I went to my GP, here in the UK, they took bloods and I was around 285; which was not compelling for TRT, but the symptoms were sweating during sleep, loss of sleep, irritability, and I was 44-years old. I also reported ED problems, or more appropriately, sustaining erections. My GP prescribed me and set me up with an endocrinologist.... it took one year to see the endo. I get blood tests whenever I ask, and I get access to the endo when requested, although TRT pretty well sustains me.

The selling point was my symptoms... .the bloods cannot be faked, perhaps lowered a bit, but not faked. I was for real in my search of TRT, so that helped a lot, if you actually need help, I cannot praise the NHS highly enough. I just told the doctor, 'It is the 21st century and I don't have to live this way.' He was on board. Good luck.

I know someone who’s TRT through the NHS. Extremely long and emotional process. He paid for his own blood tests over a 2 year period and showed various NHS professionals. Eventually due to his test levels being that of a 12 year old girl they put him on test gel however both him and his private physician argued against this and eventually they put him on test e trt, again with problems of injection schedules, dosages, blood tests etc.

There are a load of private TRT clinics across the UK who are affordable and are more knowledgeable than certain NHS professionals. Cost is dependant on there service but it can cost as little as £25 per month, in my opinion that would be the routine I would take if I wanted to go legit TRT. It took my friend years of an emotional roller coaster to get on nhs prescribed TRT, fuck knows how he survived it.

Why not just talk to your doctor about your concerns? They'll ask basic health questions but blood results will be what they'll be working from.