Sexual Health › Head-to-head comparison
TRT Nation vs Keeps
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: TRT Nation — 9.2/10 vs 8.3/10, higher rated
★ Our Pick
TRT Nation
$99/mo flat — unlimited consultations, no contracts
9.2/10
Monthly
$99/mo
True Annual
$1,446/yr
Labs
✗ Extra
States
Most states
Pros
✓Lowest all-in price at $99/mo
✓Unlimited free consultations
✓HCG available
Cons
✗Labs not included
✗Not available in 5 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 | TRT Nation | Keeps |
|---|---|---|
| Monthly price | $99/mo | $25/mo |
| True annual cost | $1,446/yr | $300/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | injection, cream | oral, topical |
| Editorial score | 9.2/10 | 8.3/10 |
| Trustpilot | 4.5★ | 4.4★ |
| State availability | 45 states (not AL, AK, AR, MO, HI) | All 50 states |
Our verdict
TRT Nation (9.2/10) 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 Sexual Health comparisons
TRT Nation vs MEDVi
$99/mo vs $119/mo · 9.2 vs 8.5 score
TRT Nation vs CareBare
$99/mo vs $79/mo · 9.2 vs 8.4 score
TRT Nation vs Sesame Care
$99/mo vs $16/mo · 9.2 vs 8.3 score
TRT Nation vs Hims
$99/mo vs $17/mo · 9.2 vs 8.2 score
Keeps vs MEDVi
$25/mo vs $119/mo · 8.3 vs 8.5 score
Keeps vs CareBare
$25/mo vs $79/mo · 8.3 vs 8.4 score