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MANUAL is now Voy
We’ve changed our name from MANUAL to Voy, but our mission and commitment to you remain exactly the same. Learn more
Manual
Manual is now Voy
Learn more

Life-changing treatment for low testosterone

Feel healthier, happier and stronger with a tailored testosterone treatment plan designed by our expert TRT doctors.

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4.7/5
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12,175
reviews

Low testosterone symptoms can take the joy out of life

Can affect:

Low mood

Anxiety

Sex drive

Muscle mass

Lack of focus

Energy levels

Weight gain

Erectile dysfunction

Sleep quality

Do you experience these symptoms?

Answer 10 quick questions to assess if low testosterone could be holding you back.

Testosterone replacement therapy, explained

Science
Science
Aid
Treatment
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Support
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TRT in 45 seconds
Dr. Jeff Foster, VOY Director of Men's Health

The hormone that’s
holding men back

Prevalence

1 in 4 men suffer from low testosterone¹

After the age of 30, testosterone levels start to decline by 1 to 2% on average each year.²

DIAGNOSIS

90% of men in the UK remain undiagnosed³

Too many men are suffering from the life-altering symptoms of this under-diagnosed condition.

Citations
  • ¹ The Journal of Clinical Endocrinology & Metabolism, Volume 92, Issue 11, 1 November 2007, Pages 4241–4247
  • ² Generational decline in testosterone levels observed
  • ³ Testosterone deficiency in adults and corresponding treatment patterns across the globe
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As seen in

Our testosterone treatments are transformative

90%
of patients saw an improvement in their symptoms after 3 months
87%
of patients saw an improvement in their libido after 6 months
86%
of patients saw an improvement in their energy levels after 3 months
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The Journey on TRT

Calendar
0-3 months
Plus
Start to feel the effects
By the 6 to 8-week mark, your testosterone levels will have started to stabilise, and those early benefits like boosted energy, improved mood, and a stronger libido will truly begin to feel like your new normal.
More energy
Improved mood
Stronger libido
Calendar
3-6 months
Plus
Visible physical gains
By this stage, you may begin to notice early changes of improved muscle mass, fat distribution, mood stability, and sexual function. The full effects of these improvements continue well beyond your first 6 months.

Consistent progress will be reviewed with regular blood tests and follow-ups.
Muscle mass
Fat distribution
Sexual function
Calendar
6-12+ months
Plus
Transformative results
By now, you’ll have felt the game-changing benefits of TRT for your goals - but this is just the beginning.

With continued treatment and a healthy lifestyle, you can look forward to lasting results: better metabolic health, stronger bones, and a long-term reduction in the symptoms of low testosterone. TRT is not about feeling and looking better now - it’s about thriving for the long haul.
Muscle mass
Fat distribution
Sexual function
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Voy is transforming lives

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145%
increase in Free Testosterone

"The whole journey has been life changing. I feel better within myself, and I know that people around me are starting to benefit from that — it’s been a big game changer."

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127%
increase in Free Testosterone

"I have more life about me, I feel younger, I feel happier, I feel better — it’s now enabled me to focus on different spheres of my life"

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118%
increase in Free Testosterone

"Since being on TRT my boss has seen such a difference in me — my energy levels are where they should be, and I’m back to being me, it’s fantastic"

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How to start treatment

1

At-home testosterone test

Start with a simple at-home finger-prick blood test which measures your total and free testosterone levels. You’ll get your results in 2 to 5 days.

Measures total testosterone & free testosterone

At-home finger-prick blood collection

Expert validated report

2

Enhanced testosterone test

A comprehensive venous blood test is needed to confirm the initial result, learn more about your health, and assess whether it’s safe to start treatment.

Venous collection by a nurse

Checks liver, kidney & PSA levels to make sure you’re suitable for treatment

Call with Emily (Voy)
03:14
3

Speak to a specialist Doctor

Discuss your blood test results, symptoms, medical history, treatment options (including costs), and monitoring process with an expert TRT doctor.

Video consultation

Private and confidential

Qualified TRT experts

4

Start your treatment

Your doctor will design a personalised treatment plan that’s tailored to your lifestyle. It may include medication, lifestyle advice or supplements.

5

At-home testosterone test

We’ll test your blood at 3 months, 6 months, and 12 months after to allow your doctor to effectively monitor your progress and make any adjustments.

Our pricing

Take a closer look at our pricing structure to understand the cost of your customised treatment plan.

A treatment plan tailored for you

As part of our TRT service, you’ll receive a comprehensive diagnosis and a bespoke treatment plan that may include medication, lifestyle advice or supplements.

Treatment
Injectable
Effectiveness
High
Format
Injections two or three times weekly for most patients
Results in
1-3 weeks
Treatment
Oral
Effectiveness
Moderate
Results in
Tablet taken once daily
Starting plan from
3-8 weeks
Treatment
Topical
Effectiveness
Individual
Format
Apply to the shoulders or arms once a day
Results in
1-6 weeks
Doctors
Led by TRT experts
“We offer the most effective protocols in formats to suit your preference”
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Specialist care on your terms

What you get
Voy
NHS
Convenient & online
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Quick diagnosis & treatment
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Doctors who specialise in TRT
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Gold-standard treatment plans
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Monitoring & treatment adjustment
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Led by the country’s leading TRT experts

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Dr Jeff Foster, MD
Director of Men's Health

Dr. Jeff Foster is the Director of Men’s Health at Manual, an NHS GP Partner, and a member of the British Society of Sexual Medicine Committee. With over 20 years of experience in medicine, he specialises in Men’s Health and testosterone management.

Dr. Imad Mekhail, MD
TRT Medical expert

Dr. Imad Mekhail specialises in Men’s Health, with additional training in testosterone deficiency, prostate health, and erectile dysfunction. He is dedicated to providing holistic patient care and improving health services at both individual and systemic levels.

Dr. Mandeep Sandhu
TRT Medical expert

Dr. Mandeep Sandhu specialises in treating hormonal conditions such as testosterone deficiency, as well as other endocrinological and metabolic conditions like diabetes and obesity. His patient care is rooted in his strong foundation in Endocrinology and his experience as a GP.

Dr. Kapil Savania
TRT Medical expert

Dr. Kapil Savania specialises in Men’s Health, Urology, and Lifestyle Medicine. With a decade of experience, he incorporates his background in Sports & Exercise Science and Strength & Conditioning into his practice to provide a holistic approach to patient care.

Your questions answered

Our team has a lifetime’s worth of expertise and experience between them. They’re on hand to answer all of your questions at every stage of your journey.

View all
About TRT
Symptoms
How it works
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Sheliza DarveshPlay
What are the potential benefits of TRT?
Dr Sheliza Darvesh, GP Clinical Lead
David HuangPlay
5 Common symptoms of low testosterone
Dr David Huang, Deputy Medical Director
Kapil SavaniaPlay
Is there a discount?
Dr Kapil Savania, TRT Specialist Doctor
Vivek RamamoorthyPlay
Can I speak to someone about TRT?
Dr. Vivek Ramamoorthy, TRT Specialist Doctor
Mandeep SandhuPlay
Are there side effects?
Dr. Mandeep Sandhu, TRT Specialist Doctor

Testosterone Replacement Therapy: FAQs

Curated by Dr. Jeff Foster, Director of Men's Health

Learn more about testosterone

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Blood test
Start with a testosterone blood test
Start with a test
£33.95