How much are the blood tests before starting?

The initial blood test is £33.95, and the enhanced confirmatory test required before treatment is £64.95. UK regulations require low levels on two tests before treatment can begin.

Where is Optimale's London clinic and how do I get there?

Optimale's London clinic is at 58 South Molton Street in Mayfair, W1K 5SL, close to Bond Street and Oxford Circus Underground stations. Registered nurses carry out blood tests at this clinic.

Do I need a consultation before starting TRT?

Yes. If your testosterone is low across two tests, you move to a consultation with a TRT-specialist doctor. A remote consultation is £79.95; transfer consultations are £49.95 remote or £129.95 face-to-face.

Is Optimale a registered and regulated clinic?

Yes. Optimale Ltd (company number 10878576) is a Care Quality Commission (CQC) registered provider. Its Southampton clinic is rated Good overall across all five CQC domains, and its doctors are GMC registered.

Optimale trades as Optimale Ltd and is part of the Menwell Limited group (company number 11476975), which also operates the Manual men's health brand. Optimale was founded in 2017.

Optimale

London · Mayfair · updated 5 July 2026

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Prices checked once on record, 5 July 2026.

Hormone Optimization Functional Medicine Longevity Clinics

Treatments: 15
Categories: 3
From: £34
With pricing: 12

Book online Send enquiry View all treatments

Optimale is a CQC-registered UK testosterone replacement therapy clinic (Optimale Ltd, company number 10878576) with a Mayfair clinic at 58 South Molton Street, where TRT subscriptions start from £59.99 per month.

Key facts

Cheapest TRT subscription: £59.99 per month (includes medication and doctor reviews)
Cypionate subscription: £109.99 per month
Initial blood test: £33.95
Enhanced confirmatory blood test: £64.95
Remote doctor consultation: £79.95
CQC registered: Yes (Optimale Ltd; Southampton clinic rated Good)
London clinic: 58 South Molton Street, Mayfair, W1K 5SL
Registered company: OPTIMALE LTD, company number 10878576, incorporated 2017

Optimale is a testosterone replacement therapy clinic founded in 2017 and run by Optimale Ltd, part of the Menwell Limited group that also operates Manual. It combines a mostly remote model (blood tests, doctor consultations and prescription delivery by post) with an in-person clinic in Mayfair at 58 South Molton Street, close to Bond Street and Oxford Circus Underground stations, plus a registered clinic in Southampton. Registered nurses carry out blood tests at the London clinic.

Pricing is transparent and entry-level for the category. The initial blood test is £33.95 and the enhanced confirmatory test is £64.95. If levels are low across two tests, a remote consultation with a TRT-specialist doctor is £79.95, with transfer consultations at £49.95 remote or £129.95 face-to-face. Ongoing treatment runs on a monthly subscription from £59.99, which includes medication and follow-up doctor reviews; a testosterone cypionate subscription is £109.99 per month. On-treatment blood tests are not included in the subscription.

The clinic is a CQC-registered provider, with its Southampton location rated Good across all five CQC domains. Medical oversight has been led by GMC-registered doctors including Medical Director Dr Jeff Foster (BSc Hons, MB ChB, DRCOG, MRCGP), a men's health specialist, and previously Dr Christopher Airey (BMBS, MMedSc, Dip ENDO).

15 treatments across 4 categories in the menu and pricing section below.

Compiled from published research and each venue's own published information. Information only, not medical advice.

Information compiled from the clinic's website, last checked 5 July 2026.

Treatments & pricing

Sourced from the clinic's published menu where available.

Treatments: 15
Categories: 4
With pricing: 12
From: £34

Prices from the clinic's website, checked 5 July 2026. They may have changed. Always confirm with the venue.

15 treatments

Treatment	Category	Price
	Hormone Optimization	On enquiry
	Longevity Clinics	£65
	Hormone Optimization	On enquiry
	Longevity Clinics	£34
	Other	£60
	Longevity Clinics	£105
	Hormone Optimization	£60
	Functional Medicine	£80
	Longevity Clinics	£70
	Hormone Optimization	£60 to 145
	Longevity Clinics	£80
	Hormone Optimization	On enquiry
	Hormone Optimization	£100
	Hormone Optimization	£60
	Hormone Optimization	£110

Aromatase inhibitor (e.g. anastrozole) for oestrogen management
Hormone Optimization
On enquiry
The clinic references medications used to control side effects, including aromatase inhibitors for oestrogen (oestradiol) management, alongside HCG for fertility. Described as available where clinically indicated.
Enhanced Testosterone Blood Test (venous, confirmatory)
Longevity Clinics
£65
Venous blood test requiring a nurse or clinic visit, described as checking 43 biomarkers including testosterone, full blood count and lipids to confirm results and assess suitability for TRT. This is the second confirmatory test the clinic states is required before treatment. Priced at 64.95 plus the cost of a clinic visit, which the site states varies between 20 and 40 depending on the chosen clinic location/provider.
HCG (human chorionic gonadotropin) therapy
Hormone Optimization
On enquiry
The clinic states it can provide HCG alongside TRT or as a monotherapy (on its own). Described in the context of fertility support. Medications for medical conditions are described as provided via a partner pharmacy and included in the price of monthly service plans.
Initial testosterone blood test (pre-treatment)
Longevity Clinics
£34
First at-home testosterone test taken before starting treatment, described as the starting point of the process. Priced at 33.95.
Injection supplies (annual)
Other
£60
Year's supply of injection consumables, described as covering needles/syringes for HCG and testosterone injections plus alcohol swabs, a sharps bin and ampoule snappers if required. Priced at 59.99 for a year's supply. Patients may also source their own supplies.
OptiMan Blood Test
Longevity Clinics
£105
Comprehensive test described as covering 26 markers for an overview of hormone balance, testosterone levels, and heart and prostate health. Available as either a finger-prick or venous test. Listed at 104.99 in search-indexed content; verify on the live product page.
Remote TRT consultation for patients transferring from NHS or another clinic
Hormone Optimization
£60
Reduced-price consultation for men transferring from the NHS or another clinic, priced at 59.95.
Remote TRT-specialist doctor consultation (initial)
Functional Medicine
£80
Initial consultation with a TRT-specialist doctor, described as done remotely for most men. Priced at 79.95. Undertaken after two blood tests confirm low levels, which the clinic notes is a UK regulatory requirement.
Testosterone Blood Test Plus
Longevity Clinics
£70
Test described as checking total and free testosterone, thyroid and gonadotrophin levels, plus prolactin and PSA. Positioned for checking hormone levels on treatment after about 6 weeks to allow protocol adjustment. Listed at 69.99 in search-indexed content; verify on the live product page.
Testosterone Replacement Therapy (TRT) subscription plan
Hormone Optimization
£60 to 145
Monthly subscription providing prescribed testosterone medication together with follow-up doctor reviews and support. The clinic states subscriptions start from 59.99 and go up to 145 per month depending on the medication used. The monthly cost is described as including follow-up consultations, doctor's letters, postage, referrals and other support. Blood tests are stated to be not included in the monthly subscription.
TRT Monitoring Blood Test
Longevity Clinics
£80
Test for patients who have been on TRT for 3 months or longer, described as covering a broad range of biomarkers to help the doctor understand how the body is responding to treatment. Listed at 79.99 (search-indexed content noted as reduced from 139.99); verify on the live product page.
TRT with Nebido (long-acting testosterone injection)
Hormone Optimization
On enquiry
Nebido is listed among the injectable testosterone options the clinic can provide within TRT. No specific standalone monthly price was captured for Nebido; verify on the live cost page.
TRT with testosterone cream (Versa base)
Hormone Optimization
£100
Transdermal testosterone cream option with a Versa base offered within the TRT subscription. A search-indexed cost breakdown associated a cream plan with 99.99 per month; verify on the live cost page before publishing.
TRT with testosterone gel (e.g. Testogel / Atrevis hydrogel base)
Hormone Optimization
£60
Transdermal testosterone gel option offered within the TRT subscription. The clinic lists gels such as Testogel and an Atrevis hydrogel base. Search-indexed cost breakdown associated a gel plan with 59.99 per month; verify on the live cost page before publishing.
TRT with testosterone injections (Enanthate / Cypionate)
Hormone Optimization
£110
Injectable testosterone options including Enanthate and Cypionate offered within the TRT subscription. The clinic states Cypionate subscriptions are 109.99 per month. Nebido (long-acting injectable) is also listed as an available option.

Team

3 practitioners listed where available.

Dr Jeff Foster

Medical Director / Director of Men's Health · BSc (Hons) · MB ChB · DRCOG · MRCGP · GMC registered · NHS GP Partner · Committee member, British Society for Sexual Medicine · Testosterone replacement therapy · Men's health

Described as Optimale's Medical Director and a private GP with a specialist interest in men's health, and an NHS GP Partner. The site states he was part of the team that wrote the most recent national guidelines for testosterone deficiency in men and is a committee member of the British Society for Sexual Medicine. Also described as Director of Men's Health at Optimale and Manual.

Alastair Kennett

Listed among Optimale team members in indexed content; role and credentials not captured. Verify on the live team page.

David Kennett

Listed among Optimale team members in indexed content; role and credentials not captured. Verify on the live team page.

Facility

Conditions treated

Health areas Optimale states it works with. General information, not a treatment claim.

Hormone & metabolic

Low testosterone (testosterone deficiency / hypogonadism) in menErectile dysfunction (listed as a symptom of low testosterone)Low mood, anxiety and depression (listed as symptoms of low testosterone)

General

Low sex drive / low libidoFatigue / low energyBrain fog / poor cognitionLoss of muscle mass / reduced physical performancePoor sleep / insomnia

Show all 10 conditions

Hormone & metabolic

Low testosterone (testosterone deficiency / hypogonadism) in menErectile dysfunction (listed as a symptom of low testosterone)Low mood, anxiety and depression (listed as symptoms of low testosterone)

General

Low sex drive / low libidoFatigue / low energyBrain fog / poor cognitionLoss of muscle mass / reduced physical performancePoor sleep / insomniaReduced drive / competitivenessMale fertility support (via HCG)

Membership

TRT monthly subscription plan
From 59.99 to 145 GBP per month depending on medication. Prescribed testosterone medication; Follow-up doctor consultations / reviews; Doctor's letters; Postage; Referrals and support; Adjunct medications for medical conditions via partner pharmacy (per site)

Practical information

Getting there: Mayfair · Bond Street and Oxford Circus Underground stations
Website: optimale.co.uk
Languages: English
Certifications: Doctors described as GMC (General Medical Council) registered and UK-based, References Care Quality Commission (CQC) registration
Consultation: Required before first session

Location

58 South Molton Street, London, W1K 5SL

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About the organisation(expand)

Legal entity: OPTIMALE LTD
Companies House: 10878576
Parent company: Menwell Limited (company number 11476975), the group that also operates Manual (manual.co)

Related businesses

Optimale Southampton Clinic, 1st Floor, 2 Canute Road, Southampton, SO14 3FH
Manual (manual.co), sister brand under Menwell Limited

Awards

Describes itself as the top-rated / top rated men's health (TRT) clinic in the UK (self-described marketing claim, not independently verified)

Social profiles

Frequently asked

How much does TRT cost at Optimale?: TRT subscriptions start from £59.99 per month, which includes medication and follow-up doctor reviews. A testosterone cypionate subscription is £109.99 per month. Blood tests taken while on treatment are not included in the subscription.
How much are the blood tests before starting?: The initial blood test is £33.95, and the enhanced confirmatory test required before treatment is £64.95. UK regulations require low levels on two tests before treatment can begin.
Where is Optimale's London clinic and how do I get there?: Optimale's London clinic is at 58 South Molton Street in Mayfair, W1K 5SL, close to Bond Street and Oxford Circus Underground stations. Registered nurses carry out blood tests at this clinic.
Do I need a consultation before starting TRT?: Yes. If your testosterone is low across two tests, you move to a consultation with a TRT-specialist doctor. A remote consultation is £79.95; transfer consultations are £49.95 remote or £129.95 face-to-face.
Is Optimale a registered and regulated clinic?: Yes. Optimale Ltd (company number 10878576) is a Care Quality Commission (CQC) registered provider. Its Southampton clinic is rated Good overall across all five CQC domains, and its doctors are GMC registered.
Who owns Optimale?: Optimale trades as Optimale Ltd and is part of the Menwell Limited group (company number 11476975), which also operates the Manual men's health brand. Optimale was founded in 2017.