One of the most common questions we're asked is: what does the TRT process actually involve? Men considering testosterone replacement want to know what they'll walk into before they book a consultation.
Here's a complete, step-by-step look at the Alpha Medical TRT process, from your first visit to your ongoing follow-up.
Step 1 — The In-Depth Consultation
Your TRT journey begins with a consultation with one of our physicians specialising in hormone optimisation. This is not a five-minute assessment. Expect 60-75 minutes during which we review your symptoms in detail, your medical and family history, your lifestyle, and your goals.
Most importantly, we walk you through the full spectrum of benefits and the potential risks of testosterone replacement therapy. You leave this consultation with a clear understanding of whether TRT is right for you — before any prescription is written.
Step 2 — Comprehensive Blood Work
We don't rely on a single testosterone measurement. Our baseline panel covers total and free testosterone, estradiol, SHBG, DHT, LH, FSH, prolactin, PSA, full blood count, complete metabolic panel, lipid profile, liver function, and thyroid hormones.
This depth matters because it shows us not just your testosterone level but your entire hormonal and metabolic landscape — which is what determines what protocol, if any, will be safe and effective for you.
Step 3 — Personalised Protocol Prescription
Once your consultation and blood work are reviewed, your physician prescribes a protocol designed for your specific physiology and goals. This includes the form of testosterone (injection, cream, or pellet), the dosing schedule, and any supporting medications needed — such as aromatase inhibitors to control estradiol, or HCG if you wish to preserve fertility.
Step 4 — Ongoing Monitoring
TRT is not a one-and-done prescription. We schedule follow-up bloodwork and clinical review at 6 weeks, 3 months, and then every 6 months. This ensures your hormones stay in the optimal range and your protocol is adjusted as your body responds — which is the foundation of both safety and long-term results.
Ready to take the next step? Book a consultation at our contact page — or request an introductory TRT guide below.

