Quick answer
You can get TRT online through Marrow: complete a 5-minute health intake, a licensed physician reviews within 24 hours, and testosterone cypionate ships from an FDA-registered pharmacy to your door. Labs included. Starts at $169/mo — no clinic visits required.
Testosterone Replacement Therapy
TRT Online — From $169/mo
Testosterone replacement therapy from licensed physicians. No clinic visits. Labs included. Physician review in 24 hours. Ships to your door in 3–5 days.
Monthly cost
from $169/mo
Labs included
Yes
Physician review
< 24 hours
States covered
All 50
Why online TRT works
Traditional testosterone therapy required quarterly clinic visits, often at $300–500/month before labs. The actual medication — testosterone cypionate — costs a fraction of what clinics charge for the visit overhead.
Telehealth removes the in-person friction without removing physician oversight. Your physician reviews your intake and labs, adjusts your protocol as needed, and is available for follow-up questions — all without requiring you to take time off work for an appointment.
Marrow's TRT at $169/month includes the medication, labs (full panel at start, 6 weeks, and 6 months), and physician management. What used to cost $400–600/month with clinic overhead now costs $169.
What's included at $169/mo
Testosterone cypionate
Pharmaceutical-grade, dispensed by FDA-registered compounding pharmacies. Standard 100mg/week protocol.
Labs included
Total T, free T, estradiol (sensitive), CBC, PSA, metabolic panel. Quest Diagnostics or LabCorp.
Physician oversight
Licensed MD reviews your intake and labs, adjusts protocol as needed. Available for follow-up questions.
AI health coach
Weekly check-ins calibrated to your treatment week. 24/7 answers about your protocol, side effects, training.
Free shipping
Medication ships to your door in 3–5 business days from an FDA-registered pharmacy.
Price consistency
Your price stays the same while you're subscribed.
TRT vs Enclomiphene — which is right for you?
If preserving fertility is a priority, enclomiphene may be a better starting point. It stimulates your pituitary to produce more LH and FSH, which drives your testes to produce more testosterone naturally — without suppressing your own production axis.
| Factor | TRT | Enclomiphene |
|---|---|---|
| Mechanism | Exogenous testosterone | Stimulates natural production |
| Fertility impact | Suppresses sperm production | Preserves or improves fertility |
| Result timeline | 2–4 weeks for effects | 4–8 weeks for full effect |
| Natural axis | Suppressed while on TRT | Natural axis intact |
| Best for | Confirmed hypogonadism, no fertility concerns | Younger men, fertility concerns, subclinical low T |
Common questions
Can I get TRT online?
Yes. Marrow connects you with licensed physicians who can prescribe testosterone replacement therapy online in all 50 states. You complete a 5-minute health intake, a physician reviews within 24 hours, and your medication ships from an FDA-registered pharmacy to your door. No clinic visits required.
What does online TRT cost?
Marrow's TRT protocol starts at $169/month, which includes testosterone cypionate, labs (testosterone panel, CBC, PSA, estradiol), physician oversight, and AI health coach support. Many clinics charge $300-500/month before labs.
What labs are included with Marrow TRT?
Your starting labs include total testosterone, free testosterone, estradiol (sensitive assay), CBC, PSA, and metabolic panel. Follow-up labs at 6 weeks and 6 months are included. We use Quest Diagnostics and LabCorp.
How long does it take to feel results from TRT?
Most men notice increased energy and libido within 2-4 weeks. Body composition changes (reduced body fat, increased muscle) typically appear at 8-12 weeks. Full optimization — where labs are dialed in and subjective improvement is consistent — typically takes 3-6 months.
Is testosterone cypionate the same as what clinics prescribe?
Yes. Testosterone cypionate is the standard TRT compound used in clinics, hospitals, and telehealth. Marrow uses the same pharmaceutical-grade testosterone cypionate, dispensed by licensed compounding pharmacies.
Will TRT shut down my natural testosterone production?
Exogenous testosterone suppresses your hypothalamic-pituitary-testicular axis (HPTA), which reduces your natural testosterone production while you're on TRT. If preserving fertility is a priority, discuss enclomiphene — which stimulates natural production without suppressing the axis. Marrow offers both.
Start TRT for $169/mo
Labs included. Physician review in 24 hours. Ships in 3–5 days.
Start your intake →No clinic visits · All 50 states · Physician approval required