In short
Overview
Start with the symptom rather than the programme. The programme is a label on a door, and picking the wrong door costs you months.
Direct Answer
Five areas: weight, men’s hormones, women’s hormones, sexual health, and prevention and longevity.
Most people who are unsure belong in prevention, because the highest yield thing in this age group is a calculated cardiovascular risk that nobody has ever done.
If you have an active symptom, that is a diagnostic appointment rather than a programme, and it comes first.
Who This Applies To
Which area fits which symptom
| Weight has climbed, or a GLP-1 question | Weight. Eligibility starts at BMI 30, or 27 with a weight related condition |
| Fatigue, low libido, loss of morning erections in men | Men’s hormones. Note that fatigue alone is the least specific symptom there is |
| Cycle changes, flushes, broken sleep, mood in women | Women’s hormones. Diagnosed from your cycle, not a blood test |
| Erections, desire, ejaculation, or pain with sex | Sexual health |
| No symptoms, but risk you want measured | Prevention and longevity |
| Exhaustion that rest does not fix | Could be several. Start with an assessment rather than a programme |
Option Comparison / Decision Criteria
Points to low testosterone, thyroid disease, iron deficiency, sleep apnoea, depression, alcohol or deconditioning. It is explicitly one of the least specific symptoms, so it is assessed rather than assigned to a programme
Different problems with different causes. Most men with erectile dysfunction do not report low desire
53 per cent of women investigated for these had sleep apnoea, restless legs or both. Those need their own treatment
A tissue problem that commonly causes low desire, rather than a desire problem
Obesity lowers testosterone, and treating the weight often raises it without a hormone prescription
Why an In-Person Physician Review Matters
Why a symptom is not a programme A programme is designed around a plan.
A symptom needs a diagnosis first, and folding it into a screening framework is how things get missed. If you have chest discomfort on exertion, unexplained weight loss, bleeding, a new lump, or thoughts of self harm, that is a diagnostic appointment now rather than a package. What every area has in common The assessment comes before the prescription Tests are justified individually, and the ones that would not change anything are named and left out Risks are given as absolute numbers rather than percentage reductions Certain things are refused everywhere: compounded hormones, saliva hormone testing, growth hormone for healthy adults, whole body scans, biological age panels and IV infusions If you fit more than one That is common and it is fine. They are assessed together and treated in order, so that it is clear what worked. A man with weight, low testosterone and erectile dysfunction has three linked problems, and the order matters more than the labels.
Frequently Asked Questions
None of them yet. Fatigue is explicitly one of the least specific symptoms and points to thyroid disease, iron deficiency, sleep apnoea, depression, alcohol, low testosterone or deconditioning. It needs a targeted assessment first.
Common, and fine. They are assessed together and treated in order, so it is clear what worked. Weight, testosterone and erectile function in men are frequently one linked problem rather than three.
That is exactly when prevention is worth doing. Silent cardiovascular disease causes nothing until it causes something, and most people over 40 have never had their risk formally calculated.
It is corrected at the appointment. The first part of any consultation is establishing what is actually going on, and that is not treated as a commitment to a particular programme.