Testosterone

Fountain TRT Review: What to Know Before Treatment

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If you’re looking into Fountain TRT, you’re probably already dealing with low energy, reduced sex drive, mood swings, or those sluggish gym sessions that make you question if your pre-workout is secretly just flavored air.

You’re also smart enough to know that not all online TRT clinics are created equal.

So here’s the no-fluff breakdown of Fountain TRT—what they do, how much it costs, what kind of treatments they offer, and who it’s actually good for. Plus, we’ll take a subtle-but-clear look at how it stacks up against some of its closest competitors.


📋 Our Score: 5/5

We rated Fountain TRT across five key categories relevant to men seeking straightforward, medically guided hormone therapy. Here’s how it stacks up:

Results★★★★★
Ease of use★★★★★
Medical expertise★★★★★
Cost & transparency★★★★★
Customer support★★★★★


Pros Cons
✅ Affordable, flat-rate pricing at $129/month
✅ Includes prescriptions, supplies, lab tests, and doctor consultations
✅ Streamlined, 100% online process—no office visits required
✅ Offers injectables, creams, and orals
✅ Consistent 90-day lab monitoring for ongoing safety and adjustment
✅ Fast onboarding—many users start within days of testing
❌ Doesn’t provide advanced hormonal add-ons (like hCG or DHEA)
❌ No insurance accepted—entire cost is out-of-pocket
❌ Lacks holistic or wellness add-ons (e.g., diet, lifestyle coaching)


What Is Fountain TRT?

Fountain TRT is an online testosterone replacement therapy provider that’s built for convenience without sacrificing clinical oversight. Everything from your initial consultation to treatment and follow-up happens online, which is a major win if you’re juggling a career, family obligations, and trying to hit the gym three times a week without falling asleep on the bench press.

Unlike some flashy wellness brands that lean heavily on marketing buzzwords, Fountain sticks to what works: medically guided testosterone injections, lab-verified diagnoses, and consistent monitoring. They don’t offer trendy peptides or anti-aging supplements, but they do deliver prescription testosterone therapy in a streamlined, no-nonsense format.

How Does Fountain TRT Work?

Getting started with Fountain TRT is refreshingly simple—and fully compliant with medical standards.

First, you’ll complete a short online health intakehttps://fountain.net/trt

This isn’t one of those “Are you feeling tired lately?” quiz gimmicks. It includes real symptom and health history questions reviewed by licensed professionals.

My experience: The quiz takes five minutes and is super quick and easy. The only bad thing is Fountain TRT doesn’t work with every state because everything is done online and each state has different telemedicine laws. The only way to find out if it’s available in your state is to take the online quiz.

Next, you’ll be scheduled for a blood test at a local Labcorp or Quest Diagnostics facility.

My experience: Communication was awesome with Fountain TRT. I got an appointment set up the same week and I actually love just being able to communicate via text 24/7.

Going into LabCorp was super easy. Took less than ten minutes. Checked in, waited three minutes, got blood drawn (I didn’t have to bring anything in since the paperwork was all online), and left.

Appointment was at 9:45 and I was out by 9:54.

Six days after doing my labs, I got a text from Fountain TRT stating they had my results and asking me to schedule a virtual consultation with one of their doctors. They texted me on a Thursday and had openings pretty much every day.

To view my results, I had to download a third-party app called Akute Health. I absolutely hate all the apps I have to download for services these days, but to be fair, the app was simple and easy to use.

You can’t get a prescription without confirmed lab evidence of low testosterone levels.

An example of lab results with Fountain TRT

Once your labs are in, a board-certified doctor reviews your results and symptoms. 

I talked with Dr. Doron Stember the following Tuesday and we reviewed my labs (normal total testosterone levels but low free testosterone levels) together.

My experience: I thoroughly enjoyed and appreciated my consultation with Dr. Doron Stember. We talked through the concerns I had (increased red blood cell count and decreased sperm count) and figured out the right option for me.

If you qualify, you’ll receive your first monthly treatment kit—shipped directly to your door. If you go the injectable route, your delivery includes testosterone cypionate in pre-filled syringes, alcohol swabs, and everything you need to self-inject safely and effectively.

Follow-up lab tests are scheduled every 90 days. 

Any necessary dose adjustments are made based on your biomarkers and how you’re feeling. This isn’t a set-it-and-forget-it situation—it’s real clinical care, just without the waiting room.

My experience as of May 21, 2025: I’ve now had my third set of labs, two total since being prescribed enclomiphene, and my numbers are a bit high.

  • Total testosterone: 1,116 (slight elevated)
  • Free testosterone: 21.8 (in range)
  • Estradiol: 40.1 (in range)
  • Hematocrit: 52.5 (elevated)
  • Hemoglobin: 17.6 (slightly elevated)

While testosterone, free testosterone, and estradiol look good, my hemoglobin is slightly elevated (not a problem), and my hematocrit is elevated as a result of my testosterone being slightly elevated.

These two bio metrics essentially mean increased red blood cell count and blood cell mass and are the main markers TRT clinics keep an eye on. Elevated levels can lead to erythrocytosis (source), which is no bueno.

When these numbers get too high, TRT users will donate blood to reduce these levels. It’s effective (source). I’m not quite at that level, since Dr. Doron Stember told me 54 is when they tell people to donate blood, and I’m sitting at 52.5. However, after talking with Dr. Doron Stember, we’ve decided to just lower my dosage of enclomiphene. Initially I was on 12.5 mg per day, but we’re reducing this to 6.25.

Yes, this will most likely lower my testosterone levels, but they don’t need to be at 1,100 anyway. Our goal is to get me into the 800–900 range and, more importantly, alleviate the high hematocrit levels.

This is why I love Fountain TRT so much.

The constant support and monitoring has been second to none.

Fountain TRT Pricing: Simple, Flat-Rate, and Transparent

Fountain uses a clean, no-surprises pricing model that’s easy to budget around.

Initial lab test: $35

You’ll pay this directly to Fountain after you take the assessment.

Monthly TRT plan: 

  • $129/month with an annual subscription
  • $199/month with 12-week prescription

This includes everything you need:

  • Doctor consultations
  • Prescription testosterone in either injectable, cream, or oral form
  • For injectables, pre-filled syringes + injection supplies
  • Shipping
  • Ongoing medical oversight
  • Follow-up lab work every 90 days

There are no hidden fees, upcharges, or bait-and-switch subscription tactics. What you see is what you get.

How Fountain TRT compares:

  • Henry Meds offers a $99/month plan that includes labs and meds but skips more comprehensive testing and flexibility.
  • Defy Medical ranges from $150–$250/month depending on treatment complexity and offers more advanced hormonal add-ons—but with higher upfront consult fees (~$250).

What Fountain TRT has in common with Henry Meds and Defy Medical is that neither accepts insurance. If you’ve got kick-ass insurance and you were hoping to use it for Fountain TRT, you’ll be disappointed.

What Fountain does do is strike a balance between affordability and clinical integrity. It’s a predictable, low-hassle plan that’s especially ideal for first-time TRT users who want safe, steady results—especially compared to other top online TRT clinics with different pricing and service models.

Treatment Types at Fountain TRT

Fountain TRT offers several forms of testosterone therapy, giving patients full flexibility when it comes to how they receive treatment. Unlike some clinics that push one standard method, Fountain provides multiple options so you can choose what fits best with your lifestyle, physiology, and comfort level:

  • Injectables: The most common method, delivered weekly or biweekly
  • Orals: A convenient, needle-free option taken by mouth, ideal for those who prefer simplicity.
  • Creams: Topically applied and absorbed through the skin, offering a daily alternative without injections.

This full-spectrum approach allows Fountain TRT to personalize your therapy based on medical need, preference, and convenience—no one-size-fits-all protocols here.

Lab Testing: What Gets Measured and Why It Matters

Fountain requires every patient undergo lab testing before starting TRT, and again every 90 days thereafter. These aren’t shallow panels, either. Here’s what they test for:

  • Total testosterone
  • Free testosterone
  • Sex hormone binding globulin (SHBG)
  • Estradiol (E2)
  • Liver enzymes (ALT, AST)
  • Platelets
  • WBC/RBC/RDW
  • MCH/MCHC/MCV
  • Hematocrit and hemoglobin
  • Complete blood count (CBC)

These markers cover the essential variables that impact how your body responds to testosterone and whether side effects—like high hematocrit or estrogen imbalances—are starting to crop up.

By retesting every three months, Fountain ensures your dose stays optimized and safe. 

That’s a major green flag in a TRT landscape where some clinics skimp on labs to keep prices low.

🎯Who Should Use Fountain TRT?

Fountain TRT is best for men who want a clinically sound, straightforward TRT experience without all the bells and whistles. 

It’s a great fit for first-timers who are ready to take action on their symptoms but don’t want to overpay for unnecessary extras.

If you’re tired of feeling tired—and your labs confirm low T—Fountain gives you a reliable, guided way to get started. It’s especially appealing if you value convenience, predictability, and medical legitimacy.

🚫Who is Fountain TRT NOT for?

Fountain TRT is a legit source for testosterone replacement, but its few limitations might apply to you, so make sure it’s the right clinic for you before signing up.

Men seeking more advanced hormone support, such as fertility preservation with hCG, may want to explore broader-spectrum clinics like Defy Medical.

Since TRT can lower sperm count in some men, those planning to have children often combine it with hCG due to its ability to maintain or stimulate sperm count. Fountain TRT does not offer hCG.

Fountain is also not for anyone hoping to use their medical insurance for hormone therapy. 

While some online therapies accept insurance, Fountain TRT does not. That said, it provides a safe and thorough analysis and administration of your TRT for a flat monthly fee that, depending on your plan, might match your office visit and prescription copays anyway.

How Does Fountain TRT Compare to Competitors?

Here’s a snapshot comparison of Fountain and two major players in the online TRT space—Henry Meds and Defy Medical:

ClinicBest forMonthly costTreatment
Lab testingAdd-onsInsurance accepted
Fountain TRTStraightforward, all-in-one TRT
$129

Injections, creams, orals
Every 90 days
None

No
Henry MedsBudget-friendly convenience$99
Injections onlyIncluded quarterly
None

No
Defy MedicalAdvanced, customizable therapy
$150–$250

Injections, creams, gelsFull panels quarterlyYes (hCG, DHEA, etc.)No

Each clinic serves a slightly different kind of customer. Fountain’s niche is simplicity and speed. Henry leans more toward affordability, but with fewer medical bells and whistles. Defy is the go-to for high-touch care and broad hormonal optimization.

Final Verdict: Is Fountain TRT Worth It?

Yes—if you’re looking for a no-BS way to start testosterone therapy, Fountain is a solid choice. 

It took me two weeks, start to finish, to get a prescription from Fountain TRT. Started on October 28th and had a consultation and prescription by November 11th. This could have been done even quicker, but I had to wait a bit for labs and consult because of other time commitments.

Since going on Enclomiphene, my total testosterone has gone from 519 to 1,177.

But what’s more important is my free testosterone (which was the issue) has gone from 7.2 to 54.38.

These numbers are a bit high, but I’m working with Dr. Stember to monitor all other important biometrics, like my RBC, WBC, MCV, MCHC, etc.

Again, I love Fountain TRT. Getting my numbers up has been a game changer for me in more ways than I can count. Mental clarity, weight loss, muscle gain, improved sex drive, you name it.

You’ll get legit medical guidance, consistent monitoring, and high-quality medication—all for a predictable monthly fee.

It’s not trying to be a biohacking boutique or a supplement-slinging wellness brand. It’s a medical TRT service for men who want to stop feeling like they’re stuck in second gear and start feeling strong, focused, and energized again.

Just make sure you actually need it.

As Dr. Mike Israetel puts it, “TRT can be absolutely transformational—if you need it. But if you don’t, you’re just paying to turn off your natural production and sign up for a lifetime of needles.”

So get your labs, talk to a doc, and choose wisely.

Fountain TRT

Frequently Asked Questions About Fountain TRT

Is Fountain TRT legit?

Yes, Fountain TRT is legit. Fountain operates with licensed physicians, requires lab testing, and only prescribes testosterone if your results show clinical deficiency.

Do I need blood work before starting treatment with Fountain TRT?

Yes, you need blood work before starting treatment with Fountain TRT. You’ll be referred to a partner lab location near you to confirm your testosterone levels. No treatment begins without it.

What type of testosterone does Fountain TRT prescribe?

Fountain TRT prescribes three types of TRT. Most popular is testosterone cypionate, delivered in pre-filled syringes for subcutaneous injection. It’s one of the most effective and widely used forms. Fountain TRT also offers topical creams and oral enclomiphene.

Does Fountain accept insurance?

No, Fountain TRT does not accept insurance. All services are cash-pay, with a flat monthly fee of $129 or $199. Your insurance won’t be billed for labs or medication.

Can I use Fountain if I’ve already been on TRT elsewhere?

Yes, you can use Fountain if you’ve already been on TRT elsewhere. However, you’ll need to restart the intake process, including lab tests, and have your case reviewed by Fountain’s medical team before switching.


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 any hormone therapy.

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