Best Places to Buy Topical Testosterone Online
Pharmacist · Medical Writer · Product Development & Licensing
Topical testosterone can be a convenient option for people considering testosterone replacement therapy (TRT). It does not require injections, and it can usually be applied at home once a day. But not every online TRT provider offers the same type of topical treatment.
Some providers may prescribe FDA-approved testosterone gels, such as AndroGel or Testim, but most use compounded testosterone creams or gels made by specialty pharmacies. And in some cases, it may not be clear which option is available until after you complete an intake visit or lab testing.
That difference matters. Testosterone gels and creams are not the same product. They may have different strengths, application instructions, absorption patterns, drying times, and risks of transferring medication to another person through skin contact. FDA-approved gels have also gone through a different review process than compounded creams.
In this article, we compare four online providers that offer or may help patients access topical testosterone: Hone Health, Defy Medical, Fountain TRT, and Male Excel. We look at practical details such as cost, lab requirements, topical formulation options, cancellation policies, Trustpilot ratings, BBB status, and how transparent each provider is before you sign up.
Medical Disclaimer: This article is for informational purposes only and is not medical advice. TRT can have risks, including effects on heart health, reduced fertility, increased red blood cell counts, and with topical testosterone accidental transfer to partners or children through skin contact. Talk with a licensed healthcare professional before starting, stopping, or changing testosterone treatment.
Quick Picks
- Best overall provider: Male Excel
- Best for beginners: Fountain TRT
- Best for flexible care model: Defy Medical
- Most affordable option: Hone Health
What to Consider
Choosing an online TRT provider is more than picking the cheapest plan. The format you’re prescribed, how often you’ll need labs, who oversees your care, and what cancellation looks like all shape the experience. Here’s what to weigh before you sign up.
Topical vs. injections
Most online TRT providers default to weekly injections of testosterone cypionate. Topicals work differently. Creams and gels are applied daily and absorb through the skin over several hours, producing more stable hormone levels without the peaks and troughs some patients feel with weekly injections.
The trade-off is daily routine and transfer risk: residue on your shoulders, arms, or scrotum can transfer to a partner or child through skin contact until the application site is fully dry and washed. Topicals also tend to cost more than injectable cypionate per month.
Cream vs. gel
These are not the same product. Compounded creams are mixed by specialty pharmacies to a clinician’s specifications and are typically applied to thinner-skinned areas like the scrotum or inner arms. Gels like AndroGel1 or Testim2 are FDA-approved, alcohol-based formulations. Both can be effective when properly dosed and when the cream is properly compounded, but they’re not interchangeable.
FDA-approved vs. compounded
FDA-approved testosterone products like AndroGel and Testim complete clinical trials for safety, potency, and batch-to-batch consistency. Compounded products are mixed by specialty pharmacies under state pharmacy board oversight but skip FDA review. That doesn’t make them unsafe, but it’s worth asking questions before buying. Most online TRT clinics primarily prescribe compounded products through contracted pharmacy partners. If you’re prescribed a compounded product, ask whether the dispensing pharmacy is PCAB-accredited (through ACHC) or holds NABP Compounding Pharmacy Accreditation. These are both voluntary accreditations that require high standards for compounding pharmacies3,4.
Pricing structure
Some providers bundle medication, labs, and consultations into a flat monthly fee. Others charge separately for each component, and the actual monthly cost only becomes clear after intake. This doesn’t mean you shouldn’t choose that provider, but it does mean doing your homework before committing.
Care model
A few providers offer live consults with physicians and the same clinician for ongoing care. Others lean on asynchronous messaging or rotating staff. If you have a complex history, want fertility-conscious protocols, or expect to need dose adjustments, a live-consult model is usually worth paying for.
Lab requirements
Baseline bloodwork is required before prescribing, with ongoing labs typically every three to six months. Some include at-home finger-prick kits in the membership fee. Others send you to LabCorp or Quest, which may or may not be billable to insurance.
Safety and red flags
Topical testosterone can carry risks, including increased red blood cell counts, increased blood pressure, reduced fertility, and accidental transfer to partners or children through skin contact. Before starting treatment, make sure the provider requires lab work, offers ongoing monitoring, and clearly identifies the licensed clinician responsible for your care.
It’s also worth reviewing the program terms before you commit. Check whether you can cancel easily, whether prescriptions must be filled through a specific partner pharmacy, and whether there are public complaint patterns related to billing, cancellation, or customer support. These details do not necessarily mean a provider is unsafe, but they can affect your overall experience and total cost.
Comparison Table
Provider | Our Score | Trustpilot | Learn More | BBB | Topical Cream | Topical Gel | Pricing Structure | Get Started |
|---|---|---|---|---|---|---|---|---|
 honehealth.com | ★ 4.2/5 | 4.8★ (10,750+) | Accredited | Confirmed | Not confirmed | Component (membership + meds) | ||
 defymedical.com | ★ 4.8 | 4.8★ (3,782+) | Not Accredited | Confirmed | Confirmed (compounded only) | Pay-per-service | ||
 fountaintrt.com | ★ 4.6/5 | 4.8★ (114+) | Not Accredited | Confirmed | Not confirmed | Commitment tiers | ||
 maleexcel.com | ★ 5 | 4.6★ (4,470+) | Accredited, A+ | Confirmed | Not confirmed | Component (medication opaque) |
Pricing and access can vary in ways that are not always obvious at first glance. Before choosing a provider, it may help to review what is included in the monthly cost, whether lab work and medication are billed separately, whether the plan requires an upfront commitment, and whether prescriptions must be filled through a specific pharmacy.
Customer reviews and BBB complaint histories can also offer context, especially around billing and cancellation experiences. The TRT programs reviewed here are generally cash-pay programs, though some medications may be partially reimbursable when filled through external pharmacies.
1. Hone Health
Best For: Adults who want a structured telehealth program with confirmed compounded cream access and high review volume.
Our Score: 4.2/5 | Trustpilot: 4.8★ (10,750+ reviews)
Overview
Hone Health offers a structured TRT program built around at-home labs, licensed clinician consults, and ongoing membership. Topical testosterone cream (but not gel) is confirmed as available on their website. Entry pricing starts at $65 one-time, with ongoing monthly costs estimated at $177 to $225 depending on plan tier.
Customer feedback is positive at 4.8 stars across more than 10,750 Trustpilot reviews. Dominant themes include responsive customer support, clear lab guidance, and straightforward onboarding. Negative themes mention shipping delays and difficulty reaching a specific clinician for follow-ups.
The trade-off: Hone is not the cheapest option, and they do not advertise gel. If FDA-approved gel is your priority, this is not the provider.
Pricing Breakdown
| Component | Estimated Cost |
|---|---|
| Basic Membership | $25/mo |
| Plus Membership | $129/mo |
| Premium Membership | $149/mo |
| Entry cost (one-time) | $65 |
| Estimated ongoing total | $177 to $225/mo |
Membership covers clinical access, but medication and certain labs are billed separately. There is no commitment-tier discount.
What’s Included
- At-home baseline lab kit
- Licensed clinician evaluation
- Ongoing prescription management
- Compounded topical cream (when prescribed)
- Not included: Testosterone gel not confirmed
How It Works
- Order at-home lab kit
- Complete bloodwork and intake
- Clinician review and consultation
- Prescription issued through partner pharmacy
- Ongoing follow-ups and refills via membership
Timeline: 2 to 3 weeks from order to first prescription.
Insurance
- ❌ Does not accept insurance for program
- ✅ HSA/FSA eligibility confirmed
- ❌ No insurance concierge
Cancellation & Refund Policy
- Members can cancel through account portal
- Medication is typically non-refundable once dispensed
- Lab kits nonrefundable once shipped
Customer Reviews: What Real Users Say
What people praise
- Responsive support team and great customer service
- Clear lab interpretation
- Smooth onboarding flow
What people complain about
- Shipping: occasional delays on medication refills
- Continuity: difficulty reaching the same clinician
- Pricing: monthly total higher than expected after labs
What third-party reviewers note
- BBB: Accredited
- Independent reviewers note compounded-only sourcing
In short: high-volume positive reviews, with some logistical complaints typical of large telehealth operations.
Clinical Oversight & Safety
- Licensed US clinicians
- BBB accreditation
- Asynchronous and live consult formats
- Partner compounding pharmacies
- At-home lab kits with periodic retesting
- Topical cream, injections, other formats
- US-based operations
The Fine Print
- Gel not confirmed: Only cream is verified available
- Component pricing: Total cost depends on tier and labs
- Pharmacy lock-in: Compounded medication routed through partner pharmacies
- Lab kit nonrefundable: Once shipped, no return
- Membership auto-renews: Cancel before billing cycle to avoid charges
Pros and Cons
✅ Pros
- Confirmed compounded cream access
- Very high Trustpilot volume (10,750+)
- At-home lab convenience
- Multiple membership tiers
- Strong customer support reputation
- BBB Accredited
- HSA/FSA accepted
❌ Cons
- Gel not confirmed
- Higher ongoing cost than commitment-tier competitors
- Pharmacy lock-in
Bottom Line
Pick Hone Health if you want a structured program with confirmed cream, at-home labs, and a support team that’s earned its 4.8-star reputation across 10,000-plus reviews. Onboarding is quick and the membership tiers give you room to scale up or down.
Two trade-offs to weigh. Hone doesn’t confirm gel availability, so if you specifically want a topical gel (compounded or otherwise), Defy Medical is the only provider on this list that offers it. And while the $25 Basic tier looks cheap, real ongoing costs land between $177 and $225 per month once medication is added. Male Excel’s $99 membership is the lower-cost alternative, with the caveat that its medication pricing isn’t disclosed.
2. Defy Medical
Best For: Adults who want pay-per-service flexibility and the only confirmed gel option on this list.
Our Score: 4.8/5 | Trustpilot: 4.8★ (3,782+ reviews)
Overview
Defy Medical is the only provider on this list with confirmed gel access, and patients consistently praise the clinical depth: physician-led consults, individualized protocols, and a willingness to handle complex cases. Trustpilot sits at 4.8 stars across 3,782+ reviews, with the strongest “I felt heard by my doctor” theme of any provider here.
There are a few potential downsides to weigh. Defy is not BBB accredited, and pricing isn’t published on Defy’s website. However, Defy does state that the average first-year cost is $250 per month, with costs after that averaging $200 per month.5
If clinical flexibility and gel access matter more than third-party credentials, Defy delivers. If accreditation is non-negotiable, Male Excel and Hone Health are both BBB accredited.
What’s Included
- Live clinician consultations
- Pay-per-service lab and medication ordering
- Compounded cream and gel access
- Injection therapy options
- Not included: FDA-approved TRT not advertised
How It Works
- Schedule initial consult
- Complete labs at chosen facility
- Clinician review and protocol design
- Medication shipped from compounding pharmacy
- Pay-per-service follow-ups as needed
Timeline: 3 to 4 weeks from intake to first prescription.
Insurance
- ❌ Does not accept insurance
- ❓ HSA/FSA eligibility not confirmed
- ❌ No insurance concierge
Cancellation & Refund Policy
- No subscription, so no recurring cancellation needed
- Pay-per-service model means no auto-renewal
- Refund policy on unused medication not publicly disclosed
Customer Reviews: What Real Users Say
What people praise
- Depth of clinician consults
- Handling of complex protocols
- Multiple formulation options
- Good clinical engagement
What people complain about
- Cost: per-visit fees add up quickly
- Transparency: published pricing limited
What third-party reviewers note
- BBB: Not accredited
- Independent reviewers cite pricing opacity
In short: clinically deep but financially and administratively opaque.
Clinical Oversight & Safety
- Licensed US physicians and NPs
- Live consultation format
- Partner compounding pharmacies
- Lab work through patient-chosen facilities
- Cream, gel (compounded), injections, pellets
- US-based operations in Florida
The Fine Print
- Compounded gel only: No FDA-approved products are advertised
- Per-visit billing: Costs vary by month
- No subscription: Patient drives cadence
- No insurance: Out of pocket
- Pharmacy lock-in: Compounding pharmacy partners
Pros and Cons
✅ Pros
- Only provider with confirmed gel access
- Confirmed cream access
- Pay-per-service flexibility
- Strong Trustpilot rating
- Depth of clinical engagement
❌ Cons
- Not BBB accredited
- Pricing cannot be verified
- No bundled membership
- Compounded gel only
Bottom Line
Defy Medical may be a good fit for adults who want more clinical flexibility, a pay-per-service model rather than a monthly subscription, and access to a confirmed testosterone gel option among the providers reviewed here. The care model also appears more hands-on than some streamlined telehealth programs.
That said, Defy’s pricing may be less straightforward to estimate upfront because consultation, lab, and medication costs can be billed separately. Defy Medical also does not appear to be BBB accredited at the time of review. For people who prefer clearly published package pricing, Fountain TRT may be easier to compare at a glance. For those who specifically prioritize BBB accreditation, Male Excel and Hone Health may be a good fit.
3. Fountain TRT
Best For: Beginners who want clear upfront pricing and a structured onboarding flow.
Our Score: 4.6/5 | Trustpilot: 4.8★ (114+ reviews)
Overview
Fountain TRT publishes its pricing in clear commitment tiers. Topical cream is confirmed as available, but gel is not confirmed. Plans range from a month-to-month $199 entry to a 48-week prepay at $1,799 upfront.
Trustpilot is 4.8 stars across 114+ reviews, a smaller sample than larger competitors. Themes emphasize clear onboarding, responsive support, and predictable costs.
A couple of trade-offs: smaller review base, lack of BBB accreditation, and unconfirmed gel availability. Also, the Pro plan requires a 48-week commitment.
Pricing Breakdown
| Plan Length | Monthly Cost | Total Upfront | Savings vs. Monthly |
|---|---|---|---|
| Starter (Month-to-Month) | $199/mo | $199 | — |
| Standard (12-week commitment) | ~$167/4wk | $499 | Modest |
| Pro (48-week commitment) | ~$150/4wk | $1,799 | Largest |
The Pro tier requires the full $1,799 paid upfront. This is a significant commitment if therapy does not suit you.
What’s Included
- Lab work
- Clinician consult
- Medication (cream confirmed)
- Ongoing refills within plan period
How It Works
- Complete intake questionnaire
- Lab order issued
- Clinician review of results
- Plan tier selected and prescription issued
- Medication shipped within plan period
Timeline: 2 to 3 weeks to first shipment.
Insurance
- ❌ Does not accept insurance
- ❓ HSA/FSA eligibility not confirmed
- ❌ No insurance concierge
Cancellation & Refund Policy
- Month-to-month cancellable monthly
- Longer commitments are prepaid, refund policy limited
- Pro 48-week tier is highest cancellation friction
Customer Reviews: What Real Users Say
What people praise
- Clear pricing
- Streamlined onboarding
- Predictable monthly cost
What people complain about
- Commitment: 48-week prepay risk
What third-party reviewers note
- BBB: Not accredited
In short: transparent and easy to start, but smaller track record.
Clinical Oversight & Safety
- Licensed US clinicians
- Asynchronous and live consult formats
- Partner pharmacies
- Lab work bundled
- Cream confirmed, injections offered
- US-based operations
The Fine Print
- Pro requires $1,799 upfront: Full prepay, limited refund
- Gel not confirmed: Cream only verified
- Smaller review base: 114 reviews vs thousands at competitors
- Plan naming: Pro is 48-week, not 12-month
- No insurance billing: Out of pocket
- HSA/FSA unconfirmed: Verify before relying on it
Pros and Cons
✅ Pros
- Most transparent pricing on this list
- Confirmed cream access
- Clear commitment tiers
- Strong Trustpilot rating
- Bundled labs and medication
❌ Cons
- Pro tier high upfront commitment
- Not BBB accredited
- Small review volume
- Refund flexibility limited on prepaid tiers
Bottom Line
Fountain TRT may be a good fit for people who are new to TRT and want a more predictable pricing structure. Its plans are clearly organized into tiers, and lab work is bundled into the program, which can make the total cost easier to understand upfront. The month-to-month Starter plan may also appeal to people who do not want a longer commitment right away.
The main limitations are that testosterone gel availability was not confirmed in this review, the Pro plan requires a larger upfront commitment, and Fountain has a smaller public review base than some other providers. For people specifically looking for a confirmed gel option, Defy Medical may be worth comparing. For those who prioritize a larger review footprint and BBB accreditation, Male Excel may also be worth considering.
4. Male Excel
Best For: Adults who prioritize BBB accreditation and a low published membership fee.
Our Score: 5/5 | Trustpilot: 4.6★ (4,470+ reviews)
Overview
Male Excel publishes some upfront costs, including a $99 monthly membership fee and a $25 introductory blood test. However, medication pricing is not listed publicly, so it is difficult to estimate the full monthly cost before going through the intake process. Also, topical testosterone cream is available through Male Excel, but not testosterone gel.
Male Excel also has BBB accreditation and an A+ rating. Its Trustpilot profile showed a 4.6-star rating across more than 4,470 reviews, with many reviewers describing responsive support and a straightforward membership structure.
The main trade-off is medication pricing. Male Excel offers a clearly published membership fee and strong third-party review signals, but consumers may need to complete more of the intake process to understand their actual medication cost.
Pricing Breakdown
| Component | Estimated Cost |
|---|---|
| Monthly membership | $99/mo |
| At-home blood test (entry) | $25 (reported) |
| Medications | Not publicly disclosed |
| Estimated total | Cannot be calculated |
Total monthly cost cannot be calculated from publicly available information. Request medication pricing in writing before committing.
What’s Included
- Membership-based clinical access
- At-home lab kit
- Clinician consults
- Compounded topical cream (when prescribed)
- Not included: FDA-approved gel not advertised (only compounded cream)
How It Works
- Sign up for membership
- Complete at-home blood test
- Clinician review and consult
- Prescription routed through partner pharmacy
- Ongoing membership refills
Timeline: 2 to 3 weeks to first prescription.
Insurance
- ❌ Does not accept insurance
- ✅ HSA/FSA accepted
- ❌ No insurance concierge
Cancellation & Refund Policy
- Membership can be canceled through account portal
- Medication not generally refundable once dispensed
- Lab kit nonrefundable once shipped
Customer Reviews: What Real Users Say
What people praise
- Responsive support
- Clear membership fee
What people complain about
- Medication pricing: not disclosed upfront
- Total cost: surprises after first med order
- Pharmacy lock-in: limited choice
What third-party reviewers note
- BBB: Accredited, A+ rating
- Reviewers cite medication opacity
In short: strong accreditation and reputation, with transparency gaps on actual cost.
Clinical Oversight & Safety
- Licensed US clinicians
- Asynchronous and live consult formats
- Partner compounding pharmacies
- At-home lab kits
- Cream confirmed, injections offered
- BBB accredited, A+ rating
- US-based operations
The Fine Print
- Medication pricing not disclosed: Cannot calculate total cost
- Gel not confirmed: Cream only verified
- Membership $99/mo: Plus separate medication and labs
- Pharmacy lock-in: Compounding pharmacy routing
- No insurance billing: Out of pocket
- HSA/FSA: eligible
- Lab kit nonrefundable: Once shipped
Pros and Cons
✅ Pros
- BBB Accredited, A+ rating
- Confirmed compounded cream access
- Low published membership fee ($99/mo)
- Strong Trustpilot rating
- At-home lab convenience
- HSA/FSA can be used
❌ Cons
- Medication pricing not publicly disclosed
- Gel not confirmed
- Total monthly cost cannot be calculated
- Pharmacy lock-in
Bottom Line
Male Excel is BBB accredited with an A+ rating, which is a real differentiator for readers who weigh third-party credibility. The $99 published membership is the lowest entry on this list.
The main concern is medication pricing opacity. If you need a calculable total monthly cost, Hone Health and Fountain TRT publish more complete figures. If you are wanting to use testosterone gel, Defy Medical is the only option.
Conclusion
Topical testosterone is available through online TRT providers, but the details can vary a lot. Before choosing a provider, it’s important to look at more than the advertised monthly price. The type of topical testosterone offered, whether labs are included, how medication is billed, and how much clinician support you receive can all affect the overall experience.
Hone Health may be a fit for people who want a structured program with confirmed access to topical cream and a large public review base. Defy Medical may appeal to people who want more flexibility, a pay-per-service model, or a confirmed gel option. Fountain TRT may be easier to compare upfront because its plan tiers and bundled labs are clearly listed. Male Excel may stand out for people who prioritize BBB accreditation, though medication pricing was not publicly listed at the time of review.
There is no single best choice for everyone. The right provider depends on what matters most to you: predictable pricing, confirmed gel access, BBB accreditation, a larger review base, or more hands-on clinical support.
Topical testosterone is still a prescription medication and should only be used with medical oversight. TRT can carry risks, including increased blood pressure, reduced fertility, increased red blood cell counts, and accidental transfer to partners or children through skin contact. Any provider that offers testosterone without lab work or evaluation by a licensed clinician should be avoided.
FAQs
Do you need a prescription to buy topical testosterone online?
Yes. Topical testosterone is a Schedule III controlled substance and requires a prescription from a licensed clinician. All four providers reviewed here require intake, lab work, and clinician evaluation before issuing a prescription. Be cautious of any website or service that claims you can buy testosterone without a prescription or medical review. That may be a sign that the product is unsafe, unregulated, or being offered outside standard legal and medical safeguards.
How much does topical testosterone cost per month through an online clinic?
Costs vary widely by provider and structure. Hone Health estimates $177 to $225 per month ongoing. Fountain TRT ranges from $150 to $199 per four-week period depending on commitment tier. Defy Medical estimates an average all-in cost of under $200 per month after the first year, including labs, consultations, and medications. Male Excel charges $99 per month for membership plus medication starting at $120 per month for injections or $132 per month for cream, with the final amount varying based on prescribed dose.
Is topical testosterone as effective as injections?
Topical testosterone can achieve therapeutic serum levels when properly dosed, but absorption varies more between individuals than with injections. Some patients respond well, while others require dose adjustments or switch to injections. Discuss formulation choice with a licensed clinician based on your labs, lifestyle, and transfer risk concerns.
What is the difference between compounded topical testosterone and brand-name products like AndroGel?
Compounded products are mixed by specialty pharmacies under state pharmacy board oversight and are not FDA-approved. Brand-name products like AndroGel and Testim are FDA-approved with full clinical trial data and standardized manufacturing. They are not equivalent; labeling, concentration, and absorption can differ.
Do all online TRT clinics offer topical testosterone?
No. Even among providers that do offer topical options, the specific formulation matters. All four providers reviewed here offer topical testosterone in cream form, but only Defy Medical confirms gel access (compounded, not FDA-approved). Hone Health, Fountain TRT, and Male Excel do not advertise gel availability. If gel is your priority, verify the specific formulation directly with the provider before signing up.
Does insurance cover topical testosterone from online clinics?
The four providers reviewed here do not bill insurance directly for their TRT programs. However, Hone Health and Male Excel both accept HSA and FSA funds for reimbursement, with the standard caveat that eligibility depends on your individual plan administrator. Defy Medical and Fountain TRT have not confirmed HSA or FSA acceptance. Some patients also use external pharmacies for partial insurance reimbursement on FDA-approved products like AndroGel, but this is handled through the pharmacy, not the telehealth provider. Check with your telehealth provider first if you are interested in FDA-approved products, to be sure they offer access to those products.
How do you apply topical testosterone, and how long until it absorbs?
Application varies by formulation. FDA-approved gels are typically applied to clean, dry shoulders or upper arms once daily and dry within minutes, though full absorption takes hours. Compounded creams are often applied to the scrotum or inner arms with different absorption timing. Follow your prescribing clinician’s specific instructions and avoid skin-to-skin contact with others until the application site is fully dry and washed.
Can you switch from injections to a topical formulation through an online provider?
Yes, in most cases. Defy Medical, Hone Health, Fountain TRT, and Male Excel all offer multiple TRT formats and can transition patients between formulations after clinician review and updated labs. Switching typically requires a washout period and lab recheck to ensure dosing remains therapeutic.
References
- DailyMed. ANDROGEL: testosterone gel. National Library of Medicine. Updated October 22, 2025. Accessed April 30, 2026. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f4e8d29b-8707-4d47-e053-2a95a90aecee
- DailyMed. TESTIM: testosterone gel. National Library of Medicine. Updated July 15, 2025. Accessed April 30, 2026. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9f2aae1f-898d-4955-be31-678e0cf85395
- Accreditation Commission for Health Care. Pharmacy Compounding Accreditation Board (PCAB). achc.org. Accessed May 7, 2026. https://achc.org/pcab/
- National Association of Boards of Pharmacy. Pharmacy Accreditation Programs. nabp.pharmacy. Accessed May 7, 2026. https://nabp.pharmacy/programs/accreditations/
- Defy Medical. What’s the Cost of TRT at Defy Medical? defymedical.com. Accessed May 7, 2026. https://www.defymedical.com/blog/cost-of-trt/