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Clinics · Comparison

Fountain TRT 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.

Fountain TRT logo Fountain TRT From $199 per 4 weeks Read the Fountain TRT review →
vs
Marek Health From $299 Read the Marek Health review →

Side-by-side comparison

Fountain TRT logoFountain TRTMarek Health
Our score6.8 / 107.0 / 10
Starting price$199 per 4 weeks$299
Primary serviceTRT & men’s hormonesTRT & men’s hormones
All servicesTRTTRT, Peptides, GLP-1, Bloodwork
Consult modelVideo and asynchronous messagingVideo and asynchronous messaging
PrescriberUnconfirmedMD/DO + NP/PA
LabsIncludedBilled separately
InsuranceCash payCash pay
Availability20 states50 states
CancellationBy email or written requestBy email or written request
Trustpilot4.4 / 5 (398 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 Fountain TRT if…

Men in one of the listed states who want an all-inclusive TRT membership with video visits and urologist-led protocols, and who don't mind that the evaluation fee isn't published.

  • One membership fee covers medication, provider visits and ongoing lab monitoring
  • Requires a live 20-minute video visit before prescribing, with follow-up visits every 3-6 months
  • Clinical program led by a board-certified urologist (Doron Stember, MD, Chief Medical Officer)

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

Fountain TRT

The all-inclusive membership covers medication, shipping, concierge support, provider visits and required lab monitoring ('except where prohibited by state law'). Starter is $199 billed every 4 weeks, Standard $499 billed every 12 weeks, and Pro $1,799 billed every 48 weeks (about $150 per 4 weeks). The initial evaluation (labs plus a 20-minute video visit) carries a 'Pay nothing if not qualified' guarantee, but its price is not shown on the 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

Fountain TRT

Treatments offered: Testosterone cypionate (injection), Testosterone cream (topical), Enclomiphene, Anastrozole (optional add-on), Tadalafil (optional add-on).

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

Fountain TRT

fountaintrt.com FAQ: 'You can cancel at any time.' The Fountain Vitality Terms of Use (updated April 3, 2024) say subscriptions auto-renew unless cancelled before the end of the current period 'by Contacting Us' (text, phone or support@fountain.net), and the account closes at the end of the billing period. The site gives no refund terms for the prepaid 12- and 48-week plans.

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

Fountain TRT

The fountaintrt.com FAQ lists AL, AZ, CA, CO, CT, FL, GA, IL, IN, MI, NJ, NY, NC, OH, PA, TN, TX, VA, WA, WI and says 'We will be expanding to other states in the near future.' The current fountain.net TRT page publishes no state list.

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 Fountain TRT logo

Men in one of the listed states who want an all-inclusive TRT membership with video visits and urologist-led protocols, and who don't mind that the evaluation fee isn't published.

Starting price
$199 per 4 weeks
Consult model
Video and asynchronous messaging
Prescriber
Unconfirmed
Labs
Included
Insurance
Cash pay
Availability
20 states
Cancellation
By email or written request
Founded
Jacksonville, FL

Pricing

The all-inclusive membership covers medication, shipping, concierge support, provider visits and required lab monitoring ('except where prohibited by state law'). Starter is $199 billed every 4 weeks, Standard $499 billed every 12 weeks, and Pro $1,799 billed every 48 weeks (about $150 per 4 weeks). The initial evaluation (labs plus a 20-minute video visit) carries a 'Pay nothing if not qualified' guarantee, but its price is not shown on the site.

Fountain TRT $199/month, as low asProvider describes medication, video visits and ongoing medical support as included. Confirm current eligibility, laboratory fees and enrollment terms.

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

What we like

  • One membership fee covers medication, provider visits and ongoing lab monitoring
  • Requires a live 20-minute video visit before prescribing, with follow-up visits every 3-6 months
  • Clinical program led by a board-certified urologist (Doron Stember, MD, Chief Medical Officer)
  • Prepaid 12- and 48-week plans lower the effective monthly cost (about $150 per 4 weeks on the Pro plan)

Watch out for

  • Price of the initial evaluation (labs plus video visit) is not published
  • Limited footprint: the published list covers 20 states
  • Medication menu is TRT-only (injections, cream, enclomiphene) plus two add-ons
  • No published refund terms for the prepaid multi-week plans
Treatments offered
Testosterone cypionate (injection)Testosterone cream (topical)EnclomipheneAnastrozole (optional add-on)Tadalafil (optional add-on)
Cancelling

fountaintrt.com FAQ: 'You can cancel at any time.' The Fountain Vitality Terms of Use (updated April 3, 2024) say subscriptions auto-renew unless cancelled before the end of the current period 'by Contacting Us' (text, phone or support@fountain.net), and the account closes at the end of the billing period. The site gives no refund terms for the prepaid 12- and 48-week plans.

Where it is available

The fountaintrt.com FAQ lists AL, AZ, CA, CO, CT, FL, GA, IL, IN, MI, NJ, NY, NC, OH, PA, TN, TX, VA, WA, WI and says 'We will be expanding to other states in the near future.' The current fountain.net TRT page publishes no state list.

Fountain TRT vs Marek Health: common questions

Is Fountain TRT 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. Fountain TRT: Men in one of the listed states who want an all-inclusive TRT membership with video visits and urologist-led protocols, and who don't mind that the evaluation fee isn't published.

Which is cheaper, Fountain TRT or Marek Health?

Fountain TRT starts at $199 per 4 weeks (Starter plan); evaluation fee not published. 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 Fountain TRT and Marek Health include lab work?

Fountain TRT: included. Marek Health: billed separately.

Which is easier to cancel?

Fountain TRT: fountaintrt.com FAQ: 'You can cancel at any time.' The Fountain Vitality Terms of Use (updated April 3, 2024) say subscriptions auto-renew unless cancelled before the end of the current period 'by Contacting Us' (text, phone or support@fountain.net), and the account closes at the end of the billing period. The site gives no refund terms for the prepaid 12- and 48-week plans. 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 Fountain TRT or Marek Health prescribe treatment?

Fountain TRT: yes (Testosterone cypionate (injection), Testosterone cream (topical), Enclomiphene, Anastrozole (optional add-on)). Marek Health: yes (Testosterone (injection, topical cream), Semaglutide, Tirzepatide, HCG).

Which is available in more states?

Fountain TRT: 20 states. Marek Health: 50 states.

Sources

Regulatory and primary sources

  1. Fountain TRT: Fountain TRT landing page and FAQ ↗
  2. Fountain TRT: FountainTRT program page (fountain.net) ↗
  3. Fountain TRT: Fountain.net homepage ↗
  4. Fountain TRT: Fountain About ↗
  5. Fountain TRT: Fountain Vitality Terms of Use (updated April 3, 2024) ↗
  6. Fountain TRT: Fountain Vitality practice disclosure ↗
  7. Fountain TRT: Fountain Trustpilot ↗
  8. Marek Health: Marek Health homepage ↗
  9. Marek Health: Marek Health FAQs ↗
  10. Marek Health: Marek Health Cancellation & Refund Policy ↗
  11. Marek Health: Marek Health Acknowledgement of Direct Pay ↗
  12. Marek Health: Marek Health TRT page ↗
  13. Marek Health: Marek Health weight loss page ↗
  14. Marek Health: Marek Health sexual health page ↗
  15. Marek Health: Marek Health hair loss page ↗
  16. Marek Health: Marek Health fertility page ↗
  17. Marek Health: Marek Health look younger page ↗
  18. Marek Health: Team Marek (provider credentials) ↗
  19. Marek Health: Marek Health Telehealth Informed Consent ↗
  20. Marek Health: Marek blog: TRT vs peptides ↗
  21. Marek Health: Marek Health Trustpilot ↗
  22. Marek Health: BBB profile: Marek Health ↗
  23. Lindy Health clinic scoring rubric ↗