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Testosterone Replacement Therapy Birmingham

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Testosterone Replacement Therapy

What is Testosterone Replacement Therapy (TRT)? 

What is Testosterone Replacement Therapy (TRT)? 

Our Testosterone Replacement Therapy (TRT) in Birmingham is ideal for men aged above 30 who are experiencing low libido and fewer erections, fatigue, trouble sleeping, difficulty maintaining or building muscle, unexplained weight gain, mood swings and brain fog.

Testosterone is the primary sex hormone and contributes to the healthy function of the male body, including the reproductive, central nervous and circulatory systems. Testosterone levels naturally begin to decrease between the ages of 30 and 40, which is why many men decide to have Testosterone Replacement Therapy injections.

We use bioidentical hormones to create an effective TRT programme utterly personalised to your needs. The full assessment, bespoke treatment plan & procedure are performed by the highly qualified and experienced Elena Caraman. Book a consultation with Elena today at AL Aesthetics.

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What our clients have to say…
I have visited AL Aesthetics Solihull on numerous occasions for Botox with Dr Labib and HydraFacials with Donna-Marie. I have always been delighted with the results...
Joy Beard
Outstanding customer service. Donna-Marie always goes above and beyond to make me feel informed and at ease. I love her passion and dedication to helping me with my skin journey.
Tiffany O'Donnel
I honestly didn’t think I would be happy with my face again. Dr. Ash is a miracle worker, his work is absolutely amazing! I got Botox and Filler done in my face. I also did Profhilo in my neck. It’s all very natural, you wouldn’t be able to tell that I got anything done. That’s how good Dr. Ash Labib is !!!
Mariam Bebawy

Does Testosterone Replacement Therapy Work? 

Does it work? 

For those with abnormally low T, boosting the testosterone levels with TRT can help increase energy levels back to normal and restore sex drive. TRT works by replacing depleted testosterone with bioidentical testosterone that is identical to the testosterone in your own body. There are several ways to receive TRT, such as injections, patches, and topical creams, and results can be seen in as little as one month and up to 8 weeks.

Lower testosterone levels are more common among older men due to experiencing Andropause, also known as the “male menopause”. Here at AL Aesthetics, we are passionate about improving a man’s quality of life through Testosterone Replacement Therapy. If you’re looking for advice or even just a blood test to check your hormone levels, contact Elena.  

Testosterone Replacement Therapy Benefits

There is no ‘one size fits all’ approach to balancing hormones. Testosterone levels are estimated to decrease by 1% annually after age 30 to 40.  

  • Lower anxiety
  • Improve libido and sexual function
  • Better erection quality
  • More energy
  • Improved skin
  • Better fat distribution
  • Better muscle mass whilst reducing fat mass
  • Improved mood and calmer
  • Improved sleep
  • Stronger bones
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Elena Caraman

Meet the Practitioner

Elena Caraman 

Elena is an Advanced Clinical Practitioner and has trained in Bioidentical Hormone Replacement Therapy in the UK for the last 20 years. She has an MSc in Advanced Practice, and she is continuously advancing her training and skills.  During these years, she has been working within the NHS and will continue working for the NHS whilst she has joined AL Aesthetics as she believes in a different approach to health care and has a specialist interest in menopause.

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Is testosterone replacement therapy safe?

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There are some risks to TRT, including:

  • Acne and oily skin
  • Lower sperm count, which can cause infertility
  • Increased risk of blood clots
  • Shrinkage of the testicles
  • Larger breasts
  • Increased risk of heart attack and stroke

All possible risks will be discussed with you during your consultation with Elena.

How do I know if I need testosterone replacement therapy?

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  • Low libido
  • Poorer quality of erection or inability to maintain an erection
  • Loss of morning erections
  • Lack of energy
  • Feeling sluggish and tired
  • Changes to skin and hair
  • Fertility issues
  • Poor muscle tone
  • Hair loss


  • Anxiety
  • Difficulty coping with stress
  • Concentration and memory issues (brain fog)
  • Depression or feeling low
  • Insomnia or disturbed sleep
  • Irritability
  • Aggression
  • Loss of drive and motivation

What causes low testosterone levels?

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Levels of testosterone naturally start to decline slowly from age 30. Other factors can be the cause of low testosterone, including:

  • Anabolic steroid use
  • Stress
  • Poor sleep
  • Smoking
  • Obesity
  • Medications
  • Environmental factors like pesticides and chemicals in food and water

What are the side effects of testosterone replacement therapy?

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Some common side effects reported are water retention, nipple itchiness, irritability, and increased sex drive. We will discuss all of this during your consultation.

When can I see results from testosterone replacement therapy?

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This depends on age, lifestyle and testosterone levels before treatment. Results can be seen in as little as one month and up to 8 weeks.

How do I take testosterone replacement therapy?

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There are several ways to receive TRT, such as injections, patches, and topical creams. A bespoke treatment plan will be discussed with you at AL Aesthetics.

Is taking testosterone replacement the same as taking steroids?

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Doses used in testosterone replacement only achieve natural hormone levels in the blood. The testosterone inside steroids are in much higher doses and often combined with other substances that boost the overall muscle-building effect.

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