The framework

How we grade evidence

Every treatment at ROAR carries a grade — A, B, or C — assigned from the published clinical literature and reviewed by our medical director. The grade appears on the treatment page, in the consult, and next to the price. It never disappears when it’s inconvenient.

Grade A — Established

Multiple randomized controlled trials or meta-analyses demonstrating efficacy, endorsed by major specialty guidelines. Examples on our menu: PDE5 inhibitors for ED, finasteride and minoxidil for androgenetic alopecia, GLP-1 medications for weight, laser hair removal.

Grade B — Supported

Positive controlled trials with meaningful limitations: small samples, heterogeneous protocols, or maturing durability data. Examples: PRP for hair restoration, Li-ESWT shockwave for vasculogenic ED. We offer B-grade treatments — with the limitations stated in the consult, not buried in fine print.

Grade C — Emerging

Early, mixed, or mechanistic-only evidence. Most of the men’s wellness industry lives here: unstudied peptide stacks, ozone therapy, IV drips for energy. As of today, no C-grade treatment is on the ROAR menu. If one ever earns a place, it will wear its C in public.

Who grades, and how it changes

Grades are assigned by our medical director from randomized trials, meta-analyses, and specialty-society guidelines, and re-reviewed when significant new data publishes. Evidence moves — grades move with it, in both directions.

Why this matters

A clinic that grades everything ‘A’ is grading nothing. Publishing honest grades costs us some easy revenue and buys you something rarer: a men’s health company you can take at its word.