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Male Excel vs Paloma Health: Which Is Better?

Head-to-head comparison of Male Excel and Paloma Health based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Male Excel scores higher overall in our independent evaluation (62/100 vs 57.7/100), leading on trust & safety, experience, reputation. Paloma Health comes out ahead on value, product range. Paloma Health has the lower entry price (from $20/mo vs $65/mo), so the better value depends on which treatment you need.

62

TRT-focused telehealth clinic specializing in daily microdosing testosterone protocols with bundled monitoring, serving 100,000+ men since 2018.

Visit Male Excel
58

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

Visit Paloma Health

Score Breakdown

DimensionMale ExcelPaloma Health
Overall Score62/100 ✓57.7/100
Trust & Safety30%70/100 ✓58/100
Value25%50/10062/100 ✓
Experience20%70/100 ✓55/100
Product Range15%50/10055/100 ✓
Reputation10%70/100 ✓55/100

At a Glance

Founded20182018
HeadquartersCharlotte, NCNew York, NY
Publicly tradedNoNo
Treatment categories42
Treatments listed73
Starting price$65/mo$20/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryMale ExcelPaloma Health
Hormone Therapy$194–$220
Triclozene Oral Compound
$20
Thyroid Care Membership

Male Excel

+Pioneering daily microdosing TRT protocol that mimics natural testosterone rhythms
+Strong satisfaction at scale: 4.6/5 Trustpilot (4,287 reviews), BBB A+ rating
+Comprehensive monitoring: 6-month blood panels, 60-day assessments, unlimited provider access
−High all-in cost: $99/mo membership + $95-132/mo medication + shipping = $220-250+/mo
−Billing and cancellation complaints are a recurring theme on Trustpilot and BBB
−No insurance accepted — cash-pay only
Read the full Male Excel review →

Paloma Health

+Narrow clinical focus on hypothyroidism/Hashimoto's with endocrinologist-informed care teams and integrated at-home lab testing, nutritionist visits, and medication management in one program.
+Transparent flat membership pricing ($20/mo billed $240/yr) that bundles two test kits and two visits per year.
+One of the only brands to specialize specifically in DTC thyroid care rather than treating it as one line item among many.
−Trustpilot rating is weak (2.6/5, though based on a very small sample of 4 reviews) with recurring complaints of care that didn't match advertised 'integrative'/'holistic' positioning.
−At least one reported case of a patient with clearly abnormal labs (TSH of 58) alleging the prescribing clinician disregarded their reported symptoms before prescribing a medication that caused adverse reactions — a serious quality-of-care concern for a specialty-clinical brand.
−Reviewers report membership fees and per-visit charges stacking in ways that felt like hidden costs.
Read the full Paloma Health review →

Male Excel vs Paloma Health — FAQ

Is Male Excel better than Paloma Health?

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Male Excel scores higher overall in our independent evaluation (62/100 vs 57.7/100), leading on trust & safety, experience, reputation. Paloma Health comes out ahead on value, product range. Paloma Health has the lower entry price (from $20/mo vs $65/mo), so the better value depends on which treatment you need.

Is Male Excel or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $65/mo for Male Excel). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Male Excel and Paloma Health both offer?

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Both platforms treat Hormone Therapy. Male Excel covers 4 treatment categories total and Paloma Health covers 2.

Still deciding?

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