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Testosterone replacement therapy

The best way to increase testosterone levels

TRT is the most effective method of improving testosterone levels. The results are life-changing. With our expert medical team, you can get tested, diagnosed, and treated, so you can get back to feeling your best.

90%
of patients reported improvement in symptoms within 3 months
Ali, 34
Improved sex drive
Better sleep
Improvement
90%
of patients saw an improvement in their symptoms after 3 months
Improvement in their libido
87%
of patients saw an improvement in their Libido after 6 months
Manual trt
79%
of patients saw an improvement in their enjoyment of life after 6 months
Satisfied with the treatments
Plus
many more benefits to get men back to their best
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Trustpilot stars
TrustScore 4.6/5 • 675 reviews

MANUAL TRT: Explained

What is TRT?

TRT is used to treat men with low testosterone levels, which can cause a range of life-debilitating symptoms. It works by supplementing the hormone, helping restore you to optimal body functions and overall well-being.

How does it work?

TRT can be administered through various methods, including injections, gels and creams. Our expert, best-in-class TRT clinicians will advise based on your needs and preferences.

Why MANUAL TRT?

Top doctors and world-class treatment at your fingertips - 9/10 patients see life-changing results after just 3 months on treatment. Join the 7000+ men who've transformed their lives with our world-leading treatment.

Better mood
Muscle mass
Energy & Motivation
Sex drive
“I took a test and found out I had low testosterone two years ago. The treatment and life habits I put in place literally transformed my life in so many ways.”
ALI, 34 Years Old
Trustpilot stars
TrustScore 4.6/5 • 2,500+ 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
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.

Trustpilot stars
TrustScore 4.6/5 • 2,458 reviews

3 reasons why 10,000+ men choose MANUAL TRT

World-class medication

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

Take the blood test

Ongoing medical care

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

Medical care

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 9,000+ patients.

The leading voice

As seen in

Metro logoThe Guardian logoIndependentHuffpostThe Sunday Times

Your tailored plan to hit your goals

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

Tailored planTailored plan
1

Low testosterone diagnosis

Check your testosterone levels with our two blood tests.

At-home testosterone test
Enhanced Testosterone test
2

Tailored treatment

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

3

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

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

The 4 steps to treatment

1. Start with a blood test

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

£33.95
Confirm your results

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
Begin your personalised treatment

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

The first step towards a stronger you

Take the guesswork out of your health. Get tested and move forward with a treatment plan that works for you.

1

Low testosterone diagnosis

Get your T. levels checked with our at-home blood test kit. We’ll arrange further enhanced testing if necessary.

2

Tailored Treatment

Your doctor will look at your unique data (your goals, symptoms, medical history, etc.) to find the right approach.

3

Ongoing clinical care

We do blood tests every 3-6 months with full doctor report & consultation, to ensure you hit your goals!

Treatments start from as little as £3/day

Most popular

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

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

Oral treatment

Tablets taken once daily, the most convenient option.

Effectiveness
Individual
Protocol
Take 1 tablet daily
Results
3 to 8 weeks
Monitoring tests are now included FREE in TRT plans.
General Medical Council
Royal College of General Practitioners (RCGP)
British Society of Sexual Medicine (BSSM)
Care Quality Commission

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.

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Improvement
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

Dr. Jeff Foster

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
RCGPRoyal college
12+
years of specialising in men's health
20+
years of medical experience
Dr. Jeff Foster

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
RCGPRoyal college
12+
years of specialising in men's health
20+
years of medical experience
Idea
Author
"Man Alive: The Health Problems Men Face and How to Fix Them" (2021)
Idea
Joint Author
The National BSSM Guidance on Testosterone Replacement Therapy (2023)

Thousands of patients have seen life-changing results

Trustpilot stars
TrustScore 4.6/5
2,500 reviews
Tom, 34
Injectable treatment, £99 pm
Mark, 36
Oral treatment, £99 pm
Antony, 64
Topical treatment, £129 pm
Ali, 34
Injectables treatment, £99 pm
Trustpilot stars
TrustScore 4.3/5
2,458 reviews

Thousands of patients have seen life-changing results

Trustpilot stars
TrustScore 4.6/5
2,500+ reviews
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trustpilot 5 stars
Life changed

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

James
trustpilot 5 stars
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
trustpilot 5 stars
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
trustpilot 5 stars
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
trustpilot 5 stars
Amazing experience so far

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

Terry
trustpilot 5 stars
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.

View all
About TRT
Symptoms
How it works
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TRT doctorPlay button
How long to see results?
Dr. Mandeep Sandhu, TRT Specialist Doctor
TRT doctorPlay button
How many blood tests to get started?
Dr. Mandeep Sandhu, TRT Specialist Doctor
TRT doctorPlay button
Are there side effects?
Dr. Mandeep Sandhu, TRT Specialist Doctor
Play button
5 common symptoms of low testosterone
Dr David Huang, Deputy Medical Director
Play button
What are the potential benefits of TRT?
Dr Sheliza Darvesh, GP Clinical Lead
Play button
What type of people are on TRT?
Dr. Mandeep Sandhu, TRT Specialist Doctor
Play button
Is there a discount?
Dr Kapil Savania, TRT Specialist Doctor
Play button
Can I speak to someone about TRT?
Dr. Vivek Ramamoorthy, TRT Specialist Doctor
Play button
Is it legal to purchase TRT online?
Dr Sheliza Darvesh, GP Clinical Lead
Testosterone replacement therapy

The best way to increase testosterone levels

TRT is the most effective method of improving testosterone levels. The results are life-changing. With our expert medical team, you can get tested, diagnosed, and treated, so you can get back to feeling your best.

90%
of patients reported improvement in symptoms within 3 months
Ali, 34
Improved sex drive
Better sleep
Improvement
90%
of patients saw an improvement in their symptoms after 3 months
Improvement in their libido
87%
of patients saw an improvement in their Libido after 6 months
Manual trt
79%
of patients saw an improvement in their enjoyment of life after 6 months
Satisfied with the treatments
Plus
many more benefits to get men back to their best
Caret
Caret

Diagnose and treat low testosterone

Easy at-home testing
No doctor appointments, no waiting rooms. A simple finger prick blood test is all it takes to check your testosterone levels.
Results online
Get a clear picture of your testosterone levels with online results, available just days after taking your test.
Expert consultation
A specialist TRT doctor will walk you through your results and treatment options (if applicable) so you can take action.
Money back guarantee
If you're not satisfied within 90 days of taking the test, we'll give you your money back. See full terms

Is Testosterone Replacement Therapy right for you?

What is TRT?
Low testosterone can drain your energy, mood, strength and vitality. TRT is a doctor-prescribed treatment that replenishes your hormone levels, helping you feel like yourself again.
How it works
Take our at-home blood test to find out if you have low testosterone. Our experts will then recommend the right TRT treatment plan for you, whether that’s injections, gels or something else.
Choose MANUAL
We understand what you’re going through. We've already helped over 7,000 men achieve a better quality of life, thanks to our to world-class care and treatments. Will you be next?
Money back guarantee
If you're not satisfied within 90 days of taking the test, we'll give you your money back. See full terms

The health issue men don’t talk about

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
Knowing what your testosterone levels are is really important.”
Dr Jeff Foster, Director of Men’s Health
Before getting tested I thought it was just the way I was.”
Danny, 32 YEARS OLD
Could it be you?
The following symptoms could be a sign of low testosterone.
We recommend you get tested to find out for sure.
Depression
Low sex drive
Low muscle mass
Lack of focus
Low energy
Weight gain
Erectile dysfunction
Fatigue
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

The health issue no one’s talking about

Dr. Jeff Foster, Director 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
+239% increase in T. levels with TRT
Patients see their total testosterone levels increase by +239% in average over 2 months.³
Men with normal levels of testosterone have a better quality of life.”
In this video, our Director of Men’s Health Dr. Jeff Foster will tell you more about TRT and why it might help you.
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 Based on data on MANUAL clinical care data of over 2000 patients over the last 18 months

Get back to peak performance with TRT

For many men with low testosterone, TRT is a game-changer. Regain your vitality and improve your quality of life, starting now.

Benefits for the body
For the body
Higher testosterone levels
TRT works by mimicking the natural production of your testosterone hormone.¹
Better sleep
Studies show that patients who had TRT reported better sleep quality.³
Better physical ability
Increase your muscle mass, strength and endurance, and cut down your recovery time.¹
Increased libido
Boost your testosterone, the main hormone responsible for your sex drive.⁴
Increased muscle
With TRT, your muscles build new tissue faster and more efficiently after exercise.²
Benefits for the mind
For the mind
Better Mood
Studies show that patients feel more energetic and in a better mood after starting TRT.⁵
Enjoyment of life
79% of patients saw an increase in their enjoyment of life after 6 months.¹
Improved Memory
TRT can significantly improve overall cognitive function in older men with low-T.⁶
Overall satisfaction
90% of patients were satisfied with the treatment they received.¹
Increased energy
86% of patients saw an improvement in their energy levels after 3 months.¹
Citations

A 360° view of your testosterone

Analysing these biomarkers collectively allows our doctors to accurately measure your testosterone levels and their availability for use in the body.

Total testosterone
This is the total amount of testosterone found in the blood. Some of it is attached to proteins, such as Sex-Hormone Binding Globulin.
Free testosterone
This is the testosterone which is not attached to any proteins so it’s free to be used by the body’s cells. The more you have of it, the better.
SHBG
This protein regulates hormone levels by binding to sex hormones, including testosterone. When your SHBG levels are high, your body has less free testosterone available.
Albumine
Another protein produced in the liver which binds to testosterone, inhibiting its ability to be used by the body’s cells.
Better mood
Muscle mass
Energy & Motivation
Sex drive
“I took a test and found out I had low testosterone two years ago. The treatment and life habits I put in place literally transformed my life in so many ways.”
ALI, 34 Years Old

How testing works

Take the blood test
Take our quick at-home finger-prick test before 11am, when T-levels are at their highest, to determine if you have low testosterone.
Post your sample
Simply place your sample in the secure packaging provided and send it to our UKAS-certified lab where your blood will be analysed.
Review your results
Access invaluable health data online in just a few days. Our experts will review your results and give you clear actionable advice.

The first step towards a stronger you

Take the guesswork out of your health. Get tested and move forward with a treatment plan that works for you.

1

Low testosterone diagnosis

Get your T. levels checked with our at-home blood test kit. We’ll arrange further enhanced testing if necessary.

2

Tailored Treatment

Your doctor will look at your unique data (your goals, symptoms, medical history, etc.) to find the right approach.

3

Ongoing clinical care

We do blood tests every 3-6 months with full doctor report & consultation, to ensure you hit your goals!

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.

Injections
Effectiveness

High

Results in

1 to 3 weeks

Cost

£99-169/month

Tablets
Effectiveness

Moderate

Results in

3 to 8 weeks

Cost

£99/month

Topical
Effectiveness

Individual

Results in

1 to 6 weeks

Cost

£129-159/month

Led by TRT experts

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

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

Everything you need to know about TRT

Dr. Earim Chaudry, Medical Director
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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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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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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