Testosterone deficiency (TD) is increasingly common and is associated with significant health problems in males. Recent studies have shown that men low in Testosterone are at increased risk of cardiovascular disease, incident Type 2 diabetes, worse outcomes in chronic kidney disease and COVID-19 infection along with significant quality of life implications (Psychological, physical, metabolic, and sexual)

Unlike online providers here at Loughview Health we wish to offer a bespoke, face to face in person consultation led testosterone replacement (TRT) service to maximise safety and offer close monitoring of treatment.

For those men displaying symptoms suggestive of TD or who have concerns regarding TD our three-step approach will ensure adequate diagnosis and treatment (if indicated) without the risk of significant financial outlay and/or unneeded commitment to lengthy subscriptions.

How is it delivered?

 Our TRT is delivered as 12 weekly intramuscular injections (Apart from 1st and 2nd dose given at 6 weeks to rapidly increase levels) all done here at clinic by our doctor.

 What are the steps I take if I am wondering if I have TD or need TRT?

 Our TRT Steps:

Step 1.

 Initial Testosterone level check- At this appointment your blood will be taken for an initial testosterone check with the doctor. This appointment must be before 11am and fasting but our team will guide you with this to ensure done at your convenience. If booking online you can choose an appointment prior to 11am. You will also be given a questionnaire to fill out to assess your symptoms.

Cost £100

 Step 2

If your initial results indicate a low testosterone level, then you would require a more in depth Advanced male hormone profile which will look at over 30 parameters to confirm testosterone deficiency and assess for potential causes. Again, these tests will be taken by the doctor and is best done 4 weeks after your initial test (again before 11am and fasting)

Cost £250

Step 3 (TRT Membership)

 If you have confirmed low testosterone levels and are keen for TRT then our team can guide your through this. Our TRT memberhip is priced at £175 per month (Non-refundable £175 deposit taken on the day of initial consultation, minimum commitment 6 months*) and Includes:

•              Initial 30min consultation/Full examination/First injection with the Doctor – Face to Face

•             Intramuscular long-acting Testosterone Injection first two doses given 6 weeks apart, then 12 weekly thereafter

•             Follow up appointments at 3,6,9 and 12 months, all face to face.

•           All follow up blood tests and Testosterone levels at these appointments to ensure improvement/safety.

At any point in steps 1 or 2 if the levels are normal or if the patient wishes there is no obligation to proceed to the next step. However, any cost incurred at any of the previous steps is non-refundable regardless of the result (i.e. cost of the laboratory blood tests). If after stage 3 initial consultation TRT is contraindicated or not desired you will not be required to commit to any further payments/membership, however your initial £175 deposit is non-refundable( as it covers the cost of your stage 3 consultation)*

Are there any contraindications to TRT?

The main contraindications to TRT are:

• Prostate cancer (locally advanced or metastatic)   

• Male breast cancer

• An Active desire to have children currently or possibly in future.

• Haematocrit >54%

• Severe Chronic heart failure NYHA class IV

What are the benefits?

In TRT achieving normal levels:

• Improves Sexual and erectile function.

• Improves bone mineral density.

• Corrects unexplained anaemia.

• Improves Skeletal muscle mass.

• Improves physical function.

• Improves mood.

• Reduces progression from pre-diabetes to overt type 2 diabetes.

• Current evidence suggests likely benefit in cardiovascular outcomes.

Are there any side effects?

Thankfully adverse events related to TRT are relatively rare and often depend on method of delivery.

At Loughview health all or our TRT is delivered by long-acting IM(intramuscular) injection

These can be associated with pain at the injection site, changes in mood, energy, and sexual desire. Rarely coughing straight after the injection (pulmonary micro embolism) but this risk is reduced by giving the injection over 2 minutes.

Other side effects seen with TRT include Polycythaemia – increase in blood count and how thick the blood is (measures can be taken to help such as infrequent bloodletting/donation and or change of dose)

Currently there is no evidence to suggest that TRT increased the risk of prostate cancer.

 Why is it so expensive?

As highlighted, unlike online competitors we offer a fully face to face bespoke service tailored to each individual male. Safety and quality of our TRT is of upmost importance and so our clinic is costed to reflect this.

Lab costs dictate the initial costs for stage 1 and 2. Here at loughview we to ensure all men are given an adequate diagnosis as well has looking at other important parameters regarding TD and TRT.

Our monthly cost for stage 3 spreads the cost out for the patient monthly  (minimum 6-month commitment) and covers clinical reviews with bloods as well as all needed TRT injections. All delivered face to face here in clinic.

Can I use blood results I’ve already had done privately?

Provided you have all the required tests, have all the needed details on the test (i.e. name/DOB etc) and done within the past three months we are happy to accept bloods done by other private providers. You can then proceed to stage 3 which starts with a consultation/full examination by the doctor before TRT initiation. Please speak to a member of staff about this. The clinician will have the final say in regards to acceptance of third party bloods.

Can I get TRT if my levels are normal?

Sadly not, if your levels are not low as per current BSSM guidelines (< 12nmol/l or < 14 in prediabetes) then we cannot facilitate TRT here in clinic. Any requests for this will not be granted. It is important to save any disappointment to be aware that this will be a companywide policy.

*Please fully read our Terms and conditions