What's actually included in a TRT subscription?
"£59.99/month" and "£149/month" can pay for very different bundles. Based on the provider pages we checked (2026-10-08):
| Component | Usually included? | Typical exception |
|---|---|---|
| Medication | Yes in flat-subscription models (Optimale, Manual) | Membership models bill meds separately (£10–£60/mo, Leger) |
| Doctor reviews | Yes (remote) at all telehealth providers checked | Clinic visits add £20–£40 |
| Blood tests | Rarely in the headline price | £19–£79 per test depending on provider |
| Postage | Yes (Optimale, Manual) | — |
| Dose changes / titration | Yes within reviews | Bloods required before changes at most clinics |
| Doctor's letters (travel, employers) | Yes (Manual, Optimale state this) | — |
Affiliate disclosure: Some pages contain affiliate or advertising links, marked with 'sponsored'. Listings are never sold ranking — featured status is labelled on the page. Clinic data is published free regardless of commercial relationships.
Information directory — medically reviewed sources cited per page · Source-checked 2026-10-09 · Independent information directory — not medical advice.