# Editorial Standards & Methodology

> Last updated: February 2026

## Mission

BestTRT.com exists to provide impartial, medically accurate, and comprehensive information about testosterone replacement therapy. Our goal is to help men make informed decisions about their hormone health through evidence-based content and transparent provider comparisons.

## How Content is Researched

### Primary Sources
All medical content is developed from peer-reviewed clinical literature, including:
- Randomized controlled trials published in endocrinology and urology journals
- Clinical practice guidelines from the American Urological Association (AUA), the Endocrine Society, and the American Association of Clinical Endocrinology (AACE)
- Systematic reviews and meta-analyses from PubMed and Cochrane Library
- FDA prescribing information and safety communications

### Secondary Sources
Supplementary context is drawn from:
- Clinical textbook references (Williams Textbook of Endocrinology)
- Continuing medical education (CME) publications
- Patient outcome surveys from published studies

### What We Do Not Use
- Manufacturer-sponsored marketing materials (as primary evidence)
- Anecdotal social media testimonials (as clinical evidence)
- Non-peer-reviewed blog posts or opinion pieces

## Review Process

### Content Creation Workflow
1. **Topic research** — identify clinical evidence and current guidelines
2. **Draft creation** — written by health content specialists with medical writing training
3. **Medical review** — reviewed by a board-certified physician for clinical accuracy
4. **Editorial review** — checked for clarity, readability, and balanced presentation
5. **Publication** — content published with clear attribution and date stamps
6. **Ongoing updates** — reviewed on a monthly cycle; updated when new evidence emerges

### Medical Review Standards
- Every clinical claim must be supportable by peer-reviewed evidence
- Treatment recommendations must align with current clinical guidelines
- Risks and side effects must be presented alongside benefits — no one-sided content
- Disclaimers are mandatory: all content states it is informational, not medical advice

## Medical Reviewer

**Dr. Michael Chen, MD**
- Board-certified Endocrinologist
- Fellowship-trained in reproductive endocrinology and hormone optimization
- Active clinical practice in male hypogonadism management
- Reviews all clinical content for medical accuracy and balanced presentation

## Provider Evaluation Methodology

### How We Rank TRT Providers

Providers are evaluated across six weighted criteria:

| Criteria | Weight | Description |
|---|---|---|
| Medical Oversight | 25% | Physician credentials, supervision quality, prescribing practices |
| Treatment Options | 20% | Delivery methods offered, ancillary medications, customization |
| Lab & Monitoring | 20% | Lab inclusion, monitoring frequency, biomarkers tested |
| Pricing Transparency | 15% | Clear pricing, no hidden fees, value for services included |
| Patient Experience | 10% | Onboarding ease, customer support, app/portal quality |
| Reputation & Trust | 10% | Patient reviews, BBB rating, regulatory compliance, years in operation |

### Evaluation Process
1. **Sign-up experience** — we evaluate the onboarding process as a prospective patient
2. **Provider communication** — assess quality and availability of medical support
3. **Pricing audit** — verify advertised pricing matches actual costs with no hidden fees
4. **Feature comparison** — document all services included in each plan
5. **Patient review analysis** — aggregate feedback from Trustpilot, Google Reviews, BBB, and Reddit
6. **Re-evaluation** — rankings are reviewed weekly; full re-evaluation quarterly

### Independence
- BestTRT.com is editorially independent
- Rankings are determined by our methodology, not by affiliate compensation
- Affiliate relationships are clearly disclosed on every page where applicable
- A provider's affiliate status does not influence its ranking position
- We include providers with whom we have no affiliate relationship

## Sources and References

Key clinical references that inform our content:

1. Bhasin S, et al. "Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline." *J Clin Endocrinol Metab*. 2018;103(5):1715-1744.
2. Mulhall JP, et al. "Evaluation and Management of Testosterone Deficiency: AUA Guideline." *J Urol*. 2018;200(2):423-432.
3. Lincoff AM, et al. "Cardiovascular Safety of Testosterone-Replacement Therapy." *N Engl J Med* (TRAVERSE Trial). 2023;389(2):107-117.
4. Corona G, et al. "Testosterone Supplementation and Body Composition: Results From a Meta-Analysis of Observational Studies." *J Endocrinol Invest*. 2016;39(9):967-981.
5. Patel AS, et al. "Testosterone Is a Contraceptive and Should Not Be Used in Men Who Desire Fertility." *World J Mens Health*. 2019;37(1):45-54.

## Evidence Grading

We apply the following evidence hierarchy to our clinical content:

| Level | Source Type | How We Use It |
|---|---|---|
| Level I | Randomized controlled trials, meta-analyses | Primary basis for clinical recommendations |
| Level II | Prospective cohort studies | Supporting evidence |
| Level III | Retrospective studies, case series | Context and supplementary information |
| Level IV | Expert opinion, clinical guidelines | Framework for clinical pathways |
| Level V | Case reports, anecdotal evidence | Mentioned only with appropriate caveats |

## Update Schedule

| Content Type | Review Frequency |
|---|---|
| Provider rankings and pricing | Weekly |
| Clinical guide articles | Monthly |
| FAQ and glossary | Monthly |
| Safety and risk information | Monthly or upon new evidence |
| Methodology page | Quarterly |

## Contact

For corrections, content inquiries, or methodology questions, visit: https://besttrt.com/about

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*BestTRT.com is committed to transparency and accuracy. If you identify any content that requires correction or update, please contact us through our About page.*