggle with swallowing pills Not everyone is ready to jump into TRT headfirst. If you're more interested in natural testosterone support (or prefer not to wait for a blood test or prescription), head right to Ro. Ro's physicians have designed a hormone-free supplement that helps support hormone production naturally, while also delivering a dose of key ingredients: magnesium for muscular health, maca for emotional stress, and ashwagandha to help with testosterone production. This is not the same as TRT, but it's a wonderful alternative for those interested in whole-body health, and it starts at just $35 a month. Pricing: $35/mo and save $72/year when you choose a quarterly plan Best TRT Oral Treatement: MangoRX MangoRX Pros: MangoRX offers Kyzatrex, an FDA-approved oral tablet that has shown high efficacy Patients can choose between a 30-day or 60-day supply, which requires fewer frequent refills Cons: This site only offers oral tablets, no injections, creams, or gels Pricier than some other options MangoRX is an innovative men's health clinic that makes it easy to take care of all your needs in one place. The site doesn't offer as many testosterone treatments as some competitors, but the process is simple: jump on a call with a board-certified physician, request a blood kit shipped to your front door, receive a prescription, and start with a simple, FDA-approved once-a-day pill. They're single option — Kyzatrex — has shown high efficacy in restoring testosterone levels to normal ranges. Oral tablets are also a great alternative for people who struggle with injections. Patients can also pick between a 30-day or 60-day supply, which requires fewer frequent refills. Pricing: An initial visit and 60-day supply start at $249/month (first month free) Best Online TRT Clinics FAQs The Post consulted three men's health experts to answer some frequently asked questions about the best sites to buy testosterone online. How do you get a TRT prescription? To get a TRT prescription, telehealth clinics typically require a blood test. Testosterone blood tests measure the amount of the male hormone in the blood. The normal range is considered to be anywhere between 300 and 1,000 nanograms per deciliter, but physicians also consider symptoms, as well as medical history, before writing up a prescription. 'Legally, it starts with comprehensive bloodwork, followed by a consultation with a licensed medical provider. If clinical symptoms align with hormone deficiencies confirmed by lab results, the provider may prescribe TRT,' explained Tomo Marjanovic, the owner of Aspire Rejuvenation Clinic, a wellness center specializing in personalized hormone therapy. Marjanovic has warned that a TRT prescription is not something that you should be able to get from a simple online form because it's a medical therapy that needs real evaluation, not 'checkbox medicine.' How do you choose the best site to buy testosterone online? Thousands of online men's health clinics offer TRT online, but finding a credible and affordable option can be more challenging. Experts recommend buying testosterone from sites that are transparent with their process, offer a tailored approach for each patient, and maintain an open line of communication between people and Doctors. 'Search for a company that emphasizes medical care rather than product. TRT usage requires lab testing, the involvement of a physician, and thorough follow-up based on data,' Patel, the co-founder of Ulo, suggested. 'If those elements are not prominently indicated on the company's website, step away and search for another option.' What are the risks and side effects of TRT? Advertisement While TRT is generally considered safe for long-term use, TRT clinics should always outline potential risks and coordinate follow-up appointments to discuss any potential side effects. 'TRT does come with risks that need to be taken seriously,' shared Patel, who explained that the most common side effects include acne, water retention, or elevated red blood cell counts, which can thicken your blood. 'Some men experience testicular shrinkage or reduced fertility, ' he added. 'There are also concerns about cardiovascular risks in certain populations, particularly men with existing heart conditions.' Earlier this year, the FDA also issued class-wide labeling changes for TRT. The label language on all testosterone products must now include the risk of adverse cardiovascular outcomes and increased blood pressure. What form of testosterone offers the best results? Advertisement Currently, testosterone injections are the most popular form of treatment for low testosterone, but gels, creams, and oral tablets are also available. 'Injections, particularly shallow daily intramuscular or subcutaneous dosing, consistently offer the most predictable and stable results. Gels can work for some, but are inconsistent in absorption. Pellets are convenient but make dose adjustments difficult and can cause hormone spikes or crashes,' Marjanovic explained. 'I always say it's more about the patient's physiology and lifestyle, which delivery method to use, and not just 'convenience'.' An article in The Journal For Nurse Practitioners found that Depo-Testosterone was the most cost-efficient TRT option, and Androderm was the most efficacious TRT medication, with up to 92% of patients reaching normal testosterone levels with consistent use. Are there any online TRT clinics that accept insurance? There are some TRT clinics that accept insurance, but details vary on the type of treatement and specific diagnoses. Most insurance providers require TRT candidates to provide documentation of symptoms and lab work that indicates their testosterone has fallen below the normal levels. What's the cheapest online TRT clinic? Advertisement Many online TRT clinics offer competitive pricing options. PeterMD, for example, gives patients the option to submit previous lab work, which can save money up front. Ulo does not charge patients until their prescription is approved by the provider, so you can get started at no risk. This article was written by Miska Salemann, New York Post Commerce Writer/Reporter. As a health-forward member of Gen Z, Miska seeks out experts to weigh in on the benefits, safety and designs of both trending and tried-and-true fitness equipment, workout clothing, dietary supplements and more. Taking matters into her own hands, Miska intrepidly tests wellness products, ranging from Bryan Johnson's Blueprint Longevity Mix to home gym elliptical machines to Jennifer Aniston's favorite workout platform – often with her adorable one-year old daughter by her side. Before joining The Post, Miska covered lifestyle and consumer topics for the U.S. Sun and The Cannon Beach Gazette.
New York Post
09-06-2025
- Health
- New York Post
What is TRT? Experts weigh in on male ‘Manopause' and how to treat low testosterone, safely
New York Post may receive revenue from affiliate and advertising partnerships for sharing this content and/or when you make a purchase. There's no denying it. RJK Jr. has explored a few controversial ideas, particularly in the health and wellness sector. But, regardless of where you stand on his views, one thing is hard to deny. Looking back at those viral videos of him pumping weights at Gold's Gym back in 2023, he was in phenomenal shape for a man his age — biceps bulging, chest chiseled, pecks defined. He could have been an amateur bodybuilder. For a nearly 70-year-old, he was ripped. Shortly after the videos surfaced, rumors began buzzing that Kennedy was on steroids. He promptly denied it, instead crediting his disciplined 35-minute workout routine. There was one other thing he mentioned. 'I take testosterone replacement, which are appropriate to my age, and then I take a big fistful of nutrients,' he explained in an interview with Newsmax. Hormonal changes associated with menopause are not so secret. Women are warned about hot flashes, mood swings, and decreased periods — all of which have been studied and scrutinized for as long as most of us can remember. But Man-opause? Until recently, it has remained a blind spot in the scientific community. The age-related decline in testosterone levels, sometimes called Andropause — or 'Manopause' colloquially — has often been met with more questions than answers. Emerging research has begun to spark conversations around male aging and hormonal health. A 2023 study in the Journal of Clinical Endocrinology revealed that testosterone levels in American men have dropped about 1% per year since the 1980s. The decline can not be attributed to aging alone. Find Out About Our Top TRT Pick Ulo Ulo Feeling low on energy? Ulo offers a personalized approach to testosterone replacement therapy (TRT), starting with an at-home lab test and virtual consultation with a licensed provider. If TRT is recommended, treatment options — including injections, gels, and oral medications — are delivered straight to your door. Plans start at $159/month. You'll only be charged if a provider determines treatment is appropriate and writes a prescription. Treatment is currently available in select states and includes ongoing support throughout your plan. Learn more about how it works and if it's available in your state at Ulo's website. LEARN MORE Some endocrinologists have studied the root causes, suspecting the decline is due to the increase in ultra-processed foods, pesticides, as well as drug use, and other environmental concerns. Others are focused on the best ways to raise levels back to the normal range. For people like Deep Patel, co-founder of the telehealth company Ulo, the statistic was a catalyst for exploring Testosterone Replacement Therapy (TRT) as a potential solution. 'It's like the male version of menopause, except no one acknowledged it until recently,' Patel told the New York Post. 'And look, the data backs this up. Endocrinologists have documented a population-wide decrease in testosterone levels over the past few decades. It's not just in people's heads.' Testosterone levels typically begin to decline when men reach their forties, at which point, some will start to experience a range of symptoms, everything from hair loss and lowered libido to decreased muscle mass and fatigue. Some of these changes are to be expected, but others can reveal a larger condition, hypogonadism. Men with particularly low levels of testosterone — 'Low T,' as the guys say — could also suffer from erectile dysfunction, osteoporosis, and even infertility. To determine whether levels are healthy or low, men can take a TRT test. These blood tests, typically administered in the morning when levels peak, examine the amount of the male hormone present in the blood. The normal range is considered to be anywhere between 300 and 1,000 nanograms per deciliter. For men outside the normal range, some Doctors recommend trying TRT, the routine that RFK Jr. and millions of others have embraced as part of their anti-aging and health protocols. On TikTok, the tag 'TRT Before and After' has amassed thousands of videos and millions of views showcasing brawny men flexing their quads and joking about their sudden burst of energy and newfound sex drives. Unlike Kennedy, many of these men are still young, in their twenties and thirties. TRT has become more accessible through providers and online TRT companies like Ulo, but it's essential to recognize that it's only FDA-approved for specific conditions, such as hypogonadism or diminished functional activity of the gonads. TRT is not FDA-approved for men with low levels due to aging or other non-medical reasons. Medical experts still have varying opinions on treatment. Some believe that the 'normal range' does not sufficiently identify men who could benefit from TRT. Others take a more conservative approach, warning that the potential side effects outweigh the benefits and that TRT should be reserved for men with particularly low levels. Testosterone Replacement Therapy FAQs To break down the myths surrounding manopause and TRT, The Post spoke with three experts who have years of experience in the men's health field. Testosterone levels naturally decline with age, but what's considered 'normal' can vary widely by individual. This chart shows average total testosterone ranges (measured in ng/mL) by age group. If you're experiencing symptoms of low testosterone, speak with a licensed medical provider to determine whether treatment is appropriate for you. Peter Hermes Furian – Is testosterone declining in America? Testosterone levels have declined substantially over the last couple of decades, and experts believe several factors may be contributing to these changes. 'Right now, testosterone is declining in American men of all age groups, young and old. No one is talking about that,' shared Dr. Michael Aziz, the author of 'The Ageless Revolution' and an anti-aging internist and regenerative physician specialist at Lenox Hill Hospital in New York City. Azis believes that the decline in level is tied to several environmental problems, dietary changes, and how men socialize. 'This has to do with increased consumption of ultra-processed food, use of pesticides, excess alcohol, legalization of recreational drugs, smoking, and trans fats,' he said. What are the ideal testosterone levels? Most medical centers and experts considered normal testosterone levels to land anywhere between 300 to 1,000 nanograms per deciliter. However, age is also an important factor. Azis explained that it is important to look at each patient individually in order to determine whether their levels are considered normal. 'If testosterone levels are checked, the lab reference is wrong, as it groups all men. Lab levels are 300-1000 nanograms per deciliter, so men in their twenties who are supposed to have a testosterone of 1,000 are placed in the same category as 80-year-old men with levels of 300,' he stated. As a result, Azis explained that some young people with low levels are told that their results are normal when, in reality, they could be ideal candidates for TRT. 'Many men suffer as doctors treat those men with drugs for depression or ED pills, versus looking at testosterone levels,' Azis warned. What is TRT, and how is TRT used to treat low testosterone? Mostafa Abu-Hijlih, a nurse practitioner practicing at Grand Central Men's Health in NYC, says that TRT has been a game-changer for her patients. She always felt there was a gap in clinical spaces for men to discuss issues that have been historically stigmatized, but TRT opened up the conversation. 'Testosterone Replacement Therapy is a medical treatment used to optimize testosterone levels in men and women when indicated, ' Abu-Hijlih explained. 'Testosterone is responsible for energy levels, libido, muscle mass, and bone density, and has been shown to improve REM sleep time when optimized.' TRT works by replenishing the lost testosterone that the body is not producing naturally. It's not about taking extra testosterone but rather restoring the body to a healthy, normal level. Abu-Hijlih pointed out that the dosage depends on what is needed for each patient, and testosterone levels should be continuously monitored to determine the appropriate dose. How is TRT administered? According to Abu-Hijlih, there are a few different options for TRT patients when it comes to how testosterone is administered and absorbed. blackday – TRT is administered through a variety of modalities, including weekly intramuscular injections, topical cream, implantable pellets, or even intranasal nose spray,' she noted. 'Really depends on a combination of clinical results, patient preference, and tolerability.' It's not uncommon for patients to try different administration techniques until they find the one that works best for them. About 90% of Abu-Hijlih's patients undergo TRT via a weekly intramuscular injection into their arm or their glutes. What are the benefits of TRT? The benefits of TRT include increased energy, improved sleep quality, higher libido, enhanced intimate performance, and better results at the gym. Abu-Hijlih described how many patients begin to feel young again, with more motivation to participate in all the activities they used to love, but no longer had the energy for. 'The improvement in overall quality of life is always incredibly gratifying to witness,' she shared. 'They walk in standing taller, [with] higher levels of confidence, regained energy levels to work out at the gym again, and have a bounce in their step that makes it a very gratifying experience for both the patients and the provider.' Research has also revealed that TRT is an effective option for addressing psychological and sexual symptoms associated with hypogonadism. A 2019 study on prescription testosterone found that 52% of men claimed testosterone improved their energy, 42% saw improvements in their libido, and 29% reported muscle growth. Who can benefit from TRT? Deep Patel is not a physician, but he has built his career around solving real-world problems that men deal with every day. His telehealth company, Ulo, has been working to make TRT more accessible to men than ever before, and he says that their services are not bound to men over 50. Younger men can benefit from TRT, too. 'More and more men in their twenties, thirties, and forties are dealing with low T,' Patel shared. 'About 40% of men over 45 have clinically low testosterone, but we're seeing younger guys affected too. If that sounds like you, it's worth getting your levels checked.' How to get TRT Many providers and telehealth sites offer TRT services. In many cases, the first step is taking a TRT test and speaking with a doctor about symptoms. Companies like Ulo treat patients holistically, considering their specific needs and tailoring the treatment to their individual symptoms. 'The biggest mistake people make is doing TRT without medical guidance or buying unregulated testosterone products online,' Patel said. 'At Ulo, we monitor every guy's complete bloodwork regularly, not just testosterone, but also things like hematocrit, estradiol, and lipid profiles — and adjust treatment accordingly to catch issues before they become problems.' Patel explained that the best way to minimize risk is to work with a legitimate provider who actually looks at your bloodwork and adjusts your protocol based on how your body specifically responds. How long does it take to see results from TRT? Patel explained that symptom relief can look different in everyone, but you shouldn't have to wait long to see the results. gn8 – 'As for results, most guys feel a difference within four to six weeks,' he noted. 'More energy, better mood, stronger libido. The body composition changes, like more muscle and less fat, usually take a bit longer, around two to three months.' Patel cited one TRT patient who knew the treatment was working when he woke up one morning and actually wanted to go to the gym for the first time in years. Is TRT safe? What are TRT risks? When properly monitored, research indicates that TRT can be safe long-term for most men. That said, every patient needs regular blood work to ensure their levels stay within a healthy range, according to Patel. 'TRT does come with risks that need to be taken seriously. The most common side effects include acne, water retention, or elevated red blood cell counts, which can thicken your blood,' he shared. 'Some men experience testicular shrinkage or reduced fertility. There are also concerns about cardiovascular risks in certain populations, particularly men with existing heart conditions.' Can TRT affect fertility? Yes, TRT can affect fertility, especially if you're not using anything to counteract it. TRT significantly suppresses natural testosterone production, which can also reduce sperm production. 'But if fertility matters to you, there are medications like HCG or enclomiphene that can be taken alongside TRT to preserve it,' Patel pointed out. In a 2021 study, over 90% of men maintained normal sperm counts when using these fertility-preserving medications with TRT. Patel stressed the importance of telling providers that fertility is a priority before they begin treatment. How much does TRT cost? Does insurance cover TRT? The cost of TRT varies depending on factors such as your insurance coverage, provider, treatment needs, and the location of the clinic. Some insurance providers do cover TRT, but patients must meet specific thresholds. Most providers require TRT candidates to have medical documentation that indicates their testosterone has fallen below the normal levels, as well as recorded symptoms like fatigue or low libido. If you're paying out of pocket, the cost of TRT will depend on the type of treatment. Most testosterone injections cost between $50 and $150, oral tablets around $300, and patches can reach $400. Some telehealth companies offer a range of treatments for a monthly subscription cost, which can range from $100 to $300 per month. Should you try TRT? Is it worth it? Patel has seen many men suffer from low testosterone firsthand. It's not uncommon for him to hear them say things like 'I can't focus like I used to,' 'I feel flat mentally, physically, sexually,' 'I've lost my drive,' or 'I just don't feel like me anymore.' Even after optimizing for sleep, diet, and everything else, their low testosterone was still impacting their everyday lives. Once they received treatment, things began to shift. 'They're not looking for shortcuts. They're looking to feel normal again,' Patel said. 'And, often they've tried everything else — better sleep, different diets, supplements, lifestyle changes. TRT is rarely the first thing they try, but for many with genuinely low levels, it's the solution that finally works.' TRT could be right for you, but, as with any new health treatment, it's important to consult your physician and explain your symptoms prior to making any changes to your regimen. This article was written by Miska Salemann, New York Post Commerce Writer/Reporter. As a health-forward member of Gen Z, Miska seeks out experts to weigh in on the benefits, safety and designs of both trending and tried-and-true fitness equipment, workout clothing, dietary supplements and more. Taking matters into her own hands, Miska intrepidly tests wellness products, ranging from Bryan Johnson's Blueprint Longevity Mix to home gym elliptical machines to Jennifer Aniston's favorite workout platform – often with her adorable one-year old daughter by her side. Before joining The Post, Miska covered lifestyle and consumer topics for the U.S. Sun and The Cannon Beach Gazette. 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