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Chris Airey

Alastair Kennett

Rana Mirzai

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Access meaningful easy-to-understand insights into your testosterone levels and overall health any time from your secure online account.

Insights that matter

Our team of TRT specialists provide ongoing advice and treatment by factoring in your unique lifestyle, lab results, symptoms, and medical history.

Personalised advice

Continuous monitoring of your testosterone health with quick, easy repeat testing lets us fine-tune your treatment to optimise your results.

Track your testosterone levels

Why check your testosterone levels with us?

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Curated by Dr. Chris Airey, TRT Medical Expert

Enhanced blood test, everything you need to know

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A simple to use at-home blood test to measure your total and free testosterone to assess your eligible for treatment. 

Initial Testosterone Blood Test

Other blood tests

Science Behind

The enhanced blood test kit has everything a healthcare professional will need to take your blood sample. We'll help you organise your appointment.

Order your test

Have a healthcare professional at one of our partner clinics or a visit from a nurse collect your blood sample, then post it to the lab for free.

Collect your sample

Access your results on your online portal. Our experts will review your results to give you advice and next steps.

Review your results

How it works

Explanation Dropdown List

This is the total amount of testosterone found in the blood. Some of it is attached to proteins, such as Sex-Hormone Binding Globulin (SHBG) or Albumin, which transport it around your body.

Total Testosterone

Free testosterone is the testosterone that is unbound and available to be used by the body’s cells. When a cell binds to free testosterone its functionality is enabled. The more you have of it, the better.

Free Testosterone

This protein is produced in the liver and regulates hormone levels by binding to sex hormones, including testosterone. When your SHBG levels are high, your body has less free testosterone available to be used by the body’s cells.

Sex-Hormone Binding Globulin (SHBG)

Another protein produced in the liver which binds to testosterone, inhibiting its ability to be used by the body’s cells.

Albumin

Although oestrogen is considered to be a predominantly female hormone, it’s also present in men and plays an important role in regulating their libidos, erectile function, and the production of sperm. A delicate balance of oestrogen and testosterone ensures optimal sexual function, as well as joint and brain health.

Oestradiol (Oestrogen)

Prolactin is another hormone produced by the pituitary gland. We monitor this as high levels may indicate issues that need treatment before TRT can commence.

Prolactin

These are hormones produced in the thyroid gland. We measure their levels to check for thyroid issues.

TSH and Free T4

LH and FSH are hormones (or gonadotropins) produced in the pituitary gland. They control testosterone production in the testicles. Low or high levels of these hormones can indicate that there’s an issue with the pituitary gland or testicles.

Luteinising Hormone (LH) and Follicle Stimulating Hormone (FSH)

Liver and kidney function is reviewed before starting TRT to ensure that there are no other conditions present.

Liver and kidney function

The full blood count shows general health markers and indicates if your red blood cell count is too high.   Testosterone can increase the number of red blood cells the body produces, so monitoring this while you’re on TRT is important.

Full blood count

Cholesterol and other lipids are evaluated before and during TRT to ensure that the patient is healthy and not at risk of cardiovascular issues.

Cholesterol and lipids

Cortisol is reviewed before TRT to check other hormonal systems are functioning properly.

Cortisol

Ferritin is an indicator of a condition that may cause low testosterone.

Ferritin

FHbA1c is a marker used to check for diabetes and poor glycaemic control.

HbA1c

PSA is prostate specific antigen and is used to check for prostate issues.

What this test measures

Learn about TRT info box

How it works, why it’s important, and when you might need it

Your guide to TRT

Understand the different medications available

TRT treatments

What to expect - including the cost

Steps to treatment

See what our patients have been saying about TRT

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Understand everything about TRT, from medications to outcomes, risk, and the benefits.

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2 to 3 times weekly

Blood tests, consultations & injection supplies

Most stable levels, less side effects

Testosterone Cypionate

1 to 3 times weekly

A cheaper alternative to Cypionate

Testosterone Sustanon

Apply to skin daily

Blood tests & consultations

A good option to avoid injections

Testosterone Cream

Based on this second test

You are likely to be suitable for the following treatments

Product Benefits

Poor erections or sex drive

Low mood or motivation

Lack of focus

Depression or irritability

Difficulty losing weight

Reduced muscle mass

Signs your testosterone is too low

Science Backed Results

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.

Success Stories

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Carl

Danny

Richard

Real customers, real results

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Curated by Dr. Jeff Foster, Medical Director - Men’s Health & TRT Specialist

Testosterone replacement therapy, everything you need to know

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A simple at-home finger-prick blood test which measures your total and free testosterone levels.

At-Home Testosterone Blood Test

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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.

How can testosterone replacement therapy change your life?

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Simply prick your finger and fill a small vial with a few drops of blood.

Take the test

Place your sample in the secure packaging provided and send it to our approved lab, the shipping costs are on us!

Post your sample

Access your results on the online portal, our clinicians will review your results and give you advice.

How it works...

Free testosterone is the testosterone that is unbound and available to be used by the body’s cells. When a cell binds to free testosterone its functionality is enabled. The more you have of it, the better.

This protein is produced in the liver and regulates hormone levels by binding to sex hormones, including testosterone. When your SHBG levels are high, your body has less free testosterone available to be used by the body’s cells.

What this test measures..

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Testosterone Replacement Therapy

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

Testosterone Replacement Therapy for Men

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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.

Men's testosterone levels are declining

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Low testosterone can cause

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At MANUAL, we are pioneering top TRT protocols, using the best medication and specialist doctors to help you feel great again.

<a href="https://www.manual.co/health-centre/testosterone/testosterone-replacement-therapy-trt-in-the-uk">Learn more about TRT &gt;</a>

Improved memory

Assertiveness

Better mood

Improved bone density

Stronger erections

Higher sex drive

Improved blood flow

Heart health

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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.

Life changing opportunity!

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!

Regained my interests

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.

Better attitude & relationships

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.

Gained muscle & lost body fat

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How to get started on TRT

Take an at-home finger-prick blood test, and if eligible another venous test

Take two blood tests

See your testosterone levels on your online portal with expert medical advice

Get your results

Discuss your results with a specialist doctor who will go over your treatment options.

Speak to a doctor

If you are approved for treatment, receive your prescription directly to your door.

Start treatment

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Speak with one of our clinicians and get personalised advice. Monday to Friday 9am-4:30pm

Get a free consultation

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

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Could you be suitable for testosterone replacement therapy?

TRT Category Page - Final structure - DO NOT CHANGE - READY FOR REVIEW

Enhanced Testosterone Blood Test

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This comprehensive venous blood test is needed to confirm your testosterone levels and to assess your suitability for testosterone replacement therapy (TRT). Please book clinic and nurse visits in the morning between Monday and Thursday to avoid postal delays and ensure accurate results.
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Confirm your initial diagnosis for low testosterone
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Choose your collection method:

We check your testosterone levels, liver health, kidney function, and indicators of your heart health, such as haematocrit, which help our doctors decide the right treatment options to solve low testosterone.
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What’s tested

See why our customers choose us

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Don't have a low testosterone diagnosis? Buy an&nbsp;<a href="https://www.manual.co/testosterone-replacement-therapy/initial-testosterone-blood-test">Initial Testosterone Blood Test</a>

This test is for those with an initial low testosterone diagnosis who are considering TRT treatment.
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Who is this test for?

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This is the total amount of testosterone found in the blood. Some of it is attached to proteins, such as Sex-Hormone Binding Globulin (SHBG) or Albumin, which transport it around your body.
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Total testosterone

Free testosterone is the testosterone that is unbound and available to be used by the body’s cells. When a cell binds to free testosterone its functionality is enabled. The more you have of it, the better.
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Free testosterone

A comprehensive venous blood test which is needed to confirm the initial blood test result and assess your health so that you can safely start testosterone replacement therapy.