Recover your testosterone
Discover the benefits of Testosterone Replacement Therapy (TRT) for men with testosterone deficiency. Some Men find that they regain confidence, vitality, improve muscle mass and bone density, enhance libido, and boost energy levels. With diet and lifestyle changes, it can even help reverse type 2 diabetes.
Recognising the Signs of Low Testosterone
As men age, their testosterone levels typically decline after the age of 30. While this decrease goes unnoticed in some, others may experience significant symptoms such as lethargy, low mood, depression, reduced libido, brain fog, anxiety and erectile dysfunction.
Understanding and addressing these changes can significantly improve one's quality of life.
Take Charge of Your Health
Complete the ADAM Questionnaire for personalised insights.
Step-by-Step Process
Email Results
Send your results to the email below. You’ll receive an email with instructions on how to proceed.
Consultation
Discuss results and plan treatment in a 60-minute consultation. You will need to have a minimum of two tests demonstrating low testosterone before starting treatment. This consultation will help understand if you might benefit from treatment,
Start Treatment
Begin TRT if it is clinically appropriate for you. You will be offered ongoing tailored support and monitoring. This will need regular blood tests and consultations.
Treatment Options
If your bloods and symptoms indicate that you have testosterone deficiency, the doctor will assess the cause and best treatment options.
Treatments available for people with proven testosterone deficiency include:
On Licence:
Nebido
Testosterone gels
Sustanon
Off Licence:
Testosterone cypionate Testosterone enanthate
Compounded scrotal creams
Take Control of Your Hormonal Health
Understanding your testosterone levels is key to optimising your well-being. We provide simple and effective tools to help you gain insights into your hormonal health. Levels fluctuate throughout the day, so we recommend taking your blood tests between 0700-1100 in the morning to get a look at your levels when they're at their highest. It's also important to consider other factors that may have influenced your testosterone levels (recent illness, medications, significant sleep disruption).
Primary hypogonadism (PH) results from testicular dysfunction, being characterised by low testosterone and raised LH and FSH, and can be reliably diagnosed. PH isn't very common but affects 1–2% of older men. It's associated with increased risk of type 2 diabetes mellitus (T2DM) and osteoporosis.
Secondary hypogonadism (SH), sometimes called central hypogonadism, will demonstrate low testosterone with low / normal LH and FSH levels. SH is caused by dysfunction of the hypothalamo-pituitary axis. It is important to exclude haemochromatosis in these people and assess serum ferritin and pituitary hormone profile (serum prolactin, cortisol, and thyroid hormones). An MRI of he head or potentially the pituitary may be needed in some of these patients.
Most of the testosterone in the blood is bound to sex hormne binging globulin (SHBG), which makes it inactive. Only a small fraction exists as "free testosterone," which is biologically active and can enter cells to exert its effects around the body. You can use these unit conversion tools below to understand how much free testosterone you have. This can have an influence on treatment. Some blood tests don't include this separately but you can use the "free testosterone calculator' below. Men with a body fat percentage or insulin resistance may have a very low SHBG.
Understanding the Potential Side Effects of TRT
Once starting to treat testosterone deficiency, regular monitoring is essential to manage potential side effects like acne or increased red blood cell count. It's also important to monitor your blood pressure.
Your clinician will ask you about symptoms relating to prostate health: How many times do you pass urine at night, is there any dribbling when you have finished passing water? You will also have a blood test that will monitor prostate health.
Historically there was concerns about an association with prostate cancer and men being treated TRT, however there is now good evidence that there is no association, however if you are on treatment you will be having regular blood tests.
Testosterone deficiency can negatively impact your fertility. It is worth considering this prior to starting treatment. HCG is a medication (unlicensed) that can be used to support fertility.
Injection site reactions (mild)
Male pattern baldness
Acne
Reduced fertility
Nipple tenderness or swelling (gynaecomastia)
Elevated oestrogen can cause anxiety and water retention
Prostate growth
What to Expect
TRT is a lifelong commitment that can be life-changing. From years of experience working with men who have had thier testosterone treatments, benefits can include: improved energy, mood, libido, and cognitive function.
Results of treatment vary, with some noticing improvements in weeks, others in months.
Monitoring and Reviews
- Initial Consultation: £260 for 60 minutes
- 2 Week Review: £80 for 30 minutes
- 6-7 Week Blood Test
- 7-8 Week Review: £80 for 30 minutes
- 11 Week Bloods
- 12 Week Review: £80 for 30 minutes
- Ongoing Reviews: Every 6 months if stable
- There is a £40 a month clinic membership fee which means that when you purchase your medications from the pharmacy, there is no additional fee. Your documents are all also included.
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Resources
Find answers to commonly asked questions about Testosterone Replacement Therapy (TRT) for men.
Educational resources, including Dave Lee's ebooks.
Guidelines and treatment thresholds.
TRT can provide numerous benefits for men, including increased energy levels, improved sexual function, enhanced muscle mass and strength, reduced body fat, improved mood and cognitive function, and increased bone density.
TRT can be administered through various methods, including injections, gels, and creams. The choice of treatment depends on individual preferences and medical considerations, which can be discussed with our clinicians.
The procedure for TRT involves regular administration of testosterone according to the chosen method. Our medical professionals will provide detailed instructions on how to self-administer injections or apply gels or cream.
Contact Us
For questions or to book a review, contact us for a 30-minute consultation. Access videos and written instructions for medication management.
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