T Nation

23 Yrs Old. How to Get TRT in the UK?

Hey guys,

I am a 23-year-old guy who has ALL the symptoms of low testosterone. As many of you can likely attest, getting NHS doctors to even recognise the condition exists never mind accurately diagnose and treat it is something of a struggle! Regrettably I have been refused TRT of any sort under the NHS, and have even found a shortage of private practitioners willing to give it without first charging nearly £500 just for an hour long conversation (excluding blood tests)!

Given the nature of these forums, I wondered if any of you guys on here have been successful in getting TRT/ HCG through online clinics based in/ operating out of the UK? I know in the USA it’s really easy to self administer TRT, but in the UK it seems practically impossible to find a reputable online clinic that provides these services. If any of you on here have yourselves accessed TRT treatments through a reputable UK clinic and can recommend one to me, I would be really interested to know more.

Having read some of the forums on here, it is clear to me that age is just a number when it comes to low testosterone, and that the way doctors inaccurately diagnose low T as depression is more widespread than I first thought. I am hoping somebody on here can provide me with some guidance/ tips, as these symptoms are making me feel 70 rather than 23!

Hope to hear from you soon.

All best,


Please do not fracture your info across multiple threads, pick one and stick to it.

We do need your lab data in list format with lab ranges.
“Normal” is not good enough.

Self-injected T is 100% absorbed and least cost.

Transdermal T is ~10% absorbed at best and sometimes not absorbed at all - often seen with thyroid issues [which are common in UK caused by iodine deficiency].

Transdermal T has highest T–>E2 potential and highest T–>DHT which is good for libido but bad for hair loss for those with the genetics.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.

I can personally vouch for OptiMale TRT, they’re UK based and have been really great getting me started on TRT. Everything they’ve done so far has been really legit and it’s all done online.

From what I’ve seen they haven’t tried to push loads of unnecessary meds on me - just Sustanon which is all I wanted really. Their doctor gave me the option of injectable, gel or to try clomid before taking the jump to full TRT.


Thanks for the message. I am currently under the care of a specialist men’s health clinic in London who presently have me on Testo Gel 50mg 5g gel sachet once daily. Doctor also thinks I could how an underactive thyroid as well, so may soon be taking Levothyroxine as well. Apparently lots of guys with low T also have thyroid problems as well, so it makes sense to treat both!

Can I ask, what’s your TRT regime/ method? Do you use the gel or do you take injections? Also, what were your numbers like when you first commenced treatment, and what are your numbers now? Do you need aromatase inhibitor or HCG?


Your story sounds very familiar, did you get banned from a UK TRT group on Facebook by any chance?

I take about 0.5ml of Sustanon 250 every 5 days. I also do half a tab of AI with my injection to control my oestrogen nicely.
My total testosterone was about 9nmol/l and my free testosterone was 0.1nmol/l pre. I’m not on HCG atm but I’m considering trialing clomid to see if it works similarly to HCG at some point.

Are you doing HCG?


I currently take 50mg 5g sachet of Testo Gel daly. It seemed to work for a while, pushed my total T up from 13.9mnol to 18.6mnol at latest reading. However, the oestrogen is sky high 180 on a range that goes from 70- 172, so my GP has now given me an AI called Arimidex. He has suggested I take 0.5mg of a 1mg tablet 1-3 times a week to bring the oestrogen down to an optimal level. Which AI are you on if you don’t mind me asking, and has the combination of TRT with an AI led to significant symptom improvement and quality of life?

HCG is nationally out of stock in the UK, and my GP tells me that the testicular atrophy and infertility can be reversed by coming off the treatment, so no, not using HCG at the moment.

Would be interested to hear about your experience using TRT with an AI.