Testosterone therapy — energy, strength and vitality
Medical testosterone therapy for men with confirmed deficiency — always after thorough evaluation.
Medically reviewed by Johan Hedevåg, MD
TRT is not one-size-fits-all. Some men respond best to gel, others to short-acting injections, and some to long-acting injections. We choose the formulation, dose and interval based on your physiology, your symptoms and how your body responds — not a standard protocol.
What is treated?
- Fatigue and low energy
- Loss of muscle mass
- Increased abdominal fat
- Reduced libido & erectile dysfunction
- Lowered mood & motivation
- Sleep disturbances
- Post-cycle effects of anabolic steroids
- Hypogonadism after illness or medication
Hormone levels change with age
Bioactive (free) testosterone is the fraction not bound to SHBG or albumin — it is what reaches tissues and drives symptoms. Because SHBG rises with age, free testosterone declines faster than total. Two men with identical total testosterone can therefore feel completely different.
How it works
- 01Health check & evaluationDay 0Premium health check with 70+ biomarkers, DEXA scan and physician consultation. We measure total and free testosterone, SHBG, LH, FSH, estradiol, prolactin, PSA, haematocrit and blood lipids.
- 02Lifestyle optimisationIf needed0–3 monthsFor borderline-low values we optimise sleep, body fat, strength training, zinc and vitamin D status, and stress management before considering medical treatment.
- 03TRT initiationMonth 1Short-acting injections (intramuscular or subcutaneous) provide stable levels and allow precise dose titration. We choose dosing and route based on your goals and lab values.
- 04Close follow-upEvery 3 monthsInitially we monitor haematocrit, estradiol, PSA, blood lipids and clinical symptoms every 3 months to fine-tune the dose and identify any side effects early.
- 05Long-term maintenance1–2 / yearOnce treatment is stable we follow up 1–2 times per year with full blood count, hormone panel and clinical evaluation. This is a lifelong part of the treatment.
How TRT compares to other options
TRT
Featured- Mechanism
- Replaces hormone
- Time to effect
- 2–6 wks
- Effect in severe deficiency
- Strong
- Follow-up burden
- High
- Effect on fertility
- Suppresses
Lifestyle only
- Mechanism
- Boosts own production
- Time to effect
- 3–6 months
- Effect in severe deficiency
- Limited
- Follow-up burden
- Low
- Effect on fertility
- None
No treatment
- Mechanism
- —
- Time to effect
- —
- Effect in severe deficiency
- None
- Follow-up burden
- None
- Effect on fertility
- None
TRT is replacement therapy — we always start with evaluation and optimisation.
What does the research say?
Findings from peer-reviewed publications.
TTrials (Snyder et al., 2016): TRT in older men with confirmed hypogonadism produced moderate improvement in sexual function and some improvement in mood versus placebo.
Endocrine Society guidelines (Bhasin et al., 2018): TRT is recommended for symptomatic men with consistently low morning testosterone after secondary causes have been ruled out.
TRAVERSE trial (Lincoff et al., 2023): TRT in men with hypogonadism and elevated cardiovascular risk was non-inferior to placebo for major adverse cardiovascular events.
Meta-analysis (Corona et al., 2016): TRT improves body composition with increased lean mass and reduced fat mass in men with confirmed hypogonadism.
When this treatment isn't right
- Untreated or active prostate cancer
- Untreated severe sleep apnoea
- Untreated elevated haematocrit
- Active wish to conceive without fertility planning
- Untreated severe heart failure
Pricing and what's included
TRT always begins with our health check. You then continue in the membership that fits how closely you want us to follow you.
Personal care team for whole-body health — TRT/HRT is included as part of pharmacological support when needed.
- Blood work whenever needed
- DEXA scan every 6 months
- Free ultrasound examinations
- Personalised training plan
- Nutrition and supplement guidance
- Pharmaceutical support incl. TRT/HRT
Everything in Bas plus a personal longevity strategist, advanced diagnostics and 30% off treatment programmes.
- Everything in Bas
- Personal longevity strategist
- Full access to facilities
- Advanced diagnostics (MRI, CT, X-ray) when needed
- Cognitive optimisation
- 30% discount on treatment programmes
Unsure whether TRT is right for you?
Book a free video call with one of our physicians — we'll go through your situation and see if the treatment is right for you.
Questions about TRT
Frequently asked questions
Related articles
Go deeper into the evidence behind our treatments.
Testosterone deficiency in men — symptoms, testing and treatment
Experiencing fatigue, decreased muscle mass or low libido? Testosterone deficiency affects 1 in 4 men over 40. Read about symptoms, diagnostics and TRT treatment.
Read articleTestosterone Optimisation, Part 3: Stress, Psychology, and Purpose
How chronic stress, agency and a sense of purpose directly shape your hormonal profile. Part 3 in our series on testosterone optimisation.
Read articleTestosterone Optimisation, Part 2: Training and Sleep
How resistance training, cardio and sleep shape your hormonal environment. Part 2 in our series on testosterone optimisation.
Read article