Full endocrine work-up complete, clinic happy to start TRT + hCG. Does this sound reasonable £?
Hi all,
Thought I’d post an update since my one last week and get some opinions from those with more experience.
Background: 34M, 6’6”, train regularly, no medications. Main symptoms have been reduced libido, poorer recovery, lower energy and generally feeling like I’ve declined over the last couple of years.
My initial bloods were mostly normal:
Total T: 18.3 nmol/L
Free T: 0.405 nmol/L
LH/FSH: Normal
SHBG: 29
Estradiol & prolactin: Normal
The only abnormality was progesterone, which came back at around 3× the male upper limit.
Because of that, the endocrinologist delayed TRT and ordered further investigations:
ACTH – Normal
Cortisol – Normal
17-hydroxyprogesterone – Slightly elevated (4.70; ref <4.24)
She said she’s happy there’s nothing significant enough to stop treatment and is comfortable proceeding with TRT.
The proposed protocol is:
Testosterone cypionate 200 mg/mL
- 0.25 mL twice weekly (100 mg/week), although she said I could increase to 0.3 mL twice weekly (120 mg/week) if needed.
- hCG alongside it (waiting for confirmation of the exact dosing schedule).
The medication quote is:
Testosterone cypionate (10 mL): £385
3 × 5,000 IU hCG: £420
Injection kit: £35
Total: £840 (for 3 month supply)
A few questions:
Does this work-up and treatment plan seem sensible?
Would you start at 100 mg/week or go to 120 mg/week?
Do the medication prices seem reasonable for a UK private clinic, or am I paying a significant premium?
Are there any other UK clinic options I should consider before committing / could I transfer this so I don’t have to resit all the tests with another clinic?
Appreciate any thoughts, especially from anyone who’s gone through a similar optimisation-focused route rather than classical low-T treatment.