Testosterone Replacement Therapy (TRT) in Bristol
Testosterone Replacement Therapy (TRT) in Bristol
Clear answers. Sensible treatment. No runaround.
If you’re struggling with low energy, poor libido, erectile difficulties, brain fog, low mood or slower recovery from training, low testosterone might be part of the picture. At The Lagom Clinic in Redland, Bristol, we assess testosterone deficiency properly and offer testosterone replacement therapy (TRT) where appropriate—using gels or injections—alongside lifestyle strategies that actually move the needle.
Who this service is for: men with persistent symptoms consistent with testosterone deficiency and a confirmed low testosterone on blood tests. If TRT isn’t right for you, we’ll say so—and we’ll help you tackle the root causes instead.
Initial appointment — £125
30‑minute consultation (in person or remote) including a testosterone blood test. If low is found: we repeat with a more comprehensive hormone panel before starting.
Ongoing care — from £80/month (once treatment starts)
Includes monitoring medication, blood tests and follow‑up appointments as needed.
What you choose: transdermal gel or injectable testosterone, decided with you based on lifestyle, preference and clinical factors.
How our TRT pathway works
Step 1. Book & baseline
Discuss symptoms with the doctor and have a morning blood test (this can be arranged remotely if easier).
Step 2 — Confirm & start
If low, we repeat with a comprehensive panel (e.g., SHBG, LH/FSH, prolactin) to confirm diagnosis and find the cause. We then agree your TRT plan (gel or injection). (Endocrine Society)
Step 3 — Optimise & monitor
Blood tests at 3 months and 6 months, then yearly, with reviews to keep you in range and safe.
What to expect
- A proper diagnosis – We only treat when symptoms and repeat blood tests both point to testosterone deficiency. Morning testing and confirmation protects you from overtreatment and false lows. (Endocrine Society)
- Choice of treatment – Gels suit daily routine and finer dose changes. Injections suit those wanting less frequent dosing. We’ll recommend the format and schedule that fits your life.
- Monitoring that matters – We track testosterone, haematocrit (FBC), liver function, and PSA at 3 months, 6 months, then annually to keep therapy safe and effective.
- Lifestyle + medical – Sleep, weight, training, alcohol, medications and stress all influence testosterone. Addressing these often improves symptoms and can reduce the dose you need.
Symptoms we commonly see
Low libido • Erectile dysfunction • Fatigue • Low mood/irritability
Loss of morning erections • Brain fog • Reduced muscle mass/strength • Increased fat mass • Poor recovery from exercise
(We also check for causes like obesity, sleep apnoea, thyroid or pituitary issues before committing you to long‑term TRT.)
Safety, fertility and straight talk
- Fertility: TRT can suppress sperm production. If you’re planning children soon, we’ll discuss alternatives to preserve fertility rather than starting TRT. (Endocrine Society)
- Prostate: We monitor PSA and symptoms; any rise is investigated appropriately.
- Blood thickness (haematocrit): We watch for elevations and adjust treatment if needed.
- If it’s not helping: If there’s no meaningful improvement by ~6 months, we review and may stop therapy. There’s no value in continuing treatment that doesn’t deliver.
Why choose The Lagom Clinic
- Accessible: Appointments in Redland (near Clifton, easy from Bishopston, Southville and the Harbourside) or remote.
- Joined‑up care: We can liaise with your NHS GP or specialists with your consent.
- On‑site and remote bloods: Fast results, no fuss. (The Lagom Clinic)
- Led by Dr Jack Ogden – GP and lifestyle medicine specialist combining evidence‑based hormone care with practical lifestyle strategies. (The Lagom Clinic)
Meet your doctor
Dr Jack Ogden — MBChB, BSc, LLM, IBLM, MRCGP
Specialist interest in hormones and lifestyle medicine. Over a decade of medical experience; trained in Bristol; current NHS GP partner and private GP at The Lagom Clinic. Expect clear explanations, realistic goals, and treatment grounded in evidence—not hype. (The Lagom Clinic)
FAQs
Do I need two blood tests?
Yes. A diagnosis of testosterone deficiency requires consistent low results on repeat, preferably morning, samples plus relevant symptoms. This avoids misdiagnosis and unnecessary treatment. (Endocrine Society)
What’s included in £80/month?
All medication, monitoring blood tests and follow‑ups as needed while on treatment.
Gels vs injections—how do I choose?
Gels support daily micro‑adjustments; injections suit those wanting fewer administrations. We decide together based on symptoms, lifestyle and labs.
How fast will I feel different?
Some notice libido or energy changes within weeks; body composition and mood can take longer. We review at 3 months and 6 months to judge progress and adjust dose.
Is TRT safe for my prostate or heart?
We screen and monitor PSA, blood counts and risk factors. When used for the right indication and monitored properly, TRT is considered reasonable by major societies; safety demands correct selection and follow‑up.
Will TRT affect fertility?
Yes—TRT can reduce sperm production. If you’re trying to conceive soon, we’ll discuss other options and timing. (Endocrine Society)
What if my testosterone is borderline?
We’ll repeat morning bloods with SHBG, LH/FSH and prolactin, assess sleep, weight, medications and stress, and treat causes first.
Can I do this remotely?
Yes. Consults and blood test arrangements can be done remotely; in‑person is available in Redland.
Do you accept insurance?
Private insurers vary. Many reimburse consultations.
Ready to get started?
Book your £125 assessment (includes blood test)
and find out—without delay—if TRT is appropriate for you.
Phone: 0117 987 2075
Members Consultation