Maximus Review: Testosterone & ED - What to Know Before Buying

Maximus (maximustribe.com) is a men's telehealth platform offering testosterone optimization protocols and prescription ED medications. Its testosterone lineup covers everything from enclomiphene-only protocols to injectable TRT, and its ED offering includes vardenafil, tadalafil, and sildenafil prescribed individually or in combination. Maximus pairs all protocols with at-home blood testing, board-certified physician oversight, and ongoing monitoring through a text-based app.

This article reviews Maximus' full product lineup, how each offering works, their cost, and their pros and cons, along with a comparison to Rugiet Ready for men evaluating ED treatment options.

This article is for informational purposes only and should not be taken as medical advice. If you have questions or concerns about your condition or treatment, please consult a healthcare provider.

What Is Maximus?

What it is: Maximus is a telehealth company offering testosterone protocols and ED prescriptions for men entirely online. The platform combines at-home blood testing, licensed physician review, and direct-to-door prescription delivery. Consultations happen through a text-based app. Maximus has published clinical data on its own protocols, which is relatively uncommon among direct-to-consumer telehealth testosterone platforms.

What it offers: Maximus offers six testosterone protocols ranging from oral enclomiphene to injectable TRT, a fertility-supporting injectable + hCG option, and a standalone ED prescription program covering vardenafil, tadalafil, and sildenafil. An at-home testosterone test is also available without a treatment commitment.

How much it costs: Testosterone protocols start at $99.99/mo. ED prescriptions start at $44.99/mo. The at-home testosterone test is $99.99 with free shipping.

Pros: Wide range of testosterone protocols including injectable, oral, and topical options; ED prescriptions available separately; fertility-preserving options; published clinical data; at-home lab testing; physician access via app.

Cons: Not all protocols use FDA-approved finished drug products; lab kit costs add to early-month pricing; auto-renewing multi-month commitments apply; strict no-refund policy on most purchases.

Good for: Men who want a single platform for both testosterone optimization and ED treatment, or those looking for a non-injectable testosterone option that preserves fertility.

Not ideal for: Men seeking the lowest possible entry price for basic ED monotherapy; men who prefer injectable TRT only.

Maximus' Testosterone Protocols

Enclomiphene (EP Protocol)

Maximus' entry-level testosterone protocol. Uses prescription enclomiphene citrate, a selective estrogen receptor modulator (SERM), to stimulate the body's own testosterone production rather than adding exogenous testosterone.

Active ingredient: Enclomiphene citrate

How it works: Enclomiphene blocks estrogen receptors at the hypothalamus and pituitary, signaling the body to release more luteinizing hormone (LH) and follicle-stimulating hormone (FSH). LH in turn stimulates the testes to produce more testosterone naturally. Because this approach works through the body's own axis, it does not suppress fertility the way traditional TRT does.

Important note: The EP Protocol does not contain testosterone. It encourages natural production. Men significantly below optimal levels may see more limited results than with direct replacement.

How to take it: Daily oral tablet as directed by your Maximus physician

Starting price: Starting at $99.99/mo

Oral Testosterone

For men who want to supplement their natural testosterone with convenient daily pills rather than injections or creams.

Active ingredient: Oral testosterone

How it works: Provides direct testosterone supplementation through an oral format. Raises testosterone through exogenous input.

Key features: Raises testosterone with daily pills (typically 3 to 4 per day); easy alternative to creams or injections; supports energy, muscle, mood, and libido.

Starting price: Starting at $149.99/mo

Enclomiphene + Testosterone Cream

Combines a topical testosterone cream applied once daily with enclomiphene citrate. Tagged as Maximus' "Best Outcomes" protocol.

Active ingredients: Testosterone cream (topical) + enclomiphene citrate

How it works: Testosterone cream delivers testosterone directly through the skin. Enclomiphene maintains LH and FSH, supporting fertility markers alongside direct testosterone replacement.

Key features: Patented formulation; fertility-friendly; combines natural production support with topical testosterone; provides higher levels than enclomiphene alone. Optional: add Tadalafil (Generic for Cialis®) to your protocol free.

Average peak testosterone: Maximus reports an average peak of 1,321 ng/dL. Results may vary.

Starting price: Starting at $189.99/mo

Enclomiphene + Oral Testosterone

Combines oral native testosterone with enclomiphene citrate in an all-oral, no-injection, no-cream routine. Tagged as fertility-friendly.

Active ingredients: Oral testosterone + enclomiphene citrate

How it works: Oral testosterone provides direct hormone replacement while enclomiphene maintains LH and FSH signaling, which traditional TRT suppresses. This dual approach is designed to deliver the benefits of testosterone replacement while reducing the fertility impact.

Key features: All-oral daily routine; designed to reduce side effects versus standalone TRT; adds oral testosterone to natural production. Optional: add Tadalafil (Generic for Cialis®) to your protocol free.

How fast it works: Oral testosterone peaks within 2.5 to 4 hours after ingestion. Enclomiphene's fertility-support effects are typically seen within 28 days. Most men notice improvements in energy, mood, and libido within several weeks, with full benefits building over 2 to 3 months.

Starting price: Starting at $199.99/mo

Injectable Testosterone

Traditional TRT through weekly at-home injections. Tagged as "Fastest Results."

Active ingredient: Injectable testosterone

How it works: Delivers exogenous testosterone directly into the bloodstream through subcutaneous or intramuscular injection. Provides high, steady testosterone levels.

Key features: Proven, traditional TRT; 1 to 2 shots weekly at home; fast option for men with lower starting testosterone. Note: injectable testosterone suppresses natural production and fertility markers, unlike the enclomiphene protocols.

Starting price: Starting at $99.99/mo

Testosterone Cream (Standalone)

A daily topical testosterone cream for men who want steadier testosterone levels without pills, injections, or dietary requirements tied to oral dosing.

Active ingredient: Testosterone cream

How it works: Applied to the skin daily for gradual, stable absorption into the bloodstream.

Key features: No dietary requirements; no pill schedule; gradual absorption for stable testosterone levels; improves mood, libido, strength, and energy.

Starting price: Starting at $109.99/mo

Injectable Testosterone + hCG

Combines injectable testosterone with human chorionic gonadotropin (hCG) for men who want strong TRT results while protecting testicular function and fertility markers. Tagged as "Fertility-Supporting."

Active ingredients: Injectable testosterone + hCG

How it works: Testosterone injection provides direct testosterone replacement. hCG mimics LH, stimulating the testes to maintain function and size during exogenous testosterone use, which would otherwise suppress the body's own production.

Key features: Combines injectable TRT with hCG for testicular function; helps protect fertility markers better than testosterone alone; weekly at-home injections.

Starting price: Starting at $299.99/mo

At-Home Testosterone Test

Available without committing to a treatment protocol. Measures key hormone markers to determine whether testosterone treatment may be appropriate.

What it measures: Total testosterone, SHBG, LH, and other key biomarkers

Key features: Works for all Maximus testosterone protocols; personalized assessment; free shipping; no commitment to purchase treatment.

Price: $99.99

Maximus' ED Products

In addition to its testosterone protocols, Maximus offers a prescription ED program covering vardenafil, tadalafil (Generic for Cialis®), and sildenafil (Generic for Viagra®), available individually or in combination.

Vardenafil, Tadalafil, and Sildenafil for Bloodflow

Maximus prescribes vardenafil, Tadalafil (Generic for Cialis®), and Sildenafil (Generic for Viagra®) as standalone or combined daily prescriptions. The program is positioned around everyday performance rather than as-needed use only, with dosing options including daily, as-needed, and microdosed protocols based on individual goals.

Active ingredients (available individually or in combination):

• Sildenafil (Generic for Viagra®): A PDE5 inhibitor for faster-onset erection support
• Tadalafil (Generic for Cialis®): A long-duration PDE5 inhibitor, effective up to 36 hours
• Vardenafil: A PDE5 inhibitor with high enzyme selectivity, available standalone or as a Tadalafil + Vardenafil combination
• Tadalafil + Vardenafil combination: Available as a combined prescription for men who want dual PDE5 coverage

Formulation: Standard prescription tablets; 100% US-based FDA-approved pharmacies

How to take it: Daily, as-needed, or microdosed based on your goals and your Maximus physician's recommendation

Key features: Starting under $2/day; 24/7 support from a personal care team; unlimited access to board-certified doctors; filled at 100% US-based FDA-approved pharmacies

Starting price: Starting at $44.99/mo

How Do Maximus' Testosterone Protocols Work?

Maximus addresses testosterone through two distinct mechanisms depending on the protocol.

The EP Protocol works through stimulation of the body's own hormonal axis. Enclomiphene blocks estrogen receptors at the hypothalamus and pituitary, increasing LH and FSH, which stimulate the testes to produce more testosterone. This does not suppress natural production or fertility.

The direct replacement protocols (injectable testosterone, oral testosterone, testosterone cream, and the combination protocols) introduce exogenous testosterone, raising levels through external input. The combination protocols that include enclomiphene are designed to maintain LH and FSH signaling alongside the external testosterone, which traditional TRT alone would suppress.

How Do Maximus' ED Medications Work?

Sildenafil, tadalafil, and vardenafil are all PDE5 inhibitors. During sexual arousal, the brain triggers nitric oxide release in penile blood vessels, which stimulates cyclic GMP (cGMP) production. cGMP relaxes smooth muscle and allows blood to flow into the penis, producing an erection. PDE5 normally breaks cGMP down. PDE5 inhibitors block this enzyme, prolonging the window for a firm erection during stimulation.

Side Effects

Testosterone protocols:

• Increased red blood cell count (hematocrit), requires monitoring
• Acne
• Fluid retention
• Changes in cholesterol levels
• Testicular atrophy with long-term exogenous testosterone (the enclomiphene protocols are designed to reduce this risk)
• Potential cardiovascular considerations (monitoring required)

Enclomiphene specifically:

• Headache, nausea, mood changes
• Visual disturbances (rare)
• Less prone to emotional side effects than clomiphene (which contains both isomers)

ED medications (PDE5 inhibitors):

• Headache, flushing, nasal congestion, dizziness
• Upset stomach, muscle or back pain
• Temporary vision changes
• Rare but serious: sudden hearing or vision loss, severely low blood pressure, priapism (erection lasting more than 4 hours) requires immediate medical attention
• Should not be combined with nitrate medications or certain blood pressure drugs

How to Get Started with Maximus

1. Choose a protocol and complete an online medical questionnaire
2. Order an at-home lab test to establish baseline biomarkers
3. A board-certified physician reviews your results via the Maximus app
4. If appropriate, a prescription is issued and shipped to your door
5. Ongoing dosage adjustments and monitoring through the app

Physicians are accessible via messaging. Maximus states clinicians review labs within 24 to 48 business hours.

How Much Does Maximus Cost?

Testosterone protocols:

• Enclomiphene (EP Protocol): Starting at $99.99/mo
• Injectable Testosterone: Starting at $99.99/mo
• Testosterone Cream: Starting at $109.99/mo
• Oral Testosterone: Starting at $149.99/mo
• Enclomiphene + Testosterone Cream: Starting at $189.99/mo
• Enclomiphene + Oral Testosterone: Starting at $199.99/mo
• Injectable Testosterone + hCG: Starting at $299.99/mo
• At-Home Testosterone Test: $99.99 (free shipping, no treatment commitment required)

ED prescriptions:

• Vardenafil, Tadalafil (Generic for Cialis®), and Sildenafil (Generic for Viagra®): Starting at $44.99/mo

At-home lab kits are required in early months and billed separately. Annual and quarterly plans offer lower monthly costs. Multi-month plans auto-renew unless canceled before the renewal date. Health insurance is not accepted.

Maximus Reviews and Reputation

Customer reviews are generally positive, with users frequently citing noticeable improvements in energy, libido, and well-being across both the testosterone and ED programs. The EP Protocol receives strong feedback from men who wanted a non-injectable option. Some reviews note that lab kit costs add to the overall monthly expense, particularly in the first two months.

Maximus has published clinical data on its protocols, which is relatively uncommon among direct-to-consumer telehealth testosterone platforms.

Who Is Maximus For?

Maximus may be worth considering for men who:

• Want access to both testosterone optimization and ED treatment through one platform
• Want to avoid injections and prefer oral or topical protocols
• Want to maintain fertility while addressing low testosterone
• Are interested in a platform with published clinical data on its protocols
• Want access to vardenafil, tadalafil, and sildenafil for ED at competitive pricing

Who May Not Want to Choose Maximus?

• Men with severely low testosterone who need the full replacement effect of traditional injectable TRT at the lowest possible cost
• Men looking for the simplest, cheapest ED-only solution without additional platform complexity

Is Maximus FDA-Approved?

Maximus' injectable testosterone and testosterone cream protocols use FDA-approved medications available through US-licensed FDA-approved pharmacies. Enclomiphene citrate is prescribed off-label by licensed physicians. Some oral testosterone formulations are compounded medications and not FDA-approved as finished drug products. Maximus' ED medications (sildenafil, tadalafil, vardenafil) are FDA-approved when prescribed individually through FDA-approved pharmacies, which Maximus states it uses for its ED program.

Maximus Pros and Cons

Pros

• Wide range of testosterone protocols: From enclomiphene-only to injectable TRT + hCG
• ED prescriptions available alongside testosterone, covering vardenafil, tadalafil, and sildenafil starting at $44.99/mo
• Fertility-preserving options with enclomiphene-inclusive protocols
• Published clinical data on its protocols
• At-home lab testing included with all protocols
• Physician access via app with board-certified doctors
• No-injection options available for men who prefer oral or topical formats

Cons

• Auto-renewing commitments on multi-month plans
• Strict no-refund policy on most purchases
• Lab kit costs in months 1 and 2 add to total price
• EP Protocol is not direct TRT and may produce more modest results for men with very low baseline testosterone

Rugiet Ready vs. Maximus for ED

For men specifically evaluating ED treatment, it is worth comparing what Maximus offers to Rugiet Ready.

Maximus ED: Prescribes vardenafil, Tadalafil (Generic for Cialis®), and Sildenafil (Generic for Viagra®) as standard or combination tablets filled through FDA-approved pharmacies. Starting at $44.99/mo. Dosing options include daily, as-needed, and microdosed. Best suited to men who want ED treatment alongside a testosterone protocol on one platform, or those who prefer standard FDA-approved tablet formats.

Rugiet Ready: A sublingual lozenge combining sildenafil, tadalafil, and apomorphine in four dose tiers. Unlike standard tablets, it dissolves under the tongue for faster absorption, with onset reported in approximately 15 minutes on average. Apomorphine adds a dopamine agonist that works on the brain's arousal pathway alongside the PDE5 inhibitors. Available in four strengths for dose flexibility. Best suited to men who want faster onset, a sublingual format, and the addition of apomorphine to address both the vascular and neurological components of ED.

Key differences:

• Format: Maximus prescribes standard swallowed tablets; Rugiet Ready is a sublingual lozenge
• Ingredients: Maximus covers sildenafil, tadalafil, and vardenafil; Rugiet Ready combines sildenafil, tadalafil, and apomorphine
• Onset: Standard tablets typically take 30 to 60 minutes; Rugiet Ready is designed for onset in approximately 15 minutes
• Dose tiers: Rugiet Ready offers four strength levels for titration; Maximus ED prescriptions are personalized by physician
• Platform scope: Maximus also treats testosterone; Rugiet is focused on sexual health including ED, PE, and TRT

If ED is your primary concern and you are looking for a sublingual combination with arousal support and dosage flexibility, Rugiet Ready is worth considering. Start your free online visit at rugiet.com.

Bottom Line

Maximus offers one of the most comprehensive testosterone protocol lineups available through a telehealth platform, alongside a competitive ED prescription program. A few things worth knowing before you start:

• Seven testosterone protocols cover the full spectrum from stimulating natural production to traditional injectable TRT, with fertility-supporting options at multiple price points.
• ED treatment starts at $44.99/mo and includes vardenafil alongside the standard sildenafil and tadalafil options.
• The at-home test at $99.99 lets you check your baseline without committing to a protocol.
• Multi-month plans auto-renew. Review cancellation terms before enrolling in a quarterly or annual plan.

For men whose primary focus is ED rather than testosterone optimization, Rugiet Ready offers a sublingual combination with faster onset and arousal-pathway support. Start your free online visit at rugiet.com.