Your first 90 days on a GLP-1
Week by week: what the starter dose actually feels like, when appetite changes show up, when your provider will titrate, and the three weeks most people find hardest.
Treatments
Everything we prescribe, and why we test first.
Twenty-three treatments across seven areas of care. None of them get prescribed before a clinician has spoken with you and seen your bloodwork.
How we are different
Most telehealth guesses. We measure.
Fill out a form, get a prescription, never speak to anyone — that is the model almost every online provider runs. It is fast, and it is blind. Nobody has captured your biology, so nobody actually knows whether the medication they shipped you is the right one.
We start the other way round. A real conversation with a member of the clinical team, comprehensive lab work, then a plan built on what your body is actually doing. Then we stay with you.
STEP ONE
Meet your clinician, one to one
A real conversation about your goals, your history and what you have already tried — before any medication is discussed. Not a questionnaire. A person.
STEP TWO
We capture your full biology
Comprehensive bloodwork across metabolic, hormonal, inflammatory and nutrient markers. We find out what is actually driving your symptoms instead of assuming.
STEP THREE
We take you through the journey
A plan built from your results, adjusted as your labs change, with your care team reachable seven days a week. Not a subscription that ships and forgets.
Weight Loss
GLP-1 and metabolic therapy, dosed to your labs and titrated by a clinician who actually reviews them.
CompoundedTirzepatide
Weekly injection
A once-weekly injection that works on two appetite pathways instead of one. In published trials it produced the larges…
$279 /moLearn more →
CompoundedSemaglutide
Weekly injection or daily oral
The most studied GLP-1 for weight management, available as a weekly injection or a daily tablet. For most patients thi…
$169 /moLearn more →
CompoundedOral GLP-1
Daily tablet
Daily GLP-1 tablets for patients who will not use injections. Lower average reduction than the weekly shot, but a plan…
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FDA-approvedMetformin
Daily tablet
A decades-old, low-cost tablet that improves how your body handles insulin. Modest on its own, useful alongside GLP-1 …
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Sexual Health
Blood flow, desire and connection are three different problems. We treat the one you have.
FDA-approvedPDE5 Inhibitors
As-needed or daily tablet
Sildenafil and tadalafil — the first-line, best-studied treatment for erectile dysfunction. Available as-needed or as …
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CompoundedPT-141
As-needed
Bremelanotide works on desire rather than blood flow — a different problem needing a different tool. Prescribed for me…
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CompoundedOxytocin
Nasal spray or tablet
Compounded oxytocin for intimacy, connection and arousal — used alone or layered into a broader sexual health plan.…
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Hormones
Testosterone, fertility-sparing alternatives and hormone therapy for women — always lab-led.
FDA-approvedTestosterone Replacement
Weekly injection or topical
Testosterone therapy dosed to your labs and your symptoms — not to a number someone else decided was normal.…
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CompoundedEnclomiphene
Daily tablet
Raises your own testosterone production instead of replacing it — the option for men who want higher levels and still …
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CompoundedEstrogen & Progesterone
Oral, topical or troche
Hormone therapy for perimenopause and menopause, dosed to symptoms and labs rather than to a protocol you were handed …
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Longevity
Cellular energy, recovery and cognitive protocols, with honest labelling of what the evidence supports.
CompoundedNAD+ Injection
Subcutaneous injection
NAD+ is the coenzyme your cells use to turn food into usable energy. Levels fall with age, and injection is the most d…
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CompoundedNAD+ Nasal Spray
Nasal spray
Daily NAD+ without needles. Lower bioavailability than injection, far easier to actually keep doing.…
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CompoundedSermorelin
Nightly injection
A growth-hormone-releasing peptide that prompts your pituitary to produce more of its own GH — aimed at sleep, recover…
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CompoundedRapamycin
Weekly tablet
An immunosuppressant being studied off-label at low intermittent doses for longevity. The most experimental thing we p…
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CompoundedMethylene Blue
Daily oral
A low-dose mitochondrial agent used off-label for focus, mental clarity and cellular energy.…
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CompoundedGlutathione
Injection or nasal
The body's principal intracellular antioxidant, supplemented for oxidative stress, detoxification support and skin bri…
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FDA-approvedB12 Injection
Weekly injection
Vitamin B12 by injection for genuine deficiency, absorption problems, or long-term metformin use — not as a general en…
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Hair
Stop the loss first. Protecting the follicles you still have beats chasing the ones you lost.
Women's Health
PCOS and perimenopause protocols that treat the driver instead of managing symptoms one at a time.
FDA-approvedPCOS Protocol
Combination protocol
A combined approach to PCOS that treats the insulin resistance underneath it, rather than managing symptoms one at a t…
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FDA-approvedPerimenopause Protocol
Combination protocol
For the decade before menopause that most women are told to simply endure. Symptoms are treatable, and you do not have…
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Lab Testing
The step almost every other provider skips. You cannot optimize what you have never measured.
FDA-approvedFoundational Panel
Single blood draw
The baseline every treatment plan should start from — metabolic health, thyroid, hormones and blood count in one draw,…
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FDA-approvedComprehensive Panel
Single blood draw
Up to 100+ biomarkers across metabolic, hormonal, inflammatory, nutrient and organ function — for people who want the …
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FDA-approvedDUTCH Hormone Test
At-home dried urine
Dried urine testing that maps your hormones and their metabolites across a full day — detail a single morning blood dr…
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Start with a conversation, not a checkout.
Your first step is a one-to-one consult with a member of the clinical team. We talk through your goals, order the labs that matter, and build the plan from there.