Our treatments

Compounded Semaglutide is a customized formulation of the medication semaglutide with B3, prepared by a licensed compounding pharmacy to support weight management.

Semaglutide mimics the GLP-1 hormone, which regulates appetite and food intake. By enhancing feelings of fullness and reducing hunger, it supports weight loss when combined with a reduced-calorie diet and increased physical activity.

Compounded Semaglutide is typically administered once-weekly as a subcutaneous injection, though each patient may have unique needs. You will receive more detailed instructions on how to properly dose and inject it, if prescribed. For best results, combine with a healthy diet and exercise.

The most common side effects include nausea, vomiting, diarrhea, and constipation. These usually improve as your body adjusts. Contact your provider if symptoms persist or worsen.

Many patients notice weight loss in as little as 6 weeks, with continued improvements over time. Results vary based on dosage, metabolism, and adherence to a healthy lifestyle.

It is not recommended for individuals with a history of medullary thyroid carcinoma, Multiple Endocrine Neoplasia syndrome type 2, or certain other medical conditions. Consult your provider before starting.

Our Compounded Semaglutide may interact with other medications, including those for diabetes and blood pressure. Be sure to include all medications and supplements you're taking in your medical intake questionnaire.

If you miss a dose, take it as soon as you remember, unless it's close to your next scheduled dose. Do not double up. Follow your provider's guidance.

If your needles breaks or becomes otherwise unusable, you may purchase additional syringes that are compatible with our vials: Syringe Type: Insulin syringes (1mL, 0.5mL, or 0.3mL) Needle Size: 27G – 31G Needle Length: 5/16-inch (8mm) to ½-inch (12.7mm), depending on body fat and injection site Important Notes: • Always use a sterile, single-use needle to prevent infection. • Confirm with the pharmacy or prescribing provider for brand compatibility. • For those with needle anxiety, shorter and thinner (higher gauge) needles may be preferable.

Store in the refrigerator as directed. Keep away from light, heat, and moisture, and do not freeze. Keep medication and syringes out of reach of children.

Yes, this medication can withstand temperatures reaching 140 degrees for up to 3 days, and 86 degrees for up to 28 days. However, we recommend putting it in the refrigerator as soon as possible to keep its potency and sterility for an extended period.

Yes, you can adjust your dosing schedule to fit your lifestyle. Simply start taking Compounded Semaglutide on your newly chosen day, so long as at least 48 hours have passed since your last injection.

It is not advised to abruptly halt treatment, as you may see rebound hunger and regain the weight you have lost. If you would like to stop treatment, we recommend communicating this with your provider and they will help develop a plan to gradually wean you off the treatment without extra side effects.

Compounded Tirzepatide is a customized formulation of the medication tirzepatide with B12, prepared by a licensed compounding pharmacy to support weight management.

Tirzepatide mimics the GLP-1 hormone, which regulates appetite and food intake. By enhancing feelings of fullness and reducing hunger, it supports weight loss when combined with a reduced-calorie diet and increased physical activity.

Compounded Tirzepatide is typically administered once-weekly as a subcutaneous injection, though each patient may have unique needs. You will receive more detailed instructions on how to properly dose and inject it, if prescribed. For best results, combine with a healthy diet and exercise.

The most common side effects include nausea, vomiting, diarrhea, and constipation. These usually improve as your body adjusts. Contact your provider if symptoms persist or worsen.

Many patients notice weight loss in as little as 6 weeks, with continued improvements over time. Results vary based on dosage, metabolism, and adherence to a healthy lifestyle.

It is not recommended for individuals with a history of medullary thyroid carcinoma, Multiple Endocrine Neoplasia syndrome type 2, or certain other medical conditions. Consult your provider before starting.

Our Compounded Tirzepatide may interact with other medications, including those for diabetes and blood pressure. Inform your provider about all medications and supplements you're taking.

If you miss a dose, take it as soon as you remember, unless it's close to your next scheduled dose. Do not double up. Follow your provider's guidance.

If your needles breaks or becomes otherwise unusable, you may purchase additional syringes that are compatible with our vials: Syringe Type: Insulin syringes (1mL, 0.5mL, or 0.3mL) Needle Size: 27G – 31G Needle Length: 5/16-inch (8mm) to ½-inch (12.7mm), depending on body fat and injection site Important Notes: • Always use a sterile, single-use needle to prevent infection. • Confirm with the pharmacy or prescribing provider for brand compatibility. • For those with needle anxiety, shorter and thinner (higher gauge) needles may be preferable.

Store in the refrigerator as directed. Keep away from light, heat, and moisture, and do not freeze. Keep medication and syringes out of reach of children.

Yes, this medication can withstand temperatures reaching 140 degrees for up to 3 days, and 86 degrees for up to 28 days. However, we recommend putting it in the refrigerator as soon as possible to keep its potency and sterility for an extended period.

Yes, you can adjust your dosing schedule to fit your lifestyle. Simply start taking Compounded Tirzepatide on your newly chosen day, so long as at least 48 hours have passed since your last injection.

It is not advised to abruptly halt treatment, as you may see rebound hunger and regain the weight you have lost. If you would like to stop treatment, we recommend communicating this with your provider and they will help develop a plan to gradually wean you off the treatment without extra side effects.

Sermorelin is a synthetic peptide that stimulates the body's natural production of growth hormone. It is commonly used for individuals who have growth hormone deficiencies or want to optimize their hormone levels for various health and wellness benefits.

Sermorelin is typically prescribed for individuals looking to optimize their natural growth hormone levels for improved vitality, body composition, and overall health. It is suitable for men and women alike.

Sermorelin works by stimulating the pituitary gland to release more growth hormone (GH), which plays a key role in metabolism, energy, muscle growth, and fat breakdown. By boosting GH levels, sermorelin may help improve overall vitality and wellness.

Sermorelin is administered via subcutaneous injection, typically in the fatty tissue of the abdomen or thigh. It is typically prescribed for 5 doses per week. We recommend not taking the 2 "off" days back to back. You will receive detailed instructions on how to properly inject the medication.

If you miss a dose, take it as soon as you remember. Do not double the dose to make up for a missed one. Continue with your regular dosing schedule and consult your provider if you have any concerns.

Common side effects may include injection site irritation, redness, or swelling, headaches, dizziness, or mild nausea. These side effects are usually temporary and subside as your body adjusts. Contact your healthcare provider if side effects persist or worsen.

Results may vary, but many individuals begin noticing benefits such as improved energy, better sleep, and enhanced recovery within a few weeks of consistent use. Continued use over time typically leads to more noticeable improvements in body composition and overall health.

Sermorelin can typically be used long-term under the supervision of a healthcare provider. Regular follow-ups will help ensure that the treatment remains effective and that any side effects or health concerns are addressed.

If your needles breaks or becomes otherwise unusable, you may purchase additional syringes that are compatible with our vials: Syringe Type: Insulin syringes (1mL, 0.5mL, or 0.3mL) Needle Size: 27G – 31G Needle Length: 5/16-inch (8mm) to ½-inch (12.7mm), depending on body fat and injection site Important Notes: • Always use a sterile, single-use needle to prevent infection. • Confirm with the pharmacy or prescribing provider for brand compatibility. • For those with needle anxiety, shorter and thinner (higher gauge) needles may be preferable.

Store in the refrigerator when not in use. Keep vials upright and tightly sealed to maintain potency. Follow any additional storage instructions provided with your prescription.

Enclomiphene is an easy-to-use daily capsule that helps boost the body's natural testosterone production without the side effects one may see with traditional TRT.

Enclomiphene is a great option for men who are new to testosterone therapy or looking for a more naturally-driven approach. It works by stimulating your body's own production of testosterone, rather than replacing it directly. It's often recommended for those with mild to moderate testosterone decline who want to maintain fertility while improving energy, mood, and overall well-being.

As testosterone levels increase, it can be converted into estrogen, potentially leading to unwanted side effects like mood swings, gynecomastia, and water retention. To help address this, your doctor may prescribe an add-on called anastrozole, which mediates the body's estrogen levels, allowing for balanced hormones throughout treatment. If prescribed, your add-on and any necessary instructions for use would be included with your prescription at no additional cost.

Enclomiphene helps stimulate the body's natural production of testosterone by blocking estrogen receptors in the brain, which signals the body to produce more testosterone. It is typically used to address low testosterone levels in men.

If prescribed, you will receive an appropriate supply for your chosen subscription plan, equating to 30 enclomiphene capsules per month. Enclomiphene is typically taken daily, preferably at the same time each day, with or without food. Swallow each capsule whole with water, and do not crush or chew them. Follow the specific instructions provided by your healthcare provider.

Common side effects of enclomiphene may include headache, dizziness, hot flashes, and mood changes. These side effects are typically mild and subside as the body adjusts. Some men also experience increased estrogen and associated symptoms, though your doctor may prescribe an add-on called anastrozole to help mediate this. If symptoms persist, consult your healthcare provider.

It may take several weeks to a few months to notice the full benefits of the treatment, including improved testosterone levels and balanced estrogen levels. Regular follow-ups and bloodwork are essential to monitor progress and make adjustments if necessary.

Bloodwork helps ensure your treatment is safe, effective, and tailored to your needs. It allows the provider to assess your current hormone levels, rule out any underlying health issues, and choose the right dose and formulation for your body. Ongoing monitoring also helps track progress and make any necessary adjustments over time.

Bloodwork must be obtained from a reputable lab. We recommend using LabCorp On Demand or Quest Diagnostics for convenience. You will submit these labs during your initial visit, or if you don't have them yet, you can upload them to your profile within 10 days of submitting your prescription request. You will also be asked to submit update bloodwork results along with each 3-month follow-up to ensure treatment remains safe and effective.

Vardenafil is a prescription medication used to treat erectile dysfunction (ED) in men. It is typically taken as-needed and works by increasing blood flow to the penis, helping achieve and maintain an erection when sexually aroused.

Vardenafil belongs to a class of medications called PDE5 inhibitors. It relaxes blood vessels and improves blood flow to the penis, making it easier to get and sustain an erection. It is important to note that vardenafil does not increase sexual desire or directly give you an erection. It only helps with achieving and maintaining an erection when sexually stimulated.

Take one capsule as prescribed, usually about 30-60 minutes before sexual activity. It can be taken with or without food but may work faster on an empty stomach. We typically recommend no more than one dose in a 24-hour period, but individual instructions will be provided by your doctor for best results.

The effects of vardenafil typically last for about 4-6 hours, though this may vary from person to person. It does not cause a continuous erection—sexual stimulation is still needed.

If vardenafil does not work as expected, ensure you are taking it as instructed and allowing enough time for it to take effect. Avoid heavy meals or excessive alcohol before taking it. If you still experience issues, speak with your provider about adjusting the dose or exploring other treatment options.

Common side effects may include headache, flushing, nasal congestion, upset stomach, dizziness, or mild back pain. These side effects are usually temporary. If you experience severe reactions like vision changes, chest pain, or a prolonged erection lasting over 4 hours, seek medical attention immediately.

No, we do not recommend using this treatment it at the same time as other ED medications such as sildenafil, tadalafil, or avanafil. Combining these medications can increase the risk of serious side effects, including low blood pressure, dizziness, and prolonged erections (priapism).

While moderate alcohol consumption is usually fine, drinking too much alcohol can reduce vardenafil's effectiveness and increase the risk of side effects like dizziness and low blood pressure.

Surge Edition is a fast-acting, compounded treatment designed to enhance sexual performance. It combines tadalafil, sildenafil, and oxytocin in a powdered formula that dissolves in a beverage for rapid absorption.

This formula contains tadalafil and sildenafil, which increase blood flow to support strong, lasting erections, and oxytocin, which enhances intimacy and arousal. When mixed into a beverage, it is quickly absorbed into the system, working in as little as 7 minutes.

Mix the prescribed amount of powder into a small amount of liquid (water or a non-alcoholic beverage), stir until fully dissolved, and drink. If you prefer, you can also place the powder on your tongue and rinse it down. Do not exceed the recommended dose.

Depending on your body's pH levels, the powder can have a slightly bitter taste. The flavor is extremely variable to the individual, but it is not overpowering. If this is a concern for you, we recommend allowing the powder to fully dissolve in your favorite beverage before consuming.

Surge Edition targets the physical aspect of the sexual experience as well as the bonding shared between partners. The effects typically kick in as quickly as 7 minutes and can last 4-6 hours, though this may vary depending on individual response. Sexual stimulation is still required for it to be effective.

Unlike standard ED pills, which can take 30-60 minutes to work, Surge Edition absorbs rapidly through liquid ingestion, providing results more quickly than alternatives. It also includes oxytocin, which enhances intimacy beyond just physical performance.

Surge Edition should be taken on an empty stomach or at least 30 minutes after your previous meal for best absorption. It is best to avoid excessive alcohol consumption, as it can reduce effectiveness and increase the risk of side effects like dizziness and low blood pressure.

Possible side effects include mild headaches, flushing, nasal congestion, dizziness, or stomach discomfort. These are typically temporary. If you experience prolonged erections (lasting more than 4 hours) or severe side effects, seek medical attention.

No, we do not recommend using this treatment it at the same time as other ED medications such as sildenafil, tadalafil, or avanafil. Combining these medications can increase the risk of serious side effects, including low blood pressure, dizziness, and prolonged erections (priapism).

Store in a cool, dry place, away from moisture and direct sunlight to avoid clumping of the powder. Keep the packaging sealed and out of reach of children.

Endurance Blend is a compounded troche that combines tadalafil, sildenafil, apomorphine, and oxytocin to enhance sexual performance, arousal, and intimacy. It is designed for rapid absorption under the tongue, delivering faster and more effective results compared to traditional pills.

Endurance Blend works by targeting multiple pathways involved in sexual function: tadalafil & sildenafil increase blood flow for stronger, longer-lasting erections, apomorphine stimulates dopamine receptors to enhance arousal, and oxytocin boosts intimacy and emotional connection. The sublingual format allows for faster absorption than oral tablets.

Place the prescribed troche under your tongue and let it dissolve completely about 30 minutes before sexual activity. Do not chew or swallow it whole, as sublingual absorption is key to its rapid effectiveness. Avoid eating or drinking until it is fully dissolved.

Due to the nature of Endurance Blend being a fast-dissolving troche, some men have noted a slightly bitter flavor. This can be easily compensated with a sip of your favorite beverage, but be sure to allow the troche to dissolve completely before washing it down.

Endurance Blend typically starts working within 30 minutes and lasts 4-6 hours, though results may vary based on individual metabolism. Remember: sexual stimulation is required for it to be effective.

Unlike standard ED medications that must be swallowed and take 30-60 minutes to work, Endurance Blend is a sublingual troche, meaning it dissolves under the tongue for rapid absorption. It also includes apomorphine to enhance arousal and oxytocin to boost intimacy—benefits that standard ED pills don't offer.

Endurance Blend is best taken on an empty stomach or at least 30 minutes prior to your most recent meal for best absorption. Excessive alcohol consumption can reduce effectiveness and increase the risk of side effects like dizziness and low blood pressure, so it's best to limit alcohol intake.

Some users may experience mild side effects such as headaches, flushing, nasal congestion, dizziness, nausea, or stomach discomfort. These typically subside quickly. If you experience prolonged erections (lasting more than 4 hours) or severe reactions, seek medical attention immediately.

No, we do not recommend using this treatment it at the same time as other ED medications such as sildenafil, tadalafil, or avanafil. Combining these medications can increase the risk of serious side effects, including low blood pressure, dizziness, and prolonged erections (priapism).

Sildenafil is an FDA-approved medication used to treat erectile dysfunction (ED) by increasing blood flow to the penis, helping to achieve and maintain an erection as needed.

Sildenafil is the active ingredient used in Viagra® and is the generic equivalent. Sildenafil is just as effective as Viagra®, working for the same amount of time and delivering the same lasting effects, but at a fraction of the cost.

Sildenafil is a PDE5 inhibitor that relaxes blood vessels, allowing increased blood flow to the penis during sexual stimulation. It does not cause an automatic erection—sexual arousal is still required.

Take sildenafil 30-60 minutes before sexual activity with a full glass of water. It can be taken with or without food. Do not take more than one dose per day.

Most users feel effects within 30-60 minutes, but some may notice results in as little as 15 minutes. Sexual stimulation is required for it to work. The effects of sildenafil typically last 4-6 hours, though individual response times may vary.

No, Sildenafil does not affect any cognitive functions towards sexual desire or arousal. Sildenafil primarily addresses the physical aspect of gaining and maintaining an erection. It works in conjunction with sexual stimulus to achieve powerful, long-lasting erections.

Sildenafil can be taken with or without food, but a high-fat meal may delay its effects. Moderate alcohol consumption is generally safe, but excessive drinking can reduce the effectiveness of sildenafil and increase side effects like dizziness, headaches, and low blood pressure.

Some users experience headaches, flushing, nasal congestion, dizziness, indigestion, or mild vision changes (such as a blue-tinted vision). These usually go away on their own. If you have a prolonged erection lasting more than 4 hours (priapism), seek medical attention immediately.

No, we do not recommend using this treatment it at the same time as other ED medications such as sildenafil, tadalafil, or avanafil. Combining these medications can increase the risk of serious side effects, including low blood pressure, dizziness, and prolonged erections (priapism).

Tadalafil is an FDA-approved medication used to treat erectile dysfunction (ED) by increasing blood flow to the penis and making it easier to get and maintain an erection.

Tadalafil is the active ingredient used in Cialis® and is the generic equivalent. Tadalafil is just as safe and effective as Cialis® - it works for the same amount of time and delivers the same lasting effects.

Tadalafil is a PDE5 inhibitor that relaxes blood vessels, improving blood flow to the penis during sexual stimulation. Unlike sildenafil, tadalafil has a longer duration of action and can remain effective for up to 36 hours.

Tadalafil is typically prescribed to be taken as needed, at least 30 minutes before sexual activity with a full glass of water. It can be taken with or without food.

Tadalafil is known as the "weekend pill" because its effects can last 24-36 hours. This allows for greater spontaneity compared to other ED medications.

Tadalafil starts working in 30-60 minutes, but some men report feeling effects as early as 15 minutes after taking it. Sexual stimulation is required for it to work.

Yes, tadalafil can be taken with or without food, and unlike sildenafil, it is not significantly affected by high-fat meals. Moderate alcohol consumption is usually safe, but excessive alcohol can increase the risk of side effects like dizziness, low blood pressure, or headaches. Avoid excessive drinking while taking tadalafil.

Common side effects include headaches, flushing, nasal congestion, indigestion, muscle pain, and back pain. These usually subside on their own. If you experience a prolonged erection lasting more than 4 hours (priapism), seek medical attention immediately.

No, we do not recommend using this treatment it at the same time as other ED medications such as sildenafil, tadalafil, or avanafil. Combining these medications can increase the risk of serious side effects, including low blood pressure, dizziness, and prolonged erections (priapism).

Scream Cream is a compounded cream designed to enhance blood flow and sensitivity in the genital area, improving sexual arousal and pleasure for women. It contains tadalafil, l-arginine, and minoxidil, which work together to target both the mental and physical aspects that make for great sex.

Scream Cream may be a good fit for women interested in enhancing their sexual experience with a simple topical formula. Avoid use if you are pregnant or breastfeeding, have low blood pressure or cardiovascular issues, or have a history of allergic reactions to any of the ingredients.

Scream Cream works to improve blood flow and nerve sensitivity: tadalafil and l-arginine promote blood flow, and minoxidil helps dilate blood vessels. Together, these ingredients heighten sensitivity and physical arousal.

Apply as needed a few minutes before sexual activity. Massage gently until absorbed. Avoid internal use. While safe for regular use, Scream Cream is recommended for occasional or as-needed use before sexual activity. Consult your provider for guidance on frequency.

Most users feel effects within minutes, though individual response times may vary. The effects often last up to 3-4 hours, and are enhanced by sexual stimulation.

There is no significant odor associated with our Scream Cream formula. This allows for less irritation to the skin and a more seamless experience.

Possible side effects include warmth, tingling, redness, or mild sensitivity in the applied area. Rarely, headaches or mild skin irritation may occur. If irritation persists, discontinue use and consult a provider.

Yes, Scream Cream is generally safe to use with latex and non-latex condoms and sex toys, but allow time for full absorption to avoid transferring the cream.

It is typically not recommended to combine Scream Cream with oral PDE5 inhibitors, as this may increase the risk of side effects like dizziness or low blood pressure. Consult your provider before combining treatments.

Desire Essence is a compounded powder blend designed to enhance female sexual arousal and pleasure. It contains tadalafil, sildenafil, apomorphine, and oxytocin, which work together to improve blood flow, sensitivity, and dopamine-driven arousal.

Desire Essence combines tadalafil and sildenafil to increase blood flow, apomorphine to stimulate dopamine receptors for arousal, and oxytocin to enhance emotional and physical connection. This unique formula helps promote desire, responsiveness, and overall sexual satisfaction.

Dissolve the prescribed dose into a small beverage of your choice and drink it. For best results, take it on an empty stomach at least 30-60 minutes before sexual activity. If you prefer, you can also place the powder on your tongue and rinse it down. Do not exceed the prescribed dose within a 24-hour period.

The flavor of Desire Essence varies for each user. Some hardly taste anything at all, while others comment on a slight bitterness. If you experience some bitterness, we recommend masking it by dissolving the powder completely in a flavored beverage before consuming.

The powder formula allows the effects to begin within minutes of ingestion, making it one of the fastest-acting treatments available. The effects can last up to 4 hours, depending on individual response and metabolism, but sexual stimulation is key to feeling the full effects.

Some users may experience flushing, headaches, mild dizziness, nausea, or nasal congestion. These effects are typically mild and temporary. If side effects persist or worsen, consult your provider.

It is not recommended to mix Desire Essence with alcohol, as it may reduce the effectiveness and increase the risk of side effects like dizziness or low blood pressure.

Desire Essence may be a good fit for women looking to enhance their sexual experience. It is not recommended for those who are pregnant or breastfeeding, have low blood pressure, heart conditions, or are taking nitrates. Consult a provider before use if you have any medical concerns.

It is not recommended to combine Desire Essence with other PDE5 inhibitors or dopamine agonists without consulting a healthcare provider. Doing so may increase the risk of side effects.

Store in a cool, dry place away from direct sunlight to avoid clumping of the powder. Keep out of reach of children. Do not expose to moisture or extreme temperatures.

V-Cream is a compounded, topical formulation of valacyclovir, an antiviral medication commonly used to help manage outbreaks of genital herpes, cold sores, and shingles caused by herpes simplex and varicella-zoster viruses. Unlike oral tablets, this cream is applied directly to affected areas for targeted relief.

V-Cream works by inhibiting viral replication, helping to reduce the severity and duration of herpes outbreaks. Applying it early, ideally at the first sign of symptoms, can help shorten healing time and alleviate discomfort.

Apply a thin layer of V-Cream to the affected area at the first sign of an outbreak (such as tingling, itching, or redness). Follow your provider's instructions for frequency and duration of use. Wash hands before and after application.

Our V-Cream is formulated without any significant odor or flavor. Avoid consuming this cream beyond what is to be expected from proper cold sore (oral herpes) treatment.

The onset of relief varies, but most individuals experience a reduction in symptoms within a few days of starting treatment. V-Cream has also shown nearly immediate relief for itching, burning, or painful sensations for many users.

Typically, V-Cream is applied 2-3 times daily or as directed by your provider. Consistent use during an outbreak can help speed up healing.

No, V-Cream does not cure herpes, but it helps manage symptoms, reduce outbreak duration, and promote faster healing. The herpes virus remains in the body and can reactivate over time.

Some users may experience mild skin irritation, redness, dryness, or a burning sensation at the application site. These effects are typically temporary. Discontinue use and consult your provider if irritation persists.

Yes, both oral valacyclovir and V-Cream may be used together for stronger outbreak management when prescribed and overseen by a medical professional. Valacyclovir is often used for both prevention and active outbreaks, while V-Cream is typically used to help manage active outbreaks and prevent spread.

Valacyclovir is an antiviral treatment used to manage herpes simplex and varicella-zoster viruses. It helps reduce symptoms, speed up healing, and lower the risk of transmission.

There is no difference! Valacyclovir is the active ingredient in Valtrex®, so it works exactly the same, but at a fraction of the price.

Valacyclovir works by blocking the virus from replicating, helping your body fight the infection more effectively. It is not a cure, but it can help manage outbreaks and reduce their frequency.

Valacyclovir is taken orally in pill form, with or without food. Your provider will prescribe the appropriate dose and frequency based on your unique needs.

When taken at the first sign of an outbreak (such as tingling or itching), valacyclovir can help shorten symptoms within 24-48 hours. It works best when started early.

Take the missed dose as soon as you remember, unless it's close to your next scheduled dose. Do not double up. Stay consistent for best results.

Yes! Valacyclovir helps reduce the severity and duration of active outbreaks. If you'd like to target the condition from multiple angles, we recommend our V-Cream to treat the external symptoms directly.

Valacyclovir can help reduce the frequency and severity of outbreaks, especially when taken at the first sign of an flare-up. It is important to note that valacyclovir is not a cure. The herpes virus remains in the body and can reactivate over time.

Possible side effects include headache, nausea, dizziness, or stomach discomfort. Serious side effects are rare but may include allergic reactions or kidney issues—contact your provider if you experience unusual symptoms.

Oseltamivir is an antiviral medication used to treat and prevent influenza (flu). It helps reduce the severity and duration of flu symptoms when taken early. It is not a substitute for the flu vaccine.

Yes, oseltamivir is the active ingredient in Tamiflu®. Tamiflu® is the brand name, while oseltamivir is the generic version. Both work the same way to treat and prevent the flu, but our generic version is often more affordable.

Oseltamivir works by blocking the influenza virus from spreading in the body, helping to control infection and shorten recovery time. It is most effective when taken within 48 hours of symptom onset.

Oseltamivir is recommended for people who have flu symptoms, those at high risk for complications (such as the elderly, pregnant individuals, and people with chronic conditions), or those exposed to the flu who want to prevent infection.

Oseltamivir is taken orally in capsule form, with or without food. It is typically prescribed twice daily for 5 days for flu treatment and once daily for 10 days for flu prevention. It is most effective when started within 48 hours of the onset of flu symptoms, so prompt action is crucial. If used for prevention, start treatment within 48 hours of exposure.

Take the missed dose as soon as you remember, unless it's close to your next scheduled dose. Do not double up. Staying on schedule ensures the best effectiveness.

It is most effective when started within 48 hours of flu symptoms like fever, chills, body aches, and congestion. It can still help after this window, but early treatment yields the best results.

Yes, oseltamivir can be used for flu prevention in individuals exposed to the virus, such as family members of infected individuals or those in outbreak situations. It reduces the risk of developing flu symptoms. Many patients get a prescription for this treatment to have on hand for these situations.

Possible side effects include nausea, vomiting, headache, and dizziness. These are usually mild and temporary. Rare but serious side effects may include allergic reactions or behavioral changes—contact your provider if concerned.

Yes, oseltamivir can be taken alongside the flu vaccine, but it does not replace it. The flu vaccine provides long-term protection, while oseltamivir treats or prevents an active infection.

No, it's an antiviral. It works by blocking the action of an enzyme found on the surface of the influenza virus, which helps prevent infection.

Ivermectin is a broad-spectrum antiparasitic medication that has been traditionally used to treat parasitic infections like intestinal worms, scabies, and head lice. It has also been studied for its anti-inflammatory and antiviral properties.

Ivermectin works by binding to nerve and muscle cells in parasites, leading to their paralysis and elimination. It is also being researched for its potential immune-modulating effects that may reduce inflammation.

Ivermectin is primarily known to treat parasitic infections such as onchocerciasis (river blindness), strongyloidiasis (intestinal worms), and scabies. It has also shown to be effective against other parasites like lice, cutaneous larva migrans (hookworm-related skin infection), and myiasis (parasitic fly larvae infestations). Some providers also prescribe it off-label for certain inflammatory conditions or other emerging uses.

Ivermectin has been explored for other uses outside of parasitic treatment. It may have antiviral properties against viruses such as dengue, Zika, and even SARS-CoV-2, though its effectiveness for COVID-19 in humans remains highly debated. It is also proposed that ivermectin may have anti-inflammatory properties that could benefit conditions like rosacea.

Ivermectin is taken orally in a short treatment course, depending on the condition being treated. It is typically taken on an empty stomach with water for best absorption. Follow your provider's instructions carefully.

Possible side effects include nausea, dizziness, diarrhea, fatigue, and mild skin irritation. These typically subside on their own. In rare cases, allergic reactions or neurological symptoms like confusion or tremors may occur. Contact your provider if side effects persist.

Ivermectin has been studied for potential antiviral effects, but it is not an FDA-approved treatment for viral infections. It's important to be honest about your intended use when asked about it in your consultation.

Some medications, including blood thinners and immunosuppressants, may interact with Ivermectin. Inform your provider of all medications and supplements you are taking to avoid potential interactions.

Nitazoxanide is a broad-spectrum antiparasitic and antiviral medication traditionally used to treat infections like giardiasis and cryptosporidiosis. It has also been studied for its anti-inflammatory and immune-modulating properties.

Nitazoxanide works by blocking the energy metabolism of parasites and certain viruses, preventing their ability to survive and replicate. It is also being explored for its potential effects on inflammation and immune response.

It is primarily prescribed for parasitic infections like giardiasis and cryptosporidiosis, but it is also being researched for off-label uses, including viral infections and inflammatory conditions.

Nitazoxanide is taken orally as a capsule, with food, to improve absorption. The dosage and duration depend on the condition being treated. Follow your provider's instructions carefully.

If you miss a dose, take it as soon as you remember unless it's close to your next scheduled dose. Do not take extra doses to make up for a missed one.

Possible side effects include nausea, stomach pain, diarrhea, headache, and dizziness. These are usually mild and temporary. If symptoms persist or worsen, contact your provider.

Nitazoxanide has shown potential antiviral properties in research, but it is not FDA-approved for viral infections. It's important to be honest about your intended use when asked about it in your consultation.

Some medications, including blood thinners, immunosuppressants, and certain antibiotics, may interact with nitazoxanide. Inform your provider of all medications and supplements before starting treatment.

Our Neuro Max Relief Formula is a topical treatment designed to help relieve chronic pain, specifically sharp, shooting pains associated with a localized nerve or area. It is compounded with diclofenac, lidocaine, ketamine, and gabapentin, ingredients that work together to provide targeted pain relief and reduce inflammation.

This cream is designed for individuals with chronic pain, particularly those dealing with nerve pain, inflammation, or pain associated with conditions like neuropathy, fibromyalgia, or musculoskeletal disorders.

The ingredients in this cream target different aspects of pain. Diclofenac reduces inflammation, lidocaine numbs the area, ketamine helps manage nerve pain, and gabapentin works on nerve signals to reduce discomfort.

There is no significant odor associated with our formula. This allows for less irritation to the skin and a less intrusive application.

Apply a thin layer of the cream to the affected area and gently rub it in. Avoid contact with eyes, mucous membranes, or broken skin. Do not wrap or bandage the treated area unless directed by your provider. Wash your hands after use to prevent irritation.

You may start feeling relief within minutes of applying the cream, although full benefits may take longer depending on the severity of your pain and how often you use it.

It is generally not recommended to use this treatment on the face, eyes, or other sensitive areas unless directed by your provider. Always use caution and follow your provider's guidance for application.

Generally, yes, but it's important to consult your healthcare provider before combining this treatment with other pain medications, especially those that affect the nervous system or have sedative properties.

Yes, this cream is formulated with safety in mind. It is intended for long-term use, providing a reliable solution for ongoing pain management. However, it's always advisable to consult with a healthcare professional for personalized advice.

Some possible side effects include skin irritation, redness, or itching. These are generally mild and subside after a few hours. If you experience anything more serious, such as a rash or swelling, seek medical attention.

Both creams are designed for chronic pain relief, but Neuro Max Relief Formula contains ketamine, which is typically used for more severe nerve pain. NeuroRelief Cream, on the other hand, has cyclobenzaprine for muscle relaxation and is often used for musculoskeletal pain along with nerve pain. Your healthcare provider can help determine which treatment is best for your needs.

NeuroRelief Cream is a topical treatment designed to provide relief for widespread pain arising from damage or dysfunction of the nervous system as a whole. It is compounded with diclofenac, lidocaine, gabapentin, and cyclobenzaprine, which work together to reduce pain, inflammation, and muscle spasms.

NeuroRelief Cream is designed for individuals experiencing chronic nerve pain, muscle spasms, or conditions like neuropathy, fibromyalgia, or musculoskeletal pain.

The ingredients in NeuroRelief Cream work in several ways: Diclofenac reduces inflammation, lidocaine provides localized numbing, gabapentin targets nerve signals to reduce discomfort, and cyclobenzaprine helps relax muscles and ease spasms.

There is no significant odor associated with our formula. This allows for less irritation to the skin and a less intrusive application.

Apply a thin layer of the cream to the affected area and gently rub it in. Avoid contact with eyes, mucous membranes, or broken skin. Do not wrap or bandage the treated area unless directed by your provider. Wash your hands after use to prevent irritation.

Most patients experience relief within 30 minutes to an hour of applying the cream. Full effects may take longer depending on the severity of the pain and how often you apply the cream.

It is generally not recommended to use this cream on your face or other sensitive areas unless directed by your provider. Always follow your provider's guidance regarding application locations.

It's important to check with your healthcare provider before using this treatment with other medications, especially those that affect the nervous system or muscle relaxants, to avoid potential interactions.

Yes, this cream is formulated with safety in mind. It is intended for long-term use, providing a reliable solution for ongoing pain management. However, it's always advisable to consult with a healthcare professional for personalized advice.

Some possible side effects include skin irritation, redness, or itching. These are generally mild and temporary. If you experience more severe reactions such as rashes or swelling, contact your healthcare provider.

Both creams are designed for chronic pain relief, but Neuro Max Relief Formula contains ketamine, which is typically used for more severe nerve pain. NeuroRelief Cream, on the other hand, has cyclobenzaprine for muscle relaxation and is often used for musculoskeletal pain along with nerve pain. Your healthcare provider can help determine which treatment is best for your needs.

NAD+, or nicotinamide adenine dinucleotide (NAD+), is a coenzyme essential for cellular metabolism and energy production.

NAD+ Spray is ideal for individuals seeking enhanced energy, improved focus, faster recovery, and better overall wellness without the hassle of pills or injections. It's particularly beneficial for those with demanding lifestyles, high stress, or age-related NAD+ decline.

NAD+ is a coenzyme essential for cellular metabolism and energy production. It plays a key role in DNA repair, mitochondrial function, and cognitive health. The nasal spray delivers NAD+ directly into the bloodstream via the nasal mucosa for faster effects.

Potential benefits include increased energy, enhanced cognitive function, improved mood, better sleep quality, and overall cellular health. Many users report feeling more alert and focused after use.

It comes down to what matters most to you—efficacy or convenience. Injections deliver the most direct and effective absorption of NAD+ into your system. They're ideal if you want faster, more noticeable results and don't mind self-administering with a syringe. Nasal spray offers a middle ground—faster than oral, but easier to use than injections. It's absorbed through the mucous membranes in your nose and works best when used consistently.

Spray the prescribed amount, typically 1-2 sprays, into each nostril as directed by your provider. Avoid blowing your nose or lying down for a few minutes after use to allow for full absorption.

Many users report feeling improvements in energy and mental clarity within an hour of administering the spray. Long-term benefits build over time with regular use. Individual results may vary.

Some users may experience temporary nasal irritation, mild headaches, or dizziness. These effects are usually mild and subside as the body adjusts. If symptoms persist, consult your provider.

NAD+ is generally well-tolerated, but interactions may occur. Consult your provider if you are taking blood thinners, immune-modulating drugs, or other metabolic supplements.

NAD+, or nicotinamide adenine dinucleotide (NAD+), is a coenzyme essential for cellular energy, DNA repair, and overall vitality.

The NAD+ Injection is ideal for individuals seeking enhanced energy, improved focus, faster recovery, and better overall wellness. It's particularly beneficial for those with demanding lifestyles, high stress, or age-related NAD+ decline. If you don't mind needles, this could be a good fit for you; otherwise, our NAD+ Spray may be worth checking out!

NAD+ plays a critical role in energy production, mitochondrial function, and cellular repair. Injecting NAD+ bypasses the digestive system, allowing for higher absorption and more potent effects compared to oral supplements.

Potential benefits include enhanced mental clarity, increased energy, improved mood, better sleep, faster recovery, and anti-aging support.

It comes down to what matters most to you—efficacy or convenience. Injections deliver the most direct and effective absorption of NAD+ into your system. They're ideal if you want faster, more noticeable results and don't mind self-administering with a syringe. Nasal spray offers a middle ground—faster than oral, but easier to use than injections. It's absorbed through the mucous membranes in your nose and works best when used consistently.

NAD+ injections are typically administered subcutaneously 2-3 times per week. The best places for these injections are typically the abdomen, thighs, or upper arms, where there is sufficient fatty tissue. You will receive more detailed instructions with your first shipment, if prescribed. Regular use as prescribed ensures the best results for sustained energy and cellular support.

Effects may be noticed within the first few treatments with many users reporting increased mental clarity, energy, and mood enhancement. Consistent use is vital to seeing long-term benefits.

Some users experience mild flushing, dizziness, nausea, or site irritation, especially with higher doses. These effects are usually temporary and subside as the body adjusts. If symptoms persist, consult your provider.

NAD+ is generally well-tolerated, but always consult your provider if you are taking immune-modulating drugs, metabolic enhancers, or other energy-boosting supplements.

If your needle breaks or becomes otherwise unusable, you may purchase additional syringes that are compatible with our vials:

Syringe Type: Insulin syringes (1mL, 0.5mL, or 0.3mL)
Needle Size: 27G – 31G
Needle Length: 5/16-inch (8mm) to ½-inch (12.7mm), depending on body fat and injection site

Important Notes:
• Always use a sterile, single-use needle to prevent infection.
• Confirm with the pharmacy or prescribing provider for brand compatibility.
• For those with needle anxiety, shorter and thinner (higher gauge) needles may be preferable.

Store in the refrigerator when not in use. Keep vials upright and tightly sealed to maintain potency. Follow any additional storage instructions provided with your prescription.

Rapamycin is a prescription medication originally approved to prevent organ transplant rejection. In recent years, it's gained attention for its potential longevity benefits. It works by influencing a cellular pathway called mTOR, which plays a key role in cell growth, metabolism, and aging.

Rapamycin may be considered by adults interested in proactive longevity strategies, especially those who are healthy, middle-aged or older, and looking to support healthy aging at a cellular level. It's important to note that rapamycin is not FDA-approved for anti-aging use, so it's typically prescribed off-label by healthcare providers experienced in longevity medicine. It's not recommended for people with compromised immune systems or those with certain health conditions without medical supervision.

Rapamycin works by inhibiting a protein complex called mTOR (mechanistic Target of Rapamycin). mTOR regulates cell growth, nutrient sensing, and metabolism. By temporarily suppressing mTOR activity, rapamycin can promote cellular repair processes like autophagy (the body's way of cleaning out damaged cells) — which may help slow down certain aging-related processes.

Rapamycin is typically taken as a once-weekly oral capsule. The exact dosage and schedule can vary depending on individual health profiles and a doctor's guidance.

When used for longevity purposes, at lower and intermittent doses, rapamycin is generally well tolerated. Possible side effects can include mouth sores, gastrointestinal discomfort (nausea, diarrhea), fatigue, and minor increases in cholesterol or triglyceride levels. At higher doses (like those used in organ transplants), it can suppress the immune system, but this effect appears milder at longevity doses.

Rapamycin's longevity benefits are preventive and long-term, so you won't typically "feel" immediate changes. The goal is to reduce age-related decline over time, rather than produce noticeable short-term effects. Some people report subtle improvements in energy, mood, or skin appearance, but results vary.

Yes — many people using rapamycin for longevity pair it with other treatments like our NAD+ boosters or lifestyle practices (like fasting and exercise). However, it's important to work with a knowledgeable healthcare provider to manage possible interactions and ensure treatments are safely combined.

Bloodwork helps ensure your treatment is safe, effective, and tailored to your needs. It allows the provider to assess your current hormone levels, rule out any underlying health issues, and choose the right dose and formulation for your body. Ongoing monitoring also helps track progress and make any necessary adjustments over time.

Bloodwork must be obtained from a reputable lab. We recommend using LabCorp On Demand or Quest Diagnostics for convenience. You will submit these labs during your initial visit, or if you don't have them yet, you can upload them to your profile within 10 days of submitting your prescription request. You will also be asked to submit update bloodwork results along with each 3-month follow-up to ensure treatment remains safe and effective.

Methylene Blue is a synthetic compound first developed as a dye and later as a medication. In recent years, it has gained interest for its potential nootropic and mitochondrial-supporting properties. Research suggests that it may support brain function, increase cellular energy production, and act as a powerful antioxidant. Its off-label use is most common among individuals seeking cognitive support, mental clarity, and overall cellular health.

Methylene Blue may be appropriate for adults looking to support mental clarity, focus, mood, or energy levels, especially if they're interested in mitochondrial health or nootropic support. However, it's not recommended for individuals who are pregnant, breastfeeding, taking SSRIs or MAOIs, or who have G6PD deficiency.

Methylene Blue supports mitochondrial function by improving cellular respiration. Specifically, it helps optimize the electron transport chain, which your cells use to produce energy (ATP). It may also act as a neuroprotective agent by reducing oxidative stress and supporting healthy brain cell function.

Methylene Blue is typically taken once each morning in capsule form. Dosing can vary depending on the individual. It's important to follow the prescribed or recommended dose exactly, as higher doses may increase the risk of side effects.

Because Methylene Blue may boost mitochondrial function and mental clarity, it's best taken earlier in the day. Some people notice increased focus and alertness, which can interfere with sleep if taken too late. Taking your dose in the morning helps you get the most from its energizing effects while keeping your sleep on track.

Common side effects may include mild nausea, dizziness, or headache, especially when first starting. A harmless but noticeable side effect is blue or green discoloration of the urine. In higher doses or when combined with certain medications, there may be more serious risks, such as serotonin syndrome or hemolytic anemia in people with G6PD deficiency.

Yes. Methylene blue can interact with SSRIs, SNRIs, MAOIs, and other serotonergic medications, increasing the risk of serotonin syndrome—a potentially serious condition. It may also interfere with certain anesthetics and antimalarials. Be sure to disclose all medications and supplements to your provider before use.

Nope! Since our Methylene Blue is formulated as capsules, the solution doesn't come into direct contact with your mouth, so you shouldn't experience any staining as long as your capsules remain intact. Avoid chewing or separating your Methylene Blue capsules. Also, you should still expect the medication to turn your urine blue, which is a known and harmless side effect.

Some people report increased mental clarity or energy within hours to days, while for others, it may take a few weeks of consistent use. Effects can be subtle and vary depending on your baseline health, dosage, and personal response.

Metformin is a prescription medication that's been safely used for decades to support blood sugar control, mainly in people with type 2 diabetes. But in recent years, it's gained attention for something bigger—its potential to support healthy aging, metabolic function, and inflammation at the cellular level. It's one of the most studied and widely used drugs in the world, now being explored for benefits beyond diabetes. Formulated as an extended-release (ER) capsule, it absorbs over a longer period of time to reduce potential digestive upset.

A good candidate is someone looking to support long-term health with a low-risk, research-backed option with minimal side effects. As always, a provider will help determine if it's a safe and appropriate fit for your goals.

At its core, Metformin helps your body become more sensitive to insulin, which keeps blood sugar levels stable. But it also works deeper—activating a key enzyme called AMPK that signals your cells to clean up damaged parts, use energy more efficiently, and reduce inflammation. As an extended-release (ER) formula, our metformin digests more slowly for a more comfortable treatment.

It is recommended that you take your prescribed dose daily with your evening meal to help reduce stomach upset. Your provider can help tailor the timing to your needs.

Common side effects include mild digestive issues like nausea or loose stools, especially early on, and they usually fade over time. Some people may also see a drop in vitamin B12 over long-term use, but this is easy to monitor and manage. We use an extended-release formula and typically start patients on a lower dose to help mediate these effects.

Metformin isn't known to cause dangerously low blood sugar (hypoglycemia). That said, some people are more sensitive to lower blood sugar, and may notice symptoms like lightheadedness, fatigue, or nausea when starting Metformin. It's important to maintain open communication with your provider and disclose any symptoms you may experience so that your treatment plan can be tailored to your needs.

Lactic acidosis is an extremely rare but serious side effect. The risk is very low in healthy individuals with normal kidney function. It's more of a concern for people with significantly impaired kidney or liver function, or conditions that reduce oxygen flow, like severe infections, dehydration, or heart failure. That's why it's important to take Metformin as directed, only under the guidance of a licensed provider, who will assess your risk and monitor your health as needed.

Usually, yes, but it's important to check with your provider. Metformin is generally safe to combine with most treatments, but it's smart to review your full list of medications to avoid interactions, especially anything that affects kidney function or B12 absorption.

Weight loss isn't guaranteed, but some people do notice a reduced appetite and slow, steady changes in body composition. Metformin supports better metabolic function, which can make it easier to manage weight alongside a healthy lifestyle.

Generally, yes. It's one of the most widely prescribed medications in the world, with a strong safety track record going back decades. That's a big reason why it's being studied so heavily for long-term benefits like healthy aging and disease prevention.