MANUAL | TRT - Life-changing treatment for low testosterone

TrustScore 4.6/5 • 2,400+ reviews

The hormone that’s holding men back

Dr. Jeff Foster, Director of Men's Health

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

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.

Do you experience these symptoms?

Answer 10 quick questions to assess if low testosterone could be holding you back.

Take the quiz

3 reasons why 7,000+ men choose MANUAL TRT

World-class medication

Unrivalled access to the gold-standard of TRT services, a variety of options always in stock.

Ongoing medical care

A dedicated clinician at your fingertips. Access your personal portal to manage your treatment and monitor progress.

The leading voice of TRT

Our TRT clinical team is headed up by male hormone expert and men's health author Dr. Jeff Foster, providing tailored treatment plans and a world class service for 7,000+ patients.

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Your tailored plan to hit your goals

Get a low testosterone diagnosis and the treatment that works for you.

Low testosterone diagnosis

Check your testosterone levels with our two blood tests.

At-home testosterone test

Enhanced Testosterone test

Tailored treatment

Your dedicated doctor will look at your profile (your goals, symptoms, medical history) to find the best, personalised approach to treatment.

Monitoring and optimisation

We take blood tests every 3-6 months with full doctor report and consultation to ensure you hit your goals.

First class care with the Manual membership

One simple monthly charge

Continuity of care with the same doctor

Everything is included - medication, blood tests, consultations

Access to the UK's biggest TRT clinic and best-in-class medication

how to start

The 4 steps to treatment

1. Start with a blood test

Take our quick and easy at-home finger prick test.

£33.95

2. Confirm your results

Regulation requires a second test to start treatment. It is a comprehensive test analysing additional biomarkers.

£49.95 - £79.95

3. Consultation

Consultation with your dedicated TRT expert who will confirm your suitability and advise on treatment options.

£79.95

4. Begin your personalised treatment

Begin your journey with a personalised plan. Choose from gels, injections and creams. Monitoring tests, priced at £70, are now included free in your plan.

Learn about options

£99 - £169 per month

Treatments start from as little as £3/day

Injectable treatment

Safe, effective and convenient - our most popular option with different medications for different budgets.

Effectiveness

High

Protocol

Inject 1 to 3 times a week at home

Results

1 to 3 weeks

£99 - £169 per month

Topical treatment

Don't like needles? This topical testosterone is applied once daily for fast and effective results.

Effectiveness

Moderate

Protocol

Apply to the shoulders or arms once a day

Results

1 to 6 weeks

£129 - £159 per month

Oral treatment

Tablets taken once daily, the most convenient option.

Effectiveness

Individual

Protocol

Take 1 tablet daily

Results

3 to 8 weeks

£99 per month

Monitoring tests are now included FREE in TRT plans.

Get started with a blood test

Start to feel like you 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.

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

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

90%

of patients were satisfied with the treatment they received

CITATIONS

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

Access our patient report

Dr. Jeff Foster

Medical Director of Men's Health, BSc, MBChB, ISSM, BSSM

Bio

Jeff Foster is one of the U.K.'s leading Men's health and TRT doctors, playing a leading role in the UK's guidance, approach and administering of TRT. Jeff has also written and published the definitive guide to men's health,"Man Alive", released in 2021. He has featured on BBC News and This Morning, while writing 100+ articles on men's health

Educational and Medical experience

Professional memberships

12+

years of specialising in men's health

20+

years of medical experience

Dr. Jeff Foster

Medical Director of Men's Health, BSc, MBChB, ISSM, BSSM

Bio

Jeff Foster is one of the U.K.'s leading men's health and TRT doctors, playing a leading role in the UK's guidance, approach and administering of TRT. Jeff has also written and published the definitive guide to men's health,"Man Alive", released in 2021. He has featured on BBC News and This Morning, while writing 100+ articles on men's health

Educational and Medical experience

Professional memberships

12+

years of specialising in men's health

20+

years of medical experience

Author
"Man Alive: The Health Problems Men Face and How to Fix Them" (2021)

Joint Author
‍The National BSSM Guidance on Testosterone Replacement Therapy (2023)

Testimonials

Thousands of patients have seen life-changing results

TrustScore 4.6/5

2,000+ reviews

Life changed

2 months in, I'm very happy with results so far - life changed. I cannot recommend them highly enough

James

TRT has genuinely changed my life

You don't know what you are missing until you get it back. TRT has genuinely changed my life.

Lionel

Got my life back

I’m happier in general, less irritable, I’m more present especially around the kids and my wife, plenty of energy and have no problems getting a full working week in.

James

Doctors are incredibly helpful

Consultants and doctors are incredibly helpful and knowledgeable, making the experience extremely easy to go through and treatment plans easy to follow. Couldn't recommend more.

Sean

Amazing experience so far

Amazing experience so far. Treatment has changed my life and I’ve been supported all the way.

Terry

Service has not dipped or faltered once

This is my second review, a year later, and the service has not dipped or faltered once. My wellbeing is at the centre of their actions.

Leigh

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.

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About TRT

Symptoms

How it works