What does TRT cost at Bionomy?

Testosterone cypionate is $149/month, testosterone cream is $179/month. Enclomiphene as a starter is $99/month. Initial bloodwork is $89; follow-up is $79.

Cypionate or cream, which is better?

Cypionate gives the most predictable levels at the lowest cost. Cream avoids needles but is more variable. Most men start on cypionate.

Is TRT safe long-term?

The most recent large trial (TRAVERSE, 2023) showed no increased cardiovascular risk in men with hypogonadism on TRT. Practitioners monitor hematocrit, estradiol, and PSA.

TRT · TESTOSTERONE REPLACEMENT · MEN

Testosterone, measured and managed.

Q: Will TRT make me infertile?

TRT can suppress sperm production. If fertility matters, your practitioner may recommend starting with enclomiphene instead, since it raises your own testosterone while preserving sperm parameters.

Enclomiphene as the smart starter. Cypionate injection or topical cream when levels are too low. Reviewed by an American board-certified physician who titrates your dose, watches your labs, and adjusts in chat. Our Founding Physician, Dr. Pranav K. Sharma, MD, is quadruple board-certified. The TRT clinic, without the clinic.

Start TRT intake, free

$149/motestosterone cypionate

280 → 720avg total T (ng/dL)

24hpractitioner review

Chatdose adjustments in chat

Dark amber injection vial on cream linen

YOUR TESTOSTERONE PROTOCOL IS READ BY A PHYSICIAN

Not a bot. Not a midlevel. A board-certified MD.

Founding Physician Dr. Pranav K. Sharma, MD (FACC, FCCP, FASN, D-ABOM), or a Bionomy physician trained to his standard, reviews every Testosterone intake within 24 hours.

Meet our Founding Physician

4× Board-certified founder

D-ABOM The credential governing GLP-1 & weight

48 U.S. states licensed

24h Physician review window

How it works.

Take the TRT intake

Share your symptoms, history, and recent labs (or order them through us). 2 minutes, no card.

Practitioner review

A licensed Bionomy practitioner reviews your labs and intake within 24 hours and opens a private chat.

Personalized protocol

Injection, cream, or enclomiphene oral. Dose set by your labs. Transparent pricing. You approve before anything ships.

Shipped, then titrated

First shipment in 5 days. Quarterly labs. Dose adjustments handled in chat.

Why members choose this.

280 → 720avg total T (ng/dL, member-reported)

85%feel a difference by week 6

48states we ship to

14American board-certified physician on staff

Based on representative member outcomes and published clinical research. Individual results vary.

Practitioner-reviewedEvery intake is reviewed by a licensed Bionomy practitioner within 24 hours.

US-licensed pharmaciesCompounded by state-licensed pharmacies for individual patients.

Discreet shippingPacked in plain packaging and shipped to your door in 5 business days.

Common questions.

Do I need bloodwork before TRT?

Strongly recommended. Your practitioner will look at total & free testosterone, estradiol, SHBG, CBC, CMP, PSA, and lipids before approving an injectable protocol. Upload recent labs or add the TRT Initial Panel for $89 during intake, your practitioner will tell you what's actually needed.

Is compounded TRT the same as branded testosterone?

Same active molecule (testosterone cypionate). Compounded by a state-licensed pharmacy for individual patients. Compounded medications are not FDA-approved.

Will TRT make me infertile?

TRT typically suppresses sperm production. If you want kids someday, your practitioner may recommend starting with enclomiphene instead, since it raises your own testosterone while preserving sperm parameters.

Can I cycle off TRT later?

Yes. There's a standard restart protocol your practitioner can manage if you decide to come off.

See all questions →

Start your TRT intake.

Free · No card required · Practitioner review in 24 hours.

Begin intake, free

Compounded medications are not FDA-approved. They are prepared by state-licensed pharmacies for individual patients based on a prescription from a licensed practitioner.