Testosterone therapy
TRT online. Guided by your labs.
- Lab-guided dosing
- Video visit with a clinician
- Check-ins and refills included
2 minutes · No payment to start
Compounded, not FDA-approved. A Schedule III controlled substance that can raise blood pressure and lower sperm count. Safety information
- Licensed U.S. clinicians
- U.S. compounding pharmacy
- Ships to your door
- May be HSA/FSA eligible
Before TRT
Low testosterone is diagnosed, not guessed.
Tiredness, a lower sex drive and less muscle have many causes. Guidelines from the Endocrine Society and the American Urological Association call for both of these before testosterone therapy.
Symptoms and signs
Symptoms that fit low testosterone, reviewed with your history and medicines.
Two morning tests
A low total testosterone level in the morning, confirmed by a second morning test. Levels are usually highest between 7 and 10 a.m.
A clinician’s review
A licensed clinician looks for the cause and checks free testosterone when the total is borderline or SHBG is unusual.
Instead of a clinic
What changes when TRT is online.
Looking at testosterone replacement clinics? Online, each part of care has its own step: blood work, the visit and the injections.
Blood work
At a nearby lab or with a needle-free kit at home. At-home testosterone test
The visit
By video with a licensed clinician who can prescribe a controlled substance in your state.
Injections
At home, with supplies and instructions from the pharmacy, as your clinician directs.
How it works
Four steps. All online.
Step 1
Free assessment
A few questions. Two minutes.
Step 2
Blood test
Use a recent result, or order one through Everdawn Labs.
Step 3
Video visit
A licensed clinician reviews your results and decides.
Step 4
Delivered
If it’s prescribed, medicine and supplies ship to your door, with blood tests to monitor it.
Is it for you?
Who TRT may suit, and who it isn’t for.
May suit you if
- You’re a man, 18 or older
- You have symptoms of low testosterone
- Two morning tests show a consistently low level
Not for you if
- You have breast or prostate cancer, or a prostate lump
- You plan to have a child soon (ask about enclomiphene)
- A heart attack or stroke in the last 6 months
Needs a closer look
- A raised PSA, or severe urinary symptoms
- A high red blood cell count (hematocrit), or a past blood clot
- Severe sleep apnea that isn’t treated
- High blood pressure or heart failure
From the Endocrine Society guideline and the testosterone cypionate label. A licensed clinician makes the final decision.
Pricing
One monthly price.
Price shown before you buy
- Check-ins with your clinician
- Refills
- Testosterone and injection supplies, if prescribed
Have a Gabriel wellness budget? Members can use it to pay for this treatment. Learn about Everdawn and Gabriel
Start my free assessmentCompounded medications aren’t FDA-approved. A licensed clinician decides what’s right for you. Lab tests are priced separately: $69 for a total testosterone test, plus the $9.50 ordering fee. Shipping, tax and your full total are confirmed before you pay.
What TRT costs: labs, visits and insurance (opens in a new tab)
Free assessment
See if you may qualify.
Two minutes. Nothing you enter here is saved or sent.
Question 1 of 4
Questions.
Do I need a blood test first?
Yes. A licensed clinician needs a recent testosterone result, ideally from a morning blood draw, when levels are usually highest. Guidelines recommend confirming a low result with a second morning test. You can use a recent result or order one through Everdawn Labs.
Why is there a video visit?
Testosterone is a Schedule III controlled substance, so a licensed clinician who can prescribe it meets you by video before deciding.
Will TRT affect fertility?
It can. Testosterone can lower sperm count, and the Endocrine Society advises against starting it if you plan to have a child soon. Ask your clinician about enclomiphene, a daily tablet that helps your body make its own testosterone.
Can testosterone raise blood pressure?
Yes. In 2025 the FDA said blood pressure studies confirmed an increase in blood pressure with testosterone products, class-wide. Your clinician checks your blood pressure before you start and during treatment.
How is TRT monitored?
In the first year, the Endocrine Society recommends checking your symptoms and side effects, your testosterone and hematocrit (red blood cell) levels, and your prostate cancer risk. Your clinician sets the schedule.
What does TRT cost here?
The price is shown before you buy. Lab tests are priced separately: a total testosterone test is $69, plus the $9.50 ordering fee once per order. Your full total is confirmed before you pay.
Start with two minutes.
Start my free assessmentImportant safety information
Not for you if
- You have prostate or breast cancer
- You are a woman, or under 18
- You are trying to have a child soon: testosterone can lower sperm count, so ask about enclomiphene instead
Needs a careful review first
- A high red blood cell count, or a past blood clot
- Sleep apnea that isn’t treated
- Heart disease, a recent heart attack or stroke, or high blood pressure
- Prostate symptoms or a raised PSA
Possible side effects
- Acne or oily skin
- Pain or swelling where you inject
- A higher red blood cell count
- Breast tenderness or swelling
- Fluid retention
Good to know
- Testosterone is a Schedule III controlled substance: never share it
- Your clinician checks testosterone, red blood cells and PSA before you start and during treatment
Blood pressure and misuse
- Testosterone can raise blood pressure, which can raise heart and stroke risk over time. It isn’t recommended with uncontrolled high blood pressure
- Taking more than prescribed can cause serious harm, and stopping after misuse can cause withdrawal symptoms
Compounded medications aren’t FDA-approved. A licensed clinician decides what’s right for you. A prescription requires a medical evaluation. Not a complete list: your clinician reviews your history before prescribing. Call 911 in an emergency. Read the FDA label for testosterone cypionate (Depo-Testosterone) on DailyMed · MedlinePlus: testosterone injection
Sources
. General information, not medical advice: a licensed clinician decides what’s right for you.
- Endocrine Society: Testosterone therapy in men with hypogonadism (guideline, 2018)
- American Urological Association: Testosterone deficiency guideline (validity confirmed 2024)
- MedlinePlus: Testosterone levels test
- FDA: Class-wide labeling changes for testosterone products (February 28, 2025)
- FDA label for Depo-Testosterone (testosterone cypionate) on DailyMed
- MedlinePlus: Testosterone injection
- FDA: Compounding and the FDA, questions and answers