Treatments
Everything we prescribe, and how it gets decided.
Twenty-eight treatments and tests across six areas of care. None of them get prescribed before a clinician has spoken with you, and hormone therapy always starts with 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, bloodwork where it changes the decision, always before hormone therapy, and available with anything else, then a plan built on what we find. Then we stay with you.
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.
We look at your biology
Bloodwork is required before hormone therapy and offered with every other treatment. When we test, we test properly, metabolic, hormonal, inflammatory and nutrient markers, instead of assuming.
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.
Rx onlyTirzepatide
A once-weekly injection that works on two appetite pathways instead of one. In SURMOUNT-1, Zepbound® (tirzepatide) pro…
Rx onlySemaglutide
One of the most extensively studied GLP-1 medications for weight management, available as a weekly injection or a dail…
Rx onlyOral GLP-1
Daily GLP-1 tablets for patients who will not use injections. Lower average reduction than the weekly shot, but a plan…
Rx onlyMetformin
A decades-old, low-cost tablet that improves how your body handles insulin. Modest on its own, useful alongside GLP-1 …
MembershipWeight Loss Program Membership
Clinical management for patients using a brand-name GLP-1 through their own pharmacy or insurance, the provider, the …
Peptide Therapy & Longevity
Cellular energy, recovery, sleep and cognitive protocols, with honest labelling of where the evidence is strong and where it is thin.
Rx onlyNAD+ Injection
NAD+ is the coenzyme your cells use to turn food into usable energy. Levels fall with age, and injection is the most d…
Rx onlyNAD+ Nasal Spray
Daily NAD+ without needles. Lower bioavailability than injection, far easier to actually keep doing.…
Rx onlySermorelin
A growth-hormone secretagogue that prompts your pituitary to produce more of its own GH, aimed at sleep, recovery and…
Rx onlyRapamycin
An immunosuppressant being studied off-label at low intermittent doses for longevity. The most experimental thing we p…
Rx onlyMethylene Blue
A low-dose mitochondrial agent used off-label for focus, mental clarity and cellular energy.…
Rx onlyGlutathione
The body's principal intracellular antioxidant, supplemented for oxidative stress and detoxification support.…
Rx onlyB12 Injection
Vitamin B12 by injection for genuine deficiency, absorption problems, or long-term metformin use, not as a general en…
Rx onlyPropranolol
A beta blocker used situationally for the physical side of performance anxiety, the racing heart, the shaking hands, …
Hormones
Testosterone, fertility-sparing alternatives and hormone therapy for women, always lab-led.
Rx onlyTestosterone Replacement
Testosterone therapy dosed to your labs and your symptoms, not to a number someone else decided was normal.…
Rx onlyEnclomiphene
Raises your own testosterone production instead of replacing it, the option for men who want higher levels and still …
Rx onlyEstrogen & Progesterone
Hormone therapy for perimenopause and menopause, dosed to symptoms and labs rather than to a protocol you were handed …
Sexual Health
Blood flow, desire and connection are three different problems. We treat the one you have.
Rx onlyPDE5 Inhibitors
Sildenafil and tadalafil, the first-line, best-studied treatment for erectile dysfunction. Available as-needed or as …
Rx onlyTriple Action Performance Blend
One dissolvable tablet combining three actives, tadalafil for blood flow, bremelanotide for desire and oxytocin for c…
Rx onlyOxytocin
Oxytocin for intimacy, connection and arousal, used alone or layered into a broader sexual health plan.…
Tests worth running first
Hair
Stop the loss first. Protecting the follicles you still have beats chasing the ones you lost.
Tests worth running first
Lab Testing
The step almost every other provider skips. You cannot optimize what you have never measured.
Lab testComprehensive Panel
Up to 100+ biomarkers across metabolic, hormonal, inflammatory, nutrient and organ function, for people who want the …
Lab testDUTCH Hormone Test
Dried urine testing that maps your hormones and their metabolites across a full day, detail a single morning blood dr…
Lab testMethylation Health Panel
A blood panel covering the methylation pathway and MTHFR variants, the machinery your body uses to process folate, B1…
Lab testGenova GI Effects Profile
A comprehensive stool analysis covering digestion, absorption, inflammation and the bacteria actually living in your g…
Lab testGenova GI Effects + Microbiomix
Everything in the GI Effects profile, plus DNA sequencing of your gut microbiome for a species-level picture.…
Lab testGalleri by Grail
A multi-cancer early detection blood test that screens for a signal shared by many cancers, including several with no …
Lab testMale Fertility Test
An at-home semen analysis with laboratory review, count, motility and morphology, without a clinic appointment.…
Lab testContinuous Glucose Monitoring
Two 14-day sensors a month and the app that reads them, your glucose response to actual meals, in real time, instead …
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.