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Our TRT Process At Omniya

 

at Omniya Clinic in London

Understanding your hormone health can feel overwhelming, especially with the number of testing options available in the UK – each with its own pricing and promises. At Omniya, we’ve seen the impact of poor‐quality testing for Testosterone Replacement Therapy (TRT) firsthand, which is why we’ve created our “Low Testosterone Screening” with The Doctor’s Laboratory, the UK’s largest independent laboratory, and one of the largest in Europe.

This service is our answer to the surge in inferior laboratories, ensuring you receive high‐quality, accurate, and reliable tests to assess whether you have low testosterone.

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Summary of Our Process

Step 1: Low Testosterone Screening

  • Tests: Total & Free Testosterone
  • Options:
    • At-home Finger-Prick: £100
    • In-Clinic Venous (Knightsbridge, London): £130

 

Step 2: Confirm Suitability & Safety

  • Next Step: Comprehensive hormone panel (from £450) to ensure you’re a safe candidate for TRT.

 

Step 3: Doctor’s Consultation & First Prescription

  • Includes: Detailed review of results, symptom discussion, and essential health checks (pulse, blood pressure, height, weight, optional prostate exam).
  • Cost: £350
  • Outcome: Personalised treatment plan and initial prescription, if suitable. Medication is an additional cost. See here for our medication prices.

 

Step 4: Monitor & Fine Tune

  • Follow-Up: 6 weeks after starting treatment
  • Cost: £220
  • Purpose: Ensure treatment efficacy and safety, and adjust as needed.

Additional Information: Transferring & Recent Test Results

Transferring from Another Clinic:

If you’re transferring from another clinic, we aim to make your transition as smooth as possible. We welcome the opportunity to review your previous blood test results—provided these tests were carried out within the last 6–12 months by a reliable and reputable source. This could mean fewer appointments and less redundancy in testing, saving you both time and costs. Please ensure that all previous test results are accompanied by comprehensive documentation from your former provider.

Patients with Recent Blood Test Results:

Do you already have blood test results from the NHS or another trusted private practice? If your tests are no more than 6–12 months old, they might count as part of our evaluation process. For example, if you have recent testosterone results, we may be able to use them as the first of the two tests typically required. This helps streamline your care and minimises the need for duplicate testing. However, it is essential that the tests were conducted by reputable labs to ensure accuracy. If there’s any doubt about the reliability of the results, we may recommend retesting.

Why We Measure Your Testosterone Levels

The British Society of Sexual Medicine (BSSM) states you need two blood tests to confirm your testosterone level is low enough for treatment. A testosterone level less than 12 nmol/L (and up to 15 nmol/L in certain circumstances) is considered for TRT.

Step 1: Low Testosterone Screening Package From £100

Our screening package focuses on two key tests — Total Testosterone and Free Testosterone — giving you and us a clear picture of your testosterone levels.

Test Options & Cost:

  • At-home Finger-Prick Test: £100
  • In-clinic Venous Blood Test (Knightsbridge, London): £130

 

Do you already have a recent set of blood test results in the last 12 months? Then contact us:

  • Call: 📞 020 7584 4777

Step 2: Confirm Your Testosterone and Suitability for Safe Treatment From £350

Once your initial screening is complete, the next step is to confirm your suitability for treatment.

If your initial results indicate that you may be a suitable candidate for Testosterone Replacement Therapy (TRT), we then invite you to undergo a more comprehensive panel of tests. Our recommended panel starts from £450, and provides your doctor with an in-depth overview of additional hormonal markers that influence testosterone activity, as well as your safety and suitability for treatment. We are conscious of costs and patients requirements, so please contact us if you have any historic blood tests, or wish to discuss alternative panels.

Do you already have a recent set of blood test results in the last 12 months? Then contact us:

  • Call: 📞 020 7584 4777

 

To determine the suitability of your results. We may ask you to send them over.

Step 3: Doctor’s Consultation, Examination and First Prescription £350

After all tests are completed, a comprehensive consultation is scheduled. During this appointment:

Results Review:

Your results are examined in detail.

Symptom Discussion:

Your symptoms—such as fatigue, reduced libido, loss of muscle mass, or mood changes—are thoroughly explored.

Medical History Consideration:

Our specialist takes into account your past medical, family, and social history.

Key Indicators Assessment:

The consultation includes measuring:

    • Pulse
    • Blood pressure
    • Height
    • Weight (if not provided)
    • Optionally, a prostate examination with a chaperone for your comfort and safety.

 

If your blood results are satisfactory and there are no contraindications, your personalised treatment plan and initial prescription may be finalised during the consultation.

Step 4: Monitor and Fine Tune  £220

We recommend a follow up review 6 weeks after commencement of your treatment. This is essential for monitoring treatment efficacy, ensuring safety, and personalising your ongoing treatment plan.

Understanding Our Testosterone Tests

Low Testosterone Screening Test

Total Testosterone: Establishing Your Hormonal Baseline

Total Testosterone is the cornerstone of our entry-level screening. This test measures the complete amount of testosterone circulating in your bloodstream, including both the free (active) and bound forms. It gives us a broad snapshot of your hormone production.

    • Bound Testosterone: Most of the hormone is attached to proteins.
    • Free Testosterone: Only a small fraction remains unbound and is directly available for use by your body.
      While a normal Total Testosterone level can be reassuring, it might not tell the whole story. In some cases, even if your Total Testosterone is within the expected range, the proportion of free testosterone could be insufficient, which may lead to symptoms of low testosterone.

 

Free Testosterone: Revealing the Active Hormone

Free Testosterone represents the fraction of testosterone that is not bound to proteins and is immediately available to your tissues. This active hormone is crucial for many physiological processes influenced by testosterone, such as muscle maintenance, bone health, and libido. By measuring Free Testosterone, we assess the actual hormonal activity in your body, providing a more detailed picture of whether your body is receiving enough of the hormone to function optimally.

Our Testosterone Panels:

Our panels were created to give your doctor a complete snapshot of your overall health, hormonal balance, and potential risk factors before and during TRT. For TRT, the TRT Essential Panel is commonly the panel we recommend. For more comprehensive tests, see below:

TRT Essential Panel – Priced at £450

This starting venous panel is designed to give your doctor a comprehensive snapshot of your overall health, hormonal status, and potential risk factors before and during TRT.

This starting venous panel is designed to give your doctor a comprehensive snapshot of your overall health, hormonal status, and potential risk factors before and during TRT.

FBC (Full Blood Count):
Assesses overall blood health, checking for anaemia or infections.

Kidney Function:
Evaluates kidney performance by measuring urea, creatinine, and eGFR.

Liver Function Tests (LFT):
Checks liver enzymes and markers to assess liver health.

Albumin & Ferritin:
Albumin helps bind testosterone and reflects nutritional status, while ferritin measures iron stores and indicates inflammation or metabolic issues.

Hormonal Profile:
Includes LH (Luteinising Hormone) & FSH (Follicle Stimulating Hormone), Total Testosterone & Free Testosterone, E2 (Estradiol), SHBG (Sex Hormone Binding Globulin), Prolactin, Cortisol, and T4/TSH (Thyroid Function Tests).

Additional tests such as HbA1c, PSA (Prostate Specific Antigen), and a Lipid Panel provide a broad overview of your hormonal balance and overall health.

These tests provide a broad overview of your hormonal and overall health.

Wellman Health Insight Panel – Priced at £550

A broader evaluation covering a wide range of biomarkers that contribute to your general wellbeing.

FBC (Full Blood Count):
Assesses overall blood health.

Kidney Function & Electrolytes:
Measures urea, creatinine, eGFR, sodium (Na), and potassium (K).

Liver Function Tests (LFT):
Evaluates ALT, ALP, bilirubin, albumin, total protein, globulin, corrected calcium, and calcium levels.

Hormonal Profile:
Checks LH, FSH, total testosterone (TT), free testosterone, estradiol (E2), SHBG, prolactin, cortisol, T4/TSH, and HbA1c.

Iron Studies:
Includes ferritin, transferrin saturations, TIBC, and total iron.

PSA & Lipid Panel:
Assesses prostate health and cardiovascular risk.

Advanced Male Hormone Panel – Priced at £ [Contact for Price]

FBC (Full Blood Count):
Evaluates overall blood health.

Renal Function & Electrolytes:
Measures urea, creatinine, eGFR, sodium (Na), and potassium (K).

Liver Function Tests (LFT):
Assesses ALT, ALP, bilirubin, albumin, total protein, globulin, corrected calcium, calcium, AST, and GGT to evaluate liver performance.

Hormonal Profile:
Includes LH, FSH, total and free testosterone, estradiol (E2), SHBG, prolactin, cortisol, and growth hormone.

Thyroid Function:
Evaluates T3, T4, and TSH.

HbA1c:
Provides a measure of long-term blood sugar control.

Iron Studies:
Analyzes ferritin, transferrin saturations, TIBC, and total iron.

PSA:
Checks prostate-specific antigen levels.

Mineral Screen (RMIN):
Assesses your mineral balance.

Vitamin Profile 2:
Evaluates your vitamin status.

Screening Profile 11 – Cardiovascular Risk 2 (PP11):
Assesses key cardiovascular risk factors.

Deoxypyridinoline:
A marker for bone resorption, this test helps assess bone health.

These comprehensive panels allow us to screen for any underlying conditions that might affect your TRT journey, ensuring a bespoke treatment plan tailored to your needs.

The Importance of Accurate Testosterone Blood Tests

If you’re experiencing symptoms like fatigue, low libido, or mood changes, you’ll want a simple, trustworthy way to check your testosterone levels. That’s why we have partnered with The Doctors Laboratory (TDL), the UK’s largest and one of the world’s most respected laboratories.

What This Means for You:

  • Accurate Test Results: Unlike inferior laboratories that may use outdated methods or equipment, TDL ensures precision in every test, reducing the risk of misdiagnosis or missed health issues.
  • Accredited Quality Control: TDL is fully accredited by leading regulatory bodies, meaning they follow strict quality control measures. Labs without this accreditation often produce inconsistent or unreliable results.
  • Effective Sample Handling: Sample integrity is crucial. TDL follows meticulous protocols to ensure your blood sample is collected, stored, and processed correctly, avoiding contamination or degradation.
  • Fast Turnaround Times: With efficient processing, you’ll get your results quickly, so there’s no unnecessary delay in understanding your health.
  • Comprehensive Test Menus and Sensitivity: Lower-tier laboratories might not offer the full range of tests or utilise the most sensitive assays, potentially missing key biomarkers. TDL’s extensive test menu provides a complete picture of your hormonal health.
  • Expert Staff: TDL’s highly trained staff minimise the risk of human error, ensuring your results are reliable and actionable.
  • High-Quality Data Reporting: Detailed, easy-to-understand reports help our clinicians make informed decisions about your care.

 

Why Consider an Entry-Level Test for Low Testosterone?

Many men experience fatigue, reduced libido, diminished muscle mass, or mood changes and wonder whether low testosterone might be the underlying cause. By offering these targeted tests, we provide you with a preliminary overview of your testosterone balance, helping you decide if further investigation is warranted. This initial screening is particularly valuable if you’re not yet ready to embark on a full clinical consultation and comprehensive panel of tests. It serves as your starting point—a quick, accessible way to see if low testosterone might be affecting you. Once you have these results, you can have a more informed discussion with our doctors about your symptoms and the next steps in your care.

Your Pathway to Better Health

At Omniya Clinic, our comprehensive approach—from the initial screening through detailed laboratory panels—ensures that every aspect of your hormonal health is evaluated. This meticulous process forms the foundation of our safe, effective, and personalised TRT programme.

Ready to begin your journey? Contact Us

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