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Testosterone Replacement Therapy (TRT) online

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.

FDA status: Testosterone is FDA-approved for men with hypogonadism confirmed by symptoms and repeated low morning testosterone levels, not for age-related low testosterone, energy or performance. Compounded testosterone is not FDA-approved.

✓ $0 Consultation
✓ $249 First Month (labs included)
✓ $149/Month After
Start free consultation
Personalized support Personalized support
No hidden fees No hidden fees
LegitScript certified LegitScript-certified
TRT Benefits

What to know before starting testosterone replacement therapy

Symptoms such as fatigue, low libido, loss of muscle or mood changes are signs to discuss with a provider. Symptoms alone do not confirm low testosterone; diagnosis needs repeated low morning testosterone levels.

✓
How it works
TRT supplies testosterone from outside the body by injection, gel or patch. It also lowers your body's own testosterone and sperm production.
✓
FDA status
Testosterone is FDA-approved for men with hypogonadism confirmed by symptoms and repeated low morning testosterone levels. It is not FDA-approved for age-related low testosterone, energy, athletic performance or anti-aging. Compounded testosterone is not FDA-approved and is not reviewed by the FDA for safety or effectiveness.
TRT Benefits
✓
Provider evaluation
Signs to discuss include fatigue, low libido, erectile changes, loss of muscle and mood changes. Your provider confirms low levels with repeated morning labs and decides whether TRT is appropriate.
✓
Who it is generally not for
Men with prostate or breast cancer, a very high red blood cell count, untreated severe sleep apnea, uncontrolled heart failure, or who are trying to conceive soon.
✓
Boxed warnings
Some testosterone forms can raise blood pressure. Testosterone gels can transfer to children and women through skin contact, so cover the site and wash your hands.
✓
Monitoring
Labs at baseline, again at 6–8 weeks, then every 3–6 months and every 6–12 months once stable: testosterone, hematocrit, PSA and blood pressure.
Cyclist — active lifestyle with TRT

Do you qualify for TRT?

Our providers review your symptoms and lab work during your free consultation. Eligibility depends on your labs: TRT is appropriate only when repeated morning tests confirm low testosterone along with symptoms. Your provider decides whether treatment is appropriate.

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.

Potential TRT side effects

Side effects are possible, and some are serious. Your provider reviews your history and monitors you with regular labs.

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
✓ Reduced sperm production and fertility. TRT can lower sperm counts while you take it
✓ Boxed warning: some testosterone forms can increase blood pressure, which can raise the risk of heart attack and stroke
✓ Boxed warning: testosterone gels can transfer to children and women by skin contact. Keep the site covered and wash your hands

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?
TRT has known risks: a higher red blood cell count, blood pressure increases with some forms, suppressed sperm production and fertility, and prostate effects. Testosterone products carry boxed warnings for blood pressure increases (some forms) and secondary exposure of children and women to testosterone gels. Your provider reviews your history and monitors labs throughout treatment.
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?
Response varies. Your provider rechecks labs and symptoms at 6–8 weeks and adjusts or stops treatment. TRT is not approved for body composition.
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?
No testosterone product is FDA-approved for women in the US. Off-label use is supported mainly for postmenopausal HSDD and is not recommended for fatigue or muscle strength.
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, run a baseline male fertility test first and discuss alternatives like enclomiphene (compounded, not FDA-approved) 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: monitoring timeline

A common question before starting testosterone replacement therapy is what happens and when. Response varies by person, so treatment follows a lab and check-in schedule rather than promised results. Here is a typical monitoring timeline.

Baseline
Labs before you start
Repeated morning testosterone, hematocrit, PSA where appropriate, and blood pressure. Your provider confirms whether TRT is appropriate.
Weeks 6–8
First recheck
Testosterone level, hematocrit and symptoms are rechecked. Your provider adjusts the dose or stops treatment.
Months 3–6
Labs, PSA and blood pressure
Labs are repeated, including PSA and hematocrit, and blood pressure is checked. Your provider reviews side effects and whether treatment is still appropriate.
Every 6–12 months
Ongoing monitoring
Once stable, labs and a provider review continue every 6 to 12 months for as long as you take TRT.

This is a typical schedule. Your provider may monitor more often based on your levels and health history. TRT is not approved for body composition or athletic performance.

Start free consultation

Testosterone replacement therapy for women

Testosterone is not a male-only hormone; women produce it too. No testosterone product is FDA-approved for women in the US. Off-label use is supported mainly for postmenopausal HSDD and is not recommended for fatigue or muscle strength.

What the evidence supports in women

  • Off-label use mainly for postmenopausal women with low sexual desire that causes distress (HSDD)
  • Not recommended for fatigue, mood, or muscle strength
  • No standard blood level defines low testosterone in women
  • Long-term safety data in women are limited

How it differs from men's protocols

If prescribed off-label, doses for women are much lower than for men, and levels are checked to stay in the normal female range. Side effects can include acne and unwanted hair growth. 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 find out whether TRT is appropriate for you.

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. Testosterone is FDA-approved for men with hypogonadism confirmed by symptoms and repeated low morning testosterone levels. It is not FDA-approved for age-related low testosterone, energy, athletic performance or anti-aging. Compounded testosterone is not FDA-approved and is not reviewed by the FDA for safety or effectiveness. Testosterone products carry boxed warnings for blood pressure increases (some forms) and secondary exposure of children and women to testosterone gels. This page is for general educational purposes only and is not medical advice. Last updated 10/05/2026.