Get Keen on Life Again

Take control of your energy, focus, and vitality
with physician-supervised testosterone therapy.

Mental clarity & focus
Sustained energy
Easy spray application
Board-certified physicians

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What's most important to you today? *
By continuing, you acknowledge that Keen may use your responses and information to personalize your experience and for other purposes as described in our Privacy Policy. Responses prior to account creation will not be used as part of your medical assessment.

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Which areas of your health are you looking to improve? *
Select all that apply
By continuing, you acknowledge that Keen may use your responses and information to personalize your experience and for other purposes as described in our Privacy Policy. Responses prior to account creation will not be used as part of your medical assessment.

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Men using Keens testosterone spray reported improvements in
energy mood sex drive focus
in their first month.*
*Based on self-reported one month check-in data from 316 Keen customers in March 2025.

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4 in 5
Keen customers reached optimal T levels in
their first month of use*
*Based on the lab data of 429 Keen customers who completed follow-up labs 30 days after using the testosterone spray.

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When did you start noticing changes? *

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How often do these changes get in the way of your day-to-day life? *

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You're not alone.
20 million men struggle with low testosterone*
*Mulligan, T., Frick, M. F., Zuraw, Q. C., Stemhagen, A., & McWhirter, C. (2006). Prevalence of hypogonadism in males aged at least 45 years: the HIM study. International journal of clinical practice, 60(7), 762–769. https://doi.org/10.1111/j.1742-1241.2006.00992.x

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Have you ever had your testosterone levels tested? *

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We're here to help with that.
With Keen, you'll do your labs at home with step-by-step guidance.

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Great, a lot of this should feel familiar then.
With Keen, you'll do your labs at home with step-by-step guidance.

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How do you feel about starting treatment? *

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Of course.
We'll tell you more as we go along.First, we'll go over your basic info and medical history to see if you're eligible for treatment.

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Nice, let's get started then.First, we'll need your basic info and medical history to see if you're eligible for treatment.

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Select the state you live in

We need to make sure your state allows telehealth.

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To verify eligibility, tell us your date of birth

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- OR -

Please enter your email *

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OTP VERIFY

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What sex were you assigned at birth? *

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We're Here for You

Our testosterone optimization program is designed for individuals assigned male at birth.

Need to talk?

Our care team is here to help. Email support@livekeen.co

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What is your current gender identity? *

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We're Here for You

Our testosterone optimization program is designed for individuals assigned male at birth.

Need to talk?

Our care team is here to help. Email support@livekeen.co

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What is your height and weight?

We'll calculate your BMI from this.

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Your BMI is:

One factor we consider for treatment planning.

Body Mass Index
Underweight

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Now let's go over a few questions
about your medical history to
determine your treatment eligibility.

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Any current medical conditions? *
Search for conditions you're being treated for.
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Current medications & supplements? *
Search for medications you're currently taking.
🔍

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Any known allergies? *
Search for medication, food, or other allergies.
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Do any of these apply to you? *
Select all that apply — this is for your safety

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We're Here for You

Our testosterone optimization program is designed for individuals assigned male at birth.

Need to talk?

Our care team is here to help. Email support@livekeen.co

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Anything else you'd like us to know? *
Additional health information or concerns.

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Have you been diagnosed with low testosterone? *

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Did you know that testosterone replacement therapy (TRT) can lower your sperm production and may reduce fertility? If you're actively trying to conceive, TRT may not be the best option for you at this time.

TRT & Fertility *

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We're Here for You

Our testosterone optimization program is designed for individuals assigned male at birth.

Need to talk?

Our care team is here to help. Email support@livekeen.co

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Do you have sleep apnea? *

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TRT can worsen existing sleep apnea or reveal previously undiagnosed sleep apnea. If you notice increased snoring, gasping at night, morning headaches, excessive daytime fatigue, or breathing pauses during sleep, please notify us immediately.

TRT & Sleep Apnea *

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We're Here for You

Our testosterone optimization program is designed for individuals assigned male at birth.

Need to talk?

Our care team is here to help. Email support@livekeen.co

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The next questions help a provider assess if you're experiencing symptoms of low testosterone.

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Which symptoms are you currently experiencing? *
Select all that apply

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Tell us about your other symptoms. *

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How long have you been experiencing these symptoms? *

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Do any of these apply to you? *
Select all that apply — this is for your safety

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💙

We're Here for You

Our testosterone optimization program is designed for individuals assigned male at birth.

Need to talk?

Our care team is here to help. Email support@livekeen.co

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When were you diagnosed with low testosterone? *

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Do any of these apply to you? *
Select all that apply — this is for your safety

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💙

We're Here for You

Our testosterone optimization program is designed for individuals assigned male at birth.

Need to talk?

Our care team is here to help. Email support@livekeen.co

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What treatment are you currently taking to raise your testosterone levels? *
Select all that apply

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Do you know your current TRT dosage? *

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What is your current TRT dosage? *
Include the amount and frequency if known.

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When did you last take your testosterone? *
Please provide the exact date.

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How long have you been on your current medication? *

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Happy with your current treatment? *

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Tell us more about what you're experiencing. *

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Have you experienced any side effects from TRT? *
Select all that apply

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Please describe the other side effects you've experienced. *

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Have you ever had side effects or complications to other TRT products? *

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Tell us more about what you have experienced including the reaction and which medication caused this reaction. *

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Want to adjust your treatment? *

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Upload Prior Testosterone Lab Results *
Switch Camara
Max allowed file size should be less than 5MB.

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Name: *

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Phone Number: *

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OTP VERIFY

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Identity Verification
Upload a photo of a valid government-issued photo ID such as a driver’s license or passport which has your picture, name and date of birth clearly visible. If applicable, upload a photo of the front and the back especially when using a military ID as your date of birth is on the back of the card. Make sure the photo is clear and legible. *
Switch Camara
Max allowed file size should be less than 5MB.

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Consent to TRT Treatment

Please review and agree to proceed.

TESTOSTERONE REPLACEMENT THERAPY INFORMED CONSENT

I understand that testosterone replacement therapy (TRT) is a medical treatment that may have potential benefits as well as risks and side effects. By proceeding, I acknowledge and agree to the following:

POTENTIAL BENEFITS:

• Improved energy levels and reduced fatigue
• Enhanced mood and sense of well-being
• Increased muscle mass and strength
• Improved libido and sexual function
• Better cognitive function and mental clarityaddress symptoms related to low or declining testosterone levels. Testosterone may be prescribed as a transdermal cream, gel, nasal spray, or injection, depending on your clinical evaluation and laboratory results. I understand that this program involves a licensed healthcare provider's evaluation and ongoing medical supervision. Non-medical staff and wellness coaches do NOT prescribe or adjust medication.

Potential Benefits

➢ Control or reduction of symptoms associated with testosterone deficiency (e.g., fatigue, sleep disturbances, low libido, erectile dysfunction, muscle loss, or mood changes).
➢ Possible improvement in body composition, bone density, and overall sense of well-being.
➢ Potential prevention or improvement of physical diseases and dysfunction related to declining hormone levels.

Potential Risks and Side Effects

While TRT can be beneficial, it carries risks that may require medical attention. Side effects can range from mild to serious.
Common side effects may include:

➢ Pain, bruising, or infection at the injection site (for injection preparations)
➢ Acne, oily skin, or hair loss
➢ Fluid retention or swelling
➢ Mood changes or irritability
➢ Testicular shrinkage and decreased sperm production
➢ Elevated red blood cell count
➢ Skin transfer risk (for topical preparations)
Serious or rare adverse effects may include:
➢ Elevated liver enzymes or liver inflammation
➢ Polycythemia (requiring phlebotomy or dosage adjustment)
➢ Worsening of sleep apnea
➢ Prostate enlargement or stimulation of preexisting prostate cancer
➢ Cardiovascular complications, including blood clots, stroke, or heart attack
➢ Allergic reactions, including rash, swelling, or anaphylactoid response
➢ Infertility (temporary or permanent)

If you experience chest pain, shortness of breath, vision changes, leg swelling, or severe headache, stop treatment immediately and seek emergency medical attention (call 911).

Bioidentical or Compounded Testosterone

Some testosterone products may be prepared by compounding pharmacies and are considered non-FDA-approved formulations. Bioidentical or compounded testosterone products are used when commercial formulations are unavailable, not tolerated, or do not fulfill your personalized need. Evidence comparing the safety or cardiovascular risk profile of compounded versus FDA-approved testosterone products remains inconclusive.

Fertility and Family Planning
Testosterone therapy can suppress sperm production and lead to temporary or permanent infertility. If fertility preservation is desired, alternative therapies such as clomiphene citrate (Clomid) or enclomiphene may be discussed. Clomid may cause visual changes, nausea, vomiting, or rare liver or lipid abnormalities. Any vision disturbances should prompt immediate discontinuation and ophthalmologic evaluation.

Contraindications

You confirm that you have disclosed any history of:
➢ Prostate or breast cancer
➢ Uncontrolled sleep apnea
➢ Severe heart disease or stroke
➢ Polycythemia (elevated hematocrit)
➢ Hypersensitivity to testosterone or formulation ingredients

TRT is contraindicated in these conditions. Hypercalcemia may occur in immobilized patients. Older men on TRT may have a higher risk of prostate enlargement, though evidence remains inconclusive.

Cardiovascular, Clotting, and Sleep Apnea Risks

TRT may increase red blood cell production, potentially thickening the blood. This may contribute to cardiovascular strain, hypertension, or increased risk of clotting in susceptible individuals.
Patients with sleep apnea may experience worsening symptoms and should report any snoring, daytime sleepiness, or witnessed apnea episodes.
Monitoring and Laboratory Testing
I understand that ongoing therapy requires periodic laboratory monitoring to ensure safety and effectiveness.

Typical testing includes:
➢ CBC (hematocrit and hemoglobin) – monitor for red blood cells
➢ PSA (prostate-specific antigen) – assess prostate health
➢ Liver function tests and lipid panel – monitor metabolic effects
➢ Testosterone levels – confirm therapeutic response

These labs are usually obtained every 3 months or every month if the dose is adjusted and are required for continuation of therapy. Failure to complete lab testing may result in discontinuation of treatment.

Alternatives to TRT

You understand that there are reasonable alternatives to testosterone therapy, including:

1. Doing nothing and monitoring symptoms.
2. Treating symptoms of low testosterone with non-hormonal approaches.
3. Lifestyle modification, improved nutrition, and management of comorbid conditions.
Medical Oversight and Program Participation

I understand that:

➢ This program involves the medical judgment and supervision of a licensed healthcare provider.
➢ Regular follow-up visits and laboratory monitoring are required.
➢ I should immediately report any adverse effects or changes in my medical history to my provider.

I acknowledge that I have read and understand the information provided above regarding Testosterone Replacement Therapy. I understand the potential benefits, risks, alternatives, and required monitoring.I consent to treatment with Testosterone Replacement Therapy under the supervision of my healthcare provider.

POTENTIAL RISKS AND SIDE EFFECTS:

• Acne or oily skin
• Sleep apnea (may worsen existing condition)
• Breast enlargement or tenderness
• Decreased sperm production and fertility
• Testicular shrinkage
• Increased red blood cell count (polycythemia)
• Fluid retention
• Mood changes
• Prostate effects

I understand that regular monitoring through blood tests is required to ensure safe and effective treatment. I agree to follow up with my healthcare provider as recommended.

I have been given the opportunity to ask questions about this treatment and have received satisfactory answers. I voluntarily consent to undergo testosterone replacement therapy under the supervision of a licensed healthcare provider.

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