TRT › Head-to-head comparison
Maximus vs Keeps
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Maximus — 9.4/10 vs 8.3/10, labs included
★ Our Pick
Maximus
$99.99/mo annually — AI-powered protocols
9.4/10
Monthly
$100/mo
True Annual
$1,300/yr
Labs
✓ Included
States
All 50
Pros
✓Multiple delivery methods
✓Labs included
✓HCG available
Cons
✗Annual commitment for best price
VS
Keeps
$25/mo — only clinic with ketoconazole shampoo
8.3/10
Monthly
$25/mo
True Annual
$300/yr
Labs
✗ Extra
States
All 50
Pros
✓Only provider offering ketoconazole shampoo
✓Good physician follow-up
✓Oral and topical options
Cons
✗Slightly more expensive than Hims
Side-by-side comparison
| Feature | Maximus | Keeps |
|---|---|---|
| Monthly price | $100/mo | $25/mo |
| True annual cost | $1,300/yr | $300/yr |
| Labs included | ✓ Yes | ✗ No |
| Delivery options | injection, cream, oral | oral, topical |
| Editorial score | 9.4/10 | 8.3/10 |
| Trustpilot | 4.6★ | 4.4★ |
| State availability | All 50 states | All 50 states |
Our verdict
Maximus (9.4/10) is our pick over Keeps (8.3/10) for most patients. Labs are included in Maximus's monthly price — Keeps charges separately, adding $150–300/yr to the true annual cost.
Keeps may be a better fit if you prefer Keeps's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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