
How to Start Care
The Initial Assessment at MHI is called the Vital Blueprint Process


What the Vital Blueprint Process is
This initial assessment, which includes the first consultation, is designed to clarify what is most likely driving your symptoms, what needs further testing, what may be treated, and what may need monitoring or onward referral.
Who it is for
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suspected low testosterone
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erectile dysfunction
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low libido
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fatigue with possible hormonal/metabolic overlap
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weight-related metabolic dysfunction
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also, men already on TRT needing structured review
What is reviewed
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symptoms and timeline
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prior bloods
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medication and supplement history
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weight/sleep/stress overlap
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sexual symptoms
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fertility plans where relevant
What to expect
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further testing if needed
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full lifestyle/metabolic plan
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sleep assessment / follow-up when required
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treatment and medication options
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start TRT where appropriate
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referral onward if needed
Fees
Initial Vital Blueprint Process: €240
Follow-up Consultations: €120 (usually after 6 weeks and then twice a year)
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online consultations only
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Laboratory test charges and medication costs are separate from MHI consultation fees. You pay your chosen local laboratory directly for any tests required.
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not every assessment leads to a TRT prescription
Not every man with fatigue, weight gain, or low libido needs testosterone therapy.
TRT may be started at the initial assessment if clinically correct.

THE VITAL BLUEPRINT (VB) PROCESS (Starting Point for ALL MHI Programs and Services)
Every MHI patient starts with the Vital Blueprint Process (VB) - a full 60-minute medical assessment combining your lab results, symptom audit, and health goals into one personalised treatment plan (PTP).
Whether you need testosterone therapy, a metabolic reset, or support for sexual health, this is where your personalised care journey begins.
What’s included:
Your €240 Vital Blueprint includes advance review of your completed intake questionnaire and available laboratory results or reports, a full one-hour online consultation with Dr Rui, and a personalised treatment plan prepared afterwards. Preparing that plan typically takes a further 20–30 minutes. Prescriptions and guides are provided where clinically appropriate. Follow-up consultations cost €120.
Book your Vital Blueprint appointment first. You will then receive guidance on what tests, if any, are needed before your consultation. MHI provides a laboratory request form when needed. You arrange any new tests at your local laboratory and pay the laboratory separately; laboratory charges are not included in the €240 fee.
Book VB ➝ Guidance on any tests needed ➝ Submit results & questionnaire ➝ 60‑min VB Consult ➝ Personalised Plan (PTP)
Still unsure?
👉 Watch the 2-min video on what happens in a VB

