@gameday_pleasanton's TRT premium claims, fact-checked

What did @gameday_pleasanton actually say?

Honestly? Almost nothing, clinically speaking. The video is essentially a Kendrick Lamar lip-sync. The creator mouths the lyrics to "Not Like Us" and lets the caption do the heavy lifting: competitors offering TRT through online clinics, chiropractors, or medspas "are not us," and Gameday offers "a premium experience that you won't find anywhere else." There is no clinical claim made in the spoken content, no discussion of testosterone levels, treatment protocols, or patient outcomes. What you're watching is marketing dressed up as medical authority.

The implicit argument is this: other TRT providers are inferior, and Gameday's in-person, men's-health-clinic model is categorically better. That's a meaningful claim, even when it's delivered via a rap lyric. We should take it seriously enough to examine it.

Does the science back this up?

The evidence on TRT care quality does not automatically favor any particular clinic model. In-person care has advantages, but they are not absolute. A 2020 study by Mulhall et al. in the Journal of Urology found that adherence to Endocrine Society TRT guidelines was inconsistent across urology practices, including brick-and-mortar clinics. The assumption that physical presence equals better care is not well-supported.

Telehealth TRT platforms have faced legitimate scrutiny. A 2023 analysis in JAMA Internal Medicine raised concerns about low-threshold prescribing practices at some direct-to-consumer hormone platforms. But that same analysis acknowledged that guideline-concordant telehealth care is achievable and, in some metrics like follow-up testosterone monitoring, performed comparably to in-person care.

The Endocrine Society's 2018 clinical practice guidelines for male hypogonadism do not specify a care setting. They specify diagnostic criteria: two morning total testosterone measurements below 300 ng/dL, plus symptomatic presentation. A chiropractor cannot legally prescribe testosterone in any U.S. state. A medspa can, depending on state law and physician oversight. Whether they do it well is a compliance and supervision question, not a venue question.

What did they get wrong (or right)?

To be fair, one thing Gameday gets right by implication: not all TRT providers are equivalent, and some operate with minimal diagnostic rigor. Research by Jasuja et al. (2017, JAMA Internal Medicine) documented cases of testosterone prescribing without proper baseline testing. That's a real problem in this space.

What they get wrong is the framing. "They not like us" positions Gameday as categorically superior based on brand identity, not published outcomes, not patient data, not adherence to clinical guidelines. That's not a medical claim, it's advertising. Patients hearing this may assume in-person men's health clinics are always more rigorous than telehealth competitors, and there is no evidence base for that assumption as a universal rule.

The chiropractor reference is worth noting. Chiropractors are not licensed to prescribe controlled substances, including testosterone, in the United States. If patients are receiving testosterone from chiropractors, that is a regulatory violation worth flagging to your state medical board, not a punchline.

What should you actually know?

If you are considering TRT, the care model matters less than whether your provider is actually following established clinical guidelines. Before starting treatment, you should have at minimum two fasting, morning total testosterone measurements, an LH and FSH panel to distinguish primary from secondary hypogonadism, a hematocrit check (testosterone raises red blood cell production, which increases clot risk), and a PSA test if you are over 40.

Ongoing monitoring is non-negotiable. The Endocrine Society recommends follow-up at 3 to 6 months, then annually, including testosterone levels, hematocrit, and PSA. Ask any clinic, in-person or online, whether they do this. If the answer is vague, that is your answer.

"Premium experience" is a spa phrase, not a clinical metric. The right question is not where a clinic is located or how its waiting room looks. The right question is whether your provider can show you their diagnostic and monitoring protocols in writing.

Bottom line

This video is a marketing post using a viral song to assert superiority over competitors. The clinical content is zero. The implicit claim, that Gameday's model is meaningfully better than telehealth or medspa-based TRT, is unsubstantiated by any evidence presented. Some competitors are almost certainly worse. Some may be comparable. Patients deserve more than a Kendrick Lamar reference to tell them which is which.