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Hims vs. Hone Health: What’s Best for Low Testosterone Treatments?

Darragh O’Carroll, MD

Reviewed by Darragh O’Carroll, MD

Written by Erica Garza

Published 11/16/2025

Key Takeaways:

  • Hims and Hone Health both offer convenient, at-home testosterone testing. A key difference is that Hims collects samples using the Tasso® upper-arm device, while Hone Health uses a traditional finger-prick kit.

  • Hims tests nine key biomarkers (including prostate-specific antigen (PSA) and hematocrit), providing a more comprehensive look at hormone health than Hone Health’s eight-biomarker testing.

  • Hims currently offers enclomiphene-based prescriptions that naturally boost testosterone while preserving fertility, while Hone Health provides testosterone replacement therapy (TRT), clomiphene, and anastrozole.

  • Hims offers all-inclusive plans starting at $99/month with testing, treatment, and provider messaging included. Hone Health’s membership and medication costs are separate, starting around $171/month for anastrozole.

When you start noticing low energy levels, reduced sex drive, or other symptoms of low testosterone, booking an appointment with your primary care provider might feel like one more to-do you just don’t have the time or energy to complete. Luckily, telehealth companies like Hims and Hone Health make it easy to explore hormone testing and, if eligible, begin testosterone treatment from home.

The two companies have similarities: Both let you complete an online intake form, consult with licensed providers, and receive treatments by mail. But when it comes to testosterone — the testing process, medical oversight, and cost — the differences between the platforms matter. Here’s how Hims and Hone Health compare when it comes to helping men boost their testosterone safely.

To establish whether you’re eligible for prescription testosterone treatments, you’ll first need to test your hormone levels.

At Hims, everything starts with a simple online intake form, where you’ll share your symptoms, medical history, and treatment goals, all from the comfort of your home. This information is securely reviewed by a licensed healthcare provider through our asynchronous care model, meaning you typically don’t need to schedule a live appointment. Your provider may follow up with questions if needed and, if appropriate, will order an at-home hormone test kit to confirm your levels before creating a personalized treatment plan.

This process helps ensure care that’s safe, evidence-based, and tailored to your needs, without you needing to wait weeks for an in-person appointment. Most states don’t require a video call, either

At Hone Health, you’ll also start with a questionaire. Next you’ll order an at-home blood test kit, and then you’ll schedule a 30-minute video visit with a provider who reviews your results, goes over your health history, and discusses treatment options. 

Hone’s process leans more traditional, emphasizing live consultations, while Hims’ model offers a faster, more flexible way to connect with providers through secure messaging.

Both Hims and Hone Health offer the convenience of at-home hormone testing, but the kits and biomarkers the kits test are different.

What Is Tested?

Hims tests nine biomarkers when determining whether or not the customer has low testosterone:

  • Total testosterone. This is a measure of all circulating testosterone, both bound and unbound to proteins. The result establishes your baseline testosterone level and helps determine whether your overall production is within the normal range.

  • Free testosterone. This is your level of testosterone that’s not bound to proteins. Free testosterone is bioavailable and drives effects like energy, mood, libido, and muscle mass. Measuring free testosterone helps to identify hormone imbalance that may exist despite total testosterone levels appearing normal.

  • Sex hormone-binding globulin (SHBG). This protein binds to and transports testosterone and estrogen through the bloodstream. SHBG levels affect how much testosterone is free versus bound, so it’s essential to test in order to accurately calculate the bioavailable level of testosterone.

  • Estradiol. This is the most potent form of estrogen, and it plays a role in regulating libido, erectile function, and spermatogenesis in men. Both high and low estradiol can cause issues such as erectile dysfunction (ED), fatigue, or mood changes, so balance is key.

  • Luteinizing hormone (LH). Produced by the pituitary gland, LH stimulates the testes to produce testosterone. Low LH levels may signal a pituitary or hypothalamic issue, while high LH with low testosterone suggests the testes themselves may not be responding appropriately.

  • Follicle-stimulating hormone (FSH). FSH is another pituitary hormone that supports sperm production. Measuring FSH alongside LH helps to identify whether low testosterone may be the result of a testicular or pituitary cause — and the answer is key for choosing the right treatment plan.

  • Prostate-specific antigen (PSA). The prostate gland is responsible for producing PSA. Testing this protein before starting or adjusting testosterone replacement therapy is important for establishing prostate health, given that the treatement can affect PSA levels in some men.

  • Albumin. This is a major blood protein that binds some testosterone. In conjunction with SHBG, albumin levels help to calculate your body’s level of free testosterone. Albumin levels also reflect liver function.

  • Hematocrit. This biomarker measures the percentage of red blood cells in your blood. Because testosterone therapy can increase hematocrit, tracking the level can help providers monitor for potential side effects like thickened blood or elevated clotting risk.

Hone Health evaluates eight biomarkers in its basic testosterone test:

  • Total testosterone

  • Free testosterone

  • LH

  • Estradiol

  • SHBG

  • Albumin

  • Alanine aminotransferase (assesses liver function)

  • Aspartate transaminase (assesses liver function)

The test does not include FSH, PSA, or hematocrit.

How Is the Sample Collected?

Hone Health uses the finger-prick method for blood testing.

Hims uses the Tasso device, a single-use blood collection tool that draws a small sample from the upper arm.

Compared to traditional finger-prick tests, the Tasso device may be easier to use and result in less pain. Furthermore, some research also posits that lancet devices like the Tasso may be more effective for collecting viable blood samples, as finger-prick methods may not always yield sufficient volume for testing.

How Much Does Testing Cost?

The Hims testosterone test is $94 for the initial kit, which includes two Tasso devices and all associated test materials. This fee is credited toward the cost of treatment if you’re deemed eligible. There’s no cost for follow-up kits.

Hone Health usually charges around $150 for testing, though discounts may be available to bring down the price. 

For both Hims and Hone Health, the process for getting a prescription after completing testing is similar. After receiving the results of your hormone test, a healthcare provider will determine whether you’re a good candidate for prescription testosterone support.

You can order most medications through the Hims platform in all 50 states and Washington, D.C. Some states may have restrictions on at-home lab testing and which testosterone products are available.

Hone Health is only available in 36 states.

Hone Health offers a variety of products for low testosterone, including:

  • Testosterone replacement therapy. TRT is a type of hormone replacement therapy that uses synthetic testosterone to restore healthy testosterone levels and lower symptoms related to low testosterone. It comes in various forms, and Hone offers several, including testosterone injections, creams, and troches. TRT is effective but may cause side effects, including infertility.

  • Anastrozole. This aromatase inhibitor works by reducing estrogen levels and blocking the enzyme that converts testosterone to estradiol. This can reduce symptoms of low testosterone.

  • Clomiphene citrate (generic Clomid®). This oral medication increases LH and FSH levels by blocking estrogen receptors, prompting the testes to produce more testosterone and sperm. Unlike TRT, clomiphene preserves fertility because it supports your body’s natural testosterone production.

Hims doesn’t offer testosterone replacement therapy yet, though injections and oral testosterone are slated to arrive in 2026.

Hims does offer access to a several treatment options for low testosterone, including:

  • Testosterone Rx with enclomiphene. Enclomiphene works like clomiphene (in fact, it’s one of the ingredients in clomiphene), in that it increases your body’s natural testosterone production while preserving fertility. A growing body of research suggests it is effective for treating low testosterone, but without many of the side effects that come with TRT and clomiphene. In addition to preserving fertility, enclomiphene is associated with fewer “estrogenic” side effects, whereas clomiphene may come with mood swings, agitation, and breast enlargement (gynecomastia).

  • Testosterone Rx with enclomiphene and tadalafil. One of the most common symptoms of low testosterone is erectile dysfunction. Tadalafil (the active ingredient in brand-name Cialis®) is one of the leading ED medications for increasing blood flow to the penis by widening the blood vessels. Testosterone Rx with enclomiphene and tadalafil is a combination treatment that simultaneously targets ED and its likely cause.

In addition to testosterone treatments, Hims and Hone Health offer access to over-the-counter and prescription products for various other health issues.

Both Hone Health and Hims offer:

In addition to these aforementioned products, Hims offers access to:

While Hone Health’s premium lab testing includes 50+ biomarkers, lab testing at Hims includes 75+ biomarkers, including those pertaining to kidney health, nutrient health, liver health, inflammation, and stress.

If you’re prescribed medication, both Hims and Hone Health provide ongoing testing and provider check-ins. The goal is to ensure that your treatment is working and, if necessary, to make adjustments.

At Hims, follow-up labs occur at 3 months and 15 months into treatment. This schedule resets with each dosage change. You can track your labs and get ongoing support from your Care Team with unlimited messaging through the Hims app. Your Care Team includes providers who are trained in male hormone health. There is no cost for ongoing testing with Hims.

At Hone Health, follow-up testing happens every 90 days. The cost of this ongoing monitoring is included in your Hone membership plan (which we break down below).

At Hims, pricing for enclomiphene and enclomiphene + tadalafil starts at $99/month for a 10-month plan.

You can also choose a 5-month plan for $139/month or a 3-month plan for $199/month.

Each plan includes:

  • Medication

  • Personalized treatment plan

  • Ongoing lab work

  • Unlimited messaging with your provider

  • Free, discreet shipping

At Hone, pricing depends on the medication and membership plan you choose. Medication costs are separate from membership fees.

For reference, here is a medication cost breakdown for Hone Health:

  • Anastrozole. Starts at $22/month + membership.

  • Testosterone replacement therapy. Starts at $28/month + membership.

  • Clomiphene. Starts at $38/month + membership.

Hone Health also offers two membership tiers:

  • Basic ($25/month). Discounted access to select medications that don’t require lab testing.

  • Premium ($149/month). Includes regular lab testing, physician consults, and medication management.

Because testosterone therapy requires lab testing, Hone Health customers typically need the premium membership, making the effective starting price $171/month for anastrozole, $177/month for TRT injections, and $187/month for clomiphene.

Hone membership fees cover:

  • Initial 30-minute live video consultation

  • Follow-up lab testing

  • Access to Hone Health’s Customer Support Team

  • Shipping

There are definitely pros and cons to each option. Hims offers fewer medications, but your plan includes everything — testing, treatment, and care — in one clear price. Hone Health provides more treatment options, but its membership model can add up once you factor in lab work and medication costs.

Medical providers on the Hims platform are all licensed and must undergo a rigorous vetting process when onboarded. They are also required to complete licensing verification and ongoing training. Credentials are available for viewing on the Hims website.

Similarly, providers available through the Hone Health platform are licensed in the home state of each customer they serve. Each provider undergoes a thorough background check, license verification, and training.

Low testosterone is common, affecting around 10 to 40 percent of men globally. Symptoms of low T — like fatigue, low libido, and mood changes — can take a toll, but with telehealth platforms like Hims and Hone Health, getting evaluated and treated is easier than ever. Both platforms offer convenient at-home hormone testing, access to licensed providers, and treatment options designed to restore healthy testosterone levels.

While both companies make care more accessible, there are some key differences to keep in mind when choosing the right platform for you:

  • Testing options. The Hims at-home testosterone test measures nine key biomarkers using the Tasso upper-arm collection device, which may be more comfortable and reliable than traditional finger-prick methods. Hone Health tests eight biomarkers with a finger-prick kit.

  • Treatment range. Hims currently offers access to enclomiphene and enclomiphene + tadalafil, both of which naturally boost testosterone production while preserving fertility. In 2026, Hims will expand into injectable and oral testosterone. Hone Health currently offers TRT (injections, creams, troches), clomiphene, and anastrozole.

  • Monitoring and follow-up. Both platforms provide regular lab testing and provider check-ins. Hims includes ongoing labs at no additional cost, while Hone Health’s monitoring is built into its membership plans.

  • Cost. Hims offers all-inclusive pricing starting at $99/month, which covers testing, medication, provider messaging, and shipping. Hone Health separates medication from membership, resulting in an effective starting price of about $177/month for TRT.

  • Scope of care. Beyond testosterone, both Hims and Hone Health offer access to treatments for sexual health, hair loss, weight management, and overall wellness. Hims also provides care for mental health, skin care, and more lab testing, giving it a broader reach across men’s health.

Both platforms make testing for hormone health more accessible than ever. Hone Health currently offers a broader range of treatment options than Hims but tends to be more expensive. Hims has fewer hormone treatments for now, but provides a more cost-effective, all-in-one approach with affordable pricing and ongoing care included.

How do Hims and Hone Health test for low testosterone?

Both companies offer at-home blood tests. Hims uses the Tasso upper-arm device, which may be more comfortable to use and more reliable than a finger-prick. Hone Health uses a finger-prick method to collect a small blood sample.

What treatments does Hims offer for low testosterone?

Hims currently offers access to enclomiphene and enclomiphene + tadalafil to naturally boost testosterone production and support sexual health. The company plans to expand into injectable and oral testosterone treatments in 2026.

What treatments does Hone Health offer for low testosterone?

Hone Health offers testosterone replacement therapy through injections, creams, or troches, along with clomiphene citrate and anastrozole when appropriate.

How much does low testosterone treatment cost with Hims and Hone Health?

Hims offers all-inclusive plans starting at $99/month, which cover medication, lab work, messaging with providers, and shipping. Hone Health separates medication and membership fees, with TRT typically starting around $177/month, including membership.

Disclaimer: This article is for informational purposes only and does not constitute medical advice or endorsement of one brand over another. Always consult a licensed healthcare provider before starting or changing any testosterone treatment.

8 Sources

  1. Anaissie JA, et al. (2017). Testosterone deficiency in adults and corresponding treatment patterns across the globe. https://pmc.ncbi.nlm.nih.gov/articles/PMC5422691/
  2. Cervi AN, et al. (2017). Testosterone use causing erythrocytosis. https://pmc.ncbi.nlm.nih.gov/articles/PMC5647167/
  3. Cunningham GL, et al. (2019). Prostate-Specific Antigen Levels During Testosterone Treatment of Hypogonadal Older Men: Data from a Controlled Trial. https://pmc.ncbi.nlm.nih.gov/articles/PMC6823728/
  4. Heinemann LU. (2008). Finger Pricking and Pain: A Never Ending Story. https://journals.sagepub.com/doi/epdf/10.1177/193229680800200526
  5. King EL, et al. (2023). Comparison of capillary blood self-collection using the Tasso-SST device with venous phlebotomy for anti-SARS-CoV-2 antibody measurement. https://www.sciencedirect.com/science/article/pii/S0022175923001059
  6. Patel AM, et al. (2018). Testosterone Is a Contraceptive and Should Not Be Used in Men Who Desire Fertility. https://pmc.ncbi.nlm.nih.gov/articles/PMC6305868/
  7. Saffati GA, et al. (2024). Safety and efficacy of enclomiphene and clomiphene for hypogonadal men. https://pmc.ncbi.nlm.nih.gov/articles/PMC11491226/
  8. Schulster MI, et al. (2016). The role of estradiol in male reproductive function. https://pmc.ncbi.nlm.nih.gov/articles/PMC4854098/
Editorial Standards

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Darragh O’Carroll, MD

 Basic Information

  • Full Name: Darragh O’Carroll MD

  • Professional Title(s): Board Certified Emergency Physician 

  • Current Role at Hims & Hers: Medical Advisor 


Credentials & Background


Experience & Expertise

  • Years of Experience: 14


Contributions to Hims & Hers


Why I Practice Medicine

  • Health is never appreciated until it's gone. There’s nothing more satisfying than to save, change, or improve the health of someone in need. 

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