TRT › Head-to-head comparison
Titan Medical vs Sesame Care
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
Sesame Care
Direct-to-patient marketplace — GLP-1, ED, HRT, mental health from $16/appt
8.3/10
Monthly
$16/mo
True Annual
$192/yr
Labs
✗ Extra
States
All 50
Pros
✓Available in all 50 states
✓No insurance required — transparent cash pricing
✓Same-day telehealth or in-person appointments
Cons
✗Marketplace model — quality varies by provider
✗Lower recurring revenue than subscription clinics
Side-by-side comparison
| Feature | Titan Medical | Sesame Care |
|---|---|---|
| Monthly price | $99/mo | $16/mo |
| True annual cost | $1,417/yr | $192/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | injection, oral, cream | oral, injection, topical |
| Editorial score | 9.5/10 | 8.3/10 |
| Trustpilot | 4.7★ | 4.5★ |
| State availability | Most US states | All 50 states |
Our verdict
Titan Medical (9.5/10) is our pick over Sesame Care (8.3/10) for most patients.
Sesame Care may be a better fit if you prefer Sesame Care's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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