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Since patients are at risk for functional asplenia, vaccinations against the encapsulated organisms should be considered

As the science develops, well update this guide accordingly

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| Clinic | TRT | Female HRT | Peptides | GLP-1 | hCG for Fertility | Starting Monthly Cost | |---|---|---|---|---|---|---| | Defy Medical | Yes | Yes | Broad | Yes (compounded) | Yes | ~$250 | | Fountain TRT | Yes | No | Limited | No | No | ~$150 | | Maximus | Yes | No | No | No | Limited | ~$129 | | Marek Health | Yes | Yes | Broad | Yes | Yes | ~$200 | | Midi Health | No | Yes | No | No | No | ~$95 | | Lifeforce | Yes | Yes | Limited | No | No | ~$350 | Cost estimates reflect median protocol pricing as of June 2025 and exclude pharmacy costs for medications dispensed separately