Who qualifies — and the age limits
Every prescription is decided by a licensed clinician after a medical evaluation. These are the baseline rules for who can start each program.
Weight loss (GLP-1)
- Ages 18–74 to start a new program
- May continue past 74 based on individual evaluation
- BMI ≥ 27, or ≥ 25 with a related condition
Microdosing
- Ages 18–74
- BMI > 20
- Labs recommended but not required
Sexual health
- Must be 21 or older
- Ages 75+: single-ingredient formulas only
- Prescribed after clinician review
How ingredients change with age: combination (multi-ingredient) sexual-health formulas are available to eligible adults 21–74. At 75 and older, prescriptions are limited to single-ingredient sexual-health medications for safety. GLP-1 programs are started between 18 and 74 and may be continued beyond 74 only after an individual clinical review.
GLP-1 medications, explained
GLP-1 medications work with your body’s own appetite signals to reduce hunger, slow digestion, and help your metabolism — so weight comes off steadily and stays manageable. Available as injections or oral (sublingual) forms.
Semaglutide
A single-pathway GLP-1. Curbs appetite and cravings and supports steady weight loss. Available as a weekly injection or a daily oral sublingual (ODT).
First-time GLP-1 users and those wanting a proven, straightforward path.
Tirzepatide
A dual GLP-1/GIP medication that acts on two appetite pathways — often greater appetite control and results. Available as injection or oral sublingual.
Those seeking maximum appetite control or who’ve plateaued on a single-pathway medication.
Dosing levels
Clinicians titrate you up gradually. Injections are dosed per 4-week cycle; oral sublingual (ODT) is dosed per day. Not everyone reaches the highest level — you move up only as clinically appropriate.
| Level | Semaglutide inj. / 4 wks | Tirzepatide inj. / 4 wks | Sema oral ODT / day | Tirz oral ODT / day |
|---|---|---|---|---|
| Level 1 | 0.8 mg | 8.5 mg/cycle | 5 mg/day | 3 mg/day |
| Level 2 | 1.6 mg | 17 mg/cycle | 10 mg/day | 6 mg/day |
| Level 3 | 3.2 mg | 25.5 mg/cycle | — | — |
| Level 4 | 5.6 mg | 34 mg/cycle | — | — |
| Level 5 | 8.96 mg | 44.5 mg/cycle | — | — |
Personalized compound options
GLP-1s can be compounded to target a specific need alongside weight loss. Your clinician chooses the option that fits you; availability can change and not everyone qualifies for every option.
| Option | Targets | Forms |
|---|---|---|
| 1 | Muscle preservation, side-effect support | Injection |
| 2 | Side-effect support, energy, gradual effect | Injection |
| 3 | Energy, mental acuity, longevity | Injection |
| 4 | Needle aversion / side effects, muscle preservation | Oral |
| 5 | Needle aversion, energy, maintenance program | Oral |
| 6 | Needle aversion, energy, mental acuity, longevity | Oral |
| 7 | Elevated A1C / blood-sugar & hormonal support | Oral |
| 8 | Alcohol reduction / health support | Oral |
| 9 | Smoking cessation | Oral |
| 10 | Sleep support | Injection & Oral |
Microdosing formulas & ingredients
A gentler, low-dose GLP-1 approach — ideal for maintaining a result you’ve already reached. Each formula blends a microdose of GLP-1 with supportive ingredients.
Muscle & Energy · Oral
GLP-1 + NAD + L-Carnitine + B12
Energy & Mental Acuity · Inject
GLP-1 + NAD + B12
Energy & Mental Acuity · Oral
GLP-1 + NAD + L-Carnitine + B12
Elevated A1C / Prediabetes · Oral
GLP-1 + Inositol
Sleep Support · Oral ODT
GLP-1 + NAD + B12 + Magnesium + L-Theanine
Muscle & Energy + side-effect · Inject / Oral
GLP-1 + B12, Methionine, Inositol, Choline Chloride
Microdosing runs on a 12-week consult rhythm with medication shipped every 4 weeks. Unlimited async & live consults are included; labs are recommended but not required.
Peptides for recovery, energy & healthy aging
These programs support how you feel day to day — energy, recovery, sleep, and long-term vitality. Prescribed and monitored by your clinician.
NAD+
Supports cellular energy, mental clarity, and healthy aging. Offered as injection, nasal, or a next-gen oral dropper.
50–200 mg per dose (200mg/ml 5ml vial for injection; 50/100/150mg droppers).
4-week start, then 12-week refills with sync consults on request.
Sermorelin
Supports strength, recovery, sleep quality, and longevity by encouraging the body’s own growth-hormone rhythm.
500–600 mcg per dose (2mg/ml in a 5ml vial for injection).
4-week start, then 12-week refills with sync consults on request.
B12 MIC
A B12 + MIC (methionine, inositol, choline) injection for everyday energy, metabolism, and wellness support.
Injection.
Started on a 12-week prescription, then 12-week refills with sync consults on request.
Formulas & ingredients
Clinician-prescribed combinations, available as single-dose vials or dissolvable ODT/troches. Must be 21+; ages 75+ are eligible for single-ingredient formulas only.
| Formula | Ingredients | Forms |
|---|---|---|
| Quattro | Compounded sildenafil + tadalafil + vardenafil + apomorphine | Vial |
| Triad | Compounded sildenafil + tadalafil + vardenafil | Vial / ODT |
| Ignite | Compounded sildenafil + tadalafil + apomorphine | Vial / ODT |
| Duo | Compounded sildenafil + tadalafil | Vial / ODT |
| Endure | Compounded silodosin + tadalafil | Vial / ODT |
| Daily | Compounded tadalafil, daily (2.5 / 5 mg) | Tablet |
What each ingredient does
Every formula above is built from these actives. Your clinician chooses the combination and the strength — these describe the role each one plays, not a dose to self-select.
Relaxes the blood vessels of the penis so blood can fill the tissue during arousal. It is the quickest of the group to take effect and the shortest-lived, which is why it anchors the on-demand formulas.
Works the same way as sildenafil but stays in the body far longer, giving a wide window rather than a narrow one. At low strength it can also be taken every day, so there is nothing to plan around.
A third PDE5 inhibitor that some men respond to when others fall short. Included in combination formulas to broaden the response rather than to add duration.
The only active here that does not work on blood flow. It acts in the brain on the arousal signal itself, so it is added when the difficulty involves desire and initiation rather than circulation alone.
Relaxes smooth muscle in the prostate and bladder neck. In Endure it is paired with tadalafil for men whose sexual concerns overlap with urinary symptoms.
How each formula works in practice
Timing below is typical for these actives and assumes sexual stimulation — none of them produce an erection on their own. Your own timing depends on your dose, your body, and what you have eaten. Your clinician gives you the exact instructions for your prescription.
| Formula | How you take it | Typical onset | Typical window | Often prescribed when |
|---|---|---|---|---|
| Quattro Vial |
On demand, ahead of the occasion | Roughly 15–30 minutes | Into the following day | The broadest formula — three PDE5 inhibitors plus the central arousal active, for men who have not responded well to a single ingredient. |
| Triad Vial / ODT |
On demand; the ODT dissolves in the mouth | Roughly 15–30 minutes | Into the following day | Blood-flow support from three angles, without the central component. A common step up from a single ingredient. |
| Ignite Vial / ODT |
On demand; the ODT dissolves in the mouth | Roughly 15–30 minutes | Into the following day | Pairs fast and long blood-flow support with apomorphine, when desire and initiation are part of the concern. |
| Duo Vial / ODT |
On demand | Roughly 20–40 minutes | Into the following day | The straightforward starting combination: a fast active for tonight, a long one for the window after. |
| Endure Vial / ODT |
On demand or as directed | Roughly 30–60 minutes | Into the following day | Sexual concerns alongside urinary symptoms such as weak stream or frequent night-time trips. |
| Daily Tablet, 2.5 / 5 mg |
One tablet every day, at the same time | Builds over about 5 days of daily use | Continuous — no dose to time | You would rather not plan around a dose at all, and prefer steady readiness to a single strong occasion. |
Never combine these with nitrates, and never take more than one sexual-health formula in the same day. Seek urgent care for an erection lasting more than four hours. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or manufacturing quality. Individual results vary.
Age & ingredient rule: multi-ingredient formulas (Duo, Triad, Ignite, Quattro) are for eligible adults 21–74. At 75+, only single-ingredient sexual-health medications are prescribed.
What comes with every program
- Unlimited async & live clinician consults — at no extra cost
- Labs ordered and paid for (standard Quest/Labcorp panels)
- Free, discreet medication shipping every 4 weeks
- 24/7/365 live support from CMAs & RNs
- GLP-1 patients: optional anti-nausea (ondansetron) support
How care actually works
Async intake review (or scheduled video visit) — history, labs ordered, initial prescription if appropriate.
30-day review of labs & progress; refills as eligible, with live consults whenever you want them.
Monthly reviews until steady-state dosing is reached.
Quarterly check-ins at steady state; labs typically repeated around 12 months (sooner if clinically indicated).
Optional: Medical Weight-Loss Care Coaching
A supportive, action-oriented coach (Certified Medical Assistant) who builds a personal Care Plan with you — covering side-effect management, nutrition for GLP-1, movement, emotional eating, stress, sleep, and social strategies. Sessions run about every two weeks at your pace, and each ends with easy-to-digest takeaways. It is not dietitian, prescriptive-diet, or mental-health therapy service.