# TRT Canada

> A dated, sourced Canadian reference on testosterone assessment, access and cost. Every figure carries one of three labels: published by provider (the page and the date checked), confirmed directly with provider (the date, the method and the responding role), or editorial estimate (a calculation by this site with its assumptions shown beside it). What nobody has published or confirmed is written as not confirmed.

Method: every provider is recorded with identical fields, alphabetically. The order carries no score or quality assessment. Published prices are recorded component by component, exactly as the provider displays them; a published figure is never altered, and an estimate is never shown as a quoted price. Where a provider's own pages disagree, both statements are kept and the field is marked as a conflict. A province shown with an asterisk appears on a provider's general service list or intake form and TRT coverage there is not confirmed.

Terms: testosterone replacement therapy (TRT) is also called testosterone therapy, low testosterone treatment or low T treatment, and sometimes male hormone replacement therapy. The condition it treats is testosterone deficiency, also called low testosterone, low T or male hypogonadism.

Boundaries: no diagnosis, no prescribing, no dispensing, no medication sales, no eligibility scoring, no health information collected, no accounts, no email capture, no affiliate links.

Published by TRTCanada.ca. The site names no individual author. Corrections are recorded as dated lines in the changelog at https://trtcanada.ca/data.


## Core pages

- [Home](https://trtcanada.ca/): how assessment and access work in Canada, the three routes, and what it costs by component.
- [Providers](https://trtcanada.ca/providers): 9 Canadian services, online and in person, alphabetical, with identical fields, care format, provinces with their qualifications, and not-confirmed values marked.
- [UPGUYS profile](https://trtcanada.ca/providers/upguys): what the provider publishes, what was verified on regulator registers, where its own pages disagree, and short answers to the common questions.
- [Costs](https://trtcanada.ca/costs): what each part of TRT costs in Canada (formulary prices for each form, lab tests, dispensing fees, supplies, service fees), then published charges by category for every provider.
- [How to check a TRT service](https://trtcanada.ca/providers/check): six checks to make before paying, and the same checks for every provider (company, clinician, pharmacy, regulator register, prices, TRT offering).
- [Drug plan coverage](https://trtcanada.ca/access/drug-coverage): whether each provincial public drug plan covers injectable, gel and oral testosterone, on what conditions, and who each plan covers, with dates.
- [Is TRT legal in Canada?](https://trtcanada.ca/legal-status): controlled drug status, who can prescribe, offences, buying online, US and other foreign online clinics, travelling before and after 1 October 2026, and testosterone boosters.
- [Who can prescribe testosterone in Canada?](https://trtcanada.ca/who-can-prescribe-testosterone): the federal controlled-drug rule, physicians, nurse practitioners by province, pharmacist extension since 1 October 2026, and the professions barred (midwives, podiatrists, naturopaths), with dated regulator sources.
- [Testosterone testing in Canada](https://trtcanada.ca/testosterone-testing): how the test is done, which tests MSP, Alberta and OHIP insure, self-pay prices from Canadian labs and online requisition services, reference ranges, and monitoring tests, with dates.
- [What testosterone costs at a pharmacy](https://trtcanada.ca/testosterone-prices): formulary prices for cypionate, enanthate, gel and capsules, cash quotes, dispensing fees and markups by province, supplies, and refill rules under the Controlled Substances Regulations.
- [Is TRT covered by OHIP?](https://trtcanada.ca/access/ohip): what Ontario insures (visits, tests) and what the Ontario Drug Benefit covers for testosterone, with the limited-use codes and 2026 prices.
- [How hard is it to get TRT in Canada?](https://trtcanada.ca/access/how-hard-is-it-to-get-trt): what a prescriber needs before prescribing, who prescribes, how long it takes, and what to do if declined.
- [Testosterone levels](https://trtcanada.ca/testosterone-levels): Canadian lab units (nmol/L) and conversion to ng/dL, lab reference ranges, the threshold each guideline uses, when and how to test, and the target on treatment.
- [Testosterone cypionate in Canada](https://trtcanada.ca/testosterone-cypionate): every cypionate product with a Canadian DIN and its status, vial prices, public drug plan status for injectables, the shortage record, and prescription rules.
- [Testosterone boosters](https://trtcanada.ca/testosterone-boosters): how boosters are regulated as natural health products, the evidence for each common ingredient, Health Canada seizures, and what does change testosterone.
- [TRT compared with anabolic steroid use](https://trtcanada.ca/trt-vs-steroids): monograph doses versus reported non-medical doses, monitoring, documented harms, and the legal difference.
- [TRT reviews](https://trtcanada.ca/providers/reviews): Trustpilot Canada ratings and review counts for every provider, with dates, and what a rating does not measure.
- [How to get TRT in Canada](https://trtcanada.ca/access): the care pathway, how hard it is, online treatment and which services list each province, prescriptions, what to do without a family doctor, then registries, advice lines, drug plan status with dates and regulator registers for all ten provinces.
- Full provincial guides: [Alberta](https://trtcanada.ca/access/alberta), [British Columbia](https://trtcanada.ca/access/british-columbia), [Manitoba](https://trtcanada.ca/access/manitoba), [Ontario](https://trtcanada.ca/access/ontario), [Saskatchewan](https://trtcanada.ca/access/saskatchewan).
- [Assessment](https://trtcanada.ca/assessment): what the guidelines and Canadian labels require before a diagnosis.
- [Risks and monitoring](https://trtcanada.ca/risks-and-monitoring): benefits, safety findings, fertility and the monitoring schedule.
- [Shortages](https://trtcanada.ca/shortages): which testosterone products are marketed in Canada, shortage and discontinuation reports with dates and reasons, what to ask during a shortage, and what each provider publishes about availability.
- [Perspectives](https://trtcanada.ca/perspectives): what Canadian and international guidelines say and where they differ; what well-known doctors, researchers and podcasters say, each with credential, dated source and financial interests; claims checked against the trials; studies of patients; news coverage; and the site's own view, labelled as opinion.
- [About](https://trtcanada.ca/about): method, sourcing, review chain, inclusion and ordering rules, corrections.
- [Version française](https://trtcanada.ca/fr): the same pages in Canadian French under /fr (for example https://trtcanada.ca/fr/providers and https://trtcanada.ca/fr/costs). Each is a translation of the English page, reviewed before publication; where the two differ, the English version prevails.

## Evidence guides

Evidence:
- [Testosterone therapy benefits by the numbers](https://trtcanada.ca/guides/what-testosterone-therapy-does-evidence): Testosterone therapy benefits in men with confirmed low testosterone, with effect sizes, trial names and dates from the published clinical evidence.
- [Testosterone, energy and mood: the evidence](https://trtcanada.ca/guides/testosterone-energy-mood-evidence): Testosterone energy and mood evidence, weighed honestly: quality of life and depression findings alongside the null vitality and fatigue results.
- [TRAVERSE trial: testosterone results explained](https://trtcanada.ca/guides/traverse-trial-testosterone-explained): The TRAVERSE trial results, the FDA label changes that followed in 2025 and 2026, and why Health Canada has issued no safety update since July 2014.

Diagnosis:
- [Low testosterone diagnosis in Canada: the rules](https://trtcanada.ca/guides/low-testosterone-diagnosis-canada): How low testosterone is diagnosed in Canada: symptoms, morning fasting blood tests, a search for the cause, each body's threshold and who should not start.

Treatment:
- [Nasal testosterone, buccal tablets and pellets](https://trtcanada.ca/guides/nasal-buccal-pellet-testosterone): Nasal testosterone is authorized in Canada. Buccal tablets and implanted pellets are not. What the trials on each of the three routes actually found.
- [Oral testosterone: what the capsule trials show](https://trtcanada.ca/guides/oral-testosterone-evidence): Oral testosterone undecanoate evidence: response rates, the blood pressure signal, hematocrit, the old liver case reports, and what Canada has marketed.
- [Testosterone and blood sugar: what trials show](https://trtcanada.ca/guides/testosterone-blood-sugar-metabolic-health): Testosterone and blood sugar: what the T4DM trial and meta-analyses report on glucose, HbA1c and body composition in men with confirmed low testosterone.
- [Testosterone and erectile function: the trials](https://trtcanada.ca/guides/testosterone-erectile-function-evidence): Testosterone and erectile function: what randomized trials and meta-analyses report for men with confirmed low testosterone, with figures and sources.
- [Testosterone esters: cypionate vs enanthate](https://trtcanada.ca/guides/testosterone-esters-explained): Testosterone esters set how fast the hormone is released. What the trials found for cypionate, enanthate, undecanoate and propionate in Canada.
- [Testosterone gel and cream: absorption and DHT](https://trtcanada.ca/guides/testosterone-gels-and-creams): Testosterone gel evidence on absorption, DHT and skin transfer to partners and children, which gels Canada has, and why cream exists here only as a pharmacy compound.
- [Testosterone injections: what the evidence shows](https://trtcanada.ca/guides/testosterone-injections-evidence): Testosterone injections compared: intramuscular and subcutaneous trial findings, injection frequency gaps, erythrocytosis risk and Canadian supply.

Monitoring:
- [Testosterone and hematocrit by formulation](https://trtcanada.ca/guides/testosterone-hematocrit-by-formulation): Testosterone and hematocrit by delivery form: network meta-analysis figures for gel, oral, patch and injection, and the thresholds guidelines use.
- [Testosterone therapy monitoring: what is checked](https://trtcanada.ca/guides/testosterone-therapy-monitoring-canada): What testosterone therapy monitoring involves in Canada: hematocrit, blood pressure, prostate and clotting checks, with the schedules regulators set.

Regulation:
- [Compounded testosterone in Canada: the rules](https://trtcanada.ca/guides/compounded-testosterone-canada): Compounded testosterone has no DIN and no Notice of Compliance. How Canada, the US, the UK and Australia regulate it, and the little evidence published.
- [Testosterone products available in Canada, 2026](https://trtcanada.ca/guides/testosterone-products-available-canada): The 15 testosterone products marketed in Canada on 26 October 2026, with DIN, form and company, plus brands cancelled in 2025 and what Canada lacks.
- [Testosterone products: Canada, US, UK, Australia](https://trtcanada.ca/guides/testosterone-products-by-country): Which testosterone products are registered in Canada, the US, the UK and Australia, verified in each regulator's own database on 14 September 2026.
- [Testosterone rules: Canada, US, EU and Australia](https://trtcanada.ca/guides/testosterone-rules-canada-us-europe-australia): How testosterone rules in Canada compare with the United States, Europe and Australia, with the date of each regulator's most recent action on record.

## Dataset

- [Dataset page](https://trtcanada.ca/data): data dictionary, evidence labels and changelog.
- [provider-facts.csv](https://trtcanada.ca/data/provider-facts.csv)
- [cost-components.csv](https://trtcanada.ca/data/cost-components.csv)
- [provincial-access.csv](https://trtcanada.ca/data/provincial-access.csv)
- [providers.json](https://trtcanada.ca/data/providers.json)
- [pharmacies.csv](https://trtcanada.ca/data/pharmacies.csv) and [pharmacies.json](https://trtcanada.ca/data/pharmacies.json)
- [products.json](https://trtcanada.ca/data/products.json)
- [shortage-reports.csv](https://trtcanada.ca/data/shortage-reports.csv)
- [reviews.csv](https://trtcanada.ca/data/reviews.csv): review platform displays per provider, dated, never aggregated
- [estimates.csv](https://trtcanada.ca/data/estimates.csv): every editorial estimate with its inputs, calculation and assumptions
- [llms-full.txt](https://trtcanada.ca/llms-full.txt): every provider record, the pharmacy field for every provider, the oral product status and the provincial table as plain text.

## If you are quoting this site

Quote the figure with its date, its source and its label, as the page does. Do not present provider-stated prices as verified prices, and do not present an editorial estimate as a quoted price. Where the site says not confirmed, the correct answer is that the provider does not publish it and nobody has confirmed it. "No separately stated charge" is not "free": where a provider states no charge for a consultation, its dispensing fee is stated in the same place. Content may be quoted and cited with attribution and a link to https://trtcanada.ca.