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TRT THREAD

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The_Lone_WolfIcon...21-07-2023 @ 13:20 
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SQ 245, BP 130, DL 275
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A month on now and still no news... Waiting for the endo to get in touch.

I am really thinking seriously about scrimping and saving to go the private route at this rate Angry
SparksyIcon...23-07-2023 @ 15:28 
Member 6426, 24 posts
The wheels turn slowly in the NHS. I have to book a blood test to review my levels after 3 months of Gel treatment. It will be interesting to see if my levels are higher-I’ve definitely *felt* better! Also, if the GP continues to prescribe.
The_Lone_WolfIcon...24-07-2023 @ 14:48 
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I eat a lot of meat
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Sparksy said:The wheels turn slowly in the NHS. I have to book a blood test to review my levels after 3 months of Gel treatment. It will be interesting to see if my levels are higher-I’ve definitely *felt* better! Also, if the GP continues to prescribe.


I can't see any logic in them taking you off and stopping the TRT protocol now? If it is working and you feel better, than surely that is grounds to keeping it going.

Taking you off would send you crashing to and most likely below where you started!
matthewvcIcon...25-07-2023 @ 09:53 
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Post Edited: 25.07.2023 @ 09:55 AM by matthewvc
The_Lone_Wolf said:A month on now and still no news... Waiting for the endo to get in touch.

I am really thinking seriously about scrimping and saving to go the private route at this rate Angry


pretty pricey in UK, figures of £150/m+ bandied around (with blood test every 3-4 months), benefit is it's real pharmaceutical, not Big Rory's homebrew and the tests will be comprehensive check of everything that can get affected by androgens and suitable treatment/dose adjust based off that.
The_Lone_WolfIcon...25-07-2023 @ 15:06 
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I eat a lot of meat
Member 5124, 2996 posts
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matthewvc said:
pretty pricey in UK, figures of £150/m+ bandied around (with blood test every 3-4 months), benefit is it's real pharmaceutical, not Big Rory's homebrew and the tests will be comprehensive check of everything that can get affected by androgens and suitable treatment/dose adjust based off that.




This is direct from the OptiMale site...

How much does TRT cost?
The cost of TRT in the UK will vary depending on the type of medication used. TRT starts from £59.99 per month which includes medication and follow up reviews with doctors. This also covers the cost of doctor’s letters, postage, referrals and other support.

Unlike with most clinics, we don’t have hidden costs for postage, doctor reviews, medication reviews and replacements for failed blood tests.

Blood tests whilst on treatment are not included in the subscription cost, but you can get them done elsewhere or with your GP.

Injection supplies are also not included, we can supply these, or you can get some from needle exchanges free of charge (please check with us that these are suitable for your medication type).

Consultation cost
For the initial consultation there are three options and they are tailored to make it more affordable:

The face-to-face consultation
This option is for patients who are not appropriate for a remote consultation, or who would prefer a face-to-face consultation with the doctor. You will be seen in one of our private clinic locations. These are available in a few locations with London and Southampton the most common options. Please contact us for more information.

The face-to-face consultation is £179.99

The remote consultation
Many patients will qualify for a remote consultation. This is at the discretion of our doctor, but is usually acceptable for patients under 45, with minimal medical conditions and appropriate blood test results.

Our remote consultation is now priced at £99.99

The transfer consultation
Patients who are already on TRT and wish to transfer their treatment from other clinics or the NHS are offered a discounted consultation. The transfer consultation is priced at £79.99 for a remote consultation, or £149.99 for a face-to-face transfer consultation, as applicable.

Monthly subscription
Our monthly subscriptions cover the cost of ongoing support from our team, including all necessary follow-up consultations with doctors. They also cover the cost of our services and staffing as well as your testosterone medication of choice.

Due to differences in medication costs, the different subscriptions are based on the cost of medication provided. We do not have hidden charges, unlike most of our competitors who charge for postage (usually £10-£12), reviews, doctor letters, referrals, travel letters and even changing medication!

Enanthate
This subscription is £99.99 per month.

Sustanon
This subscription is priced at only £59.99 per month!

Atrevis Gel and VersaBase Creams
These subscriptions are £109.99 per month depending on the supply and dosage.

Cypionate
This subscription is £109.99 per month depending on the supply and type of Cypionate available.

HCG only subscription
Some men choose to trial HCG monotherapy to increase natural testosterone. This starts at £79.99 per month depending on dosage.

We are always looking at ways that we can reduce medication costs for our patients, and our goal is to provide a manageable monthly subscription price that is affordable for as many men as possible, providing them with great service at a reasonable price.

Unlike other clinics, Optimale sends the medication directly to you so you don’t have to worry about finding specialist medications at your local pharmacy or online.

We stock all of our own medications to reduce the risk of stock issues, and our subscriptions include all follow-ups with doctors and support from our staff. We also do not charge for postage or admin fees, unlike most other clinics.

Follow up blood tests and injection supplies are not included in the subscription cost. We provide these at competitive prices but you can request them from your GP or purchase them yourself if you prefer.

Blood tests are required at 6 weeks, 3 months, 6 months then every 6 months after to ensure safety on treatment.

Add-ons
HCG add-on
If you are on a higher dose of HCG then you will use one vial of HCG per month, lower doses last around 10 weeks.

You can choose to have this added to your subscription on repeat or manual ordering. Single HCG vials are priced at £39.50, two HCG vials are priced at £75 and three HCG vials are priced at £105.

Bacteriostatic water is also required for mixing HCG to allow its storage and use. This is a prescription medication and we charge £7.50 which covers 2-5 months’ supply depending on your HCG dose.

Aromatase inhibitors
Whilst our doctors aim to avoid the use of aromatase inhibitors, some men do require this due to higher body fat levels or a natural predisposition to higher oestrogen levels.

These are priced at £30 per pack and usually last over 4 months per pack.

Blood tests
Blood tests are a really important part of safe TRT. They are required before starting treatment to ensure you are safe to start and have appropriate levels for treatment.

The initial test before starting treatment is only £39.95

The enhanced test (second confirmatory test) required before treatment is £79.99.

They are also required at regular intervals whilst on treatment to ensure that you are not at risk from certain issues which can be produced in some people when they take testosterone.

These blood tests are required at 6 weeks, 3 months, 6 months and 12 months on treatment then for every 6 months after that. Blood tests are not included in the monthly subscription. After every blood test you will receive advice and a review with a doctor, this is included in the cost of the subscription.


Monthly subscription
Our monthly subscriptions cover the cost of ongoing support from our team, including all necessary follow-up consultations with doctors. They also cover the cost of our services and staffing as well as your testosterone medication of choice.

Due to differences in medication costs, the different subscriptions are based on the cost of medication provided. We do not have hidden charges, unlike most of our competitors who charge for postage (usually £10-£12), reviews, doctor letters, referrals, travel letters and even changing medication!

Enanthate
This subscription is £99.99 per month.

Sustanon
This subscription is priced at only £59.99 per month!

Atrevis Gel and VersaBase Creams
These subscriptions are £109.99 per month depending on the supply and dosage.

Cypionate
This subscription is £109.99 per month depending on the supply and type of Cypionate available.

HCG only subscription
Some men choose to trial HCG monotherapy to increase natural testosterone. This starts at £79.99 per month depending on dosage.

We are always looking at ways that we can reduce medication costs for our patients, and our goal is to provide a manageable monthly subscription price that is affordable for as many men as possible, providing them with great service at a reasonable price.

Unlike other clinics, Optimale sends the medication directly to you so you don’t have to worry about finding specialist medications at your local pharmacy or online.

We stock all of our own medications to reduce the risk of stock issues, and our subscriptions include all follow-ups with doctors and support from our staff. We also do not charge for postage or admin fees, unlike most other clinics.

Follow up blood tests and injection supplies are not included in the subscription cost. We provide these at competitive prices but you can request them from your GP or purchase them yourself if you prefer.

Blood tests are required at 6 weeks, 3 months, 6 months then every 6 months after to ensure safety on treatment.

Add-ons
HCG add-on
If you are on a higher dose of HCG then you will use one vial of HCG per month, lower doses last around 10 weeks.

You can choose to have this added to your subscription on repeat or manual ordering. Single HCG vials are priced at £39.50, two HCG vials are priced at £75 and three HCG vials are priced at £105.

Bacteriostatic water is also required for mixing HCG to allow its storage and use. This is a prescription medication and we charge £7.50 which covers 2-5 months’ supply depending on your HCG dose.

Aromatase inhibitors
Whilst our doctors aim to avoid the use of aromatase inhibitors, some men do require this due to higher body fat levels or a natural predisposition to higher oestrogen levels.

These are priced at £30 per pack and usually last over 4 months per pack.

Blood tests
Blood tests are a really important part of safe TRT. They are required before starting treatment to ensure you are safe to start and have appropriate levels for treatment.

The initial test before starting treatment is only £39.95

The enhanced test (second confirmatory test) required before treatment is £79.99.

They are also required at regular intervals whilst on treatment to ensure that you are not at risk from certain issues which can be produced in some people when they take testosterone.

These blood tests are required at 6 weeks, 3 months, 6 months and 12 months on treatment then for every 6 months after that. Blood tests are not included in the monthly subscription. After every blood test you will receive advice and a review with a doctor, this is included in the cost of the subscription.
JohnGymIcon...27-07-2023 @ 08:22 
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Member 1107, 6964 posts
SQ 220, BP 152.5, DL 252.5
625.0 kgs @ 93kgs UnEq
My mate in Dubai gets 50 days of Sustanon 250 prescribed by a doctor and injected every 10 days by a nurse for £25.

The UK is a rip off.
BoarIcon...27-07-2023 @ 13:00 
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the more working class approach is there too see all over the internet ...jacked dudes using big roys home brew all year round with zero f**ks given, all claiming to be natty of course of course !!

as for the private route - who wants to be paying ££ every single month for the rest of your days , it will very soon become a chore

i'm very happy being a middle aged running twigg
matthewvcIcon...27-07-2023 @ 16:32 
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‘downsizing’
Member 5704, 3225 posts
SQ 280, BP 210, DL 320
810.0 kgs @ 96.3kgs UnEq
Boar said:the more working class approach is there too see all over the internet ...jacked dudes using big roys home brew all year round with zero f**ks given, all claiming to be natty of course of course !!

as for the private route - who wants to be paying ££ every single month for the rest of your days , it will very soon become a chore

i'm very happy being a middle aged running twigg


problem with black market is the risk of contamination and risk of your source being busted/getting bored/whatever and suddenly finding yourself with nothing.

chore wise, Sustanon is only once every 2-4 weeks and there's another one called Nebido which is a super slow releaser requiring one big 1g dose every 3 months. The odd injection outweighs the long term health issues of having truly hypogonadal levels of testosterone.
matthewvcIcon...19-09-2023 @ 09:25 
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SQ 280, BP 210, DL 320
810.0 kgs @ 96.3kgs UnEq
The_Lone_Wolf said:
This is direct from the OptiMale site...


I did their cheap test with this company 3 weeks ago having noticed
a decline in my general energy, sex drive and mood since coming back from Thailand.
came back low 6.7nmol/L (ref: 12-30)
talked to NHS GP and she's arranged a more thorough blood test next week
for stuff like prostate-specific antigen, FSH/LSH and other markers.

what is odd is I've been making pretty good progress at the gym
this indicates that:

1. the result is maybe a spurious low and my mood/apathy is just
a result of being back in a increasingly crap country
(I do notice going back to Thailand is an instant improvement in my general mood)

2. normal physiological levels of test isn't as important it's made out,
especially if you've already got the muscle/nervous system memory, satellite cell
proliferation from previous younger age gains.

Interested to see the results of this full screen.
The_Lone_WolfIcon...19-09-2023 @ 15:25 
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I eat a lot of meat
Member 5124, 2996 posts
SQ 245, BP 130, DL 275
650.0 kgs @ 105kgs UnEq
matthewvc said:
I did their cheap test with this company 3 weeks ago having noticed
a decline in my general energy, sex drive and mood since coming back from Thailand.
came back low 6.7nmol/L (ref: 12-30)
talked to NHS GP and she's arranged a more thorough blood test next week
for stuff like prostate-specific antigen, FSH/LSH and other markers.
what is odd is I've been making pretty good progress at the gym
this indicates that:
1. the result is maybe a spurious low and my mood/apathy is just
a result of being back in a increasingly crap country
(I do notice going back to Thailand is an instant improvement in my general mood)
2. normal physiological levels of test isn't as important it's made out,
especially if you've already got the muscle/nervous system memory, satellite cell
proliferation from previous younger age gains.
Interested to see the results of this full screen.



Keep us posted mate please.

I've just been to lunch with a buddy who is about to start his own journey down this path... Booked in for bloods via the NHS to get the ball rolling.

I am still waiting to hear back... So far, no updates at all.
The_Lone_WolfIcon...20-09-2023 @ 13:47 
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I eat a lot of meat
Member 5124, 2996 posts
SQ 245, BP 130, DL 275
650.0 kgs @ 105kgs UnEq
As some form of twisted luck would have it, I got a notifiation on my NHS app today asking me to fill out a questionnaire... I had 4 choices to make on 1 question!

1. I still want an appointment and I am happy to wait.

2. I no longer need an appointment as the issue has gone away.

3. I no longer need an appointment as I have gone private.

4. I no longer need an appointment as my GP has resolved the issue.

Sometimes the NHS really pisses me off.

I obviously selected option 1 with angry clicking.
matthewvcIcon...21-09-2023 @ 11:25 
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‘downsizing’
Member 5704, 3225 posts
SQ 280, BP 210, DL 320
810.0 kgs @ 96.3kgs UnEq
The_Lone_Wolf said:
Keep us posted mate please.
I've just been to lunch with a buddy who is about to start his own journey down this path... Booked in for bloods via the NHS to get the ball rolling.
I am still waiting to hear back... So far, no updates at all.


Got NHS bloods next week. I've no idea of timescales via NHS.
Be interested to see what the second reading is.
Low test correlates with my mood, sex drive and energy levels
but doesn't so much with gym performance.
The_Lone_WolfIcon...21-09-2023 @ 12:32 
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I eat a lot of meat
Member 5124, 2996 posts
SQ 245, BP 130, DL 275
650.0 kgs @ 105kgs UnEq
matthewvc said:
Got NHS bloods next week. I've no idea of timescales via NHS.
Be interested to see what the second reading is.
Low test correlates with my mood, sex drive and energy levels
but doesn't so much with gym performance.




Interesting RE the gym side of things.

I am not training so have no scale to measure against here, but I feel so weak, tired, lethargic and low that training seems like the last thing I can do currently and that genuinly upsets me.
matthewvcIcon...21-09-2023 @ 16:44 
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‘downsizing’
Member 5704, 3225 posts
SQ 280, BP 210, DL 320
810.0 kgs @ 96.3kgs UnEq
The_Lone_Wolf said:
Interesting RE the gym side of things.
I am not training so have no scale to measure against here, but I feel so weak, tired, lethargic and low that training seems like the last thing I can do currently and that genuinly upsets me.


that's what surprised me as I have the energy to train
and get back up a decent level strength wise,
although I ache and feel recovery sucks nowadays.
That said, not convinced natty levels of testosterone make a huge difference
to strength. 10mg week (hypogonadal) v 30mg week normal is miniscule compared to even what is classed as a low dose cycle that might add 10% max to bench press.
SparksyIcon...26-09-2023 @ 19:22 
Member 6426, 24 posts
I recently had blood tests after my first 3 months of trt; Testovan Gel. Testosterone is up from 7 to 18. PSA levels unchanged and cholesterol levels lower. Feel loads better too. Thumbs up from me.

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