TRT Clinics: AI Visibility Market Discovery Index

Benchmark Summary

Hone Health leads valid recommendation coverage in October 2026 at 64.4%, ahead of Maximus at 44.3%, a gap of 20.1 points between the top two brands. October 2026 was a month of significant movement, with two brands recording coverage increases and two recording declines that went beyond normal month-to-month variation. Maximus recorded the largest increase, rising to 44.3% in October 2026 from 28.7% in July 2026, a gain of 15.6 points. Hone Health also recorded a significant increase, rising to 64.4% in October 2026 from 53.1% in July 2026, a gain of 11.3 points. Henry Meds recorded the largest decline, falling to 11.3% in October 2026 from 23.9% in July 2026, a drop of 12.6 points. Low T Center also declined significantly, falling to 2.6% in October 2026 from 7.7% in July 2026, a drop of 5.1 points.

The benchmark began with 800 prompt-surface observations in each month and produced 194 qualified observations in October 2026 after qualification.

Current Benchmark at a Glance

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, including August 2026 and September 2026 in between.

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.

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

Current Brand Standings

Questions This Section Answers

• Which TRT clinics lead the October 2026 AI recommendation standings?
• How does Hone Health's recommendation coverage compare to the next-closest clinic?
• Why do some clinics appear frequently but receive few valid recommendations?

How to Read the Standings

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 Visibility Market Discovery Metric Definitions.

Recommendation Coverage Movement

Questions This Section Answers

• Which TRT clinics recorded meaningful coverage gains since July 2026?
• Which brands saw the biggest declines in AI recommendation coverage?
• How should readers interpret the movement in Defy Medical's coverage?

Largest Increase: Maximus

Maximus valid recommendation coverage rose to 44.3% in October 2026 from 28.7% in July 2026, a gain of 15.6 points that went beyond normal month-to-month variation. The increase was also concentrated in October 2026: coverage rose to 44.3% from 27.5% in September 2026, a gain of 16.8 points. Presence rate rose to 46.4% in October 2026 from 31.6% in July 2026. Top-three rate rose to 39.2% in October 2026 from 14.3% in July 2026, and rank-one rate rose to 15.5% in October 2026 from 7.7% in July 2026.

Also a Significant Riser: Hone Health

Hone Health valid recommendation coverage rose to 64.4% in October 2026 from 53.1% in July 2026, a gain of 11.3 points that went beyond normal month-to-month variation. The increase was concentrated in the most recent month: coverage rose to 64.4% in October 2026 from 42.7% in September 2026, a jump of 21.7 points. Presence rate rose to 80.4% in October 2026 from 71.3% in July 2026. Top-three rate rose to 53.1% in October 2026 from 36.4% in July 2026, and rank-one rate rose to 24.7% in October 2026 from 10.1% in July 2026.

Largest Decline: Henry Meds

Henry Meds valid recommendation coverage fell to 11.3% in October 2026 from 23.9% in July 2026, a drop of 12.6 points that went beyond normal month-to-month variation. The brand recorded a valid recommendation count of 22 in October 2026, down from 50 in July 2026. The decline spanned the series: coverage fell from 23.9% in July 2026 to 13.9% in August 2026, then to 9.6% in September 2026, before a partial recovery to 11.3% in October 2026. Presence rate fell to 13.9% in October 2026 from 26.8% in July 2026.

Also a Significant Decliner: Low T Center

Low T Center valid recommendation coverage fell to 2.6% in October 2026 from 7.7% in July 2026, a drop of 5.1 points that went beyond normal month-to-month variation. The brand recorded a valid recommendation count of 5 in October 2026, down from 16 in July 2026. Presence rate fell to 4.6% in October 2026 from 17.7% in July 2026, and rank-one rate fell to 0.5% in October 2026 from 3.4% in July 2026.

Category Leader: Hone Health

Hone Health remained the coverage leader in October 2026 at 64.4%, up from 53.1% in July 2026. Maximus followed at 44.3% in October 2026, a gap of 20.1 points. Hone Health also held the highest presence rate in October 2026 at 80.4%.

Watch Item: Defy Medical

Defy Medical valid recommendation coverage declined in each of the three months since July 2026, falling to 40.7% in October 2026 from 48.8% in July 2026, a drop of 8.1 points. The cumulative movement remains within normal month-to-month variation, and the brand is classified as a watch item, not yet a trend.

Recommendation Placement Snapshot

Questions This Section Answers

• How do top-three and rank-one rates differ among the leading TRT clinics?
• Which brand was recommended first most often in October 2026?

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

Close coverage can still hide different first-position rates. Hone Health and Maximus both recorded significant coverage increases, but Hone Health held a rank-one rate of 24.7% in October 2026, well above Maximus at 15.5%.

Buyer-Intent Distribution

Questions This Section Answers

• Which buyer-intent classes are represented in the qualified TRT benchmark observations?
• What types of TRT buyer questions are not yet covered by this public benchmark?

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

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

Questions This Section Answers

• Which TRT clinic has led AI recommendation coverage across the recorded months?
• How has the coverage leader changed between July 2026 and October 2026?

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

Evidence and Source Layer

Questions This Section Answers

• What evidence does the TRT benchmark retain for each AI recommendation observation?
• Does source presence prove that a cited source caused a clinic recommendation?

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, private or sponsored channels, or causality from a metric movement alone.

Top 10 Cited Domains

Questions This Section Answers

• Which domains are most frequently cited across AI platform responses about TRT?
• Which TRT clinic domains appear among the top cited sources?
• How much of the total citation base do the top 10 domains account for?

Across all AI platform responses in October 2026, the benchmark observed 6,227 citations spanning 1,755 unique domains.

Citations are distributed across a large number of domains, with the top 10 accounting for a combined 31.3% of all cited sources. Two tracked brand domains appear in the top 10: honehealth.com at rank 3 and henrymeds.com at rank 10. General platforms (google.com, youtube.com, instagram.com, facebook.com) and community sources (reddit.com, en.wikipedia.org) dominate the list, alongside health-policy references such as policylab.us and TRT-focused sites including trtnation.com.

About This Benchmark

The LLM Authority Index AI Visibility 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.

• AI Visibility Market Discovery Methodology
• AI Visibility Market Discovery Metric Definitions
• AI Visibility Market Discovery Research Standards
• Modeled AI Visibility Authority Value

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