Testosterone Replacement Therapy for Men

Low mood? Low energy? Low libido? Low testosterone levels could be to blame. Our experts can provide a comprehensive diagnosis and life-changing treatment.

TRT
TRT
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Men's testosterone levels are declining

Chris
Dr. Chris Airey, Testosterone Medical Expert

Scientific studies show that 1 in 4 men over the age of 30 may have abnormally low testosterone levels. This could be caused by genetics, age, lifestyle or environmental factors.

CITATIONS
info
Source: The Journal of Clinical Endocrinology & Metabolism, Volume 92, Issue 11, 1 November 2007, Pages 4241–4247
25 percent

25%

of men

Signs your testosterone is too low

Testosterone deficiency is often misdiagnosed as depression or other disorders. If you're experiencing any of the symptoms below, your testosterone levels may be in decline.

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Chris
Dr. Chris Airey, Testosterone Medical Expert
Testosterone levels start to drop 1 to 2% each year from age 35. Testosterone replacement therapy (TRT) maintains healthy testosterone levels.

How can testosterone replacement therapy change your life?

TRT isn’t the fountain of youth, but it can restore your energy, drive, focus, and lust for life - helping you feel happier, stronger, and more normal again.

Learn more about TRT >
TRT diagram

Real customers, real results

Anthony

Life changing opportunity!

Once I started on TRT, it was a big change in my life. My energy and physical fitness has improved. I work out 6 days a week and feel good in myself. The team provided support and guidance throughout my journey at an affordable price.

Carl

Regained my interests

After starting TRT, I felt more like myself again. I was able to regain interest in things I used to enjoy, and was able to accomplish things that I would never have done before like building a new kitchen at home!

Danny

Better attitude & relationships

TRT helped me improve my energy, mood, and overall well-being. It has helped me sort out my diet, exercise, better routine and better sleep, resulting in a more positive attitude and better relationships at work and at home.

Richard

Gained muscle & lost body fat

Low energy and brain fog were the two biggest symptoms I had. Then I found TRT. It’s helped me improve my energy, mental clarity, and overall well-being. I was able to achieve my goals and gain muscle, lose body fat, and improve sports performance.

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How it works

Test

Take a blood test

Take an at-home finger-prick blood test and post it to the lab

Result

Get your results

See your testosterone levels on your online portal with expert medical advice

Speak to doctor

Speak to a doctor

Discuss your results with a specialist doctor who will go over your treatment options

Start treatment

Start treatment

If you are approved for treatment, receive your prescription directly to your door.

Meet our team of experts

We have the UK's leading doctors and experts in testosterone replacement therapy. Meet our team.

Chris
Chris Airey
TRT Medical Expert
Alastair
Alastair Kennett
TRT Expert
Rana
Rana Mirzai
Clinician, TRT
Chris
Chris Airey
TRT Medical Expert
Alastair
Alastair Kennett
TRT Expert
Rana
Rana Mirzai
Clinician, TRT

Testosterone replacement therapy, everything you need to know

Curated by Dr. Chris Airey, TRT Medical Expert
Chris
What is Testosterone Deficiency (TD)?
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Low testosterone is a common condition that men can be born with or develop due to age, stress, disease, physical trauma, an unhealthy lifestyle or environmental factors.

What are the key symptoms of TD?
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Men with low testosterone often report low mood, irritability, fatigue, anxiety, or reduced interest in the bedroom. Other common symptoms include brain fog, lack of motivation, low confidence, difficulty losing weight and difficulty gaining muscle.

How do you test for TD?
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Blood testing is the only way to know for sure if you have a testosterone deficiency. Our Initial Testosterone Blood Test (a simple finger-prick test) can be taken at home. If the results show that you have low testosterone and you’d like to start testosterone replacement therapy, UK regulations require you to take a second, more comprehensive blood test first to ensure that you can safely start treatment. This one is a venous test which has to be administered by a nurse or phlebotomist.

How common is TD?
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Research has confirmed that testosterone counts in men are significantly lower than they were just a few decades ago. One in four men over the age of 30 may have abnormally low testosterone levels according to scientific studies.*

Around the age of 30 testosterone levels naturally begin to decline, but it’s usually a very gradual process. For most men, testosterone levels drop between one to two percent each year from the age of 35. Free testosterone levels also drop considerably as men age, making TD even more common. An increase in obesity, hormone-disrupting environmental chemicals, and anabolic steroid use is also making testosterone deficiency in younger men more prevalent than ever.

*The Journal of Clinical Endocrinology & Metabolism

Will I be able to talk to a licensed doctor?
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Yes, you’ll have a consultation with one of our doctors to discuss your test results and they can provide a personalised treatment plan tailored to your needs. Our doctors specialise in TRT for men and are all registered with the General Medical Council.

Is it legal to purchase testosterone therapy online?
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It is legal to purchase TRT online in the UK when buying through a private clinic such as MANUAL.

Is TRT appropriate for professional athletes?
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The World Anti-Doping Agency classifies testosterone as a prohibited substance, so unfortunately athletes who compete in regulated competitions cannot undergo Testosterone Replacement Therapy.

How do these blood tests lead to treatment?
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Our initial blood test will establish whether you have a testosterone deficiency. If the first test shows that you have low testosterone you’ll need to take our second, more comprehensive blood test if you’d like to start TRT - this is due to UK regulations. If both tests show that you have low T levels, you’ll discuss suitable treatment options with one of our doctors and during an in-depth consultation before starting treatment.

How soon will the test arrive?
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Our blood test kits usually arrive within three working days. It may take longer over public holidays.

When will I get my results?
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We’ll get in touch to give you your results within two to three business days. One of our TRT specialists will then walk you through the results, provide advice, and answer all of your questions.

Could you be suitable for testosterone replacement therapy?
Start assessment