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Optimised.
Most clinics aim to nudge your testosterone back to “normal.” As a premier provider of TRT treatment in London and Surrey, we restore you to your optimal physiological range—with precision dosing, rigorous monitoring, and fertility preservation built in from day one.
Testosterone runs far more than libido.
When levels drift below your optimal range, the effects arrive slowly and get written off as “just getting older.” They rarely are. Low testosterone is common, under-diagnosed and very treatable.
Persistent fatigue, flat motivation and a quiet loss of edge.
Stubborn belly fat, slower recovery and declining lean muscle.
Brain fog, low mood, poor sleep and reduced confidence.
Four things a standard London TRT service can’t give you.
Our protocol is built on a clinical Standard Operating Procedure — the same governance a hospital service runs on, applied to hormone optimisation.
Optimise, don’t just replace
We target your optimal free-testosterone range — a defined goal, not just the bottom of a lab reference interval.
Fertility preserved
An optional hCG protocol keeps your own testicular function switched on — so treatment need not cost you fertility.
Precision microdosing
Small, steady subcutaneous doses flatten the peaks and troughs — smoother levels, fewer side effects.
Monitored & governed
Doctor-led, pharmacist-supported, CQC-registered — with scheduled bloods and reviews at every stage.
Six clear steps. Nothing begins until you’re ready.
A structured pathway drawn straight from our clinical protocol — so you always know what happens next and why.
Hormone Assessment
Start online in minutes with our validated symptom checker, or speak to our team. It tells us whether a consultation is worth your time.
Doctor Consultation
A full clinical history with a specialist doctor—either in person at our London TRT clinic or via video consultation. We’ll discuss your symptoms, goals, medical background and, crucially, your fertility plans.
Comprehensive Blood Screen
A baseline panel well beyond a single testosterone number — the full hormonal, metabolic and safety picture that a precise plan requires.
Your Personalised Plan
Formulation, dose, timing and fertility strategy — designed around your biology and your bloods, not a template.
Review & Agree Together
We walk through the plan, answer every question and confirm consent. Treatment only starts once you’re genuinely comfortable.
Ongoing Optimisation
Repeat bloods and review at 2–3 months, then regularly — fine-tuning your protocol as your body responds over time.
One protocol per patient — chosen with you.
There is no single “best” TRT. The right route depends on your bloods, your lifestyle and your goals. Here’s how the main options compare.
Subcutaneous microdosing
Small self-administered injections, typically twice weekly, just under the skin. Our preferred route for steady levels.
- Smoothest, most stable levels
- Blunts peaks that drive side effects
- Quick to fine-tune or reverse
Topical gels
A daily gel applied to the skin. Needle-free and simple, suited to patients who prefer to avoid injections.
- No injections
- Easy daily routine
- Requires care around skin transfer
Long-acting injection
A depot injection given far less frequently. Maximum convenience for stable, well-monitored patients.
- Infrequent dosing
- Low day-to-day effort
- Less flexible once given
Every option can be paired with our fertility-preservation protocol. Your doctor sets the exact formulation and dose from your bloods — never a fixed package.
Stay optimised — without switching off fertility.
Conventional TRT can suppress the body’s own testosterone and sperm production. For many men — especially those who may want children — that’s a dealbreaker. It doesn’t have to be.
Alongside your testosterone, we can run an optional hCG protocol that keeps your testes active and your natural pathway working. It’s a defining part of how we practise, and a conversation we have with every patient — not an afterthought.
hCG mimics the signal that maintains testicular function and intratesticular testosterone.
Helps preserve spermatogenesis while you stay on testosterone therapy.
Prepared and dispensed alongside your testosterone, so your regimen stays straightforward.
Semen analysis and specialist andrology testing available through our partner clinics when needed.
Testosterone is the foundation. It isn’t the whole answer.
Erections, drive and performance depend on hormones, blood flow, nerves, mind and relationship — all at once. Optimising testosterone often transforms things; where it doesn’t fully, our dedicated sexual optimisation service takes over.
Erectile function
Full assessment of the vascular, hormonal and neurological drivers of erectile difficulty — then a plan matched to the cause, not a one-size pill.
Regenerative therapies
Beyond medication: regenerative and blood-flow treatments that work on the underlying tissue and circulation to restore function.
Libido, mind & performance
Desire, confidence, sleep and stress all feed into performance. We address the psychological and lifestyle picture alongside the physical.
A dedicated pathway — not an afterthought
Sexual health is optimised deliberately at Levitas, bringing hormones, regenerative therapy and performance support into one plan rather than leaving it to chance alongside TRT.
Powerful medicine deserves proper oversight.
TRT is safe and effective when it’s done properly. “Properly” means the right diagnosis, the right targets, and monitoring that never stops.
What we track — and to what target
Testosterone can thicken your blood by stimulating red-cell production, and that’s the single most important safety number in TRT. We check your haematocrit before you start and at every review. If it climbs too high, we act — reducing dose, adjusting the route, spacing injections or pausing — rather than pressing on regardless.
There is no standard dose. We shape your protocol around your personal risks and deliberately manage peaks and troughs — using small, frequent subcutaneous doses to flatten the surges that drive side effects and the dips that bring symptoms back. If you carry particular risk factors, we lean harder toward avoiding peaks.
Every plan is prescribed and reviewed by a specialist doctor within a regulated service.
Structured recall schedules your bloods and reviews and chases them — monitoring never lapses once you feel better.
A dedicated pharmacist oversees your prescription, preparation and dispensing.
We collaborate with your GP and specialists — urology, cardiology, endocrinology, fertility — so your care stays joined up, never siloed.
Clear conversations about benefits, cardiovascular safety and fertility — no hype.
We agree up front what would prompt us to pause or stop — safety limits are set before you begin, not improvised.
The team behind your care.
Your protocol is designed, prescribed and reviewed by experienced doctors — and dispensed by regulated compounding-pharmacy partners. Not an algorithm, not a call centre.
Pharmacy & dispensing
Every prescription is overseen by our clinical pharmacist and prepared by trusted UK compounding-pharmacy partners — so what you inject is exactly what your doctor intended.
TRT is one pillar — not the whole plan.
Hormones rarely fail in isolation. That’s why your testosterone plan sits inside the wider Levitas Optimisation Strategy — and why we can bring the rest of the clinic to bear on how you feel.
BHRT & Hormones
Bioidentical hormone optimisation across the full endocrine picture, for men and women.
Explore →IV Vitamin Therapy
Targeted nutrient infusions to support energy, recovery and cellular performance.
Explore →Regenerative & Sport
PRP, shockwave and joint therapies to keep you training, recovering and moving well.
Explore →Advanced Diagnostics
Deep hormone and longevity panels that map exactly where your biology stands today.
Explore →Aesthetics
Look as optimised as you feel — regenerative and aesthetic treatments under one roof.
Explore →Health Screens & GP
Whole-body screening and doctor access, so nothing outside your hormones gets missed.
Explore →What optimisation feels like.
Individual results vary — but done well, these are the changes men come to us for.
Sustained energy
Less afternoon crash, more get-up-and-go across the whole day.
Libido & confidence
Renewed sex drive and a return of drive more broadly.
Strength & recovery
Better response to training and quicker recovery between sessions.
Clearer thinking
Sharper focus and less of the persistent brain fog.
Steadier mood
More even temperament and improved sense of wellbeing.
Body composition
Support for leaner body composition and stubborn fat.
The things men ask us most.
Will TRT make me infertile?
How is your London TRT service different from a standard high-street clinic?
Is TRT safe?
Injections or gel — which is better?
How soon will I feel a difference?
How do I start?
Ready to feel like yourself again?
Start with a 10-minute hormone assessment, or book straight in with our specialist team. Your optimisation journey begins with a single conversation.
London & Surrey clinics.
Can’t get to a clinic? We come to you.
Our full testosterone service runs remotely too — video consultations with your doctor, blood testing arranged locally to you, and your medication delivered discreetly to your door. The same doctor-led protocol and monitoring, wherever you are in the UK.