Subscription men's hormone therapy by telehealth in 41 states, built on a finger-prick lab kit and daily testosterone microdosing
Male Excel is a telehealth business, not a clinic. Nobody is seen in person anywhere. You fill in a symptom questionnaire, buy a $99 online consultation, and a finger-prick blood spot kit arrives in the post. Their own CLIA lab in Mooresville, North Carolina runs five markers off it, testosterone, estradiol, DHEA-S, free T3 and PSA, and results come back about five business days after the kit lands. A licensed provider reviews them with you and writes a protocol if you qualify. Medication is compounded by two outside pharmacies in Florida and shipped in 60-day supplies. The protocol is what they sell on. Instead of the weekly intramuscular shot most online TRT services use, Male Excel doses testosterone daily, either as a small subcutaneous injection or as a twice-daily Lipoderm cream, and they do not routinely prescribe estrogen blockers. Thyroid tablets are bundled with the testosterone options. There is also an oral route, Triclozene, which is clomiphene citrate combined with thyroid. Around it sit generic sildenafil and tadalafil for erectile dysfunction, and GLP-1 medication for weight, including semaglutide by injection or tablet and tirzepatide. Peptides and NAD+ are advertised as coming soon rather than sold. The company started in 2019, grew out of Peter Fotinos's earlier hormone practice in Charlotte, and now sits under the parent Excel Medical alongside a women's brand, Fem Excel, and the lab. Excel Medical says it has passed 100,000 members and close to $100 million a year in revenue without outside investment, and made the Inc. 5000 in both 2024 and 2025. Roughly 35 clinicians are named on the site, four of them physicians and the rest nurse practitioners. A few things to check before signing up. The service is not available in Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Mississippi, New Hampshire or Rhode Island. Insurance is not accepted. Compounded testosterone is not an FDA-approved product and testosterone is a Schedule III controlled substance, so monitoring is part of the deal, and depending on your state you may still need an in-person physical elsewhere. Male Excel does no stem cell, exosome or PRP work.
Board-Certified Physicians
Accreditations are records-based and do not imply endorsement of any treatment's safety or efficacy.
Starting from
$99
package
Three separate charges, so read them together. The online consultation is $99 once and includes the at-home test kit. Membership is then $99 a month, covering unlimited messaging and e-visits, a 60-day check-in and a full panel every six months. Medication is billed every second month on top, from about $120 for injectable testosterone with thyroid, $132 for the cream and $95 for oral Triclozene. ED generics are $65 to $89. No insurance, though FSA and HSA funds may work, and no contract.
Pricing is indicative and set by each clinic. Confirm the final cost directly before treatment.
3 reviews
Individual results vary and are not typical or guaranteed. Case studies and testimonials reflect one person's experience.
Experience
Good product but these folks don't give a hoot about customer. It was time for my refill so I did the questionnaire and submitted. A week later still no review, ended up having to cancel as was leaving town and wasn't sure I'd be home. I only had two more days of meds left so they couldn't get them to me fast enough. Shop around please.
Experience
No complaints at all. Customer service is friendly and quick to respond. Doctor was really nice and thorough . Meds shipped quick. I feel much better and look forward to being a customer for the foreseeable future.
Experience
I went from 178 lb to 140 pounds it took almost a year. I am now around 145 pounds but put on some muscle not fat and I am now in the best shape I have been in probably 30 years if not longer.
Third-party sources, summarised by our editors and quoted where a reviewer said it best. These are not Male Excel's reviews on this site and are not counted in its rating here.
4.3out of 5 on Google from 122 ratings
Google reviewers rate Male Excel 4.3 across 122 reviews, and Google's topic tally centers on testosterone, medication assistance, thyroid levels and lab results, with several mentions of increased energy and quick responses. Trustpilot, where the company holds 4.5 from about 6,010 reviews, adds recurring complaints about late refills, membership cost and reaching live support.
Most-mentioned on Google
Checked . Figures on the source may have changed since. View the Google listing
Male Excel comes up often in r/Testosterone, mostly about service rather than results. Common complaints are the $99 monthly membership plus medication cost, chatbot support, slow appointment scheduling and shipping delays. Others report smooth, professional care. Several posters disliked the gel and moved to cream or injections.
Recurring points
Checked . Figures on the source may have changed since.
Lorna A. Brudie
Medical Director
DO, FACOG, FACS
Double board-certified obstetrician-gynecologist and gynecologic oncologist, and the one clinician here whose board certification is independently verifiable. She graduated from the New York College of Osteopathic Medicine in 1998 and did her OB/GYN residency at the University of Kansas School of Medicine, then spent decades doing complex cancer surgery. She practises gynecologic oncology in Florida alongside her work directing the Male Excel and Fem Excel protocols.
Peter Fotinos
Chief Medical Officer and Clinical Founder
MD
Took both his science degree and his medical degree at UNC Chapel Hill and trained in residency at Carolinas Medical Center in Charlotte, now Atrium. His background is urgent care, pediatrics and family medicine, and he moved into hormone work through the Academy for Preventive and Innovative Medicine at Worldlink and Neal Rouzier's advanced bioidentical hormone certification. He ran Revita Medical, the in-person practice the Male Excel protocol came out of, and has around 13 years in hormone therapy. The company does not publish a board certification for him.
Craig Larsen
Co-Founder and Chief Executive Officer
Came from Revita Medical, the Charlotte hormone practice, and worked with Peter Fotinos on the protocol before taking it online. He runs the parent company, Excel Medical, and is not a clinician.
Leif Wombwell
Co-Founder and Chief Strategy Officer
The digital half of the founding team. He joined Fotinos and Larsen to move a bricks-and-mortar hormone practice onto a telehealth platform, and handles strategy for Excel Medical. Not a clinician.
Andrew Abraham
Physician
MD
One of four physicians on the clinical roster. Male Excel publishes only a short statement of his approach, centred on patient empowerment, and no training or board detail.
Jonathan Figg
Physician
MD
One of four physicians on the clinical roster, working in bioidentical hormone replacement. As with most of the roster, the site publishes a brief philosophy statement rather than training or board detail.
Not yet verified
This clinic has not completed verification. Listings are still curated, but accreditation hasn't been confirmed.
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