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
Doctor-prescribed combinations designed for effectiveness and convenience — as single-dose vials or dissolvable ODT/troches. Must be 21+; ages 75+ are eligible for single-ingredient formulas only.
| Formula | Ingredients | Forms |
|---|---|---|
| Quadruple Powered | Sildenafil + Tadalafil + Vardenafil + Apomorphine | Vial |
| Triple Powered | Sildenafil + Tadalafil + Vardenafil | Vial / ODT |
| Triple Powered Up | Sildenafil + Tadalafil + Apomorphine | Vial / ODT |
| Double Powered | Sildenafil + Tadalafil | Vial / ODT |
| Go Long | Silodosin + Tadalafil | Vial / ODT |
| Daily Boost | Tadalafil daily (2.5 / 5 mg) | Tablet |
Age & ingredient rule: multi-ingredient formulas (Double, Triple, Quadruple) 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.