What-is-trt

/ / What Is TRT?

What Is TRT?

1 October 2024 | 

What Is TRT?

 is a medical treatment designed to address low testosterone levels in men—a condition known as hypogonadism. Testosterone, often dubbed the "male hormone," plays a crucial role in everything from mood and energy levels to muscle mass and libido. When levels dip below the normal range, it can result in a cascade of frustrating symptoms, including fatigue, weight gain, low libido, and even .


Testosterone Replacement Therapy (TRT) has become a hot topic lately as more men are looking for ways to combat the symptoms of low testosterone. As part of the natural ageing process, testosterone levels start to decline gradually after a man turns 30, and what’s commonly known as ‘male menopause’ sets in. While this decline is inevitable, is a medical solution to help men restore testosterone balance and vitality in their lives.

Understanding Testosterone and Testosterone Replacement Therapy (TRT)

Testosterone is the main male sex hormone responsible for developing male physical characteristics, muscle mass, bone density, fat distribution and sexual function. In short, it’s what makes men feel and function on a daily basis. According to the British Society for Sexual Medicine, testosterone levels in men decline by about 1-2% per year from 30-40. As their natural testosterone production declines, many men start to notice the symptoms of low testosterone, commonly known as "Low T."


The symptoms of this include , reduced motivation, low mood, anxiety, poor quality sleep, decreased muscle mass, increased body fat, reduced, and . A study in the New England of found decreased libido, erectile dysfunction and decreased morning erections as the most reliable indicators of low testosterone in ageing men.


It is not uncommon for some of the above symptoms to be mistaken for depression, and often patients will have unsuccessfully tried antidepressant medications before finding their testosterone levels to be the cause of their symptoms.


is a medical treatment for men whose testosterone levels have declined to a level that is causing them unwanted symptoms. TRT helps restore normal testosterone levels, ease the of Low T and help men get back their energy, strength and confidence. TRT can be administered through. The goal is to maintain consistent testosterone levels so as to achieve stability in the way that patients feel.


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What Does Testosterone Do?

A study in the Journal of Endocrinology & Metabolism highlights the importance of testosterone in men’s overall health: "Low Testosterone and Men’s Health," published in The Journal of Clinical Endocrinology & Metabolism in May 2004. This publication emphasises testosterone's crucial role in male health, including its impact on sex drive, sperm production, muscle mass, and bone density. It discusses the causes, diagnosis, and treatment options for low testosterone levels in men.


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Why is Testosterone Important for Men?

Testosterone is important for many aspects of men’s health throughout their life:


The key findings from the T4DM trial," published in The Lancet Diabetes & Endocrinology in 2021 shows the far reaching effects of testosterone on men’s health and the consequences of low testosterone. . This research investigated the effects of testosterone treatment on men with low testosterone levels and type 2 diabetes or prediabetes. The findings highlighted that testosterone therapy, combined with lifestyle interventions, led to significant improvements in body composition, sexual function, and glycemic control.


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What is Bound Testosterone?

Testosterone in the bloodstream exists in two forms: bound and free.


Both are essential markers of hormonal health. Research in the Journal of Clinical Endocrinology & Metabolism suggests that, in some cases, free testosterone levels can provide a clearer picture of androgen status than total testosterone. However, since many laboratories calculate free testosterone based on estimates rather than directly measuring it (assays), this value may not always serve as a fully reliable indicator.

What are the Symptoms of Low T?

can lead to a range of adverse effects, including:


A large-scale study published in the European Journal of Endocrinology found that low testosterone levels were associated with an increased risk of type 2 diabetes and metabolic syndrome, whereas reviews of the literature have shown that in these patients TRT can improve not only cardiac risk but also diabetic control.

How is TRT administered?

TRT supplements the body’s natural testosterone production. It aims to get testosterone levels back to normal range, usually between 9-35 nmol/L. This can be done through:


The method depends on the individual’s needs, lifestyle and preferences, as determined by one of our doctors.




How long do I need to stay on TRT?

Testosterone replacement isn’t necessarily a lifelong commitment. If your low testosterone is due to an underlying condition—such as obesity or certain medications—addressing these issues could help your body return to normal testosterone production, eliminating the need for therapy.


However, for men with age-related declines or chronic hypogonadism, TRT may be a longer-term solution. Regular consultations with your doctor will help determine the best course of action.

Does TRT work?

Testosterone Replacement Therapy (TRT) has been shown to be effective at improving energy, muscle mass, libido, and mood in men with low testosterone levels.


shows that TRT can enhance bone density, red blood cell production, and overall well-being. This effectiveness however can depend on individual factors like baseline hormone levels, lifestyle and personal choices, and how closely you adhere to your treatment plan.


To ensure maximum efficacy with the minimum possible risk of side effects, all our doctors work with you to develop a personalised treatment plan based of rigorous initial testing and with regular evaluation and ongoing testing.

TRT Testimonials

Andrew, Age 45, Accountant from Manchester


"TRT at Omniya has genuinely been a game-changer. The team’s responsiveness and willingness to work around my hectic schedule made a real difference. I never imagined such an improvement—my energy’s up, my focus is sharper, and I feel like I’ve got my vitality back."


Mr. Bailey, Age 42, Engineer from London


"The last six months with TRT have been remarkable. My energy, mood, and drive have never been better. Omniya’s team has been fantastic—they’ve guided me throughout, and I feel like I’m finally back in the driver’s seat of my life."

What is the Difference Between TRT, Testosterone, and HCG?

While TRT focuses on supplementing testosterone levels directly, Human Chorionic Gonadotropin (HCG) is sometimes used alongside TRT to stimulate natural testosterone production and maintain fertility. HCG mimics luteinizing hormone (LH), which signals the testes to produce testosterone.


When the body detects adequate levels of testosterone in the blood it has a tendency to stop producing it’s own. Without an adjunct taken alongside TRT, there is a risk of the body’s natural production of testosterone (and sperm) being suppressed longterm. HCG maintains testicular production and keeps the production of natural endogenous testosterone and sperm going.


"Low-Dose Human Chorionic Gonadotropin Maintains Intratesticular Testosterone in Normal Men with Testosterone-Induced Gonadotropin Suppression," published in The Journal of Clinical Endocrinology & Metabolism in 2005. This research demonstrated that administering low doses of human chorionic gonadotropin (hCG) alongside testosterone therapy helps maintain intratesticular testosterone levels, which is crucial for preserving spermatogenesis and, consequently, fertility in men undergoing testosterone replacement therapy.

Is TRT Actually Good for You?

When administered correctly and monitored by healthcare professionals, TRT can be very beneficial for men with clinically low testosterone levels. A systematic review found that TRT can improve sexual function, mood, and quality of life in men with low testosterone.


But, like any medical treatment, it has potential risks and side effects that should be discussed with your doctor. These may include:


To learn more about the , it is important to consult with your doctor. It's crucial to undergo a thorough evaluation by a doctor to determine if TRT is appropriate for you.

Is TRT the only option for low testosterone?

Not necessarily. While TRT can be highly effective, low testosterone often has underlying causes that should be addressed first. Factors like obesity, diabetes, and even certain medications can suppress testosterone production. Treating these root causes can sometimes restore testosterone levels without the need for ongoing therapy. There are also a number of that can be explored.


It’s also worth noting that TRT isn’t just for hypogonadism. Men experiencing the natural hormonal changes of the andropause (often called "male menopause") may also benefit from hormone therapy to alleviate symptoms and maintain quality of life.

What Can You Expect from TRT at Omniya Clinic?

At Omniya Clinic London, we know how low testosterone can affect your life. Our team of experienced professionals are committed to helping you feel stronger, more confident, and more like you again, so you can reclaim your energy and live fully.


Our personalised approach to TRT ensures that you receive the most effective treatment tailored to your needs. If you're experiencing symptoms of low testosterone, don't hesitate to reach out for a consultation with one of our specialists.





At Omniya Clinic, we know that every man’s journey is unique. Whether you're facing , decreased muscle mass, or a , these symptoms can often be traced back to low testosterone levels. Our with our , is designed to restore balance, helping you regain the vitality, drive, and well-being you deserve.





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Dr Aman Chungh is a highly regarded men’s health physician and medical author whose work bridges the gap between clinical expertise and accessible health education. With over a decade of experience in general practice, he has refined an approach that seamlessly integrates insights from medicine, surgery and holistic health. His clinical journey has deepened his understanding of the complex interplay between hormones, mental well‐being and physical vitality - a perspective that enriches his written contributions to the field.


A proud alumnus of the University of Southampton, Dr Chungh obtained his Bachelor of Medicine and Bachelor of Surgery degree in 2014, following his success in both a Bachelor of Science and a Bachelor of Medical Sciences. This robust academic foundation, combined with years of hands‐on patient care, fuels his commitment to remaining at the forefront of medicine. As an author, he skilfully translates intricate medical principles into engaging, reader‐friendly content, enabling both professionals and the General Health & Wellbeing public to appreciate the nuances of modern men’s health.


Dr Chungh is characterised by a compassionate, patient‐centred philosophy. He champions the dismantling of traditional barriers to care, believing that an informed patient is an empowered one. His work not only reflects his diagnostic and therapeutic prowess but also his unwavering dedication to collaborative care, treating every individual with the same empathy and respect he would offer his own family.


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/ / What Is TRT?