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MA-Active · Accepting Patients

Testosterone therapy
for Massachusetts men.

Physician-led telehealth for men 21 and older living in Massachusetts. Endocrine Society and AUA protocols. Two morning fasting draws. No drive-thru prescriptions. Treatment only when the labs and the clinical picture earn it.

Check eligibility How it works
MA-licensed physicians Full lab workup Fertility-aware protocols HIPAA-compliant
MA-licensed care
Every clinician holds a Massachusetts medical license and follows BORIM telehealth standards.
Guideline-aligned
Endocrine Society 2018 and AUA 2018 protocols. No shortcuts on diagnosis.
Real follow-up
Repeat labs at 3 and 6 months. Ongoing physician oversight, not refill autopilot.
Local to Massachusetts
We serve only MA residents. Pharmacy partners are MA-licensed (247 CMR 6.09).
What we prescribe

Tier 1 formulary

A short, deliberate list — each item earns its place when the labs and the clinical picture call for it.

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The problem

"Your numbers are normal" isn't always the answer.

Most primary care visits don't include a full hormone workup. Many men are told they're "in range" while symptoms quietly compound — energy, libido, recovery, mood. We do the workup other clinics skip.

You're not imagining it

Persistent low energy, low libido, slow recovery, and mood shifts can have a clinical, treatable cause. We listen, we test, and we explain.

One lab isn't enough

The Endocrine Society requires two morning, fasting total testosterone draws plus free T, LH, FSH, and SHBG before any diagnosis. We do all of it.

Treatment is a decision, not a default

If your labs and history don't support TRT, we'll tell you. About a third of men we evaluate aren't candidates — and we'd rather be honest than profitable.

How it works

Four steps. No drive-thru prescriptions.

From first message to first dose, every step is led by a Massachusetts-licensed physician.

1
Eligibility check

A short, private screen confirms you're a MA resident, 21+, and a likely candidate. Takes about 3 minutes.

~3 minutes
2
Comprehensive labs

Morning fasting draws at a Quest or Labcorp Patient Service Center near you. We order the full panel — total T, free T, SHBG, LH, FSH, sensitive estradiol, CBC, CMP, lipids, PSA, and more.

3–5 days
3
Physician video visit

A 30-minute video consult with a MA-licensed physician to review your labs, history, and goals. If TRT isn't right for you, we'll say so and explain why.

30 minutes
4
Treatment & monitoring

If you're a candidate, your prescription ships from a MA-licensed compounding pharmacy. Repeat labs at 3 and 6 months keep your care safe and dialed in.

Ongoing
What's included

Everything you need. Nothing you don't.

One flat membership. Your physician visits, ongoing prescription management, unlimited secure messaging, and lab review are all included. No upsells. No "premium" tiers gating your care.

  • Initial 30-minute physician video consult
  • Comprehensive baseline lab panel review (labs at cost)
  • Personalized treatment plan, with fertility considerations discussed up front
  • Prescription management through MA-licensed pharmacy partners
  • Follow-up labs at 3 and 6 months, then every 6–12 months
  • Unlimited secure messaging with your care team
  • Cancel anytime. No long-term contract.
Patient and physician shaking hands at the Tier 1 TRT clinic
Pricing

Flat, transparent, all-in.

One membership covers your physician care, prescription management, and follow-up. Labs and medication are passed through at cost.

TRT membership

Physician-led TRT, all-in.

One flat monthly fee covers your physician, prescription management, and follow-up care.

$99 /month

after a $297 first quarter · 3-month minimum

First quarter $297

Doctor consult, 3 months of testosterone, and syringes included. Then $99/month, month-to-month.

Full refund if your labs don't support TRT.

What's included
  • Physician consult and ongoing visits
  • 3 months of testosterone
  • Syringes and supplies
  • Unlimited secure messaging
  • Prescription management and lab review
  • Month-to-month after the first quarter
  • HSA / FSA eligible
  • MA-licensed pharmacy
  • Cancel anytime

If your labs don't support TRT, you get a full refund. $297 covers your first 3 months at $99/month. After that you continue month-to-month at $99. A prescription is never guaranteed — treatment decisions are made solely by your physician based on your labs and clinical picture. Insurance is not currently accepted; HSA/FSA may apply.

FAQ

Common questions

Do I need to be a Massachusetts resident?
Yes. We are licensed and operate exclusively in Massachusetts. Every prescribing physician on our team holds an active Massachusetts medical license, and our pharmacy partners are licensed under 247 CMR 6.09 to ship into the Commonwealth. If you move out of state, we'll help you transition your care.
Will TRT make me infertile?
Exogenous testosterone suppresses the body's own testosterone and sperm production. This is reversible for most men but not guaranteed. If fertility now or later matters to you, we discuss it before any prescription and offer fertility-preserving protocols (gonadorelin/hCG or enclomiphene as a TRT alternative). We will never start TRT without that conversation.
How fast will I get a prescription?
We don't promise a "prescription in 24 hours" because that's not how careful medicine works. From eligibility to first dose typically takes 7–14 days — most of that is waiting for your morning lab draw and results. If your labs and history don't support a TRT prescription, you won't receive one.
Is testosterone a controlled substance?
Yes. Testosterone is a Schedule III controlled substance under federal law and Massachusetts General Law c. 94C. We follow all DEA, BORIM, and Massachusetts EPCS (electronic prescribing of controlled substances) rules and query the MassPAT prescription monitoring program where applicable.
What does the TRAVERSE trial actually say?
TRAVERSE was a large, randomized, placebo-controlled trial published in NEJM (2023) that found no increased risk of major adverse cardiovascular events with testosterone therapy in men with hypogonadism. It also flagged a small increase in atrial fibrillation, pulmonary embolism, and acute kidney injury — risks we discuss with every patient before starting therapy.
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Find out if TRT is right for you.

A short eligibility check takes a few minutes. If you're a candidate, the next step is a confidential intake with our medical team.

Check eligibility