TRT Clinics: AI Market Discovery Index

Tracking how AI platforms recommend trt clinics. This public AI Market Discovery Index is updated monthly since July 2026.

Mark Huntley, J.D.
By Mark Huntley, J.D.Growth Strategist & AI Discovery Analyst
5 minutes read

Benchmark Summary

Defy Medical led valid recommendation coverage in August 2026 at 47.4%, tied with Hone Health at 47.4%. The two brands ended the month in a statistical tie at the top of the benchmark.

The largest coverage increase in August 2026 was Marek Health, which rose to 21.5% from 20.6% in July 2026. The largest coverage declines were Henry Meds, down to 13.9% from 23.9% in July 2026, and Low T Center, down to 2.4% from 7.7% in July 2026. Both declines went beyond normal month-to-month variation. Maximus held steady at 28.2% in August 2026, down from 28.7% in July 2026.

The benchmark began with 800 prompt-surface observations in each month and produced 209 qualified observations in August 2026 after qualification.

AI recommendation trend

valid recommendation coverage, Jul 2026 to Aug 2026

  • Defy Medical-1.4%
    Jul 202648.8%
    Aug 202647.4%
  • Hone Health-5.7%
    Jul 202653.1%
    Aug 202647.4%
  • Maximus-0.5%
    Jul 202628.7%
    Aug 202628.2%
  • Marek Health+0.9%
    Jul 202620.6%
    Aug 202621.5%
  • Henry Meds-10.0% · beyond normal variation
    Jul 202623.9%
    Aug 202613.9%
  • Fountain TRT-2.4%
    Jul 202611.0%
    Aug 20268.6%
  • Low T Center-5.3% · beyond normal variation
    Jul 20267.7%
    Aug 20262.4%
  • Renew Vitality+0.5%
    Jul 20261.9%
    Aug 20262.4%
  • Craft Conciergeno change
    Jul 20261.0%
    Aug 20261.0%
  • BioTEno change
    Jul 20260.0%
    Aug 20260.0%

Current Benchmark at a Glance

Measure

Jul 2026

Aug 2026

Movement

Qualified benchmark observations

209

209

No change

Tracked brands

10

10

No change

Qualified surface breadth

6

6

No change

Recommendation-shaped answer share

39.7%

49.8%

Up 10.1 points

Valid recommendation shortlist share

64.6%

63.6%

Down 1.0 points

Leader by valid recommendation coverage

Hone Health

Defy Medical

Changed

Qualified surface breadth counts the six canonical AI surface families with at least one qualified observation: ChatGPT, Copilot, Gemini, Perplexity, AI Overviews, and AI Mode. Breadth held at six surfaces in both months.

For the strategic interpretation of this benchmark, read CiteWorks Studio's analysis of How AI Search Is Recommending TRT Clinics

Research Scope and Qualification

The public benchmark is narrower than the raw collection universe by design.

Research stage

Jul 2026

Aug 2026

What it represents

Source prompt-surface observations

800

800

Total prompts run across AI/search surfaces

Unique questions

461

532

Distinct questions after deduplication

Brand / competitor mentions

800

799

Prompts mentioning at least one tracked brand

Relevant observations

419

405

On-topic responses retained for analysis

Irrelevant observations

381

394

Off-topic responses excluded

Qualified benchmark observations

209

209

Public denominator after reservation

Brand-level percentages use the qualified observations as the public denominator, not the raw collection. AI Market Discovery Methodology

Current Brand Standings

Brand

Presence rate

Valid recommendation coverage

Top-three rate

Rank-one rate

Net sentiment

Defy Medical

55.5%

47.4%

26.8%

4.8%

0.9

Hone Health

70.3%

47.4%

33.0%

12.9%

0.8

Maximus

34.9%

28.2%

17.2%

9.1%

0.9

Marek Health

24.9%

21.5%

12.0%

1.0%

0.9

Henry Meds

22.0%

13.9%

6.2%

0.5%

0.7

Fountain TRT

10.5%

8.6%

1.4%

0.0%

0.8

Low T Center

10.5%

2.4%

0.5%

0.0%

0.3

Renew Vitality

6.2%

2.4%

0.0%

0.0%

0.5

Craft Concierge

1.0%

1.0%

0.0%

0.0%

1.0

BioTE

1.9%

0.0%

0.0%

0.0%

0.0

How to Read the Standings

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Presence rate is the share of qualified observations in which a brand appears at all. Valid recommendation coverage is the share of qualified observations in which a brand receives a clear, actionable recommendation. Top-three rate measures how often a brand appears among the first three recommendations. Rank-one rate measures how often a brand is the first recommendation. Net sentiment runs from -1 to +1 and reflects the tone of brand mentions.

For formulas and denominator rules, see AI Market Discovery Metric Definitions.

Recommendation Coverage Movement

Brand

Jul 2026

Aug 2026

Movement since baseline

BioTE

0.0%

0.0%

No change

Craft Concierge

1.0%

1.0%

No change

Defy Medical

48.8%

47.4%

Down 1.4 points

Fountain TRT

11.0%

8.6%

Down 2.4 points

Henry Meds

23.9%

13.9%

Down 10.0 points

Hone Health

53.1%

47.4%

Down 5.7 points

Low T Center

7.7%

2.4%

Down 5.3 points

Marek Health

20.6%

21.5%

Up 0.9 points

Maximus

28.7%

28.2%

Down 0.5 points

Renew Vitality

1.9%

2.4%

Up 0.5 points

Largest Decline: Henry Meds

Henry Meds valid recommendation coverage fell to 13.9% in August 2026 from 23.9% in July 2026, a drop of 10.0 points that went beyond normal month-to-month variation. The brand was recommended to valid recommendation counts of 29 in August 2026, down from 50 in July 2026. Presence rate also eased to 22.0% in August 2026 from 26.8% in July 2026.

Largest Decline: Low T Center

Low T Center valid recommendation coverage fell to 2.4% in August 2026 from 7.7% in July 2026, a drop of 5.3 points that went beyond normal month-to-month variation. The brand held valid recommendation counts of 5 in August 2026, down from 16 in July 2026. Rank-one rate fell to 0.0% in August 2026 from 3.4% in July 2026.

Category Leader: Defy Medical

Defy Medical and Hone Health closed August 2026 with identical valid recommendation coverage at 47.4%. Defy Medical moved down from 48.8% in July 2026; Hone Health moved down from 53.1% in July 2026. Hone Health held a rank-one rate more than twice as high as Defy Medical's in August 2026 (12.9% versus 4.8%), despite Defy Medical's lower presence rate at 55.5% versus Hone Health's 70.3%.

Want the full Authority Index

The paid deep-dive adds competitor threat profiles, the gap matrix, citation failure map, platform-by-platform recovery roadmap, and client-specific economic modeling.

Recommendation Placement Snapshot

Coverage alone does not show how prominently a brand is recommended. Among the leaders in August 2026, placement varied meaningfully.

Brand

Aug 2026 top-three rate

Aug 2026 rank-one rate

Jul 2026 top-three rate

Jul 2026 rank-one rate

Defy Medical

26.8%

4.8%

23.9%

4.3%

Hone Health

33.0%

12.9%

36.4%

10.1%

Maximus

17.2%

9.1%

14.3%

7.7%

Close coverage can hide different first-position rates. Hone Health matched Defy Medical on coverage in August 2026 but held a rank-one rate more than twice as high.

Buyer-Intent Distribution

All qualified observations in both months fell into the Brand Recommendation class.

Buyer-intent class

Jul 2026

Aug 2026

Brand Recommendation

209

209

Pricing & Value

0

0

Multi-Brand Comparison

0

0

Total qualified observations

209

209

The current public series measures Brand Recommendation discovery only and does not yet contain qualified observations in the Pricing & Value or Multi-Brand Comparison classes.

Historical Measurement Record

This is an evergreen benchmark URL. New measurements are added to the same report.

Measurement

Qualified observations

Coverage leader

Leader coverage

Largest coverage movement

Jul 2026

209

Hone Health

53.1%

Hone Health covering over half of observations

Aug 2026

209

Defy Medical

47.4%

Henry Meds down 10.0 points

Evidence and Source Layer

The benchmark is built from prompt-level observations that retain the query, AI/search surface, answer, brand outcome, recommendation placement, sentiment, and, where exposed, citations or attributable evidence sources. Source presence is evidence about the information environment. It is not automatically proof that the source caused the recommendation.

Scope Boundaries

This public benchmark does not measure market share, attributable sales, every possible AI response, organic-search ranking, social mention volume, or private or sponsored channels. A metric movement alone does not establish causality.

About This Benchmark

The LLM Authority Index AI Market Discovery Index tracks how often brands appear and are recommended across six canonical AI and search surface families, providing an industry-level view of AI-driven discovery.

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