Trt

Life-changing treatment for low testosterone

Feel healthier, happier and stronger with a tailored testosterone treatment plan designed by our expert TRT doctors.

"Got my life back"

trustpilot 5 stars
90%
of patients reported improvement in symptoms within 3 months
Ali, 34
Improved sex drive
Better sleep
Mark, 36
Improved energy
Better focus
Antony, 64
Improved fitness
Better mood
Tom, 34
Improved energy
Better mood
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Trt

Low energy, mood or libido?

Answer a few questions and see if MANUAL can get you back to feeling your best

Proudly regulated & certified
5 common symptoms of low testosterone
David Huang - Deputy Medical Director
What are the potential benefits of TRT ?
Sheliza Darves - Clinician Lead
What type of people are on TRT?
Mandeep Sandhu - TRT Doctor
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Proudly regulated & certified
Trustpilot stars
TrustScore 4.6/5 • 2,458 reviews
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Have you noticed a drop in your energy levels?

Yes
No
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Is your sex drive lower than it used to be?

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No
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Are you feeling less motivated?

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No
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Is it harder to put on muscle than it used to be?

Yes
No
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Have you noticed a drop in your energy levels?

Yes
No
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Is your sex drive lower than it used to be?

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No
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Is it harder to put on muscle than it used to be?

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No
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Have you considered that your symptoms may be caused by low testosterone?

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Would you want to take a test to understand if you have low testosterone?

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Find out more about low-t

You could be suffering from low testosterone

Typically testosterone levels decline by 1-2% per year after the age of 30. In fact, 1 in 4 men may have low levels.

Take a quick finger-prick test to check your levels today

Check your testosterone levels
You could be suffering

Get tested for low testosterone today

This quick finger-prick blood test will give you readings for your Total and Free Testosterone and is the first step in the route to treatment

Yes

At-home testosterone test

Yes

Simple, finger-prick test

Yes

Track your results online

Get tested
Trustpilot stars
TrustScore 4.6/5 • 675 reviews

The hormone that’s holding men back

Dr. Chris Airey, TRT Expert

1 in 4 men suffer from low testosterone¹

After the age of 40, testosterone levels start to decline by 1 to 2% on average each year.²

90% of men in the UK remain undiagnosed³

Too many men are suffering from the life-altering symptoms of this under-diagnosed condition.

Low-T symptoms can take the joy out of life

Low mood/anxiety
Low sex drive
Low muscle mass
Lack of focus
Low energy
Weight gain
Erectile dysfunction
Poor sleep quality
CITATIONS
Citations

¹ The Journal of Clinical Endocrinology & Metabolism, Volume 92, Issue 11, 1 November 2007, Pages 4241–4247
² Generational decline in testosterone levels observed
³ Testosterone deficiency in adults and corresponding treatment patterns across the globe.

Testosterone replacement therapy can get you back on track

Advancements in Testosterone Replacement Therapy (TRT) have provided men with a way to get back to feeling there best

Yes

Higher sex drive

Yes

Better mood

Yes

More energy

Yes

Improved memory

Yes

Increased muscle

Yes

Better sleep

You could be suffering

With treatment you feel like yourself again

We’ve helped thousands of patients up their T-levels and transform their lives. Our patients and their loved ones really noticed the results.

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Improvement in symptoms
90%
of patients saw an improvement in their symptoms after 3 months
+239%
average increase in Total Testosterone levels among patients over 3 months
79%
of patients saw an increase in their enjoyment of life after 6 months
Improvement in their libido
87%
of patients saw an improvement in their Libido after 6 months
86%
of patients saw an improvement in their energy levels after 3 months
76%
of patients saw an improvement in their physical ability after 3 months
Satisfied with the treatments
90%
of patients were satisfied with the treatment they received
CITATIONS
Citations

Based on data on MANUAL clinical care data of over 2000 patients over the last 18 months

Clinically proven treatment

Dr. Chris Airey, TRT Expert

We’ll help you get your testosterone levels back within a normal, healthy range. Our TRT service has research-backed benefits to your health and wellbeing. The results can be life-changing.

Better Mood

Look forward to more good days. Studies show that patients feel more energetic, friendlier, less irritable and generally in a better mood after starting TRT.¹

Higher Sex Drive

Testosterone can help you get your mojo back. Numerous studies show that increasing testosterone levels can enhance sex drive, improve erectile function and increase overall sexual satisfaction.²

Increased Muscle

Testosterone has a bit of a reputation for building muscle and strength. Studies show that increasing testosterone levels stimulates muscle protein synthesis and enhances muscle mass.³

Better Sleep

Say goodnight to insomnia and look forward to sleeping soundly. Studies show that patients who had testosterone replacement therapy reported significant improvements in their sleep quality.⁴

Improved Memory

Testosterone can help you feel sharper and boost your memory. Studies show that increasing testosterone levels can significantly improve overall cognitive function in older men with low-T.⁵

We’ve helped thousands of men with low testosterone

Trustpilot stars
TrustScore 4.6/5
675 reviews
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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.

More energy
Improved physical fitness
Before treatment
3 months after treatment
220%
increase in Free Testosterone

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.

More energy
Improved mood
Before treatment
3 months after treatment
220%
increase in Free Testosterone

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.

More energy
More muscle mass
Before treatment
3 months after treatment
220%
increase in Free Testosterone

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!

More energy
Improved physical fitness
Before treatment
3 months after treatment
417%
increase in Free Testosterone
1
Today
At-home Testosterone test
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Start with a simple at-home finger-prick blood test which measures your total and free testosterone levels.

Testosterone & Free Testosterone checked

Easy at-home finger-prick collection

Expert validated report

Analysed at UKAS certified laboratories
Get started for £33.95
2 weeks
Enhanced Testosterone test
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A comprehensive venous blood test is needed to confirm the initial result, learn more about your health, and assess whether it’s safe to start treatment.

Venous collection by a nurse

Checks liver, kidney & PSA levels to make sure you’re suitable for treatment

Analysed at UKAS certified laboratories
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Within 4 weeks
Speak to a specialist Doctor
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Discuss your blood test results, symptoms, medical history, treatment options (including costs), and monitoring process with an expert TRT doctor.

Video consultation

Private and confidential

Qualified TRT experts

Analysed at UKAS certified laboratories
3
4 weeks
Start your treatment
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Your doctor will design a personalised treatment plan that’s tailored to your lifestyle. It may include medication, lifestyle advice or supplements.

Analysed at UKAS certified laboratories
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On going
Testosterone monitoring and plan adjustments
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We’ll test your blood at 6 weeks, 3 months, 6 months, and 12 months after to allow your doctor to effectively monitor your progress and make any adjustments.

Analysed at UKAS certified laboratories
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Our pricing
Take a closer look at our pricing structure to understand the cost of your customised treatment plan.
Learn about pricing
THE PROCESS

How to start treatment

We’ve helped thousands of men with low testosterone

Trustpilot stars
TrustScore 4.6/5
675 reviews
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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.

More energy
Improved physical fitness
Before treatment
3 months after treatment
220%
increase in Free Testosterone

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.

More energy
Improved mood
Before treatment
3 months after treatment
220%
increase in Free Testosterone

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.

More energy
More muscle mass
Before treatment
3 months after treatment
220%
increase in Free Testosterone

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!

More energy
Improved physical fitness
Before treatment
3 months after treatment
417%
increase in Free Testosterone

A treatment plan tailored
for you

As part of our TRT service, you’ll receive a comprehensive diagnosis and a bespoke treatment plan that may include medication, lifestyle advice or supplements.

Injectable
Effectiveness

High

Format

Injections two or three times weekly for most patients

Results in

1-3 weeks

Oral
Effectiveness

Moderate

Format

Tablet taken once daily

Results in

3-8 weeks

Topical
Effectiveness

Individual

Format

Apply to the shoulders or arms once a day

Results in

1-6 weeks

Led by TRT experts

“We offer the most effective protocols in formats to suit your preference”

Specialist care on your terms

What you get

Convenient and online
Quick diagnosis and treatment
Doctors who specialise in TRT
Gold-standard treatment plans
Monitoring & treatment adjustment

Manual

NHS

Meet our TRT experts

We have the UK’s leading TRT experts on board, so you know you’re in good hands.

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Dr Kapil Savania

TRT Medical Expert
Read Bio

Dr. Imad Mekhail

TRT Medical Expert
Read Bio

Dr. Mandeep Sandhu

TRT Medical Expert
Read Bio

Dr. Chris Airey

TRT Medical Expert
Read Bio

Your questions answered

Our team has a lifetime’s worth of expertise and experience between them. They’re on hand to answer all of your questions at every stage of your journey.

View all
About TRT
Symptoms
How it works
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Play button
5 common symptoms of low testosterone
Dr David Huang, Deputy Medical Director
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What are the potential benefits of TRT?
Dr Sheliza Darvesh, GP Clinical Lead
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What type of people are on TRT?
Dr. Mandeep Sandhu, TRT Specialist Doctor
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Is there a discount?
Dr Kapil Savania, TRT Specialist Doctor
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Can I speak to someone about TRT?
Dr Dr. Vivek Ramamoorthy, TRT Specialist Doctor
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Is it legal to purchase TRT online?
Dr Sheliza Darvesh, GP Clinical Lead

Testosterone Replacement Therapy

Curated by Dr. Chris Airey, TRT Expert
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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.

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Men with low testosterone often report low mood, irritability, fatigue, anxiety, reduced libido or difficulty achieving an erection. Other common symptoms include brain fog, lack of motivation, low confidence, difficulty losing weight and difficulty gaining muscle.

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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.

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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

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Everyone's medical history is different so our doctor will prescribe a medication that works specifically for you. Successful hormone therapy involves getting just the right dose by the right delivery method for your individual needs. Testosterone replacement therapy involves taking prescribed testosterone medication in the form of injections, pills, patches, creams, and testosterone pellets (placed under the skin).

Testosterone injections are the most common form of medication as they are convenient and most effective for the majority of men.

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Undergoing testosterone replacement therapy is completely safe if you’re treated by a specialist doctor who regularly monitors your testosterone levels along with any side effects.

As with all medications, some people may experience side effects - however, they’re easily controlled and generally avoided with sensible doses and regular monitoring. Some possible minor side effects include fluid retention, acne, and increased urination. More severe potential side effects include gynecomastia (the growth of male breasts), worsening of existing sleep apnea, increased cholesterol levels, decreased sperm count, infertility, and an increased number of red blood cells.

Testosterone injections may also increase your risk of certain health problems, such as heart attack, stroke, blood clots or a worsening of pre-existing prostate tumours or benign prostatic hyperplasia (enlarged prostate). However, these side effects can be mostly avoided or controlled through regular monitoring and other medications.

In order to keep side effects to a minimum you’ll check in to monitor your testosterone levels and any potential side effects. If you have any concerns or questions, get in touch with our clinicians - it’s free!

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Yes, you willl 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.

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

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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.

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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.

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Our blood test kits usually arrive within three working days. It may take longer over public holidays.

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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.

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Start with a testosterone blood test
Start with a test
£33.95
At-home test
At-home test
£33.95
At-home test
At-home test
£33.95