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Clinics · Comparison

Marek Health vs OneTwenty

Marek Health is primarily TRT & men’s hormones; OneTwenty is primarily bloodwork & longevity. They are compared because readers weigh them against each other, not because they do the same thing.

Marek Health From $299 Read the Marek Health review →
vs
OneTwenty logo OneTwenty From $499/yr membership Read the OneTwenty review →

Side-by-side comparison

Marek HealthOneTwenty logoOneTwenty
Our score7.0 / 109.9 / 10
Starting price$299$499/yr membership
Primary serviceTRT & men’s hormonesBloodwork & longevity
All servicesTRT, Peptides, GLP-1, BloodworkBloodwork, TRT, GLP-1, Peptides
Consult modelVideo and asynchronous messagingUnconfirmed
PrescriberMD/DO + NP/PAUnconfirmed
LabsBilled separatelyIncluded
InsuranceCash payCash pay
Availability50 states49 states
CancellationBy email or written requestSelf-serve online
Trustpilot4.9 / 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 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

Choose OneTwenty if…

People who want their blood retested every 90 days (a 101-marker baseline plus three follow-up panels a year) and want custom supplements and prescriptions, at published prices, driven by those results in one membership.

  • Four lab panels a year (101-marker baseline plus three 20 to 40 marker follow-ups) are included in the membership price
  • Membership and every available medication have a published monthly price: $499/yr ($749/yr in NY/NJ), medications $49 to $279/mo
  • Lists 49 states (all but Rhode Island)

Price: what you actually pay

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.

OneTwenty

Pricing page (seen 2026-11-05; the page says its prices were checked on 2 November 2026): $499 a year, billed annually, for four lab panels: a 101-marker baseline (OneTwenty's own count) plus three follow-up panels of 20 to 40 markers, one every 90 days ('161 to 221 lab results a year'). Walk-in draws at Quest are included; an at-home draw is $99 per draw. NY and NJ: $749 a year because Quest cannot be used there. Add-ons: custom supplement packs from $45/mo; extra lab panels 'at cost' (no prices listed). Medications are priced per product on each treatment page: metformin and sildenafil $49/mo, tadalafil $79/mo, GHK-Cu cream and testosterone cypionate $99/mo, enclomiphene, glutathione (injection or nasal) and oxytocin $129/mo, sermorelin and NAD+ (injection or nasal) $149/mo, compounded semaglutide $179/mo, PT-141 $199/mo, tirzepatide $279/mo or $749 billed quarterly. Whether a separate provider consultation fee applies is not stated. The 'Founding pricing ends at public launch' line seen on 2026-10-17 no longer appears on the homepage or pricing page, but the What We Test page still says 'Now accepting founding members'.

What happens after you sign up

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.

OneTwenty

Treatments offered: Enclomiphene, Compounded semaglutide, Tirzepatide, Sermorelin, Sildenafil, Tadalafil, PT-141 (bremelanotide), Oxytocin nasal spray, Metformin, NAD+ (injection and nasal spray), Glutathione (injection and nasal spray), GHK-Cu cream, Testosterone cypionate.

Cancelling and refunds

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.

OneTwenty

Payment and Refund Policy (updated 2026-07-28): cancel via the option in account settings or by emailing support@onetwenty.com. The annual membership renews automatically. A refund is available only within 7 days of purchase and only if no service has started, minus a 3% fee. After that the annual fee is non-refundable, except for a discretionary prorated refund if no lab is reachable. Medication add-ons are non-refundable once prescribed.

Where each is available

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).

OneTwenty

Site FAQ: 'available in 49 states except for Rhode Island'; NY and NJ carry a higher fee ($749/yr) because of state lab-draw rules. DC not mentioned.

Full breakdown of each

#1 OneTwenty logo

People who want their blood retested every 90 days (a 101-marker baseline plus three follow-up panels a year) and want custom supplements and prescriptions, at published prices, driven by those results in one membership.

Starting price
$499/yr membership
Consult model
Unconfirmed
Prescriber
Unconfirmed
Labs
Included
Insurance
Cash pay
Availability
49 states
Cancellation
Self-serve online
Founded
Unconfirmed

Pricing

Pricing page (seen 2026-11-05; the page says its prices were checked on 2 November 2026): $499 a year, billed annually, for four lab panels: a 101-marker baseline (OneTwenty's own count) plus three follow-up panels of 20 to 40 markers, one every 90 days ('161 to 221 lab results a year'). Walk-in draws at Quest are included; an at-home draw is $99 per draw. NY and NJ: $749 a year because Quest cannot be used there. Add-ons: custom supplement packs from $45/mo; extra lab panels 'at cost' (no prices listed). Medications are priced per product on each treatment page: metformin and sildenafil $49/mo, tadalafil $79/mo, GHK-Cu cream and testosterone cypionate $99/mo, enclomiphene, glutathione (injection or nasal) and oxytocin $129/mo, sermorelin and NAD+ (injection or nasal) $149/mo, compounded semaglutide $179/mo, PT-141 $199/mo, tirzepatide $279/mo or $749 billed quarterly. Whether a separate provider consultation fee applies is not stated. The 'Founding pricing ends at public launch' line seen on 2026-10-17 no longer appears on the homepage or pricing page, but the What We Test page still says 'Now accepting founding members'.

Prices as listed on November 5, 2026. They change often; confirm at checkout.

What we like

  • Four lab panels a year (101-marker baseline plus three 20 to 40 marker follow-ups) are included in the membership price
  • Membership and every available medication have a published monthly price: $499/yr ($749/yr in NY/NJ), medications $49 to $279/mo
  • Lists 49 states (all but Rhode Island)

Watch out for

  • The annual membership is non-refundable after a 7-day window, and only if no service has started (3% fee applies)
  • Not a medical practice: prescriptions come from unnamed third-party telehealth providers, and the site does not say whether they are physicians or NPs or whether visits are by video
  • Early-stage company: it opened a closed beta of 25 founding members in December 2025 and still advertises founding membership
  • No direct insurance billing (HSA/FSA reimbursement only)
Treatments offered
EnclomipheneCompounded semaglutideTirzepatideSermorelinSildenafilTadalafilPT-141 (bremelanotide)Oxytocin nasal sprayMetforminNAD+ (injection and nasal spray)Glutathione (injection and nasal spray)GHK-Cu creamTestosterone cypionate
Cancelling

Payment and Refund Policy (updated 2026-07-28): cancel via the option in account settings or by emailing support@onetwenty.com. The annual membership renews automatically. A refund is available only within 7 days of purchase and only if no service has started, minus a 3% fee. After that the annual fee is non-refundable, except for a discretionary prorated refund if no lab is reachable. Medication add-ons are non-refundable once prescribed.

Where it is available

Site FAQ: 'available in 49 states except for Rhode Island'; NY and NJ carry a higher fee ($749/yr) because of state lab-draw rules. DC not mentioned.

#2

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).

Marek Health vs OneTwenty: common questions

Is Marek Health or OneTwenty better?

OneTwenty ranks higher on our rubric (9.9 vs 7.0 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. OneTwenty: People who want their blood retested every 90 days (a 101-marker baseline plus three follow-up panels a year) and want custom supplements and prescriptions, at published prices, driven by those results in one membership. 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.

Which is cheaper, Marek Health or OneTwenty?

Marek Health starts at $299 (unlabeled program price) plus a minimum $450 lab panel; medications extra. OneTwenty starts at $499/yr membership ($749/yr in NY/NJ); medications $49 to $279/mo extra. Compare what each price includes, especially labs and medication.

Do Marek Health and OneTwenty include lab work?

Marek Health: billed separately. OneTwenty: included.

Which is easier to cancel?

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. OneTwenty: Payment and Refund Policy (updated 2026-07-28): cancel via the option in account settings or by emailing support@onetwenty.com. The annual membership renews automatically. A refund is available only within 7 days of purchase and only if no service has started, minus a 3% fee. After that the annual fee is non-refundable, except for a discretionary prorated refund if no lab is reachable. Medication add-ons are non-refundable once prescribed.

Can Marek Health or OneTwenty prescribe treatment?

Marek Health: yes (Testosterone (injection, topical cream), Semaglutide, Tirzepatide, HCG). OneTwenty: yes (Enclomiphene, Compounded semaglutide, Tirzepatide, Sermorelin).

Which is available in more states?

Marek Health: 50 states. OneTwenty: 49 states.

Sources

Regulatory and primary sources

  1. Marek Health: Marek Health homepage ↗
  2. Marek Health: Marek Health FAQs ↗
  3. Marek Health: Marek Health Cancellation & Refund Policy ↗
  4. Marek Health: Marek Health Acknowledgement of Direct Pay ↗
  5. Marek Health: Marek Health TRT page ↗
  6. Marek Health: Marek Health weight loss page ↗
  7. Marek Health: Marek Health sexual health page ↗
  8. Marek Health: Marek Health hair loss page ↗
  9. Marek Health: Marek Health fertility page ↗
  10. Marek Health: Marek Health look younger page ↗
  11. Marek Health: Team Marek (provider credentials) ↗
  12. Marek Health: Marek Health Telehealth Informed Consent ↗
  13. Marek Health: Marek blog: TRT vs peptides ↗
  14. Marek Health: Marek Health Trustpilot ↗
  15. Marek Health: BBB profile: Marek Health ↗
  16. OneTwenty: OneTwenty homepage and FAQ ↗
  17. OneTwenty: OneTwenty Pricing (prices checked by the company 2026-11-02; seen 2026-11-05) ↗
  18. OneTwenty: OneTwenty Payment and Refund Policy (updated July 28, 2026) ↗
  19. OneTwenty: OneTwenty Longevity Treatments ↗
  20. OneTwenty: OneTwenty Tirzepatide ($279/mo or $749 quarterly) ↗
  21. OneTwenty: OneTwenty Testosterone Cypionate ($99/mo) ↗
  22. OneTwenty: OneTwenty BPC-157 (coming soon) ↗
  23. OneTwenty: OneTwenty What We Test (101-marker baseline; 'Now accepting founding members') ↗
  24. OneTwenty: OneTwenty Press (closed beta announcements) ↗
  25. OneTwenty: OneTwenty Terms of Service (effective August 27, 2026) ↗
  26. OneTwenty: OneTwenty Privacy Policy (effective August 27, 2026) ↗
  27. OneTwenty: Upwork: Physician Advisor (MD/DO), Preventive & Longevity Medicine (search snippet; page returned 403) ↗
  28. OneTwenty: AJMC: 5 things to know about HHS's interim peptide compounding policy (2026-10-29) ↗
  29. OneTwenty: Trustpilot (404, no profile; rechecked 2026-11-05) ↗
  30. Lindy Health clinic scoring rubric ↗