A seating area in the WellNest Gold consulting lounge in Cape Town, with a round black table, armchairs and a tall palmA black kit bag with a rolled towel, a steel water bottle and a notebook on a wooden benchDr Raythaan Addinall standing in the WellNest Gold clinic in Cape Town
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Portrait representing men's hormone care at WellNest Gold
Low libido8.2nmol/LTotal testosteroneWeight gain6.1%HbA1c, average blood sugarLoss of muscle & strength148pmol/LFree testosteroneBrain fog & stress610nmol/LMorning cortisolLow motivation & mood1.8µmol/LDHEA-S
Doctor-led care

Testosterone & men's hormone care · Cape Town

Men's Hormonal Optimisation Consultation

Low energy, flat mood, lost strength or drive? Thirty minutes with a doctor on what your testosterone is actually doing, and whether it explains anything.

Book online or in person

30 min doctor consultation · R2,890 · online or in person

Start with what you notice

Symptoms men actually report

Can affect:

Flat energy
Low libido
Lost strength
Brain fog
End-of-day fatigue
Low motivation
Low mood
Poor sleep

Hormone concerns can overlap with sleep, stress, medicines and other health factors. Select any themes you would want to raise; your choices stay only on this page and are not submitted.

Watch first - 60 Sec

This consult, explained in under a minute

Doctor-led

HPCSA-registered practitioner.

Context first

History read alongside any results.

No fixed panel

Tests chosen after clinical review.

No obligation

Next steps may include none at all.

Book online or in person

Testosterone testing is easy

  1. 01

    Book your slot

    30 minutes at 183 Bree Street, symptom form sent ahead.

    MTWTFSS4567891007:3008:0008:30Slot held, symptom form sent
  2. 02

    Results explained

    Total and free testosterone with binding protein, read by a doctor.

    OPTIMAL RANGE14.2Totaltestosterone0.28Freetestosterone32Bindingprotein
  3. 03

    Follow your plan

    A 24-week plan with measurable checkpoints.

    Energy up, strength heldSTARTWeek 0REVIEWWeek 8ADJUSTWeek 16RETESTWeek 24

Bloodwork chosen for male hormone optimisation

Dr Raythaan AddinallMedical Practitioner

Testosterone
& binding

3 markers

  • Total testosterone

    The total amount of testosterone in your blood, including protein-bound and free hormone.

  • Free testosterone

    Measures testosterone that is not bound to blood proteins.

  • SHBG

    A protein that binds sex hormones and affects how much is freely available.

Pituitary
& oestradiol

4 markers

  • LH

    Measures luteinising hormone, which helps regulate ovulation and testosterone production.

  • FSH

    Measures follicle-stimulating hormone, which supports egg development in the ovaries and sperm production in the testes.

  • Prolactin

    Measures a pituitary hormone involved in breast milk production. Raised levels can affect reproductive hormone function.

  • Oestradiol

    A form of oestrogen, interpreted alongside your symptoms, sex and life stage.

Thyroid
& adrenal

4 markers

  • TSH

    A hormone from the pituitary gland that signals the thyroid to produce thyroid hormones.

  • Free T4

    Measures thyroxine (T4) that is not bound to blood proteins. It is interpreted alongside TSH to assess thyroid function.

  • Free T3

    Measures triiodothyronine (T3) that is not bound to blood proteins. T3 is the more active thyroid hormone.

  • Morning cortisol

    A morning measurement of cortisol, a hormone involved in the stress response and metabolism.

Screening
& blood count

2 markers

  • FBC

    Measures red blood cells, white blood cells, platelets and haemoglobin.

  • PSA

    A protein made by the prostate. The result is interpreted alongside your history and other findings.

Metabolic
baseline

1 marker

  • HbA1c

    Reflects your average blood sugar over roughly the previous two to three months.

+More

Reviewed in your consult

Additional tests may be recommended after your results and clinical review.

See all tests

Blood work is required before your consultation, so your results are reviewed with you in the session.

Collection: fasting blood sample between 07:00–10:00. PSA is included for males aged 40 and over.

Additional tests may be required after clinical review.

Blood tests are from

R3,850An estimate, not a quote, and billed separately from the consult fee.
The lounge and curved staircase at WellNest Gold, Cape Town
Dr Raythaan AddinallMedical Practitioner
Excellent★★★★★

A consultation built around context, not a score

In person at 183 Bree Street in the Cape Town City Bowl, or by secure video anywhere in South Africa with any pathology drawn at a lab near you. Either way there is space to explain what has changed, ask questions and understand why a next step may or may not be useful.

Book online or in person

A conversation first, not a conclusion from symptoms

Symptoms alone cannot confirm a testosterone-related condition. A doctor can consider your health history, other possible explanations and any relevant results together.

14MARKERS

Testosterone & binding3 markers

Pituitary & oestradiol4 markers

Thyroid & adrenal4 markers

Screening & blood count2 markers

Metabolic baseline1 marker

Chosen after the consultation, not sold as a fixed panel

What you experience is useful information, but it is not a diagnosis or a treatment decision.

Reported Flat energy

Sleep1 in 5Stress1 in 5Thyroid1 in 5Medication1 in 5Other conditions1 in 5
Split evenly on purpose: a symptom list cannot say which of these it is

Any relevant results are read alongside your history rather than treated as a standalone answer.

Total testosterone one reading

Morning sampleWithin range
Repeat sampleOutside range
The same reading, measured against the range for when it was taken

Start here

Book your
hormonal health assessment

Thirty minutes, and you will know where you stand. Whether your symptoms are hormonal, which markers to measure, and what a correction would actually involve.

This is a focused hormonal assessment with Dr Addinall. It does not include comprehensive metabolic testing, a full longevity roadmap, or ongoing concierge oversight. For deeper optimisation, patients may transition into the Baseline 360 health assessment.

Looking for hormone care for women? Explore the women's hormone optimisation consultation.

Book online or in person
A balanced stack of smooth stones in warm light, representing hormonal balance at WellNest Gold, Cape Town

Consult fee

R2890

Session length

30 min

Intake

Included

Required

Blood work

In person at 183 Bree Street, or online anywhere in South Africa.

Book online or in person

How it works

Hormone care, explained

The assessment

A doctor reviews your symptoms, age and history before any test or treatment is recommended.

Measured

Bloodwork is selected after clinical review, not sold as a fixed panel.

Next steps

Your numbers read against your age, your symptoms and the time of the sample.

Explore other consults

Baseline 360 Health & Longevity Assessment

Book nowLearn more about Baseline 360 Health & Longevity Assessment

Peptide Therapy Consultation

Weight Loss and Body Composition

Iron Infusion Consultation

Lifestyle & Wellness Consultation

Targeted Supplement/IV Assessment

Concierge General Consult

Follow Up

WellNest

WellNest is a next-generation wellness and longevity clinic in Cape Town, combining advanced diagnostics, medical expertise and personalised wellness strategies to help you better understand, optimise and take control of your health.

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About WellNest

Safety, suitability & medical information

Hormone optimisation at WellNest in Cape Town is a doctor-led assessment of your symptoms and biomarkers. Any treatment, including HRT or TRT, is considered case by case and reviewed over time, so your plan stays personalised.

This information is general and educational, here to help you make informed choices, and is not a substitute for personal medical advice. Our consults and services are personalised and are not right for everyone, and individual results vary. Peptide therapy and prescription medication are dispensed only where clinically indicated, on prescription, after review by an HPCSA-registered physician. If you would like a clinician to review your goals, medical history, and suitability before starting, you can book a consult with our team. Medical content is overseen by Dr Raythaan Addinall, HPCSA-registered medical practitioner (MP0941263). Last reviewed: July 2026. Next review due: July 2027.

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