Marek Health is a leading online provider of testosterone replacement therapy (TRT) designed to help men battle symptoms of low testosterone, like fatigue, low libido, mood swings, and muscle loss.
But here’s where Marek goes beyond the competition: It doesn’t just fix testosterone levels, it focuses on your entire hormonal health. That focus, however, comes at a high price.
This review breaks down what Marek offers, how it works, treatment details, costs, and who it’s best for.
📋 Our Score: 4/5
We rated Marek Health TRT across five important categories relevant to men seeking straightforward, medically guided hormone therapy. Here’s how it stacks up:
| Category | Rating |
|---|---|
| Results | ★★★★★ |
| Ease of use | ★★★★☆ |
| Medical expertise | ★★★★★ |
| Cost & transparency | ★★☆☆☆ |
| Customer support | ★★★★☆ |
| Pros | Cons |
|---|---|
|
✅ Full hormonal optimization – not just testosterone ✅ Deep lab testing for a full-body assessment ✅ Multiple treatment options (TRT + thyroid, peptides, etc.) ✅ High-level physician oversight ✅ Ongoing monitoring with adjustments |
❌ More expensive than TRT-only clinics ❌ No insurance coverage ❌ Better suited for long-term health seekers than quick-fix shoppers |
What Is Marek Health?
Marek Health is an online medical service that specializes in testosterone replacement therapy (TRT)—but that’s just the beginning. What makes Marek different is its comprehensive approach to hormonal health—an approach called “guided optimization.” Rather than handing out testosterone like candy, Marek’s team digs deep into your biology to figure out why you’re feeling off.
They focus on a full-spectrum hormone panel, assessing everything from testosterone and estrogen to thyroid and adrenal hormones. Their philosophy? Optimizing testosterone alone won’t fix everything if other hormones are out of balance. For example, low thyroid function can mimic low T symptoms like fatigue and weight gain, and adrenal imbalances can wreck your energy and mood.
So when you sign up with Marek, you’re not just getting a TRT clinic—you’re getting a full-body hormone assessment designed to uncover all potential root causes of your symptoms. This can be a game-changer if you’ve tried testosterone before and didn’t feel the results you expected.
Services include:
- TRT (injections and creams)
- Thyroid hormone optimization
- Peptide therapy
- Metabolic, sexual, and cognitive health assessments
- Lifestyle and supplement guidance
- Fertility coaching
- Comprehensive diagnostic testing
The goal is simple: Craft a treatment plan tailored to your unique hormonal blueprint, all from the comfort of home.
How Does Marek Health Work?
Marek’s process is designed to be thorough but easy to follow. Here’s a step-by-step of what to expect:
Step 1: Online Health Assessment
You’ll start by creating a profile with a detailed questionnaire covering symptoms, medical history, lifestyle, and goals. This helps the doctors understand what might be going on before they even look at your bloodwork.
Step 2: Book a Meeting With a Marek Health Coach
A Marek Health Coach will meet with you via telehealth to discuss your health goals and concerns. The coaches partner with medical practitioners to develop a testing and treatment plan for you. Choose from male and female coaches, whose bios are all on the website.
Step 3: Comprehensive Lab Work
Your Marek coach then sets you up with a custom blood panel through a local lab (like Labcorp) that aligns with your goals and symptoms. These tests can cover a lot more than testosterone:
- Total & free testosterone
- Estradiol (E2)
- Sex hormone binding globulin (SHBG)
- Thyroid-stimulating hormone (TSH)
- Free T3 and Free T4
- Cortisol
- Complete metabolic panel (CMP)
- Complete blood count (CBC)
- Lipid panel
This broad testing catches anything that could be affecting your hormonal health.
Step 4: Doctor Review & Treatment Plan
A licensed physician reviews your test results and consults with you via telehealth. (You don’t get to choose your practitioner, but Marek lists them on its website.) They explain what your labs mean in plain English and together you build a personalized treatment plan. If TRT is recommended, they also check for any other hormonal imbalances that need to be addressed.
Step 5: Treatment & Ongoing Monitoring
If you’re approved for therapy, Marek ships everything to your door. You’re required to re-test regularly and schedule follow-ups to fine-tune your plan. This isn’t a one-and-done service—it’s designed for ongoing optimization.
You also have access to informational video guides that cover important topics:
- How to receive and store medications
- How to determine your testosterone dosage
- How to handle oral medications that require special handling
- How to perform self-injections
- How to reconstitute and inject peptides
Marek Health TRT Pricing: High-End Hormonal Optimization
Marek is a high-end telehealth service that offers a comprehensive treatment plan—but because it’s so complete, the costs for this clinic run higher than most.
Initial Consultation: $250
Your initial meeting with a health coach costs $250, and that doesn’t include lab work.
Beyond this initial cost, you will pay an additional $250 biannually to meet with your medical provider via Zoom.
Cost of Lab Work: About $450–$1700
The costs of your lab work will depend on how in-depth your panel is based on which medications you’re interested in. You’ll pay $450 for an initial basic diagnostic blood test and up to $1,700 with optional genetic analysis. Follow-up blood work costs $250 every six months.
Medication Costs
Because Marek Health offers more than just TRT, you can purchase a variety of medications directly, like HCG and aromatase inhibitors. Here’s what we’ve been able to find:
- Testosterone: $80 for 1000 mg
- Supplies/kit for testosterone: an additional $55
- HCG (10,000IU): $600
- Supplements: $100–$500 per year
We spoke to representatives from Marek to gain some clarity on these costs, and we were told that patients can expect to pay $2000+ per year for prescription medications.
Payment Structure
Marek Health’s model of initial comprehensive testing and consultation involves a significant up-front cost, with subsequent costs for follow-up labs and medications.
While not explicitly stated as a subscription, the ongoing need for medication refills and potential further consultations implies a continuous relationship with the clinic with ongoing costs for medications and follow-up care as needed.
Marek has some of the highest prices in the online TRT space, but if you can afford it, you’ll get a more thorough look at your health. If you’re just looking for TRT alone, with no extras, you’re better off with Fountain TRT.
How Marek Health Compares
- Fountain TRT costs $35 for the initial lab test and from $129 to $199 per month for the medication prescriptions.
- Henry Meds offers a $99/month plan that includes labs and meds but skips more comprehensive testing and flexibility.
- Defy Medical ranges from $150 to $250 monthly depending on treatment complexity and offers more advanced hormonal add-ons, but with higher up-front consult fees (~$250).
Like Marek, none of the clinics mentioned above accepts insurance. However, while Marek’s up-front cost is more expensive, if you’re struggling with a range of symptoms that goes beyond low T, then Marek Health may be worth the extra investment.
If you’re still comparing options, check out this broader review of the best online TRT clinics to see how Marek stacks up in terms of value, treatment variety, and flexibility.
Treatment Options at Marek Health
Marek Health doesn’t limit its treatment options to TRT, so we’ve broken out its offerings to show you how you can add on to basic TRT treatment.
TRT Treatment Options
- Injections: Testosterone cypionate or enanthate, typically self-administered weekly or biweekly
- Topical creams, gels, patches, and pellets: For those who prefer not to inject
- Add-ons: hCG (to preserve fertility), aromatase inhibitors (for estrogen control)
Full Hormonal Workup
- Sex hormones: Total testosterone (LC/MS), free testosterone, estradiol, sensitive/ultrasensitive (LC/MS), sex hormone binding globulin (SHBG), progesterone, prolactin, cortisol
- Gonadotropins: Luteinizing hormone (LH), follicle-stimulating hormone (FSH)
- Neurosteroids: Dehydroepiandrosterone sulfate (DHEA-S)
- Prostate health: Prostate specific antigen (PSA)
- Thyroid: TSH, free T3, free T4
- Growth hormone/IGF-1: Insulin-like growth factor I (IGF-1)
- Lipids: ApoB, total cholesterol, HDL cholesterol, LDL cholesterol, LDL:HDL ratio, VLDL cholesterol, triglycerides, lipoprotein(a)
- Blood cell counts: Complete blood count w/ differential [hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count (RBC); red cell count; white blood cell count (WBC)]
- Metabolic: Comprehensive metabolic panel (albumin:globulin [A:G] ratio; albumin, serum; alkaline phosphatase, serum; bilirubin, total; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; globulin, total; potassium, serum; protein, total, serum; sodium, serum)
- Insulin sensitivity: Blood glucose, fasting insulin, HbA1c
- Liver and kidney function: AST, ALT, BUN, bilirubin, total, γ-Glutamyl transferase (GGT), creatinine w/ eGFR
- Vitamins and iron: Vitamin D, 25-OHD (25-hydroxy), iron, transferrin saturation/iron saturation, TIBC, UIBC, ferritin
- Inflammatory markers: C-reactive protein, high sensitivity (hsCRP)
- Urinalysis: Complete urinalysis (color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment)
- Peptide therapy: May help stimulate natural hormone production or improve recovery and sleep
- Adrenal and cortisol management: Essential if stress and adrenal fatigue are dragging you down
Lab Testing Panel Breakdown
- Testosterone (total & free): Measures your primary male hormone
- Estradiol (E2): Monitors estrogen levels to avoid side effects
- SHBG: Shows how much testosterone is usable
- TSH, free T3, free T4: Key markers for thyroid health
- Cortisol: Reveals stress/adrenal function
- CMP & CBC: Check overall health, kidney/liver function, and blood cell counts
- Lipid panel: Evaluates cholesterol and heart health
Who Is Marek Health Best For?
Marek Health is perfect for men who want to leave no stone unturned. You might be the right fit if you
- have tried basic TRT and felt underwhelmed,
- suspect other hormones (thyroid, cortisol) are playing a role,
- value a personalized, science-backed approach, and
- are willing to invest time, money, and effort into your long-term health
This is for guys who are analytical, motivated, and ready to take real ownership of their health—not someone looking for a magic pill.
Who Is Marek Health NOT For?
- Men wanting the cheapest, fastest TRT
- Anyone hoping their insurance will cover everything
- Guys who aren’t interested in deep lab testing or ongoing monitoring
How Does Marek Health Compare to Competitors?
| Clinic | Best for | Monthly cost | Treatment types | Lab testing | Add-ons | Insurance accepted |
|---|---|---|---|---|---|---|
Marek Health | Full hormonal optimization | $150–$250 | Injections, creams, gels, peptides | Custom, deep-dive labs | Yes (hCG, thyroid, AI) | No |
Fountain TRT | Simple, affordable TRT | $129 | Injections, creams, orals | 90-day retesting | None | No |
Henry Meds | Budget-friendly convenience | $99 | Injections only | Included quarterly | None | No |
Each of the clinics above targets a slightly different customer profile. Marek Health is geared toward men who want to optimize their health in multiple ways—and can afford to pay extra. Fountain’s niche is simplicity and speed. Henry leans more toward affordability, but with fewer medical bells and whistles.
Final Verdict: Is Marek Health Worth It?
If you’re looking for the most thorough approach to solving your low T symptoms—and possibly discovering other hidden issues—Marek Health delivers. Yes, it costs more than basic TRT clinics, but you get unmatched depth, customization, and clinical care.
For men serious about long-term health and peak performance, Marek Health is one of the top options available.
Marek Health TRTFAQs
Is Marek Health legit?
Yes, Marek Health is legit. Marek’s team includes licensed doctors and health coaching professionals who provide safe, personalized hormone therapy.
Do I need blood work before treatment?
Yes. Blood work is required before treatment to confirm low testosterone and rule out other issues.
Does Marek accept insurance?
No, Marek health does not accept insurance. Treatment is out-of-pocket, but you may be able to use insurance for lab work.
What if my testosterone is normal?
If your testosterone is normal, you can explore other treatment options to target your specific physiology. Marek Health offers thyroid, cortisol, peptide, and other support if other imbalances are found.
How long does it take to start treatment?
At Marek Health, it typically takes 2–3 weeks to start treatment after completing labs and consults.
Medical disclaimer: This article is for informational purposes only and should not replace professional medical advice. Always consult with a licensed healthcare provider before starting or adjusting hormone therapy.