Private TRT, expertly managed.
Dedicated testosterone replacement therapy care, led by Matthew Smith (Advanced Nurse Practitioner & Independent Prescriber). Your plan includes routine quarterly blood monitoring, ongoing prescriber oversight, and direct pharmacy supply at cost price — with clear, upfront pricing throughout.
Choose your starting point
Every patient's circumstances are different. Select the option below that best reflects where you are today.
New to TRT
Experiencing symptoms of low testosterone? Begin with an initial consultation with Matthew Smith ANP. Following clinical review, you can select the subscription plan that suits you, with quarterly monitoring included.
Monitoring Only
Keep track of your hormone levels, prostate health, and full blood count without committing to medication. Quarterly blood screening is reviewed by Matthew Smith ANP.
Move Your TRT
Already receiving TRT elsewhere? You can transfer your care to Smiths Medical Group without restarting your protocol or disrupting your current treatment.
How consultations and blood tests fit together
Blood tests and consultations happen at set points, so treatment is only started — and only continued — when it is safe.
Initial Consultation + Blood Test
A consultation with Matthew Smith and a focused testosterone blood test, done together.
Full Health Screen
A repeat morning test and broader screen give the full picture before any treatment.
Treatment Begins
If TRT is right for you, a personalised plan starts — with medication delivered to your door.
Quarterly Monitoring
A consultation and blood test confirm your treatment stays safe and effective.
Compulsory Safety Check
Miss a quarterly review and treatment pauses until monitoring is up to date — a safety requirement, not an option.
Initial Consultation + Blood Test
A consultation with Matthew Smith and a focused testosterone blood test, done together.
Full Health Screen
A repeat morning test and broader screen give the full picture before any treatment.
Treatment Begins
If TRT is right for you, a personalised plan starts — with medication delivered to your door.
Quarterly Monitoring
A consultation and blood test confirm your treatment stays safe and effective.
Compulsory Safety Check
Miss a quarterly review and treatment pauses until monitoring is up to date — a safety requirement, not an option.
Clinically led throughout by Matthew Smith, Advanced Nurse Practitioner, with medical oversight from the Harley Street TRT Network when required. If TRT isn't right for you, we'll explain why.
The signs of low testosterone can be subtle
Testosterone deficiency often develops gradually and can be easy to overlook. If several of the symptoms below sound familiar, a clinical blood assessment is worth considering.
Brain Fog
Difficulty concentrating, poor memory recall, feeling mentally slow or unfocused despite adequate rest.
Persistent Fatigue
Exhaustion that doesn't improve with sleep. Low drive, lethargy, and afternoon energy crashes.
Loss of Strength
Reduced muscle mass, poor exercise recovery, and stubborn visceral abdominal weight gain despite training.
Mood Changes
Irritability, low motivation, loss of confidence, or mild anxiety — frequently misattributed to stress.
Low Libido
Reduced sexual desire, erectile changes, and decreased morning erections. Often the most noticeable signal for men.
Disrupted Sleep
Waking unrefreshed, fragmented sleep cycles, night sweats, and restlessness throughout the night.
The benefits of restored testosterone
Balanced testosterone levels support multiple systems throughout the body. Many patients notice improvements in energy and mood within 4 to 6 weeks, with broader changes stabilising over 3 to 6 months.
Steady daily energy
More consistent focus and drive through the day, without the afternoon dip.
Healthier body composition
Support for reducing abdominal fat, maintaining lean muscle, and recovering better from exercise.
Clearer thinking
Improved concentration and a more stable mood as mental fog eases.
Restored libido
A return to healthy sexual drive and function as hormone levels rebalance.
Biomarker Tracking
Your Hormone Target Range
Total Testosterone
24.8 nmol/L
✓ Within target rangeFree Testosterone
0.51 nmol/L
✓ Active level optimalHaematocrit (Safety)
44%
✓ Within safe rangeOestradiol (E2)
88 pmol/L
✓ Balanced levelsClinician Review
Safety markers including PSA, full blood count, lipids, liver and kidney function are reviewed each quarter by Matthew Smith ANP to keep your treatment safe and effective.
Straightforward monthly subscriptions
Quarterly blood monitoring and prescriber review are included in every tier. Choose Monitoring Only if you source your own medication, or Monitoring + Medication to have your treatment dispensed by a UK pharmacy and delivered to your door.
Monitoring Only
Quarterly blood panel, prescriber review by Matthew Smith ANP, medical oversight from the Harley Street TRT Network when and if required, and ongoing clinical support. Self-source your own medication.
Monitoring + Medication
✓ Monitoring included in all prices
Everything in monitoring, plus your medication dispensed by a registered UK pharmacy and posted directly to your door each quarter. Includes needles, syringes, sharps bin, and 1:1 injection tutorial.
Medication options — quarterly monitoring included in all prices shown:
Sustanon 250
£150/mo
Monitoring included
Intramuscular injection. UK pharmacy dispensed.
Testosterone Cypionate
£195/mo
Monitoring included
Intramuscular injection. Preferred for stable physiological levels.
Testo Gel
£175/mo
Monitoring included
Topical gel. Applied daily. Needle-free option.
Testosterone Enanthate
£325/mo
Monitoring included
Premium tier. Intramuscular injection. Prescribed on clinical assessment.
Flexible Subscription Options
Monitoring Only: £95/mo • Monitoring + Medication: £150–£325/mo
What's tested every quarter
The British Society for Sexual Medicine recommends quarterly monitoring for TRT patients. Every standard panel includes these markers.
- Testosterone
- Sex Hormone Binding Globulin (SHBG)
- Free Androgen Index (requires TEST and SHBG)
- Oestradiol
- Follicle Stimulating Hormone (FSH)
- Luteinising Hormone (LH)
- Full Blood Count
- Total Prostate Specific Antigen (TPSA)
- Alanine Aminotransferase (ALT)
- Alkaline Phosphatase (ALP)
- Albumin
Optional: Biomarker Upgrade — +£100 per quarter (ad hoc). Upgrade any quarterly test to the full extended Biomarker profile, covering performance, recovery, and metabolic health markers. Includes home nurse visit. Chosen ad hoc each quarter — not a recurring commitment.
Sample TRT Agreement
This is an example of the agreement your clients sign. All terms, inclusions, and pricing shown exactly as they appear in the real document. Your personalised agreement is sent following clinical consultation and prescriber approval.
YOUR ONBOARDING JOURNEY
Initial consultation
Speak with Matthew Smith ANP about your medical history, symptoms, lifestyle, and treatment goals.
Clinical review & approval
Matthew Smith ANP reviews your blood panel and case to confirm clinical eligibility to proceed.
Sign your personalised agreement
Your pre-configured agreement with chosen medication tier is sent to you. Review, sign, and your subscription begins.
Included & not included
Monitoring + Medication tier shown
Included in Subscription
- Quarterly blood panel — Full Blood Count, Testosterone, SHBG, Free Androgen Index, Total PSA, ALT, ALP, Albumin, Oestradiol, FSH & LH
- Report reviewed & signed off by Matthew Smith ANP, with medical director oversight from the Harley Street TRT Network when and if required
- Personal results review & biomarker tracking across all quarters
- Named clinical contact during clinic hours Mon–Fri
- Quarterly prescription issuance when clinically appropriate
- Medication dispensed by registered UK pharmacy & delivered directly to your door (Medication tier)
- Needles, syringes & sharps bin provided quarterly for injection clients
- 1:1 clinical administration & injection technique tutorial
Not Included
- Medication (unless Monitoring + Medication tier selected)
- Needles/sharps for Testo Gel clients (not required)
- HCG, aromatase inhibitors, or unprescribed ancillaries
- Medical letters, private GP correspondence, outside referrals
- Investigations unrelated to TRT and hormone health
- Emergency or out-of-hours cover
- Biomarker Upgrade (optional, +£100 per quarter ad hoc)
Key Terms
Applies to all subscription tiers
Monthly
Collected monthly by Direct Debit via GoCardless.
Quarterly
One prescription covering 3 months, issued at start of each quarter.
7-Day Window
Cancel within 7 days of signing. After that, 30 days notice (monitoring) or end of quarter (medication).
Every 3 Months
Prescribing paused if required quarterly tests are not completed.
Meet the clinicians looking after you
Every client has a named Advanced Nurse Practitioner and medical team overseeing their care. Real healthcare professionals — not an algorithm.
Matthew Smith
Advanced Nurse Practitioner & Independent Prescriber
Your primary clinician. Conducts initial consultations, reviews your quarterly blood panels, issues your prescriptions, and manages your TRT protocol.
Harley Street TRT Network
Clinical & Medical Oversight
Provides clinical governance and medical oversight when and if required for patient safety, clinical governance, or complex medical reviews.
Clinical Support Team
Smiths Medical Group
Available during clinic hours to answer questions about your appointments, lab sample preparation, repeat testing, or prescription dispatch.
Clinical care, measured outcomes.
"Having my blood markers explained in plain terms made a real difference. Understanding my levels gave me a clear direction for improving my overall health."
David M., 42
TRT Patient
"Moving my treatment across was straightforward. Transparent pricing and medication delivered at cost meant I always knew what I was paying for."
James K., 38
Transfer Patient
"The mental fog cleared within a few weeks, and my energy through the day feels like it used to. Properly supervised, nurse-led care throughout."
Mark T., 49
TRT Patient
Exactly what your plan includes
Before your consultation, you can review our clinical standards, fee structure, and care schedule so there are no surprises along the way.
Clinical Care Framework
Our protocol adheres to British Society for Sexual Medicine guidelines, requiring comprehensive baseline screening and mandatory quarterly blood safety reviews.
- ✓ Simple monthly subscription model with quarterly blood monitoring included
- ✓ Monitoring Only (£95/mo) or full Monitoring + Medication (£150–£325/mo)
- ✓ Clinical management led by Matthew Smith ANP with medical oversight from the Harley Street TRT Network when and if required
Personalised Patient Protocol
Every patient receives an individual treatment document prepared after consultation covering baseline blood levels, assigned formulation, and monitoring timeline.
- ✓ Individually prescribed protocol & dosage schedule
- ✓ Baseline blood results with clinical ANP commentary
- ✓ Dedicated clinical management by Matthew Smith ANP with medical oversight from the Harley Street TRT Network when and if required
Things people want to know about our TRT Plan
"Good hormone care should be straightforward, safe, and properly monitored. That's the standard we set for every patient we see."
— Smiths Medical Group Clinical Team
Take the next step with confidence
Arrange your TRT consultation or combined initial blood assessment with Matthew Smith ANP at Smiths Medical Group today.