TRT › Head-to-head comparison
Defy Medical vs Marek Health
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Defy Medical — 8.8/10 vs 8.2/10, labs included
★ Our Pick
Defy Medical
Most comprehensive — every delivery method available
8.8/10
Monthly
$200/mo
True Annual
$2,800/yr
Labs
✓ Included
States
Most states
Pros
✓All delivery methods including pellet
✓HCG available
✓Most experienced physicians
Cons
✗Most expensive option
✗Not all states
VS
Marek Health
Premium optimization — most comprehensive labs
8.2/10
Monthly
$166/mo
True Annual
$2,692/yr
Labs
✗ Extra
States
Most states
Pros
✓Most comprehensive lab panels
✓Performance-focused protocols
✓Strong physician team
Cons
✗Very expensive with labs factored in
✗Labs separate and costly
Side-by-side comparison
| Feature | Defy Medical | Marek Health |
|---|---|---|
| Monthly price | $200/mo | $166/mo |
| True annual cost | $2,800/yr | $2,692/yr |
| Labs included | ✓ Yes | ✗ No |
| Delivery options | injection, cream, pellet | injection, cream |
| Editorial score | 8.8/10 | 8.2/10 |
| Trustpilot | 4.6★ | 4.4★ |
| State availability | Most US states | Most US states |
Our verdict
Defy Medical (8.8/10) is our pick over Marek Health (8.2/10) for most patients. Labs are included in Defy Medical's monthly price — Marek Health charges separately, adding $150–300/yr to the true annual cost.
Marek Health may be a better fit if you prefer Marek Health's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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