Testosterone Replacement Therapy (TRT)
Ciconia Recovery · London
Testosterone Replacement Therapy (TRT) in London
Expert, evidence-based assessment and treatment for low testosterone — supporting energy, focus and long-term health, tailored to you.
Testosterone is far more than a hormone linked to sex drive. It plays a fundamental role in energy, mood and metabolism, and in the strength of your muscles and bones, as well as long-term cardiovascular health. When levels fall significantly, the body loses an essential signal it needs to repair tissue, regulate energy and keep metabolism in balance.
Understanding testosterone deficiency
Testosterone levels naturally decline as men move beyond their thirties. Research also suggests average levels across the population have fallen over recent decades, and for some men the decline is faster or more pronounced. Because the symptoms can be subtle and build gradually, low testosterone often goes unrecognised — which is why a proper assessment matters.
Symptoms and long-term risks
Left unaddressed, low testosterone can affect nearly every major system in the body:
- Low energy and mental fatigue — persistent tiredness, brain fog, reduced motivation, and changes in mood or confidence.
- Reduced libido and sexual function — lower drive and difficulty with erections, including the loss of morning erections.
- Loss of muscle and strength — difficulty maintaining lean muscle, reduced strength, and increased body fat, particularly around the abdomen.
- Lower bone density — testosterone supports bone strength; over time, deficiency can increase the risk of weaker bones and fractures.
- Metabolic changes — testosterone helps regulate insulin sensitivity, and low levels are associated with weight gain and metabolic syndrome.
- Anaemia — testosterone supports red blood cell production, so a deficiency can contribute to mild anaemia and physical sluggishness.
- Cardiovascular health — balanced hormone levels support healthy blood vessels and lipids; untreated deficiency has been linked with longer-term cardiovascular risk.
Reversing the risk: treatment and lifestyle
The encouraging news is that these risks are not inevitable. With an evidence-based approach — combining carefully managed medical treatment, such as Testosterone Replacement Therapy, with targeted lifestyle changes like resistance training, better nutrition and stress management — many of these changes can be protected against and often improved.
The first step: a comprehensive blood assessment
Because symptoms like low energy and brain fog can overlap with other conditions, a detailed blood test is the essential first step. A comprehensive panel evaluates total and free testosterone, binding proteins (SHBG), and liver, kidney and metabolic markers — giving a clear, accurate picture of your hormonal health and the best route forward for you.
How it works
1
Consultation
We discuss your symptoms, history and goals to understand what may be affecting you.
2
Comprehensive blood assessment
A detailed panel measures your hormone levels and related health markers.
3
Personalised plan
If treatment is appropriate, your clinician agrees a tailored plan, which may combine medical treatment and lifestyle support.
4
Ongoing review
Regular follow-up and repeat testing keep your treatment safe, effective and right for you.
Frequently asked questions
What is Testosterone Replacement Therapy (TRT)?
TRT is a medically supervised treatment that restores testosterone to a healthy level when a deficiency is confirmed. It is used alongside lifestyle support to help improve energy, mood and long-term metabolic health.
How do I know if I have low testosterone?
Symptoms such as fatigue, low mood, reduced libido, brain fog or loss of muscle can suggest low testosterone, but they overlap with other conditions. A comprehensive blood test is the essential first step to an accurate picture.
What does the assessment involve?
A detailed consultation and a comprehensive blood panel measuring total and free testosterone, binding proteins (SHBG), and liver, kidney and metabolic markers, so your clinician can understand your overall hormonal health.
Is TRT safe?
When properly assessed and monitored by a clinician, TRT is a well-established treatment. Your clinician will discuss the benefits and risks with you and review you regularly to keep treatment safe and effective.
How is treatment monitored?
Treatment is personalised and reviewed with follow-up consultations and repeat blood tests, so your levels, wellbeing and health markers stay on track over time.
Is TRT only about libido?
No. Testosterone supports energy, mood, metabolism, muscle and bone strength, and cardiovascular health, so treatment aims to support your overall long-term wellbeing, not only sexual health.
Do I need a GP referral?
No referral is required — you can contact us directly. We also welcome GP referrals and can liaise with your GP with your consent.
How much does it cost?
Fees depend on your assessment and treatment plan. Please contact our team for current pricing and details of what is included.
Book a TRT assessment
Contact our team to arrange a consultation and comprehensive blood assessment, and to discuss whether Testosterone Replacement Therapy may be suitable for you.
