The testosterone decline is real
Testosterone levels have been falling by about 1% every year, putting more men at risk of deficiency. Most men go undiagnosed and untreated.
We're here to change that.
¹Based on 18,859 male total testosterone results. Low defined as <12 nmol/L. Excludes results ≥35 nmol/L, likely due to supplementation.
²Dhindsa et al., 2010. Testosterone concentrations in diabetic and nondiabetic obese men. Diabetes Care, 33(6), pp. 1186–92
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"Doctor – I've lost my get-up-and-go!"
Classic symptoms of low testosterone
Low energy
Low sex drive
Mood changes
Low muscle mass
Poor sleep quality
Lack of motivation
Erectile dysfunction
More body fat
See what men like you think of TRT
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93% had more energy
“My get-up-and-go is much higher. More drive to achieve things in life.”
"My energy levels are back."
"More energy and less brain fog."
"Get-up-and-go is much higher."
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87% had a higher sex drive
"It's like being 20 years old again."
"Much more interested now!"
"Increased sex drive — not just erections, but increase in desire."
"Better sex life."
"Very high sex drive and ability to have sex a lot quicker after having sex. Refractory period has improved."
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77% saw their mood improve
"More stoic, calm, and rational."
"More proactive and motivated in daily life."
"Stable moods, better drive and motivation."
"I worry less."
"Happier."
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85% felt more motivated
"My general energy and drive has improved."
"I feel better, more drive to achieve things in life."
"More mental clarity and feel more driven."
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83% felt more confident
"It's a confidence boost."
"Definitely feel more assertive."
"I'm more confident in my walk."
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55% had better quality sleep
"I seem to be sleeping a lot better now."
"Better night's rest."
"My sleep quality has improved."
Based on a 2024 survey of 88 men taking a variety of TRT protocols, including injectable, topical, and oral preparations.
TRT can work wonders — here's what the evidence says
The science backs up the benefits of TRT time and time again.
More energy
Low testosterone can sap your energy, making even simple tasks feel like a chore. Many men on TRT report a noticeable boost in their energy levels, with improvements in motivation and stamina throughout the day.
Testosterone might contribute to mitochondrial function — the tiny power plants in your cells that generate ATP (your body's main energy source). Testosterone also helps regulate red blood cell production, improving oxygen delivery to muscles and tissues. It’s not just about feeling more awake, it’s about having the drive to do more.
Better mood
Testosterone isn’t just about physical performance — it plays a big role in how you feel emotionally. Studies suggest that the mood-regulating properties of testosterone might come down to its effects on serotonin levels, one of your brain’s natural feel-good chemicals. It’s also thought that testosterone contributes to neuroplasticity, or how adaptable and resilient the brain is in response to experiences.
On top of that, testosterone helps balance stress hormones like cortisol and reduces inflammation in the brain — both of which can contribute to feeling overwhelmed, foggy, or just not quite yourself. Many men on TRT say they feel calmer, more in control, and generally happier in themselves.
Higher sex drive
TRT restores testosterone to optimal levels, which often improves sexual desire and function, particularly in men with very low baseline levels. It can also enhance erection frequency and quality for some men and help reduce some of the risk factors that contribute to erectile dysfunction.
TRT won’t create an always-on libido, but it can help restore the balance needed for a healthy, responsive sex drive. Many men find they feel more engaged, confident, and connected with their partners, not just because of testosterone’s effects on libido, but also due to its wider benefits on mood, sleep, and overall well-being.
More lean muscle
Testosterone is a key player in muscle growth and strength. As levels decline, so does muscle mass, often replaced by fat.
TRT can help reverse this by promoting muscle protein synthesis, making it easier to build and maintain lean muscle. Many men find that workouts become more effective, recovery times shorten, and overall physical performance improves. Whether you're hitting the gym or just want to feel stronger day-to-day, testosterone can help you maintain a fitter, healthier body.
Less body fat
Excess body fat — especially around the belly — is closely linked to low testosterone. That’s because testosterone helps regulate metabolism and fat distribution.
Long-term TRT has been shown to improve body composition, helping men lose fat while maintaining muscle. The effects are particularly noticeable in overweight men. It can be a big help for those looking to shift stubborn fat and achieve a healthier body shape.
Better blood sugar control
Testosterone plays a critical role in regulating insulin and blood sugar levels. In fact, about a third of men with diabetes have low testosterone, which can make blood sugar harder to manage.
Studies suggest that restoring testosterone to healthy levels can improve insulin sensitivity, reducing the risk of developing diabetes and helping those who already have it to maintain better control.
How treatment works
1. Check your testosterone
Take two blood tests, one month apart, to check if your testosterone levels are low.
2. Speak to a TRT specialist
If your results are low, we'll invite you to book a video consultation with a TRT specialist.
3. Start treatment
If you're eligible, become a Leger member and start treatment.
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TRT treatments
There are pros and cons of each treatment. We'll talk these through with you and come up with a treatment plan that's right for you.
Got questions? We've got answers
What is TRT?
TRT stands for testosterone replacement therapy. It’s a treatment designed to boost low testosterone levels back to a healthy range, helping to improve energy, mood, muscle strength, and overall well-being. Think of it as giving your body the support it needs to get you feeling more like yourself again.
How do I know if I’ve got low testosterone?
Common symptoms of low testosterone include:
- Feeling constantly tired
- Low mood
- Reduced sex drive
- Erectile dysfunction
- Difficulty building muscle
- Increased body fat
- Changes in focus and memory
- Reduced facial and body hair
The only way to know for sure if your testosterone level is low is with a blood test.
How does TRT work?
TRT works by topping up your testosterone levels to where they should be. It’s usually done through injections, gels, or tablets, depending on what suits you best. Over time, it helps restore balance, so you can feel more energised, stronger, and back to your best self.
Is TRT safe?
When managed by a healthcare professional, TRT is a safe and well-researched treatment. Like any treatment, it comes with potential risks, but regular monitoring and blood tests help keep everything on track. You’re TRT expert will work with you to ensure you’re getting the benefits, while minimising the risk of side effects.
How long does it take to feel better?
Most men start noticing improvements in energy, mood, and focus within a few weeks, but it can take up to six months for the full effects to kick in. It’s not an overnight fix, but with a bit of patience and consistency, the changes really can be life-transforming.
Will TRT help me with energy and strength?
Many men find that TRT gives them a noticeable boost in energy levels and helps improve muscle strength over time. TRT can give your body the extra support it needs to power through daily life, workouts, and everything in between.
Does TRT affect fertility?
Yes, TRT can impact fertility by lowering sperm production. Your TRT expert will discuss this with you before starting any kind of treatment. There are ways to manage testosterone levels without compromising fertility, so you can keep your options open.
How effective is TRT?
TRT is highly effective for men with low testosterone, helping to improve energy, mood, sex drive, strength, and overall quality of life. Results vary from person to person, depending on baseline testosterone levels, the type of TRT, and supportive lifestyle changes. Many men report feeling more like themselves within weeks to months of starting treatment.
What’s involved in starting TRT?
Starting TRT begins with two blood tests to check your testosterone levels and a chat with an expert about your symptoms and medical history. If TRT is right for you, they’ll guide you on the best treatment option — whether that’s injections, gels, or tablets. They’ll set up regular check-ins to monitor your progress and make sure everything’s on track.
How much does TRT cost?
TRT can be a lifetime investment, so it’s important to be fully aware of the costs. The first year of TRT is always a bit more expensive — you’ll need more monitoring blood tests and check-ins to optimise your dose. TRT itself varies depending on the type of treatment you’re on, ranging from £10 to £80 per month.
While it can be expensive, many men see it as an investment in their health and quality of life.