Frequently Asked Questions

Optimale is for men who think they may have low testosterone or want to analyse or improve their health.

Optimale can provide prescriptions and medication to men who have low testosterone or other conditions such as erectile dysfunction and hair loss.

We provide medications for medical conditions through our partner pharmacy, these are included in the price of our Optimale monthly service plans.

Optimale can provide a variety of testosterone options to fit your needs:

1. Injectables such as Enanthate, Cypionate and Nebido.
2. Gels such as Testogel and Atrevis hydrogel base.
3. Creams with a Versa Base.
4. Pellets.
5. HCG.

Yes we can provide HCG alongside TRT or as a monotherapy (on its own).

Blood tests are posted with first class delivery.

Medication is posted via Royal Mail 24 hour next day tracked delivery and is signed for.

Injection supplies can be recommended and supplied by Optimale, with the best injection supplies for your specific testosterone treatment. Alternatively, you can source your own injection supplies if you prefer.

We provide injection tutorials to all patients as required.

Do not inject your testosterone. Withdraw the needle and re-attempt in a new location, ensure that you aspirate before injecting intramuscularly (pull back on the plunger before injecting to see if any blood appears in the syringe). Please contact us for further information and support.

No you do not have to inject testosterone on TRT, Optimale can also provide creams and gels such as Testogel or with an Atrevis hydrogel base for men who prefer not to inject.

Most of our patients on injectible testosterone, inject twice or three times per week. We find this provides a good balance between effectiveness and convenience.

These are included in the subscription price, unlike other TRT providers.

These are included in the subscription price, unlike other TRT providers.

Follow ups and support are included in the subscription price, unlike many other TRT clinics.

No, if you need support and follow up consultations then it is included in the subscription price – no other TRT clinic offers the same level of support and response rate.

Please read our main article on TRT.

TRT is the replacement of natural testosterone levels (which are lower than they should be)

The symptoms of low testosterone / testosterone deficiency include:

• Low sex drive/libido and/or erectile dysfunction
• Poor cognition/poor arithmetic/brain fog
• Fatigue/tiredness
• Loss of muscle mass/sports performance
• Competitiveness/drive
• Falling asleep after dinner
• Weak erections/lack of morning erections
• Decreased enjoyment of life

The first step is to get a blood test to see whether you have low testosterone levels.

See blood tests.

If you are already on TRT, have low testosterone results or are self-medicating TRT then please contact us here.

Yes, we are CQC regulated and our doctors are all GMC registered.

You can view Optimale’s CQC Registration here.

Our doctors specialise in TRT for men, are GMC registered and can provide personalised treatment plans tailored to your needs.

Yes all of our doctors are registered with the GMC and based in the UK.

Read more about our specialist TRT Doctors here.

We cannot accept returns of medication, as medication cannot be reused after being dispatched by the pharmacy.

Please see our refunds and returns policy.

You should not increase your dosage without this being agreed by your doctor first.

You should call 999 or attend A&E in a medical emergency.

If you are a patient then please contact us via phone on: 0207 164 6911

Or email us on: [email protected] to arrange an appointment.

If you are not a patient then please call us on the number above or email us on: [email protected]

We can provide at-home fertility tests which test your sperm count and motility here.

You will need:

Two low testosterone blood test results with one test to include the values on our enhanced blood test (lipids, haematocrit, haemoglobin) and PSA for men over the age of 45.

Your first blood test can be our simple testosterone blood test.

A clear prostate examination is required for men over the age of 45. This can be performed in a face to face consultation with one of our doctors, or we can accept evidence of a recent clear prostate examination from your GP.

A consultation with one of our doctors.

HCG maintains testicular size, testosterone production, sperm production/fertility and regulates other hormonal pathways.

Not always. We aim to not use AIs if possible but some men do require them as they convert more testosterone to oestrogen for genetic reasons or due to carrying more bodyfat.

In rare cases, a man may be susceptible to gyneacomastia. If this becomes an issue which isn’t sorted with dose changes or AIs then tamoxifen may be used for very short periods of time.

Cypionate has a slightly longer half-life than enanthate and comes in a thinner oil which is easier to inject. It also uses an oil with less benzyl alcohol which means it stings less and is better tolerated with subcutaneous injections.

Enanthate has a slightly shorter half-life (released more quickly into the body) and comes in a slightly thicker oil.

You can stop TRT but you will not continue to see the benefits after stopping. Using HCG whilst on TRT will make it easier to stop without losing your natural production.