Men's health · Florida & Utah
Men's health, starting with testosterone
Testosterone replacement from $129 a month, enclomiphene if you'd rather raise your own, and ED troches when you need them. Every price is on this page.
TRT is Florida only for now. ED treatment and enclomiphene are available in Florida and Utah. Adults 18 or older. Private, provider-led, discreet shipping.
Testosterone replacement
Injection
Replaces what your body makes, for lab-confirmed low testosterone.
$129 / month
Testosterone support
Enclomiphene
The one capsule we send. Raises your own testosterone. Fertility stays intact.
$129 / month
Erectile dysfunction
Sildenafil · Tadalafil
A scored troche that melts in your mouth. Take it when you need it.
From $79 / 8 doses
Testosterone replacement
What you get
Testosterone cypionate from a state-licensed pharmacy, with syringes and needles. Your dose is set from your labs and your symptoms, not a fixed protocol.
The labs behind it
Two early-morning testosterone levels before we start, plus LH, a blood count, and PSA if you’re over 40. Re-checked on a schedule.
What it costs you besides money
Replacement testosterone suppresses your own production and lowers sperm count, sometimes lastingly. If you may want children, enclomiphene below is the better starting point and we will say so.
Who it isn’t for
Men with untreated sleep apnea, a high hematocrit, prostate or breast cancer, or who are trying to conceive. Also men whose testosterone is normal. Low energy has many causes and this is only one of them.
Monthly
$129 / month
Medication, supplies and care
- Testosterone cypionate injection
- Syringes and needles included
- Provider evaluation and dose adjustment
- Unlimited messaging about your treatment
- Discreet shipping included
Testosterone is a Schedule III controlled substance. We check Florida’s E-FORCSE prescription database before every prescription. Compounded testosterone cypionate is prepared by a state-licensed pharmacy and is not FDA-approved. The FDA has not established that testosterone is safe and effective for low levels caused by aging alone.
Lab work is billed separately from the monthly price. TRT patients receive 20% off any DonoMed at-home lab panel with code TRT20 at checkout.
Testosterone support: enclomiphene
It works upstream
Enclomiphene blocks estrogen signalling at the pituitary, which raises LH and FSH and tells your testicles to make more testosterone. You're producing it, not receiving it.
Fertility is preserved
Replacement testosterone shuts down your own production and lowers sperm count. Because enclomiphene works the other direction, it doesn't. That is the main reason to choose it.
The one capsule we send
The ED medications on this page are troches and TRT is an injection. This is a capsule: one a day. No needles, no gels, no transfer risk to a partner or child.
Monthly
Start here
$129 / month
Cancel any time
- Enclomiphene 12.5 mg or 25 mg
- One capsule daily, 30 per month
- Provider evaluation and dose adjustment
- Unlimited messaging about your treatment
- Discreet shipping included
Quarterly
Most patients
$349 / three months
$116 a month, one shipment instead of three
- Everything in Monthly
- 90 capsules in a single delivery
- Follow-up labs reviewed at the 90-day mark
- Fewer packages arriving at your door
Enclomiphene is not FDA-approved. An application was filed in 2015 and the FDA issued a Complete Response Letter citing the design of the clinical trials. It has not been approved since. It is compounded by a licensed pharmacy to our prescription, for one identified patient at a time, and the FDA does not review compounded medications for safety or effectiveness. Enclomiphene is one of the two isomers in clomiphene, an FDA-approved drug. If you would rather take an approved product, say so. Clomiphene can be prescribed off-label instead, and we'll talk through the difference.
Bloodwork is required, not optional. Low testosterone is diagnosed from two early-morning blood draws on separate days, together with symptoms, not from symptoms alone and not from a single test. We order the labs and you pay the laboratory directly at cash-pay rates. We repeat them after the first 90 days and then periodically. If your levels are normal, we will tell you so and we won't sell you a prescription.
Erectile dysfunction
Our troche
Compounded to our prescription and shipped to your door. It dissolves under the tongue instead of being swallowed. Priced below.
Complete
Sildenafil 30 + tadalafil 10 mg + oxytocin 100 IU
$139 / 8 doses
$189 for 12 · $289 for 20
All four are troches, scored into quarters. Every dose stays at or below the FDA-approved daily maximum, and the price includes the evaluation, the medication, and discreet shipping. Concierge members take 5% off on Plus and 15% off on VIP. See Concierge Care.
These four are compounded medications, prepared by a licensed compounding pharmacy to our prescription. The FDA does not review compounded medications for safety or effectiveness. The active ingredients are FDA-approved drugs; what's compounded is the sublingual form.
A note on Complete. The sildenafil and tadalafil in it sit well under their approved daily limits. Oxytocin is different. It's an approved drug, but only as an injection, so there is no approved dose for a troche. We include it because some men notice a difference; the evidence behind it is thin and we won't pretend otherwise. If you'd rather skip it, Combination is the same two medicines without it.
Why a troche
It melts, you don't swallow it
It sits against your cheek or under your tongue for a few minutes. Part of the dose absorbs straight through the lining of your mouth.
No water, no audience
Nothing to wash it down with and nothing to explain. It goes in a pocket and nobody watches you take it.
Two medicines, one dose
Sildenafil and tadalafil can be pressed into a single troche. That combination has to be compounded. You can't buy it off a shelf.
Scored into quarters
The cross on the face isn't decoration. If the full dose is more than you need, it breaks cleanly into halves or quarters. Your provider will say when.
Every ED dose stays inside the approved range
Sildenafil
The FDA-approved oral strengths are 25, 50 and 100 mg, with a maximum of 100 mg in a day. Our troches are 55, 45 and 30 mg.
Tadalafil
The FDA-approved strengths are 5, 10 and 20 mg as needed, with a maximum of 20 mg in a day. Ours are 11, 15 and 10 mg.
The combinations
In Combination and Complete, each ingredient stays well under its own daily limit. They aren't stacked on top of a full dose.
What we won't compound
Anything above the approved maximum. Some clinics sell tadalafil troches at 80 or 100 mg, four to five times the daily limit. There is no approval and no safety data behind those numbers, so we don't stock them.
Your provider may start you lower than the strengths listed here. The right dose is the smallest one that works.
Private by default
Nobody needs to know.
Plain packaging with nothing named on the outside. We don't sell or share your health data, and we never will.
When these medications aren't safe
Nitrates: ED medication
Nitroglycerin, isosorbide, or amyl nitrite ("poppers"). This one is absolute. There is no dose that makes it safe.
Riociguat: ED medication
Sold as Adempas, for pulmonary hypertension. Same interaction, same answer.
Recent cardiac events
A heart attack, stroke, or unstable angina in the last six months. Also uncontrolled blood pressure (too high or too low) and heart failure that isn't stable.
Eye and blood conditions
A history of NAION or sudden vision loss in one eye, retinitis pigmentosa, sickle cell disease, leukemia, or multiple myeloma.
Alpha-blockers
Tamsulosin, doxazosin and similar prostate or blood-pressure medications can stack with ED medication. Not a hard stop, but the dose and timing have to be planned. Tell us what you take.
An erection lasting over four hours
Go to an emergency department. Priapism is a medical emergency and waiting it out can cause permanent damage.
Liver disease: enclomiphene
Enclomiphene is cleared by the liver. Significant liver disease changes whether it's appropriate and at what dose.
Blood pressure and blood count: testosterone
Testosterone can raise blood pressure and thicken the blood. Both are checked on treatment. Get care right away for chest pain, shortness of breath, or pain and swelling in one leg.
Clots and vision: enclomiphene
A history of blood clots, stroke, or deep vein thrombosis. Stop and tell us immediately about blurred vision, flashes, or spots. Visual changes are a known effect of this class and are a reason to stop.
Erectile dysfunction and low testosterone are sometimes the first sign of cardiovascular disease, diabetes, sleep apnea, or thyroid disease. If your history suggests that, we'll say so and order labs rather than only handing you a prescription.
Questions
Do I need labs or a physical exam?
For erectile dysfunction, usually not: Florida Statute § 456.47 allows a licensed provider to evaluate and treat from a written history when that evaluation is sufficient to diagnose and treat you. For enclomiphene and testosterone replacement, bloodwork is required and there is no version of this where we skip it. If your answers raise something that needs a live conversation, we'll ask for a call or a video visit before prescribing anything.
What does "compounded" mean?
A compounding pharmacy prepares the medication to our prescription rather than dispensing a mass-produced tablet. That's how you get a dose that dissolves under the tongue, or two molecules in one troche. The FDA does not review compounded medications for safety or effectiveness. For the ED medications, the active ingredients are FDA-approved drugs at strengths inside the approved range and only the sublingual form is compounded. Enclomiphene is different. The drug itself has never been approved. We say so plainly rather than burying it.
What's in Complete, and why does it cost more?
Sildenafil 30 mg and tadalafil 10 mg, the same two medicines as Combination at lower strengths, plus 100 IU of oxytocin. The oxytocin is what costs more to compound. It's an approved drug, but only as an injection. There is no approved dose for a troche, and the evidence for it in sexual function is thin. Some men prefer it. If that trade doesn't appeal to you, Combination is the better value and we'll say so.
Why does your troche cost more than a generic tablet?
Because it's a different product. A generic sildenafil tablet costs a pharmacy a few cents and is dispensed off a shelf. A troche is made to order for each prescription.
Can I use insurance?
No. We don't bill insurance for our care or for the compounded troches and capsules.
How quickly can I have it?
Shipped orders take a few days to arrive. Enclomiphene and testosterone replacement take longer to start because we need your bloodwork back first. Nothing is prescribed until a provider has reviewed your history.
Is this a subscription, and can I cancel?
Yes to both. You'll see the exact amount and the exact date of every charge before you enter a card, and you can cancel at any time. If you cancel, you keep what you've already been sent.
What if it doesn't work?
Message your provider. For ED, dose, timing, food, and alcohol all change how these medications behave, and the fix is often one of those rather than a different drug. For enclomiphene, we look at your follow-up labs. If your testosterone hasn't moved, the answer isn't a higher dose, it's a different diagnosis.
Can testosterone be prescribed by telehealth in Florida?
Yes. Testosterone is a Schedule III controlled substance, and Florida law allows Schedule III medications to be prescribed through telehealth. We check Florida’s E-FORCSE prescription database before every prescription, as state law requires.
Do you treat premature ejaculation?
Bring it up at your evaluation. It's common alongside erectile dysfunction and worth discussing, but it isn't sold from this page today.