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Clinics · Comparison

Defy Medical vs Marek Health

Both are primarily TRT & men’s hormones providers, so the differences are in consult model, what is bundled, who prescribes, and price.

Defy Medical logo Defy Medical From Under $175/mo average for TRT in year one Read the Defy Medical review →
vs
Marek Health From $299 Read the Marek Health review →

Side-by-side comparison

Defy Medical logoDefy MedicalMarek Health
Our score6.8* / 107.0 / 10
Starting priceUnder $175/mo average for TRT in year one$299
Primary serviceTRT & men’s hormonesTRT & men’s hormones
All servicesTRT, Peptides, HRT, EDTRT, Peptides, GLP-1, Bloodwork
Consult modelLive video consultVideo and asynchronous messaging
PrescriberMD/DO + NP/PAMD/DO + NP/PA
LabsBilled separatelyBilled separately
InsuranceCash payCash pay
AvailabilityUnconfirmed50 states
CancellationNo subscription to cancelBy email or written request
Trustpilot4.8 / 5 (4,221 reviews)4.9 / 5 (989 reviews)
Regulatory / legal recordNone foundNone found
Visit ↗Visit ↗

* Provisional score: one or two criteria could not be verified.

Which one is right for you

Choose Defy Medical if…

Self-pay patients who want long video consultations and a la carte hormone, weight-loss or peptide care without a subscription, and who can tolerate unpublished per-visit pricing.

  • No subscription, monthly fee or contract; patients pay only for the services they buy
  • Initial consultations by secure video last up to one hour, and follow-ups up to 30 minutes
  • Care team of physicians, physician assistants and nurse practitioners, plus an in-person clinic in Tampa

Choose Marek Health if…

Data-driven clients who want extensive lab panels and coach-led, provider-supervised hormone optimization, and who will pay out of pocket without a clear upfront total.

  • Named care team includes MDs and DOs (e.g. Medical Director Steven Campbell, MD) alongside DNPs, FNPs and a PA-C
  • No set subscription plans; FAQ says clients can cancel whenever they want
  • Detailed published monitoring requirements: follow-up labs at 6-12 weeks, then every 6 months, plus an annual in-person physical

Price: what you actually pay

Defy Medical

Defy's FAQ estimates male TRT averages under $175/month in the first year and about $125/month after that. The estimate covers testosterone, a weekly aromatase inhibitor, labs and consultations, and Defy says it is not a price guarantee. There is no monthly fee: consultations, labs and medications are each paid for when bought. No consultation fee is published on Defy's site.

Marek Health

Treatment pages show '$299' next to the Guided Optimization steps (coach assessment, lab analysis, a 25-minute licensed-provider consult, monthly coach check-ins) but never say whether it is one-time or recurring. They also state 'minimum $450 lab panel purchase required'. Medication prices are not published.

What happens after you sign up

Defy Medical

Treatments offered: Testosterone (TRT), Trimix (compounded injectable for ED), Semaglutide, Tirzepatide, Sermorelin, Ketamine, Bioidentical hormones (BHRT) for women, Thyroid medication, BPC-157, TB-500, Epitalon, KPV, MOTS-c. Prescribers: MD/DO + NP/PA.

Marek Health

Treatments offered: Testosterone (injection, topical cream), Semaglutide, Tirzepatide, HCG, Tadalafil, PT-141 (bremelanotide), Finasteride, Dutasteride, Minoxidil, Rapamycin, GHK-Cu. Prescribers: MD/DO + NP/PA.

Cancelling and refunds

Defy Medical

No subscription or contract: 'Defy Medical doesn't lock patients into subscriptions or contracts', and charges are due when a service is purchased, so there is no recurring plan to cancel. Appointments cancelled with less than 24 hours' notice, and no-shows, may be charged the full consultation fee. Sales are generally final. Lab orders are refundable only before specimens are submitted, and dispensed medications are not refundable.

Marek Health

FAQ: 'we don't offer any set subscription plans and you can cancel whenever you want.' Cancellation & Refund Policy: 'All Marek Health web sales are final and non-refundable'. The booking payment is a non-refundable deposit toward the provider exam. Appointment changes need 24 hours' notice by email, text or phone, or a fee of up to $50 may apply; no-shows may also be charged up to $50.

Where each is available

Defy Medical

Says telemedicine is offered in 'most states throughout the US' without listing them. Its lab-ordering site (testdefy.com) says on-demand lab testing is not offered in NY, NJ, PA, RI or MA. The ToS says controlled-substance prescriptions are not sent across state lines.

Marek Health

FAQ: Guided Optimization 'is available in all 50 states across the United States. However, specific treatments and diagnostics may be limited to certain states.' DC is not mentioned in the FAQ (the sign-up form's state list includes DC).

Full breakdown of each

#1

Data-driven clients who want extensive lab panels and coach-led, provider-supervised hormone optimization, and who will pay out of pocket without a clear upfront total.

Starting price
$299
Consult model
Video and asynchronous messaging
Prescriber
MD/DO + NP/PA
Labs
Billed separately
Insurance
Cash pay
Availability
50 states
Cancellation
By email or written request
Founded
2020 · Pontiac, MI

Pricing

Treatment pages show '$299' next to the Guided Optimization steps (coach assessment, lab analysis, a 25-minute licensed-provider consult, monthly coach check-ins) but never say whether it is one-time or recurring. They also state 'minimum $450 lab panel purchase required'. Medication prices are not published.

Marek Health $299 entry feePublished entry/membership fee. Required labs, prescriptions and supplements are billed separately. Main site specifies a $450 minimum lab purchase; confirm the selected package and current terms.

Prices as listed on October 17, 2026. They change often; confirm at checkout.

What we like

  • Named care team includes MDs and DOs (e.g. Medical Director Steven Campbell, MD) alongside DNPs, FNPs and a PA-C
  • No set subscription plans; FAQ says clients can cancel whenever they want
  • Detailed published monitoring requirements: follow-up labs at 6-12 weeks, then every 6 months, plus an annual in-person physical
  • Trustpilot 4.9 from 989 reviews; BBB A+ with 2 complaints in 3 years

Watch out for

  • Lab panel is a separate purchase (minimum $450) and outside lab results are not accepted to start
  • Medication prices are not published, and the meaning of the $299 figure is not explained
  • All web sales are final and non-refundable
  • Requires an in-person physical exam from an outside clinician every 12 months
Treatments offered
Testosterone (injection, topical cream)SemaglutideTirzepatideHCGTadalafilPT-141 (bremelanotide)FinasterideDutasterideMinoxidilRapamycinGHK-Cu
Cancelling

FAQ: 'we don't offer any set subscription plans and you can cancel whenever you want.' Cancellation & Refund Policy: 'All Marek Health web sales are final and non-refundable'. The booking payment is a non-refundable deposit toward the provider exam. Appointment changes need 24 hours' notice by email, text or phone, or a fee of up to $50 may apply; no-shows may also be charged up to $50.

Where it is available

FAQ: Guided Optimization 'is available in all 50 states across the United States. However, specific treatments and diagnostics may be limited to certain states.' DC is not mentioned in the FAQ (the sign-up form's state list includes DC).

#2 Defy Medical logo

Self-pay patients who want long video consultations and a la carte hormone, weight-loss or peptide care without a subscription, and who can tolerate unpublished per-visit pricing.

Starting price
Under $175/mo average for TRT in year one
Consult model
Live video consult
Prescriber
MD/DO + NP/PA
Labs
Billed separately
Insurance
Cash pay
Availability
Unconfirmed
Cancellation
No subscription to cancel
Founded
Tampa, FL

Pricing

Defy's FAQ estimates male TRT averages under $175/month in the first year and about $125/month after that. The estimate covers testosterone, a weekly aromatase inhibitor, labs and consultations, and Defy says it is not a price guarantee. There is no monthly fee: consultations, labs and medications are each paid for when bought. No consultation fee is published on Defy's site.

Prices as listed on October 17, 2026. They change often; confirm at checkout.

What we like

  • No subscription, monthly fee or contract; patients pay only for the services they buy
  • Initial consultations by secure video last up to one hour, and follow-ups up to 30 minutes
  • Care team of physicians, physician assistants and nurse practitioners, plus an in-person clinic in Tampa
  • Trustpilot score of 4.8 from 4,221 reviews

Watch out for

  • No consultation, lab or medication prices on the main site; only an average monthly TRT estimate
  • Does not accept insurance of any kind (it provides a superbill on request)
  • Its Peptide Therapy service page features BPC-157, TB-500, Epitalon, KPV and MOTS-c, which are on FDA's 503A Category 2 safety-risk list
  • BBB rating of C- (not accredited), with 4 complaints in the last 3 years
Treatments offered
Testosterone (TRT)Trimix (compounded injectable for ED)SemaglutideTirzepatideSermorelinKetamineBioidentical hormones (BHRT) for womenThyroid medicationBPC-157TB-500EpitalonKPVMOTS-c
Cancelling

No subscription or contract: 'Defy Medical doesn't lock patients into subscriptions or contracts', and charges are due when a service is purchased, so there is no recurring plan to cancel. Appointments cancelled with less than 24 hours' notice, and no-shows, may be charged the full consultation fee. Sales are generally final. Lab orders are refundable only before specimens are submitted, and dispensed medications are not refundable.

Where it is available

Says telemedicine is offered in 'most states throughout the US' without listing them. Its lab-ordering site (testdefy.com) says on-demand lab testing is not offered in NY, NJ, PA, RI or MA. The ToS says controlled-substance prescriptions are not sent across state lines.

Defy Medical vs Marek Health: common questions

Is Defy Medical or Marek Health better?

Marek Health ranks higher on our rubric (7.0 vs 6.8* out of 10; * means provisional, and fully verified scores rank first). That reflects price transparency, labs, availability, cancellation terms and treatment range, not clinical outcomes. Marek Health: Data-driven clients who want extensive lab panels and coach-led, provider-supervised hormone optimization, and who will pay out of pocket without a clear upfront total. Defy Medical: Self-pay patients who want long video consultations and a la carte hormone, weight-loss or peptide care without a subscription, and who can tolerate unpublished per-visit pricing.

Which is cheaper, Defy Medical or Marek Health?

Defy Medical starts at Under $175/mo average for TRT in year one (company estimate, pay-per-service). Marek Health starts at $299 (unlabeled program price) plus a minimum $450 lab panel; medications extra. Compare what each price includes, especially labs and medication.

Do Defy Medical and Marek Health include lab work?

Defy Medical: billed separately. Marek Health: billed separately.

Which is easier to cancel?

Defy Medical: No subscription or contract: 'Defy Medical doesn't lock patients into subscriptions or contracts', and charges are due when a service is purchased, so there is no recurring plan to cancel. Appointments cancelled with less than 24 hours' notice, and no-shows, may be charged the full consultation fee. Sales are generally final. Lab orders are refundable only before specimens are submitted, and dispensed medications are not refundable. Marek Health: FAQ: 'we don't offer any set subscription plans and you can cancel whenever you want.' Cancellation & Refund Policy: 'All Marek Health web sales are final and non-refundable'. The booking payment is a non-refundable deposit toward the provider exam. Appointment changes need 24 hours' notice by email, text or phone, or a fee of up to $50 may apply; no-shows may also be charged up to $50.

Can Defy Medical or Marek Health prescribe treatment?

Defy Medical: yes (Testosterone (TRT), Trimix (compounded injectable for ED), Semaglutide, Tirzepatide). Marek Health: yes (Testosterone (injection, topical cream), Semaglutide, Tirzepatide, HCG).

Sources

Regulatory and primary sources

  1. Defy Medical: Defy Medical homepage ↗
  2. Defy Medical: Peptide Therapy - Defy Medical ↗
  3. Defy Medical: About Defy Medical ↗
  4. Defy Medical: Defy Medical Terms of Service ↗
  5. Defy Medical: Get Started - Defy Medical ↗
  6. Defy Medical: How much does TRT cost with Defy Medical? ↗
  7. Defy Medical: What Does a Typical Telemedicine Hormone Therapy Appointment Look Like? ↗
  8. Defy Medical: Defy Medical Tampa Clinic ↗
  9. Defy Medical: Lab Tests Online - Defy Medical ↗
  10. Defy Medical: TestDefy lab ordering ↗
  11. Defy Medical: Defy Medical Patient Specials 2025 ↗
  12. Defy Medical: Defy Medical Trustpilot ↗
  13. Defy Medical: Defy Medical LLC BBB profile ↗
  14. Marek Health: Marek Health homepage ↗
  15. Marek Health: Marek Health FAQs ↗
  16. Marek Health: Marek Health Cancellation & Refund Policy ↗
  17. Marek Health: Marek Health Acknowledgement of Direct Pay ↗
  18. Marek Health: Marek Health TRT page ↗
  19. Marek Health: Marek Health weight loss page ↗
  20. Marek Health: Marek Health sexual health page ↗
  21. Marek Health: Marek Health hair loss page ↗
  22. Marek Health: Marek Health fertility page ↗
  23. Marek Health: Marek Health look younger page ↗
  24. Marek Health: Team Marek (provider credentials) ↗
  25. Marek Health: Marek Health Telehealth Informed Consent ↗
  26. Marek Health: Marek blog: TRT vs peptides ↗
  27. Marek Health: Marek Health Trustpilot ↗
  28. Marek Health: BBB profile: Marek Health ↗
  29. Lindy Health clinic scoring rubric ↗