• Services
    Weight Loss GLP-1s & metabolic programs
    GLP-1 Weight Loss Program overview SemaglutidePopular Ozempic · Wegovy · Rybelsus TirzepatidePopular Zepbound · Mounjaro Liraglutide Metformin All Weight Loss
    Longevity & Anti-Aging Healthspan & cellular health
    Longevity Protocols Where to start Rapamycin NAD+New Nasal spray · Injection Glutathione Injection SermorelinPopular Methylene Blue All Longevity & Anti-Aging
    Men's Health Sexual health & hormones
    3-in-1 Sexual TreatmentPopular Testosterone / TRT Hormone therapy EnclomipheneNew Oxytocin All Men's Health
    Women's Health Hormones & sexual wellness
    Sexual Enhancement Perimenopause Hormone support PCOS Oxytocin All Women's Health
    Lab Testing Know your baseline
    All Lab Tests Full catalog DUTCH Test Hormones Gut Biome All Lab Testing
    ALSO OFFERED
    B12 Injection CGM Prescription
  • Resources
  • About us
Book a Consult

Testosterone Replacement Therapy (TRT) online

Low testosterone holds more men back than they realize. Heally connects you with licensed providers who specialize in TRT therapy, all 100% online. From your first consultation to testosterone replacement therapy prescription delivery, there are no clinic visits, no waiting rooms, just expert hormone care built around your schedule.

✓ $0 Consultation
✓ $249 First Month (labs included)
✓ $149/Month After
Start free consultation
Personalized support Personalized support
Local clinics Local clinics
No hidden fees No hidden fees
LegitScript certified LegitScript-certified
Third-party tested Third-party tested
Made in the USA Made in the USA
TRT Benefits

When will you benefit from testosterone replacement therapy?

The benefits of testosterone replacement therapy are clearest when low-T symptoms are behind them. Talk to a provider if you recognize any of these:

✓
Low energy & chronic fatigue
Persistent tiredness that rest does not fix, even after a full night of sleep.
✓
Decreased libido & sexual function
Reduced interest in sex or erectile difficulty that was not an issue before.
TRT Benefits
✓
Loss of muscle mass & strength
Noticeable decline in muscle tone or difficulty staying strong despite regular training.
✓
Weight gain & increased body fat
Especially around the midsection, with no major change to diet or activity.
✓
Mood changes
Increased irritability, low mood, brain fog, or trouble concentrating.
✓
Medical conditions
Clinically diagnosed hypogonadism, delayed puberty, or muscle wasting from chronic illness.
Cyclist — active lifestyle with TRT

Do you qualify for TRT?

Our providers review your symptoms and lab work during your free consultation to determine whether TRT treatment is right for you. Most patients with clinically low testosterone levels and matching symptoms qualify.

Check your eligibility

How to get testosterone replacement therapy?

Sign up
Step 1
Create your account at Heally
Sign up in under two minutes. Answer a few health questions so your provider can review your medical history before the visit.
Step 2
Free virtual consultation
Meet with a board-certified provider via secure video call. Discuss your symptoms, review any existing labs, and ask questions. No rushed appointments—your provider takes the time to understand your goals.
Step 3
Get your prescription
If approved, your prescription is sent directly to a licensed compounding pharmacy. Medication ships to your door within 5–7 business days, discreetly packaged.
Step 4
Ongoing monitoring
Your provider stays with you. Follow-up labs, dosage adjustments, and check-ins are included. This is comprehensive TRT online care, not a one-time transaction.

Meet
your healthcare
providers

Dr. Benjamin Krasne
Dr. Benjamin Krasne
M.D.
Board-certified anesthesiologist with extensive experience in hormone optimization and telemedicine. Dr. Krasne completed his residency at Jackson Memorial Hospital and has provided remote TRT therapy across the United States.
Dr. Niles
Dr. Niles
M.D., R.N., F.A.C.O.G.
Over 30 years of experience in Obstetrics and Gynecology, with specialized training in testosterone hormone replacement therapy for both men and women. Recognized for her patient-centered, evidence-based approach.
Dr. Cheryl Bugailiskis
Dr. Cheryl Bugailiskis
M.D.
One of Heally's founding physicians since 2015. Licensed across multiple states. Specialized in integrative medicine and hormone optimization.

Potential TRT side effects

Hormone therapy for men is generally well-tolerated, but it's important to understand potential side effects

Common Side Effects
✓ Acne or oily skin
✓ Mild fluid retention or ankle swelling
✓ Sleep disturbances
✓ Breast tenderness (temporary)
TRT Medication
Rare Side Effects
✓ Cardiovascular risks: long-term use may increase risk in men with existing heart conditions
✓ Prostate concerns: regular PSA monitoring is recommended for men over 40
Side Effects That Require Monitoring
✓ Elevated red blood cell count. Regular lab work helps catch this early
✓ Does TRT cause hair loss? Hair thinning is possible, influenced by genetic predisposition
✓ Mood changes. Some men notice irritability during dosage adjustments

Get TRT therapy free consultation

$0
Free Consultation
Connect with a board-certified provider via video visit. Discuss your symptoms, review lab work (if available), and get a personalized treatment plan, at no cost to you.
Book an appointment
$249
First Month Treatment
Includes your initial prescription, labs, medication shipped to your door, and ongoing provider access. Most patients receive their medication within 5–7 business days after approval.
New patients: Get $100 off your first month
Start TRT therapy
$149/month
Monthly Subscription
After your first month, continue treatment for just $149/month. Includes medication refills, lab review, and dosage adjustments as needed.
Subscribe for TRT

Why choose Heally for TRT treatment?

Claim Your Discount
Online consultation
100% online — no clinic visits required
Consultations, prescriptions, and follow-ups all happen from home. Online testosterone replacement therapy is available in all 50 states. No more searching for a TRT clinic near me.
Board-certified providers
Board-certified providers
Every provider is licensed, experienced in hormone optimization, and dedicated to your long-term health.
Transparent pricing
Transparent pricing
$0 consultation, $249 first month, $149/month after. No hidden fees, no insurance hassles, no surprise charges.
Fast prescription delivery
Fast prescription delivery
Medication ships directly from licensed compounding pharmacies. Most patients receive their treatment within 5–7 business days.
Ongoing support
Ongoing support
This isn't transactional care. Your provider monitors your progress, adjusts dosing based on labs, and stays available for questions.
$100 off first month
$100 Off First Month
New patients save $100 on their first month of treatment. No code needed — discount applied automatically.

Frequently asked questions

What is testosterone replacement therapy?
It is a medically supervised treatment that restores testosterone levels in men whose bodies do not produce enough naturally. It is prescribed for clinically diagnosed low testosterone (hypogonadism) and delivered via injections, gels, or patches.
Is TRT safe?
When prescribed and monitored by a licensed provider, it is generally safe. Regular lab work and check-ins help minimize risks, and your provider reviews your full history before starting.
Is TRT the same as steroids?
No. TRT is a regulated medical therapy designed to restore testosterone to normal physiological levels—not to enhance performance beyond natural ranges. It's prescribed for men with clinically diagnosed deficiencies and monitored by healthcare providers.
How quickly will I see results?
Most men notice improvements in energy and mood within 3 to 6 weeks. TRT results like increased muscle and reduced body fat typically become noticeable after 3 to 6 months of consistent treatment.
Do I need a prescription for TRT?
Yes. TRT (testosterone replacement therapy) is a prescription medication. Heally connects you with board-certified TRT doctors online who can assess your symptoms and order labs.
Will my insurance cover this?
Heally providers do not accept insurance. Our pricing, $249 first month and $149/month after, is often more affordable testosterone replacement therapy than traditional co-pays. Is testosterone replacement therapy covered by insurance? It depends on your plan and diagnosis.
Can women benefit from TRT?
TRT therapy for women is a real option. Some women with low testosterone benefit from testosterone replacement therapy for women, especially for symptoms like chronic fatigue, low libido, and muscle weakness. Protocols differ from men's and require specialized monitoring.
What if I want to have children in the future?
TRT can suppress sperm production and may affect fertility. If you plan to have children, discuss alternatives like enclomiphene with your provider.
Do I need labs before starting?
Yes. Your provider will order baseline testosterone labs and other relevant tests to confirm low levels and rule out contraindications. Some patients already have recent labs, which can be reviewed during the consultation.
How often do I need follow-up visits?
Most patients have a follow-up at 6–8 weeks, then every 3–6 months depending on progress. Lab work is typically reviewed every 3–6 months to monitor hormone levels and adjust dosing.

TRT before and after: what to expect and when

One of the most common questions before starting testosterone replacement therapy is what changes to expect and how fast. Results vary by individual, starting levels, and consistency of treatment. Here is a typical timeline.

Weeks 1–4
Energy, mood, and sleep
Energy, mood, and sleep often improve first. Many men notice a lift in motivation and mental clarity before physical changes appear.
Months 1–3
Libido and early strength
Libido and sexual function commonly improve. Some men begin to notice early changes in body composition and strength.
Months 3–6
Muscle and body fat
Lean muscle increases and body fat, especially around the midsection, begins to decrease with consistent training and nutrition. This is when most TRT before and after photos are taken.
6 months+
Sustained results
Sustained improvements in energy, mood, strength, and body composition. Lab values stabilize and dosing is fine-tuned.

These are general patterns. Your provider sets realistic expectations at your consultation based on your specific levels and health history.

Start free consultation

Testosterone replacement therapy for women

Testosterone is not a male-only hormone. Women produce it too, and low levels can cause real symptoms. TRT therapy for women is a growing area of hormone medicine, supported by a body of clinical evidence.

Symptoms that may indicate low testosterone in women

  • Chronic fatigue that does not respond to rest
  • Low libido or reduced sexual satisfaction
  • Difficulty building or maintaining muscle
  • Low mood, reduced motivation, or brain fog

How it differs from men's protocols

Doses for women are substantially lower than for men, and the form of delivery may differ. Regular monitoring is essential. Testosterone replacement therapy for women at Heally is managed by providers with specific hormone experience, including Dr. Niles, who has more than 30 years in OB/GYN and hormone therapy.

If you are a woman exploring hormone replacement therapy for testosterone, your free consultation is the right first step. Your provider will review your full hormone profile and explain your options.

Book a consultation

Book an appointment for TRT

Schedule your free consultation for testosterone replacement therapy. Connect with a board-certified provider, get your questions answered, and take the first step toward better energy, stronger performance, and improved quality of life support every step of the way.

Schedule free consultation (415) 580-3096
TRT patient TRT patient TRT patient TRT patient TRT patient
Over 8,000 patients treated

Over 8,000 patients treated. Medically reviewed by licensed Heally providers. Medications dispensed through licensed compounding pharmacies. Last updated 08/19/2026.