TRT in the UK at CJA Balance Clinics

TRT UK at CJA Balance, doctors, low testosterone treatmentsIt can often be a difficult process to find a doctor to prescribe TRT in the UK. Unfortunately the NHS is not always the best way to get TRT which is why our doctors have set up CJA Balance.

Our aim is to support and help men and women in the UK who have low testosterone levels.  Following a blood test – which you can purchase from CJA Balance and do in the comfort of your home – we can assess your testosterone levels and other key indicators to work out the best course of treatment for you.

We will also answer all your questions and explain all you need to know about TRT UK, including how to take it and how we will manage any potential side effects.

Below you will find some of the most frequently asked questions about TRT in the UK.


What Is Testosterone or TRT?

Testosterone is a hormone.  It is primarily produced via the testicles in men and via ovaries in women (although in much smaller amounts than in men).  Testosterone plays a key role in the development of male reproductive tissues such as the testes and the prostate, as well as stimulating the development of male characteristics such as increased bone mass, muscle mass and the growth of body hair.  Testosterone helps to regulate your sex drive and is important for sexual and reproductive development, mental health and energy.  

What Are The Signs of Low Testosterone in Men?

There are many signs of low testosterone that alone could be mistaken for stress, depression or outside issues. One of the biggest challenges facing men who are experiencing these symptoms is getting to the bottom of the issue.  Many of these symptoms can also be present with several other health issues, such as diabetes, high blood pressure, and coronary disease. If the symptoms are present together they can create a clearer picture of low testosterone. If you are concerned that you may have low testosterone levels, you should always consult a medical professional.

Some of the more common signs of low testosterone include:

  • Low sex drive or libido and/or erectile dysfunction
  • Poor memory
  • Tiredness
  • Loss of muscle mass / sports performance.

Find out more about the signs of low testosterone in men.

What Level Should My Testosterone Be?

Knowing the average testosterone level for your age can be extremely useful. Once low levels of testosterone are identified, your odds of a successful treatment are increased.   In otherwise healthy, non-obese men aged 20-40, normal testosterone levels range between 315 to 1000 ng/dl (10.9 to 34.5 nmol/l), with an average of 627 ng/dl (21.8 nmol/l). Please note:  ng/dl = nanograms per decilitre and nmol/l = nanomoles per litre.  Find out more here.

What Is Hypogonadism?

Male hypogonadism is a condition in which the body does not produce enough testosterone 

What Are The Types Of Hypogonadism?

There are three types of hypogonadism (low testosterone): 

Primary Hypogonadism – Underactive testes cause primary hypogonadism, because they don’t manufacture sufficient testosterone levels for optimal growth and health. This underactivity can be caused by accident, illness or can be hereditary.

Secondary Hypogonadism – Damage to the pituitary gland or hypothalamus within the brain can cause secondary hypogonadism. These parts of the brain regulate testosterone levels in the body.  This underactivity can be caused by various diseases, drug abuse, prescribed medications, kidney failure, small tumours, HIV/AIDS, ageing, obesity or stress.

Mixed Hypogonadism – Mixed hypogonadism is more common with increased age. It also can affect men undergoing glucocorticoid therapy, those with sickle-cell disease, thalassemia, or suffering from alcoholism.

Can I Raise My Testosterone Levels with TRT?

At CJA Balance we can replace lost testosterone with a synthetic testosterone designed to boost your testosterone levels to a natural and healthy range.  The results from Testosterone Replacement Therapy (also known as TRT) vary from person to person. However, many men report positive and life-changing improvements after taking Testosterone Replacement Therapy. 

Some men try to increase their testosterone levels naturally by making improvements to their lifestyle, but this is rarely as effective as boosting your testosterone through TRT.    By all means try eating healthily, getting more exercise, more sleep and losing weight, as these will all help you improve your lifestyle. 

What Is TRT ?

TRT stands for Testosterone Replacement Therapy which is a form of hormone replacement therapy for men with low levels of testosterone.

At CJA Balance we can replace lost testosterone with a synthetic testosterone designed to boost your testosterone levels to a natural and healthy range.

Some men are born with low testosterone, while others may see their levels decrease much faster due to their genetic disposition, unhealthy lifestyle habits, stress and ageing.

The results from TRT vary from person to person with many men reporting positive and life-changing improvements after taking Testosterone Replacement Therapy.  Find out more about TRT.

How Quickly Does TRT Work?

As already mentioned, you may be experiencing all sorts of side effects from your low testosterone including a lack of energy, mood swings, erectile dysfunction and a general lack of concentration.  You may notice a slight difference immediately after your first TRT treatment, with an improvement in energy usually the first positive sign.  How quickly TRT works is different for each individual but most notice improved energy, mood and concentration levels, plus an improvement in morning erections.  It’s important you tell your CJA Balance doctor how you are feeling so we can adjust your TRT so it is perfect for you.

How Do You Take TRT?

Testosterone Replacement Therapy is available at CJA Balance as a gel, implanted pellets or injection.   Before we prescribe TRT we need to assess your levels of testosterone which you can do in the comfort of your home using our at-home blood test kit.

Testosterone injections: This is the most common way to take testosterone.  TRT is injected into the shoulder, leg or glute muscle on average once every 8-10 weeks.   We offer TRT injections using Nebido, Sustanon, Cypionante and Enanthate.

Testosterone pellets: These can be implanted under the skin to slowly release testosterone over the course of four to six months. 

Testosterone gel:  Testogel is the most convenient way to ensure optimal testosterone levels because it is a gel that you simply rub it in once a day!  The testosterone is then absorbed through the skin into the bloodstream.  

Find out more about the treatment options at CJA Balance.

Will TRT Make Me Infertile?

Adding hCG into your TRT regime has been shown to improve fertility in men. HCG injections are FDA-approved for a type of hypogonadism in which the body doesn’t adequately stimulate the testes to produce the sex hormone testosterone. Many clients choose balanced TRT with hCG and oestrogen control so they can enjoy the benefits of higher levels of testosterone and keep the ‘signals’ to their testes working to ensure sperm stimulation.  Read more about TRT, hCG and fertility.

Can I Conceive A Baby While Taking TRT?

You do not need to stop your testosterone treatment in order to have a baby.  We can adapt your TRT regime to include hCG which can increase the testosterone produced in the testes for adequate production of sperm.   Recent studies have shown that when hCG is added to testosterone treatment at 500IU two to three times per week, intra-testicular levels remain high enough to regain or maintain sperm count needed for fertility.   Find out more about hCG.

Does TRT UK Have Any Side Effects?

There is much chatter on the internet suggesting that Testosterone Replacement Therapy is linked to an increased risk of a heart attack or stroke.  There is, however, little evidence to suggest this and recent studies suggest that TRT can actually increase lift span and general health.

A 2017 study in the Journal of the American Medical Association looked at over 44,000 men suffering with androgen deficiency and showed a 33% lower risk of cardiovascular events in men who used TRT compared to those who did not.

The World Journal of Men’s Health also reported the results of a study into TRT, saying the study found that TRT was not linked with any increased risk for Myocardia Infarction (where the supply of blood to the heart is blocked).  It stated: ‘In contrast, men at greater risk for heart problems who underwent TRT actually had a lower rate of heart attacks than similar men who did not receive this treatment.’

Sadly, old and discredited studies continue to influence some doctors and patients so please get in touch with CJA Balance so we can assess whether Testosterone Replacement Therapy is right for you. 

What Should I Do If I Think I Have Low Testosterone Levels?

If you’ve reached a point in your life where you lead a healthy lifestyle, are ageing normally and exercise regularly, but you display the symptoms of low testosterone levels, then we would recommend that you have a blood test to assess your testosterone levels.  

Will TRT Cure My Erectile Dysfunction?

TRT can certainly help with many forms of erectile dysfunction, as it can also help to boost your sex drive.

However, erectile dysfunction can be a complicated issue, with many possible causes. You should discuss your particular case with your GP and find out whether this could be TRT is right for you.  Find out more about erectile dysfunction and TRT.

Are My Testicles Going To Shrink When I Take TRT?

Along with testosterone, you will be given additional medication to stimulate the body to continue production of its own testosterone, which means that there will be no testicular shrinkage.

Will I Develop Man Boobs If I Take TRT?

Some men convert testosterone into oestrogen at a higher level than others.  This can lead to increased oestrogen levels.  The doctors at CJA Balance will monitor your progress and prescribe medication to normalise your oestrogen levels, if required.  This issue is rare in TRT but happens more frequently in men treated with Clomifene.

Symptoms of high oestrogen levels include:

  • gynecomastia (breast tissue growth)
  • itchy nipples
  • bloating
  • moodiness
  • reduced libido
  • hot flushes
  • headaches.

Does Taking TRT Increase My Likelihood Of Getting Prostate Cancer?

A 15 year study by the Institute of Urology at University College Hospital, London, observed 1,500 patients and came to the conclusion that higher testosterone levels may reduce the risk of prostate cancer, while low testosterone levels may increase your risk of prostate cancer.

Which Tests Do I Need To Take To See If I Have Low Testosterone?

If you are concerned about your testosterone levels, please consider having a simple blood test.  The Testosterone Blood Test at CJA Balance checks for levels of:

Total testosterone
Free testosterone
LH (Luteinizing Hormone)
FSH (Follicle Stimulating Hormone)
SHBG (Sex Binding Hormone Globulin)
Lipid screen including cholesterol and triglycerides
Full Blood Count and haematocrit
Thyroid function tests.

Find out more about our comprehensive blood testing and buy your at-home testing kit here.

How Much Does TRT Cost At CJA Balance?

Testosterone Replacement Therapy is available at CJA Balance as a gel or injection.  Each individual is different so the medical team at CJA Balance are here to advise you on the right prescription for you.

We will help you make an informed decision about which TRT treatment to choose, but you can find out more about the treatment options at CJA Balance here.

Before you embark on any treatment options, it is important you find out whether you have low testosterone, what those levels are, and whether there are any other underlying issues that may be causing your symptoms.   

At CJA Balance, we offer simple blood tests that can be carried out at home to test your testosterone levels.  We also offer a consultation with a UK doctor who is registered with the General Medical Council, and who can prescribe the appropriate medications, with follow up blood tests and consultations

Can I Get TRT From My UK GP?

Some GPs will prescribe TRT through the NHS but it can be difficult to find a doctor who really understands Testosterone Replacement Therapy and can give you the support you need.  Going through the NHS can also be a length process as you wait for your GP appointment, blood test and endocrinologist appointment.  If your TRT treatment is poorly managed you may decide to stop taking it – whereas the issue may simply be that the treatment isn’t being provided correctly.  

Will I Have To Take TRT For Life?

It is, of course, up to you whether you wish to continue taking Testosterone Replacements for life.  While we appreciate you may not want to rely on TRT, the alternative is returning to how you were before you began the regime.  If you have any concerns about taking TRT, please do not hesitate to get in touch with the medical experts at CJA Balance. 

Read more FAQs about TRT.

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