TRT › Head-to-head comparison
Titan Medical vs Keeps
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Titan Medical — 9.5/10 vs 8.3/10, higher rated
★ Our Pick
Titan Medical
Get started for $49 — editor's choice TRT
9.5/10
Monthly
$99/mo
True Annual
$1,417/yr
Labs
✗ Extra
States
Most states
Pros
✓Lowest starting cost ($49)
✓$100 off promo consistently available
✓All delivery methods
Cons
✗Ongoing price after promo varies
✗Not available in all states
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 | Titan Medical | Keeps |
|---|---|---|
| Monthly price | $99/mo | $25/mo |
| True annual cost | $1,417/yr | $300/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | injection, oral, cream | oral, topical |
| Editorial score | 9.5/10 | 8.3/10 |
| Trustpilot | 4.7★ | 4.4★ |
| State availability | Most US states | All 50 states |
Our verdict
Titan Medical (9.5/10) is our pick over Keeps (8.3/10) for most patients.
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.
More TRT comparisons
Titan Medical vs Maximus
$99/mo vs $100/mo · 9.5 vs 9.4 score
Titan Medical vs Male Excel
$99/mo vs $99/mo · 9.5 vs 9.2 score
Titan Medical vs TRT Nation
$99/mo vs $99/mo · 9.5 vs 9.2 score
Titan Medical vs DudeMeds
$99/mo vs $77/mo · 9.5 vs 8.8 score
Keeps vs Maximus
$25/mo vs $100/mo · 8.3 vs 9.4 score
Keeps vs Male Excel
$25/mo vs $99/mo · 8.3 vs 9.2 score