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A relaxed man in a sage linen shirt smiling toward the light on a sunlit Mediterranean terrace with terracotta pots.

Low testosterone care for men

Raise your own testosterone without shutting down sperm production.

One tablet a day, dosed from your labs.

Explore treatmentsTake the quiz
  • US clinicians
  • Licensed pharmacy
  • LegitScript
  • 4.5 on Google
  • Review fee refunded
  • Free discreet shipping

Start or switch your treatment this season. Your lab panel is on us.

Nov 1 to Jan 31. Given at your 3-month mark.

Find your testosterone treatment.

Free lab panel at month 3Enclomiphene tablets bottle

Enclomiphene

Tablet · 12.5 mg / 25 mg

From $2.61/day

Billed $469 every 180 days

Get startedLearn more
Free lab panel at month 3Clomiphene capsules package

Clomiphene

Capsule · 25 mg

From $2.99/day

Billed $269 every 90 days

Get startedLearn more

Free shipping. HSA/FSA eligible. Prescribed only if appropriate.

Sound familiar?

You’re far from the only one. A US-licensed clinician looks at what you’re noticing and whether treatment fits you.

  • Low energy by mid-afternoon
  • Low sex drive
  • Fewer morning erections
  • Brain fog
  • Slower recovery after workouts
  • Gaining belly fat
  • Low mood or irritability
  • Poor sleep
  • Feeling flat or unmotivated
  • Protecting your fertility
  • Low testosterone result
From below range to mid-range in 6 weeks

Morning total testosterone: Day 1 253 ng/dL, Week 6 604 ng/dL

HEALTHY ADULT RANGEBELOW RANGEDay 1Week 6253604
Morning total testosterone, ng/dL

Source: Wiehle R, et al. BJU Int 2013;112(8):1188-200, Table 1 (enclomiphene 25 mg) · Group average in a randomized trial, not a prediction for you.

Out for a walk, moving easily

+216 ng/dL

average testosterone rise on enclomiphene, pooled across clinical studies in a 2023 meta-analysis

Source: Tienforti D, et al. Andrology 2023;11(6):1067-76 (meta-analysis)

  • Normal sperm

    Two double-blind phase III trials: sperm counts stayed in the normal range on enclomiphene and fell on testosterone gel

    Source: Kim ED, McCullough A, Kaminetsky J. BJU Int 2016;117(4):677-85

  • 2 weeks

    Testosterone started rising within 2 weeks of the first daily dose in a randomized trial

    Source: Wiehle R, et al. BJU Int 2013;112(8):1188-200 (randomized phase II)

Results from published trials and meta-analyses of enclomiphene citrate. The 2025 meta-analysis pools enclomiphene with clomiphene, its parent drug. Our enclomiphene is compounded by a licensed US pharmacy and was not studied in these trials. Individual results vary.

Start without the risk

  • $20 review refunded if not prescribed
  • Cancel anytime
  • Full refund before your blood draw

For your everyday. And the moments that matter.

Explore hormone care guided by your symptoms, lab results, and personal goals.

A couple out cycling by the sea

Energy for your everyday

For full days. And being present for them.

Two people stretching outdoors

Strength for what you love

For the trails, routines, and pursuits that make you, you.

A couple sitting close with foreheads together, laughing quietly by the sea in golden light.

Connection and intimacy

For closeness, desire, and time together.

What changes the result

Three things that matter alongside treatment.

  1. 01

    Trim the waist before you chase the number

    Extra belly fat turns testosterone into estrogen, and high insulin lowers SHBG, which pulls your levels down. In a lifestyle trial of men with a mean BMI of 32, losing about 8 kg raised testosterone without medicine. Walking daily and lifting weights help the tablet's signal land on a healthier base.

  2. 02

    Guard your sleep, because testosterone peaks in the morning

    Poor sleep is linked to lower testosterone, and levels peak in the morning. Aim for 7 to 9 hours of unbroken sleep and book your draws between 7 and 11 am, fasted, so your day-90 numbers show what the tablet is really doing.

  3. 03

    Eat for hormones and top up what is low

    A Mediterranean-style diet raised testosterone within 2 to 4 months in men with obesity-related low levels. Zinc, magnesium and vitamin D gaps are linked to lower testosterone, and alcohol pushes it down. Keep alcohol low, and ask your clinician whether a micronutrient check belongs in your Vault.

Your progress, over time.

Complete your intake, connect with your provider, and receive your personalized plan built around what has changed and what you want help with.

You may start noticing more interest in sex and intimacy, a welcome shift when your desire hasn’t felt like you lately.

When low mood has been weighing on you, even a small lift can matter. Some men begin to feel brighter as treatment progresses.

Gradual increases in lean muscle and reductions in body fat may start to change how your body looks and feels.

Those gradual changes can become more noticeable over time. You may see a leaner body and more muscle definition as your progress builds.

DISCLAIMER

These approximate timeframes come from testosterone replacement studies in men with low testosterone. They are not established timelines for enclomiphene or clomiphene, the oral options above. Benefits and timing vary; results are not guaranteed.

Research:Sexual interest and moodBody composition over timeTestosterone TrialsEvidence for oral therapies

From goal to doorstep in four steps

Woman completing a private online health intake at home

Step 1

Tell us your goals

A few minutes

Step 1

Tell us your goals

A short, private intake about your health and what you want to improve.

A few minutes

A man with gray hair in a cream knit sweater relaxing on a sunny terrace beside olive trees, smiling during a phone call.

Step 2

A clinician reviews

Within 24 hours

Step 2

A clinician reviews

A licensed provider reviews your info and labs, if needed, and builds your plan.

Within 24 hours

Discreet treatment delivery

Step 3

Delivered to your door

2–5 business days

Step 3

Delivered to your door

Approved treatment ships free in plain, discreet packaging.

2–5 business days

Woman checking her ongoing care plan on her phone at home

Step 4

Ongoing care

Ongoing

Step 4

Ongoing care

Message your PocketMD provider anytime; we adjust your plan as you progress.

Ongoing

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Your questions, answered.

Messaging the care team from home
Does feeling tired mean I have low testosterone?+

No. Fatigue can have many causes. Your clinician considers symptoms, health history, and blood tests before making a diagnosis.

Why do I need blood tests?+

Labs are recommended, not required. If you add them, we check LH, SHBG, total and free testosterone from one morning draw, and recent results can count.

What if I want to have children?+

Tell your clinician before starting treatment. Fertility goals affect which options are appropriate; testosterone replacement can reduce sperm production.

Will I automatically get a prescription?+

No. A licensed clinician reviews your information and determines whether treatment is appropriate. Further evaluation or a different approach may be recommended.

What does it cost to start?+

A $20 clinician review, refunded if you’re not prescribed. Each plan shows its lowest rate with the real bill, and you can cancel anytime.

How fast is it?+

A US-licensed clinician reviews within 24 hours, and approved orders ship free in 2 to 5 business days.

The clinicians behind your care

Your treatment is reviewed and prescribed by US-licensed clinicians in our network.

William Blackwell, MD

William Blackwell, MD

Weight and metabolic health

Board certified in emergency medicine and practicing telehealth since 2018. Focuses on weight management and metabolic health.

Shamail Tariq, MD

Shamail Tariq, MD

Cardiometabolic health

Board certified in cardiovascular disease and interventional cardiology. Focuses on preventive cardiology, blood pressure and cholesterol.

Explore other goals

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Weight care. For your life.

A plan built around your health, your routines, and where you want to go.

Explore lose weight
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Closer. More you.

Make room for connection. Find private care that fits you.

Explore improve sexual function
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Your hair. Your way.

Get ahead of thinning. Find a hair-care routine that fits your life.

Explore improve appearance
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A start-low, build-up NAD+ injection with clinician oversight.

The human evidence is still early.

Explore live longer & better
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Keep your thyroid levels steady.

Levothyroxine from a US pharmacy, dosed from your TSH and free T4.

Explore manage thyroid
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Low B12, fixed at the source.

A weekly methylcobalamin injection that skips your gut.

Explore supplements
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Your skin. Your everyday.

Clearer, smoother skin with one simple nightly step, prescribed for you.

Explore clearer skin

You’ve noticed a change. Let’s find out why.

Less energy. Less desire. Workouts that feel different. You don’t have to figure it out alone.

Get a clearer picture of your hormone health and explore care built around you.

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Stay on top of your health.

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Vitals Vault

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Prescription products require an online consultation with a licensed clinician who will determine if a prescription is appropriate. Individual results vary. Not for use in a medical emergency. © Vitals Vault

Verify Approval for www.vitalsvault.com

From $2.61/day · $20 clinician review.

Billed $469 every 180 days. $20 review refunded if not prescribed. Cancel anytime.

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