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.

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

5 minutes read

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On this page

01Benchmark Summary
02Current Benchmark at a Glance
03Research Scope and Qualification
04Current Brand Standings
05How to Read the Standings
06Recommendation Coverage Movement
07Largest Decline: Henry Meds
08Largest Decline: Low T Center
09Largest Decline: Hone Health
10Category Leader: Hone Health
11Recommendation Placement Snapshot
12Buyer-Intent Distribution

Benchmark Summary

Hone Health led valid recommendation coverage in September 2026 at 42.7%, ahead of Defy Medical at 40.8%. Month over month, September 2026 was stable relative to August 2026, with no brand crossing the threshold for a significant single-month move. Across the full series since the July 2026 baseline, the pattern established earlier continues: Henry Meds, Hone Health, and Low T Center each recorded coverage declines that went beyond normal month-to-month variation, falling to 9.6% (from 23.9%), 42.7% (from 53.1%), and 1.4% (from 7.7%) respectively. No brand recorded a comparable increase over the same period.

The benchmark began with 800 prompt-surface observations in each month and produced 218 qualified observations in September 2026 after qualification.

AI recommendation trend

valid recommendation coverage, Jul 2026 to Sep 2026

Hone Health42.7%
Defy Medical40.8%
Maximus27.5%
Marek Health17.0%
Henry Meds9.6%
Fountain TRT8.7%
Renew Vitality2.3%
Low T Center1.4%
BioTE0.5%
Craft Concierge0.0%

Current Benchmark at a Glance

Measure	Jul 2026	Sep 2026	Movement
Qualified benchmark observations	209	218	Up 9
Tracked brands	10	10	No change
Qualified surface breadth	6	6	No change
Recommendation-shaped answer share	39.7%	39.9%	Up 0.2 points
Valid recommendation shortlist share	64.6%	55.5%	Down 9.1 points
Leader by valid recommendation coverage	Hone Health	Hone Health	No change

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 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.

Research stage	Jul 2026	Sep 2026	What it represents
Source prompt-surface observations	800	800	Total prompts run across AI/search surfaces
Unique questions	461	535	Distinct questions after deduplication
Brand / competitor mentions	800	800	Prompts mentioning at least one tracked brand
Relevant observations	419	428	On-topic responses retained for analysis
Irrelevant observations	381	372	Off-topic responses excluded
Qualified benchmark observations	209	218	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
Hone Health	77.1%	42.7%	33.9%	8.3%	0.7
Defy Medical	47.7%	40.8%	19.7%	3.7%	0.9
Maximus	36.7%	27.5%	20.6%	9.6%	0.9
Marek Health	22.5%	17.0%	9.2%	1.4%	0.8
Henry Meds	20.6%	9.6%	5.5%	0.5%	0.6
Fountain TRT	14.2%	8.7%	3.2%	0.5%	0.6
Renew Vitality	6.0%	2.3%	0.9%	0.0%	0.5
BioTE	5.1%	0.5%	0.0%	0.0%	0.1
Low T Center	6.9%	1.4%	0.5%	0.5%	0.3
Craft Concierge	0.9%	0.0%	0.0%	0.0%	0.5

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	Sep 2026	Movement since baseline
BioTE	0.0%	0.5%	Up 0.5 points
Craft Concierge	1.0%	0.0%	Down 1.0 points
Defy Medical	48.8%	40.8%	Down 8.0 points
Fountain TRT	11.0%	8.7%	Down 2.3 points
Henry Meds	23.9%	9.6%	Down 14.3 points
Hone Health	53.1%	42.7%	Down 10.4 points
Low T Center	7.7%	1.4%	Down 6.3 points
Marek Health	20.6%	17.0%	Down 3.6 points
Maximus	28.7%	27.5%	Down 1.2 points
Renew Vitality	1.9%	2.3%	Up 0.4 points

Largest Decline: Henry Meds

Henry Meds valid recommendation coverage declined in each of the two months since July 2026, falling to 9.6% in September 2026 from 23.9% in July 2026, a drop of 14.3 points that went beyond normal month-to-month variation. The brand declined again in September 2026 from 13.9% in August 2026. Its top-three rate fell to 5.5% in September 2026 from 11.5% in July 2026. The brand held valid recommendation counts of 21 in September 2026, down from 50 in July 2026.

Largest Decline: Low T Center

Low T Center valid recommendation coverage declined in each of the two months since July 2026, falling to 1.4% in September 2026 from 7.7% in July 2026, a drop of 6.3 points that went beyond normal month-to-month variation. Presence rate fell to 6.9% in September 2026 from 17.7% in July 2026, and rank-one rate declined to 0.5% in September 2026 from 3.4% in July 2026.

Largest Decline: Hone Health

Hone Health valid recommendation coverage declined in each of the two months since July 2026, falling to 42.7% in September 2026 from 53.1% in July 2026, a drop of 10.4 points that went beyond normal month-to-month variation. Its presence rate rose to 77.1% in September 2026 from 71.3% in July 2026, meaning the brand appeared more often even as it was recommended relatively less.

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Category Leader: Hone Health

Hone Health remained the coverage leader in September 2026 at 42.7%, despite its decline across the series. Defy Medical followed at just 1.9 points behind at 40.8% in September 2026, down from 48.8% in July 2026. Hone Health also held the highest presence rate in September 2026 at 77.1%.

Recommendation Placement Snapshot

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

Brand	Sep 2026 top-three rate	Sep 2026 rank-one rate	Jul 2026 top-three rate	Jul 2026 rank-one rate
Hone Health	33.9%	8.3%	36.4%	10.1%
Defy Medical	19.7%	3.7%	23.9%	4.3%
Maximus	20.6%	9.6%	14.3%	7.7%

Close coverage can hide different first-position rates. Maximus ranked third on coverage in September 2026 but held the highest rank-one rate at 9.6% among the leaders.

Buyer-Intent Distribution

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

Buyer-intent class	Jul 2026	Sep 2026
Brand Recommendation	209	218
Pricing & Value	0	0
Multi-Brand Comparison	0	0
Total qualified observations	209	218

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
Sep 2026	218	Hone Health	42.7%	Henry Meds down 14.3 points since baseline

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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