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Select 'Yes' if you give permission to share this information with or seek more information from your GP, we will hold your order until GP approval has been given. Not providing consent may limit the services provided by the prescriber.

Have you seen your GP about your condition?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Are you currently taking any other medication prescribed by a doctor, purchased over the counter or homeopathic?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Are you male?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you ever suffered from heart, liver or kidney problems?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you ever had a stroke or heart attack?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you noticed a loss of libido (sex drive?)

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you noticed lack of energy?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you had a testosterone blood test from your GP?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you noticed any loss in height?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you noticed your emotions changing lately, e.g. more grumpy?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Are your erections less strong?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you noticed a decline in your productivity at work?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you ever been diagnosed with or are you on any treatment for prostate problems?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you ever had prostate cancer or testicular cancer?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you ever had testicular surgery?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Do you have difficulties with starting to urinate when you want to?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Do you take anabolic steroids? (e.g. Sustanon, Testosterone Enanthate, Testosterone Proprionate, Dianabol)?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you ever taken steroids in the past?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

I agree to the following:

  • I will read the patient information leaflet supplied with my medication
  • I will contact my GP or MyMedsUK if I experience any side effects
  • The treatment is for my use only
  • I have answered the assessment questions truthfully and accurately
  • I agree to the Terms and Conditions and I confirm that I am over 18 years old
  • I am aware that I may be contacted to give further information via phone or email and if I am not contactable this will lead to a delay in receipt of my prescription

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

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Your Chosen Treatment

Testosterone

Treatment
Testosterone

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