Hormone Optimization (TRT/HRT) Clinics
Hormone optimisation is prescription treatment - testosterone, menopausal hormone therapy, thyroid - given for symptoms confirmed by repeat blood tests. 55 clinics in this directory list Hormone Optimization (TRT/HRT), across 37 cities.
Facts on this page are checked against each clinic's own website. Oldest check: 25 August 2026. 22 of the 55 listed have been checked so far.
Aeon Future Health
Calgary, Alberta · Canada
Calgary longevity clinic offering staged health assessments, hormone programmes, full-body MRI, glucose monitoring and IV infusion therapy.
AgeReversalMD
San Diego · United States
AgeReversalMD is a physician-led longevity clinic in La Jolla, San Diego, offering plasma exchange, NAD+ IV therapy, PRP injections and hormone therapy.
Avita MD - Los Gatos
Los Gatos · United States
Los Gatos clinic listing longevity medicine built on a 60-plus biomarker blood panel, hormone optimisation and on-site phlebotomy and EKG.
Ayusya Clinic
Eemnes, Utrecht · Netherlands
Eemnes longevity clinic since 2010: EUR 375 first consult, DNA and epigenetic biological-age testing, hormone therapy, red light and IHHT.
California Longevity & Vitality Medical Institute
San Francisco · United States
California Longevity & Vitality Medical Institute is a longevity clinic in San Francisco listing hormone optimisation.
Cenegenics Mexico
Mexico City, Ciudad de Mexico · Mexico
Santa Fe arm of the US age-management group, offering DEXA scans, VO2 max testing, biological age tests and NAD+ drips.
Clinic X
Zurich · Switzerland
Clinic X is a longevity clinic in Zurich listing full-body MRI, VO2 max testing, DEXA scans and biological age testing.
Clinique Printemps
Montreal, Quebec · Canada
Montreal longevity practice offering epigenetic age testing, full-body MRI, hormone mapping and four priced annual programmes.
Gladden Longevity
Dallas, TX · United States
Gladden Longevity in Dallas lists 9 longevity services, including DEXA scans, biological age testing, biomarker panels and hyperbaric oxygen.
Hall Longevity Clinic
Miami · United States
Hall Longevity Clinic in Miami lists 5 longevity services, including stem cell therapy, hormone optimisation, peptide therapy and PRP injections.
Healthy Aging Medical Center Vienna
Vienna, Vienna · Austria
Vienna practice offering genetic and epigenetic profiling, biological age testing, hormone therapy, ACP injections and hyperbaric oxygen.
La Clinique de Paris
Paris · France
Paris 16 clinic listing vitamin infusions, hormone assessment and bioidentical hormone therapy, medical weight loss and anti-ageing care.
Lanserhof
Lans · Austria
Lanserhof lists 6 longevity services, including biological age testing, biomarker panels, hormone optimisation and executive physicals.
LifeSpan Medicine - Dallas
Dallas, TX · United States
LifeSpan Medicine - Dallas lists 6 longevity services, including full-body MRI, biomarker panels, NAD+ IV therapy and hormone optimisation.
LifeSpan Medicine - Miami
Miami, FL · United States
LifeSpan Medicine's Miami office at 100 SE 2nd Street offers hormone therapy, PRP and NAD+ drips, biomarker panels and full-body MRI.
LifeSpan Medicine - Santa Monica
Santa Monica, CA · United States
LifeSpan Medicine - Santa Monica is a longevity clinic listing full-body MRI, biomarker panels, NAD+ IV therapy and hormone optimisation.
LifespanMD
Ottawa, Ontario · Canada
Ottawa membership clinic built on a two-day wellness assessment with VO2 max testing, DEXA, glucose monitoring and whole-body MRI via Prenuvo.
Longevity Center
Zurich · Switzerland
Longevity Center is a longevity clinic in Zurich listing biological age testing, biomarker panels, hormone optimisation and executive physicals.
Longevity Centre London
London · United Kingdom
Longevity Centre London is a longevity clinic listing biomarker panels, hormone optimisation, peptide therapy and IV vitamin therapy.
Longevity Medical Institute
Punta Mita, Nayarit · Mexico
Longevity Medical Institute in Punta Mita lists 7 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
MD Helix
Los Angeles, CA · United States
MD Helix in Los Angeles lists 9 longevity services, including VO2 max testing, biological age testing, biomarker panels and stem cell therapy.
Meraki Integrative
New York · United States
Meraki Integrative is a longevity clinic in New York listing hormone optimisation, peptide therapy and IV vitamin therapy.
Monarka Clinic
Barcelona · Spain
Monarka Clinic in Barcelona lists 5 longevity services, including biomarker panels, hormone optimisation, PRP injections and executive physicals.
My Longevity Centre
London · United Kingdom
My Longevity Centre in London lists 5 longevity services, including biomarker panels, NAD+ IV therapy, hormone optimisation and peptide therapy.
Next Health - Bellevue
Bellevue, WA · United States
Next Health - Bellevue lists 10 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and NAD+ IV therapy.
Next Health - Boulder
Boulder, CO · United States
Next Health - Boulder lists 10 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and NAD+ IV therapy.
Next Health - Century City
Los Angeles, CA · United States
Next Health - Century City is a longevity clinic in Los Angeles listing full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - Chicago Lincoln Park
Chicago, IL · United States
Next Health - Chicago Lincoln Park lists 12 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - Dubai
Dubai, Dubai · United Arab Emirates
Next Health - Dubai is a longevity clinic listing full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - Elk Grove
Elk Grove, CA · United States
Next Health - Elk Grove lists 10 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and NAD+ IV therapy.
Next Health - Four Seasons Maui
Wailea, HI · United States
Next Health - Four Seasons Maui in Wailea lists 10 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and NAD+ IV therapy.
Next Health - Miami Aventura
Miami, FL · United States
Next Health - Miami Aventura is a longevity clinic listing full-body MRI, biomarker panels, hyperbaric oxygen and NAD+ IV therapy.
Next Health - Montecito
Montecito, CA · United States
Next Health - Montecito is a longevity clinic listing full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - Nashville Green Hills
Nashville, TN · United States
Next Health - Nashville Green Hills is a longevity clinic listing full-body MRI, biomarker panels, hyperbaric oxygen and NAD+ IV therapy.
Next Health - Nashville The Gulch
Nashville, TN · United States
Next Health - Nashville The Gulch lists 10 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and NAD+ IV therapy.
Next Health - New York City
New York, NY · United States
Next Health - New York City lists 12 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - Newport Beach
Newport Beach, CA · United States
Next Health - Newport Beach is a longevity clinic listing full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - Peoria
Glendale, AZ · United States
Next Health - Peoria in Glendale lists 10 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and NAD+ IV therapy.
Next Health - Roseville
Roseville, CA · United States
Next Health - Roseville is a longevity clinic listing full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - Studio City
Los Angeles, CA · United States
Next Health - Studio City is a longevity clinic in Los Angeles listing full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - West Hollywood
West Hollywood, CA · United States
Next Health - West Hollywood lists 12 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
Next Health - Woodland Hills Calabasas
Woodland Hills, CA · United States
Next Health - Woodland Hills Calabasas lists 12 longevity services, including full-body MRI, biomarker panels, hyperbaric oxygen and stem cell therapy.
NY 360 Wellness Medicine
New York · United States
NY 360 Wellness Medicine is a longevity clinic in New York listing hyperbaric oxygen, hormone optimisation and red light therapy.
OptimizedMD
Copenhagen · Denmark
OptimizedMD in Copenhagen lists 5 longevity services, including biomarker panels, NAD+ IV therapy, hormone optimisation and peptide therapy.
Parsley Health
New York · United States
Parsley Health is a longevity clinic in New York listing biomarker panels, hormone optimisation and glucose monitoring.
Premium Longevity Clinic
Miami · United States
Premium Longevity Clinic in Miami lists 7 longevity services, including DEXA scans, biological age testing, stem cell therapy and hormone optimisation.
Privatpraxis am Kosttor
Munich, Bavaria · Germany
Munich private practice with a longevity programme: spiroergometry, CGM glucose sensors, metabolome and hormone testing, NAD+ infusions.
Qualevita
Amsterdam · Netherlands
Qualevita is a longevity clinic in Amsterdam listing hormone optimisation (TRT/HRT), biomarker panels and VO2 max testing. No prices published.
ReGenesis Longevity
New York, NY · United States
ReGenesis Longevity is a longevity clinic in New York listing biomarker panels, hormone optimisation, peptide therapy and IV vitamin therapy.
RENU Health Clinic
Dubai, Dubai · United Arab Emirates
Dubai Healthcare City clinic offering biological age testing, full-body check-ups, hormone profiling, NAD+ and IV nutrient drips.
Restor Longevity Clinic
Dallas · United States
Restor Longevity Clinic is a longevity clinic in Dallas listing full-body MRI, biomarker panels and hormone optimisation.
The Heal Clinic London
London · United Kingdom
The Heal Clinic London lists 5 longevity services, including stem cell therapy, NAD+ IV therapy, hormone optimisation and PRP injections.
The Longevity Doctor
London · United Kingdom
The Longevity Doctor is a longevity clinic in London listing VO2 max testing, biological age testing, biomarker panels and hormone optimisation.
Vital Aging Clinic
Noordwijk, South Holland · Netherlands
Noordwijk longevity clinic: extensive medical intake with blood work, VO2 max and body composition, plus DNA, epigenetic and microbiome tests.
ZOIME
Dubai, Dubai · United Arab Emirates
ZOIME in Dubai lists 6 longevity services, including biological age testing, biomarker panels, stem cell therapy and hormone optimisation.
Hormone Optimization (TRT/HRT) explained
Hormone optimisation covers testosterone therapy in men, hormone therapy around and after menopause in women, and thyroid management in both. It is the most heavily medical service in this directory: everything in it is prescription-only, everything in it requires monitoring, and everything in it has genuine trade-offs.
For men, testosterone therapy is an established treatment for diagnosed low testosterone confirmed on repeat morning blood tests alongside symptoms. It is not a treatment for a number slightly below a reference range in someone who feels well, and it suppresses the body’s own production and fertility while it is being taken - which is why the conversation about children comes before the first prescription rather than after.
For women, hormone therapy around menopause has been through a full cycle of enthusiasm, alarm and reappraisal. The current position among specialist bodies is far more supportive than the headlines of twenty years ago, with the balance of benefit and risk depending heavily on age, time since menopause, the specific preparation and personal history. That is a conversation with a clinician, not a decision to make from a web page.
The phrase "bioidentical" needs unpacking, because it is used two ways. Regulator-approved body-identical preparations are ordinary licensed medicines. Custom-compounded "bioidentical" mixtures made up by a pharmacy to an individual formula are not licensed, are not dose-verified in the same way, and are the version specialist societies advise against.
What it costs
From this directory
Of the 35 priced clinics listing this service, 1 is in the entry band ($), 1 in the mid band ($$), 29 in the upper band ($$$) and 4 in the top band ($$$$). 20 further listings do not publish enough to place. 4 of the 55 require a membership rather than selling services one at a time; the rest can be booked individually.
This is a subscription, not a purchase. The real price is the monthly one: prescription, product, and the blood tests that have to be repeated for as long as treatment continues.
Delivery format changes cost substantially - gels, injections and implanted pellets are priced very differently, and pellets in particular front-load a large payment for a dose that cannot be adjusted once it is in.
Monitoring is the cost worth paying for. A programme with quarterly bloods costs more than one without, and the one without is the one to worry about.
A licensed hormone medicine prescribed for a diagnosed condition is often covered by insurance or a national health service. Programmes sold as optimisation in people whose levels are normal generally are not.
Who it suits, and who it does not
It is appropriate for people with symptoms and confirmed laboratory findings, assessed by a clinician who has taken a full history - and for menopausal symptoms, for anyone whose quality of life is being affected and who wants to discuss the options.
It is not appropriate as a performance enhancer in someone with normal levels who feels well, and a clinic willing to prescribe on one borderline test and a symptom questionnaire is telling you something about its standards.
Personal and family history changes the calculation substantially - hormone-sensitive cancers, clotting disorders, cardiovascular disease, and plans for children all belong in the conversation before treatment starts.
Questions to ask before you book
The answers separate clinics far more reliably than the service list on their website does.
- Who prescribes, what is their specialty, and are they licensed here
- How many blood tests before you would prescribe, and taken at what time of day
- What monitoring is included once I start, and how often
- Are you proposing licensed preparations or custom-compounded ones, and why
- What are the effects on fertility, and are they reversible
- What would make you reduce the dose or stop treatment, and what does stopping involve
What the evidence says
Our own reviews of the research behind this service, written from the published papers and linked to them. They run whether or not the verdict suits the directory.
Hormone Optimization (TRT/HRT) by city
Where to get it: every city with at least one verified clinic listing this service, most listings first.
United States
United Kingdom
Netherlands
United Arab Emirates
Mexico
Switzerland
Denmark
France
Germany
Spain
Hormone Optimization (TRT/HRT): common questions
What is hormone optimisation?
It is prescription hormone treatment - testosterone therapy, menopausal hormone therapy, or thyroid management - aimed at symptoms confirmed against laboratory results. Every part of it is prescription-only and requires ongoing monitoring.
Is testosterone replacement therapy safe?
For men with a confirmed diagnosis and proper monitoring it is an established treatment with known risks that are managed by follow-up blood tests. It suppresses natural production and fertility while it is taken, and it is a different proposition entirely in someone whose levels are normal.
What does "bioidentical" actually mean?
It describes hormones with the same molecular structure as the body’s own. Approved body-identical preparations are licensed medicines. Custom-compounded mixtures made to an individual formula are not licensed and not dose-verified the same way, and specialist societies advise against them.
How long before hormone therapy works?
It varies by hormone and by symptom, and clinicians generally reassess at three months with repeat blood tests rather than judging from how someone feels in the first few weeks.
Do you need blood tests before starting?
Yes, and more than one. For testosterone in particular, diagnosis rests on repeat morning samples alongside symptoms, because a single reading is not reliable enough to prescribe from.
Is hormone therapy covered by insurance?
A licensed medicine prescribed for a diagnosed condition often is. Programmes sold as optimisation to people with normal levels generally are not.