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December 11, 2018

The Sledgehammer Approach to TRT

  Introduction This might be a difficult concept to grasp, but the purpose of TRT is to help your body achieve homeostasis.  The role of testosterone in this process is primarily to help facilitate growth and repair during anabolic periods.  It is not about goals such as attaining big muscles, it is not about being … Continued

October 17, 2018

Gold Standard TRT

The aim of testosterone replacement therapy (TRT) is restoration of your androgen levels to within normal physiological parameters.  The aim of testosterone optimisation therapy (TOT) is to optimise your androgen levels so that you feel the qualitative and quantitative benefits of having healthy hormonal levels.  They are not mutually exclusive, they should be the same … Continued

August 21, 2018

The Men’s Health Clinic TRT Management Guidelines

It is vital to understand that even the best TRT protocol is not as effective as a healthy Hypo-Pituitary Gonadal (HPG) axis.  In a healthy individual, there is diurnal variation of your hormonal levels, something that can’t be replicated, even with a stable TRT protocol.  Have a read of The Perfect TRT Protocol.  This fluctuation … Continued

May 22, 2018

The Perfect TRT Protocol

I suppose the real question should be “What do you want from your TRT protocol?”.  The answer should be “I want to be happy, healthy and horny!”.  I’ve said it many times before, we are simple creatures with simple needs.  We also want convenience, we want to travel the path of least resistance. I agree, … Continued

May 9, 2018

TRT Injection Instructions

TESTOSTERONE ENANTHATE Injection Procedure Dr Stevens has taken you through your first injection, demonstrating preparation of the testosterone vial, storage, dosing, preparation for injection and injection technique.  You have been provided with a 6-week TRT starter box for initiation of therapy, this includes 3 x ampoules of Testosterone Enanthate 250mg/ml, a 10ml sterile vial, a … Continued

April 30, 2018

TRT – How to Control Oestrogen?

I suppose the first question is, do you need to ‘control’ oestrogen on TRT? The answer?  Not normally, but you do need to be aware of the symptoms of oestrogen excess as your TRT protocol will need adjustment. Symptoms of oestrogen excess include:- Loss of libido / erectile dysfunction Breast tissue swelling / nipple tenderness … Continued

March 29, 2018

The MHC Patient Demographic Audit 2018

The purpose of this audit was to look at the current patient demographic of the men accessing The Men’s Health Clinic with a confirmed diagnosis of Testosterone Deficiency Syndrome (TDS) / Male Hypogonadism. The clinic opened in January 2016 and we have deliberately let it grow organically since we believe the best recommendation is that … Continued

March 1, 2018

TRT & Blood Pressure

Hopefully we are all aware of the importance of having normal blood pressure – to prevent strokes, heart attacks, renal disease etc.  It’s a silent killer, you only know you have it as a consequence of one of its complications.  As with most things, prevention is key, there’s no point bolting the door after the horse has … Continued

February 7, 2018

TRT – Chasing Numbers

Optimising testosterone with Testosterone Replacement Therapy supposedly improves quality of life, but what does that actually mean?  Quality of Life is described as the general well-being of a person or society, defined in terms of health and happiness.  It is something that is difficult to quantify, interpretation of quality is very much subjective, not objective.  … Continued

November 22, 2017

TRT Wars – How to Get TRT in the UK

Have a Plan – Define your Signs and Symptoms, What Impact are they Having on your Life?   Common Presenting Symptoms:- •  Low Libido / ED –  We are simple creatures with simple needs (unlike women!).  A happy, healthy sex-life not only satisfies a carnal need, it is an important aspect of any healthy relationship.  … Continued