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



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.
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.







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.

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




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.
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.
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.
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
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.
It is legal to purchase TRT online in the UK when buying through a private clinic such as MANUAL.
The World Anti-Doping Agency classifies testosterone as a prohibited substance, so unfortunately athletes who compete in regulated competitions cannot undergo Testosterone Replacement Therapy.
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.
Our blood test kits usually arrive within three working days. It may take longer over public holidays.
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.