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Aminoscope
Updated October 2026

Maximus review

By Priya Anand · Aminoscope

Discloses what others hide

Our verdict

Maximus publishes unusually thorough safety documentation.

Main trade-offs

  • Received an FDA warning letter in June 2026
  • Headline efficacy figures come from the company's own open-label, self-published data rather than controlled trials

Disclosure: Aminoscope is reader-supported. We may earn a commission from partner links, at no extra cost to you. This never changes our assessment. How we make money.

FDA warning letter on record — read the public record and the context below.

Compounded medicines are not FDA-approved. A licensed clinician must assess whether treatment is appropriate; availability does not establish safety or benefit.

Check availability →Sermorelin $299.99/mo month-to-month, $274.99 on two months or $199.99 on a 6-month plan; all states but Alabama

Good fit

Men who want to read the regulatory downside from the provider itself rather than dig for it, and who want route choice with fertility preservation on the table.

Consider other options if

Anyone who wants a named prescriber, or who will take company-published whitepaper figures as clinical evidence.

Cost and care at a glance

Category
Peptide telehealth
Published cost
Sermorelin $299.99/mo month-to-month, $274.99 on two months or $199.99 on a 6-month plan; all states but Alabama
Insurance
Cash-pay, no insurance
Visit
Async intake

Our review in detail

Full assessment

Maximus publishes unusually thorough safety documentation. Its safety page is dated (last updated June 2, 2026), carries a version history, is organized protocol by protocol, and volunteers the facts a marketing page usually leaves out: that enclomiphene is not FDA-approved as a standalone drug, that all current sermorelin is compounded because the approved product was discontinued, and that a telehealth clinician cannot examine you. Every product has a real month-to-month price beside cheaper multi-month plans. Two things weigh against it: the FDA sent Maximus a warning letter in June 2026, shown on this page, and its headline results figures come from the company's own uncontrolled studies.

What it is

A men's-health telehealth company, Maximus Health, Inc., founded in 2020 with S. Cameron Sepah, PhD, as founder and CEO. It sells testosterone in three exogenous routes (injectable, cream and oral), a separate enclomiphene line, a sermorelin growth-hormone peptide program, compounded GLP-1 microdosing and branded GLP-1s (Zepbound, Wegovy pens and tablets, Foundayo, Ozempic and Mounjaro), plus blood-flow, hair and lab-testing products. A separate peptides page asks visitors to vote on future "stacks," some including tesamorelin, that are not yet for sale. Despite its enclomiphene reputation, it sells real exogenous testosterone across all three routes.

How care works

Fully online with no in-person option, and asynchronous-first: complete an evaluation and intake, order an at-home lab test, have a licensed doctor finalize the prescription based on results, then monitor and adjust with 24/7 messaging. There is no mandatory scheduled video visit. Lab work is a real gate for testosterone, required to confirm eligibility, guide dosing and monitor markers over time, with an upload path if you have bloodwork from the last six months covering total testosterone, SHBG or free testosterone, LH, PSA and hematocrit. Pricing, side-effect information and FAQs are public with no signup gate, and the site advertises no membership fee and free priority shipping. State availability is published per product: sermorelin is available everywhere except Alabama, and the branded GLP-1s everywhere except Alabama, Mississippi and Louisiana. In California, sermorelin comes in a smaller vial at a lower dose. Maximus says it partners exclusively with LegitScript-certified US pharmacies, a claim about the pharmacies rather than about itself. No prescribing clinician is named; the peptide page quotes "our Medical Director" without a name.

Costs, billing and cancellation

A ladder where the month-to-month tier is real. Injectable testosterone and testosterone cream are each $199.99 a month month-to-month, $149.99 on three months and $99.99 on six. Oral testosterone is $249.99, $199.99 and $149.99. Enclomiphene is $199.99 month-to-month, $149.99 on three months and $99.99 only on twelve. Sermorelin is $299.99 month-to-month, $274.99 on a two-month plan and $199.99 on six, for a 10 mL, 20 mg vial that Maximus calls a 28-day supply at 1 mg five days a week. Because a no-commitment price exists on every product, that is the figure to compare. Three cautions. A banner offers 50% off the first month only to new customers buying a six-month plan (twelve months for enclomiphene), a promotion layered on a commitment. Injectable testosterone and enclomiphene both advertise "starting at $99.99," but on six- and twelve-month plans respectively. And the sermorelin page says both "less than $6/day" and "under $9/day"; at $199.99 for a 28-day vial it is about $7.14 a day, and at the month-to-month price about $10.71. Every product page notes that pricing varies by dosage, plan length and state.

Medication and evidence

Compounded; not FDA-approved — and Maximus discloses this with unusual specificity. Its safety page states per product which items are compounded and which are approved, volunteers that enclomiphene is not FDA-approved as a standalone drug, and explains that sermorelin was previously approved as Geref but has been discontinued, so all current sermorelin is compounded. It cites FDA class labeling and links manufacturer prescribing information for the branded GLP-1s. Its testosterone is real exogenous hormone dispensed from compounding pharmacies, with oral and cream formulations compounded and not FDA-approved as finished products; the injectable is made in MCT oil rather than seed oils. The efficacy figures quoted on its testosterone pages and in its whitepapers come from the company's own self-published, uncontrolled studies rather than peer-reviewed controlled trials, so read them as company-reported. On the evidence, sermorelin acts on the growth-hormone axis with thin long-term human outcome data. Testosterone replacement has a large randomized safety base and still requires monitoring. Individual results vary.

FDA warning letter on record

The FDA issued a warning letter naming Maximus Health, Inc. dba Maximus, the company behind Maximus.

We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove Maximus from this site, and it does not change our verdict — read the letter and decide for yourself.

Pros and watch-outs

What we like

  • A dated safety page with a version history, organized by protocol, that volunteers unflattering regulatory facts many sellers omit
  • Real exogenous testosterone in three routes, plus a separate enclomiphene line
  • A genuine month-to-month price on every product, so the discounted tiers are a choice rather than the only option
  • State availability published product by product, including the smaller California sermorelin vial
  • Sermorelin vial size and dosing stated: 20 mg, a 28-day supply at 1 mg five days a week
  • No membership fee and free priority shipping

Watch-outs

  • Received an FDA warning letter in June 2026
  • Headline efficacy figures come from the company's own open-label, self-published data rather than controlled trials
  • Sermorelin is $299.99 a month month-to-month; the $199.99 rate needs a six-month plan
  • The sermorelin page gives two different daily-cost claims, neither matching its own price
  • Two products advertise the same "starting at $99.99" headline on different commitment lengths, six months versus twelve
  • No prescribing clinician or medical director is named, and the safety page's review sign-off reads "[reviewer initials]"

Best for

Men who want to read the regulatory downside from the provider itself rather than dig for it, and who want route choice with fertility preservation on the table.

Who should look elsewhere

Anyone who wants a named prescriber, or who will take company-published whitepaper figures as clinical evidence.

Research relevant to Maximus

Explore the evidence and its limits. Findings apply to the formulation, route and population studied; they do not establish the quality or effectiveness of a provider’s products.

How Maximus compares

A few alternatives worth a look, depending on what you’re optimizing for.

  • EverPrime

    Adults comparing sermorelin plans who can confirm total billing, lab charges and pharmacy assignment before enrolling.

    See EverPrime →
  • Oak Longevity

    Low-cost sermorelin within a broader longevity stack

    See Oak Longevity →
  • HealthRX

    Compounded sermorelin within a broad longevity and weight-care menu

    See HealthRX →
Compare all providers side by side →

More peptide telehealth reviews: ElleSEmbraceRXEvolve TelemedFeel30FitFlowFormidableMD

PA
Priya Anand

Pharmacology & mechanisms

How we assessed this. This review reflects Aminoscope’s own read of Maximus’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

Does Maximus actually prescribe testosterone, or only enclomiphene?
Both, as separate lines. It sells real exogenous testosterone as injectable, cream and oral, and separately sells enclomiphene, a SERM that stimulates your own production rather than supplying hormone. Its own safety page draws that distinction explicitly. If you have heard it is enclomiphene-only, that is not what it sells.
Is Maximus's testosterone compounded?
Yes, and the company says so. Its safety page states that injectable testosterone at Maximus doses is dispensed from FDA-registered 503A or 503B compounding pharmacies, and that its oral and cream testosterone are compounded formulations not FDA-approved as finished products. Compounded products are not reviewed by the FDA for purity and potency the way approved drugs are.
What does the peptide line actually include?
Sermorelin, as a daily subcutaneous injection: a 10 mL, 20 mg vial that Maximus describes as a 28-day supply at 1 mg five days a week, priced at $299.99 month-to-month, $274.99 on two months or $199.99 on six. It is available in every state except Alabama; in California the vial is 5 mL, 15 mg at 0.75 mg a dose. Tesamorelin and other peptides appear only as future "stacks" on a waitlist page and are not for sale.
Are the testosterone results Maximus advertises from clinical trials?
Not in the usual sense. Figures such as the homepage's "3.1x" rise in free testosterone come from Maximus's own self-published whitepapers and member data rather than peer-reviewed controlled trials. Read them as company-reported outcomes, not as independent evidence.
Has the FDA taken action against Maximus?
The FDA issued a warning letter to Maximus Health, Inc. in June 2026; the letter is linked on this page. A warning letter is a regulatory notice, not a product recall or a finding that every product is unsafe, but it is worth reading before you buy.
Is Maximus legit?
FDA has a warning letter on record against Maximus Health, Inc. dba Maximus, the company behind Maximus, issued June 8, 2026 as letter 730095; it is linked further down this page. A warning letter is a public record worth reading. It doesn't by itself mean you can't use this provider. Maximus is a peptide telehealth service you reach through an online intake a clinician reviews. What it publishes up front: Sermorelin $299.99/mo month-to-month, $274.99 on two months or $199.99 on a 6-month plan; all states but Alabama. It is cash-pay and states it does not bill insurance. Before you pay, ask in writing about which states it serves and which medications it dispenses.
Is Maximus expensive compared with other peptide telehealth providers?
Maximus publishes a starting figure of $299.99/mo. Across the 75 peptide telehealth providers we review that publish a single monthly figure, those run $49 to $349 with a median of $189, which puts Maximus above the median. The other 142 peptide telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.