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.
Peptides & Recovery
A growth-hormone-releasing peptide that prompts your pituitary to produce more of its own GH — aimed at sleep, recovery and body composition.
Your consult is free. We will not prescribe this — or anything — before a clinician has spoken with you and reviewed your bloodwork. Final cost depends on the form and dose prescribed.

Mechanism
Sermorelin is an analogue of growth hormone-releasing hormone. It signals the pituitary to release more of your own growth hormone rather than introducing synthetic HGH.
Because release stays pulsatile and under your body's own feedback control, the physiologic risk profile is more favourable than direct HGH administration.
It is dosed at night to align with your natural GH pulse during deep sleep. Sleep quality is usually the first thing patients report.

Protocol
A typical schedule. Yours is set by your clinician after your labs come back.
| Phase | Weeks | Typical | Purpose |
|---|---|---|---|
| Start | 1–4 | Low dose nightly before bed | On an empty stomach. |
| Build | 5–12 | Adjusted per response | Cycling schedules vary by provider. |
| Maintenance | 13+ | Often cycled | 5 days on, 2 off is common. |
What to expect
Deeper sleep is usually the earliest reported change.
Reduced soreness and faster recovery between sessions.
Changes require training and adequate protein.
Cycling and continuation reviewed with your provider.
Evidence
Sermorelin raises endogenous growth hormone and IGF-1 in patients with reduced GH output.
Evidence for body-composition and anti-ageing benefits in otherwise healthy adults is limited. Reported benefits are largely subjective.
Your consult and labs screen for all of the following.
FAQ
No. HGH is synthetic growth hormone introduced directly. Sermorelin signals your pituitary to release more of your own, which keeps release pulsatile and under normal feedback control — a more favourable risk profile.
Your largest natural growth hormone pulse occurs during deep sleep. Dosing before bed on an empty stomach aligns the medication with that rhythm rather than working against it.
Improved sleep quality is often noticed within one to two weeks. Recovery changes typically follow by week four to eight. Body-composition change takes three to six months and requires training and adequate protein.
Book a one-to-one consult with the clinical team. We talk through your goals, order the bloodwork that matters, and build a plan from what we find.
Licensed providers · 100% online
Medical weight loss, hormone therapy, longevity protocols and lab testing — prescribed by licensed clinicians, delivered to your door. No waiting rooms, no insurance runaround.
Why NovaraMD
Almost every online clinic hands you a questionnaire, matches you to one drug and ships it. They never capture your full biology — so they can’t know what will actually work for you.
We start the other way around. Your first step is a one-on-one visit with a member of our clinical team to talk through what you’re trying to change. Then we test, build the plan around your numbers, and stay with you through the whole journey.
What we treat
Not a catalog of everything. Three areas we run properly — each one backed by labs, a real clinician and dose adjustments over time.
GLP-1 and dual-agonist therapy, titrated to you, with muscle protection and metabolic labs built in.
Explore weight lossTestosterone, fertility, desire and intimacy — for men and women, dosed off bloodwork rather than a symptom quiz.
Explore hormonesCellular energy, recovery, sleep and cognition — protocols you re-test, not supplements you hope about.
Explore longevity01 · Weight & metabolic health
We treat the metabolism underneath it — appetite signalling, insulin sensitivity, sleep and muscle retention. That’s why the program pairs medication with labs, protein targets and check-ins instead of shipping a pen and disappearing.
Free tool
Move the sliders for an estimate based on published clinical-trial averages. Not a diagnosis, not a prescription — a starting point for a conversation.
Estimated at 72 weeks
160 lb
Estimates use average total body-weight reduction reported in published GLP-1 trials (SURMOUNT-1, STEP-1) and typical lifestyle-intervention results. Individual results vary widely and depend on dose, adherence, diet, activity and medical history. This tool is not medical advice and does not guarantee any outcome. Eligibility is determined by a licensed provider after a full evaluation.
Curve shape follows the mean weight-loss trajectory reported in the pivotal trials (SURMOUNT-1 for tirzepatide, STEP-1 for semaglutide) applied to your starting weight, with the early plateau during dose titration. Trial averages, not a prediction for you. Your provider sets the dose and the pace.
02 · Hormones & sexual health
Low energy, low drive and stalled progress all have overlapping causes. We run the full panel first — total and free testosterone, estradiol, SHBG, LH/FSH, thyroid, prolactin — then treat what the numbers and your symptoms agree on, and re-test at six to eight weeks.
Consultations are 100% private, and every plan is reviewed by a clinician licensed in your state.
03 · Longevity & performance
The longevity space is full of things people take on faith. We only run protocols with a plausible mechanism and a marker we can actually follow — and we tell you plainly where the evidence is thin.
Bloodwork & diagnostics
Optimization without data is just expensive guessing. Establish your baseline, then track what actually moves — hormones, metabolic markers, inflammation, fertility.
How it works
A real conversation — about twenty minutes by video or phone — about your goals, your history and what you’ve already tried. Free, and no obligation.
A licensed provider reviews everything, screens for contraindications, and prescribes only if it’s appropriate for you.
Shipped free from a licensed pharmacy in discreet packaging. Message your care team any day; doses adjust as you progress.
Resources
Plain-English guides on GLP-1 therapy, nutrition, hormones and recovery — written for patients, not for search engines.
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.
A four-week plan with protein targets by body weight, meal timing around your injection day, the foods that reliably trigger nausea, and how to hit your numbers when you have no appetite at all.
Patient stories
“Lost 27 lbs in 12 weeks. I’ve struggled with food noise my entire life, but for the first time, I feel in control. This was the missing piece of the puzzle for my health journey.”
“I’ve gained 8 lbs of lean mass and dropped my body fat by 5% in just four months. I feel stronger, more motivated, and more like myself again.”
Testimonials from real NovaraMD patients. Individual results vary and are not typical or guaranteed. Keep signed consent on file for every published testimonial.
FAQ
Answer a few questions and a licensed provider will tell you what’s appropriate for you — including when the honest answer is that treatment isn’t.