THE T CLINIC

The ASCEND Plan

Advanced Testosterone Replacement Therapy to ensure optimal health and improved performance.

T CLINIC: THRIVE

ASCEND

For those committed to performing at their best, now and for the long term.
From £250/month

ASCEND is our comprehensive TRT programme for men who want to go beyond symptom management and take a more proactive approach to performance, health and longevity.

Alongside everything in THRIVE, ASCEND includes:

  • Advanced Blood Testing — In-depth hormonal, metabolic and cardiovascular markers.
  • Ongoing Medical Consultations — Regular clinical reviews to optimise your treatment and progress.
  • Annual Echocardiogram & ECG — Comprehensive cardiovascular monitoring.
  • Advanced Body Composition Analysis — Track muscle, fat and metabolic health over time.

ASCEND gives you the clinical expertise, advanced diagnostics and ongoing support to optimise your TRT, and your health, for the long term.

Book Your Primary Consultation Today

What’s Included?

Advanced Blood Tests
Testosterone Replacement Therapy
Medical Consultations
Clinical Observations
Electrocardiogram (ECG)
Body Composition Scan
Echocardiogram

Our specialist blood panel, this test monitors all of the markers related to testosterone replacement therapy, designed by experts in the field.

At Karma, we offer a range of testosterone replacement therapy solutions, from tablets and injections to gels. Our TRT experts will work with you to find the correct solution for you and your lifestyle.

Medical consultations with one of our highly trained TRT doctors in which they will assess your suitability for TRT and will then have follow up consultations regularly throughout treatment.

A full suite of clinical observations is performed at each face-to-face consultation to ensure continued health.

An ECG, also known as a heart trace, gives your clinician an understanding of the rhythm of your heart and its pace.

The most detailed assessment of the composition of your body without exposure to harmful radiation. This scan will show you levels of visceral (abdominal) fat, muscle mass and water retention.

A live heart scan in which we can identify issues with the muscles and valves of the heart.

More Details

We offer a range of TRT options, including subcutaneous and oral testosterone. Your doctor will create a personalised treatment plan to determine the most appropriate medication and dose for you, with ongoing monitoring to ensure treatment remains safe and effective.

Your medication is delivered directly to your door with all the equipment you need. Our clinical team will guide you through how to use your treatment safely and confidently, with your dosage adjusted over time based on your response and blood results.

Test Pathology
Full Blood Count Leukaemia | Anaemia | Clotting Disorders | Infection
Liver Function Tests Liver and Gallbladder Disease
Urea And Electrolytes Abnormal Electrolyte Levels | Chronic Kidney Disease
Hormone Health Menopause | Low Testosterone | Fertility Problems
Diabetes Health Diabetes
Heart Health Cholesterol and lipid disorders

This provides your clinician with a baseline to identify basic problems with the heart, lungs or signs. A full set of clinical observations annually includes assessment of:
– Blood pressure
– Blood oxygen saturation
– Heart rate
– Temperature

Our 30-minute consultation with a senior medical doctor gives you time to discuss your concerns, medical history and lifestyle. Your consultation includes:
1) Medical history
2) Clinical examination

Your doctor will then assess your suitability for TRT and discuss the most appropriate treatment options. Once your plan is established, you’ll have a review every 4 months, either in person or online, to monitor your progress and optimise your treatment.

ECGs are vital markers of cardiac health. An ECG, also known as a heart trace, gives your clinician an understanding of the rhythm of your heart and its pace. This allows us to identify underlying heart abnormalities which may increase your risk of strokes and collapses. The rate of your heart can also act as a surrogate marker for overall cardiac health.
This is performed annually with the ASCEND plan.

At Karma, we do not use outdated and simplistic metrics such as Body Mass Index. Instead, our body composition scanner gives you an in-depth understanding of your body from “bad” fat around the waist and body fat percentage to water retention and muscle mass.
This scan is performed at each clinic visit however will be performed at least annually for our remote clients if requested with the ASCEND plan.

An ECHOcardiogram is a ultrasound-based scan of the heart. This is a non-invasive procedure during which gel is applied to your chest wall and a probe is used to look at the health of the heart muscle, valves and surrounding areas. This is considered to be one of the most accurate tests to look at the health of the heart and is used in hospitals globally.

This scan will be performed annually with the ASCEND plan.

Take the First Step Towards Better Hormone Health

Book your assessment today and start your journey with expert, discreet care.

Book Your Initial Consultation TodayTake The 2-Minute Questionnaire