THE T CLINIC

ASCEND.

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

For those committed to optimal performance, inside and out.
Price: From £250/month

Step into your prime with ASCEND — our advanced Testosterone Replacement Therapy (TRT) plan designed for men who want more than just maintenance. This is a comprehensive, clinically led programme that goes beyond the basics to help you optimise your strength, focus, and long-term health.

ASCEND includes everything in our THRIVE plan, plus a suite of advanced diagnostics and medical support:

Advanced Blood Testing
A deeper, more detailed analysis of your hormonal profile, cardiovascular health, and key metabolic markers.
Ongoing Medical Consultations
Regular check-ins with our expert clinicians to adjust treatment, track progress, and keep you at peak performance.
Prescription TRT Medication
Safe, regulated testosterone therapy prescribed and managed by our clinical team.
Annual ECHO Cardiogram
A non-invasive ultrasound of the heart to assess structure and function, supporting cardiovascular safety.
Annual ECG
Tracks your heart’s electrical activity to detect any underlying rhythm abnormalities or concerns.
State-of-the-Art Body Composition Analysis
Detailed tracking of muscle mass, fat distribution, and metabolic rate using advanced technology — because strength is more than a number on a scale.

Whether you’re looking to sharpen your physical performance, rebuild confidence, or invest in your long-term health, ASCEND gives you the data, clinical support, and tools to go further.

Who is it for?

ASCEND is crafted for discerning men who view health as an investment — not a fix. It’s for those who:
– Are ready to take a proactive, long-term approach to hormonal and overall wellbeing
– Seek a comprehensive, medically managed TRT solution with advanced diagnostics
– Value precision, performance, and prevention as part of their lifestyle
– Are committed to maintaining physical strength, mental clarity, and cardiovascular health as they age
– Want tailored, data-driven care with regular clinical oversight and high-touch support

Whether you’re a high performer, a health-conscious leader, or someone simply refusing to accept decline as inevitable, ASCEND is your next level — built to sustain and elevate every aspect of your wellbeing.

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

Our Testosterone Monitoring bloods consist of the essential blood tests to monitor the level of testosterone in your body during treatment. This panel should be used every three months to ensure no organ damage from continued high athletic performance.

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 clinical consultation with a senior medical doctor provides plenty of time to address concerns, discuss your medical background and ongoing lifestyle factors. During this consultation, you will have: 1) Medical History including: – Past Medical History – Systemic review – Family history – Risks for future disease 2) Clinical Examination of: – Cardiovascular System – Abdominal System – Respiratory System – Skin The doctor will then discuss your suitability for TRT and discuss potential plans for you. Once we have created your plan, you will be reviewed by your doctor either in person or online every 4 months to ensure you are seeing the results you had hoped for.

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.