Steadier energy
Not a stimulant lift. Fewer flat afternoons across weeks is the report we hear most often on NAD+.
Longevity & NAD+
Healthspan is the part you can work on.
Energy, recovery, sleep, skin, immune resilience. The things that decide how the next decade feels. Reviewed by a US-licensed provider, tested by lot, and described plainly, including the parts that aren't proven yet.
Cellular energyImmune resilienceSkin & collagen
State eligibility confirmed during your intake. No charge until a provider approves.
Nothing is wrong with you yet. That's the point.
Medicine is built to intervene once something breaks. Decline in the decade before that is treated as normal aging, because statistically it is. That's also the decade where it's easiest to change the trajectory.
- ·Recovery from the same workout takes twice as long as it did at 35
- ·Sleep is shorter and shallower, and you feel it by mid-morning
- ·Body composition drifts without any change to how you eat or train
- ·Skin, joints and injuries all take visibly longer to come back
- ·Every panel comes back normal, because normal is age-adjusted
Lifespan is mostly out of your hands. Healthspan, the share of it you spend feeling capable, is where there is something to work with.
What people actually report.
These are the reports we hear most often. They are self-reported rather than measured, and we would rather label them that way than dress them up as findings.
Immune resilience
The reason Thymosin Alpha-1 is prescribed. It modulates rather than stimulates, so it is measured rather than felt.
Sleep depth
Often the first change people mention, and the one that makes the rest of a protocol easier to sustain.
Skin and tissue quality
The best-evidenced effect in this category sits with the topical, and it is the only one you can photograph.
Self-reported experience is not clinical evidence. Individual response varies and your provider will set expectations for your specific protocol.
Four ways in.
Most people start with NAD+ and add from there. Your provider will tell you which combination makes sense for you.
Most requestedNAD+
50–200 mg/mL · 6 mL nasal spray
A coenzyme central to cellular energy metabolism, and the compound most people in this category start with.
- ✓Cellular energy metabolism
- ✓Titrated to tolerance
- ✓The widest-used protocol here
$80/mo
on the 12-month plan · $959 billed up front
Immune modulationThymosin Alpha-1
An immune-modulating peptide with a longer clinical history than most of this category, including approved use in some countries.
- ✓Immune-modulating peptide
- ✓A longer clinical history
- ✓Clinician-led pathway only
$189/mo
on the 12-month plan · $2,268 billed up front
Topical, no needleGHK-Cu
0.5% topical
A copper peptide for collagen synthesis and skin repair. The lowest-commitment protocol we offer.
- ✓Studied for collagen synthesis
- ✓Applied nightly, no injection
- ✓Pairs with anything
$49/mo
on the 12-month plan · $588 billed up front
Nasal, clinician-ledVIP Nasal Spray
Vasoactive Intestinal Peptide, delivered as a nasal spray. A focused protocol prescribed when your provider identifies a clear reason.
- ✓Nasal delivery, no injection
- ✓Niche, clinician-led protocol
- ✓Flat pricing on every plan
$159/mo
on the 12-month plan · $1,908 billed up front
Monthly equivalents shown on the 12-month plan, which is the lowest rate. Every product page shows the monthly, 3-month, 6-month and 12-month price. VIP Nasal Spray is priced flat across every plan length. Free shipping on every plan. You're not charged until a licensed provider reviews your intake and approves treatment.
Frequently asked questions.
Which one should I start with?+
NAD+ for most people, because it has the best-understood mechanism and the widest use. GHK-Cu is topical, so it stacks with any of them. Thymosin Alpha-1 and VIP are clinician-led protocols prescribed for a specific reason rather than for general wellness. Each product page covers what its own research supports, and where that research is thin we say so.
Can I stack these?+
Often yes, and your provider will tell you which combinations make sense. NAD+ with GHK-Cu is the common pairing, because the topical has no interaction with an injectable protocol.
How long until I notice anything?+
It varies by compound. NAD+ reports usually land within weeks; the clinician-led protocols are judged over a quarter against the reason they were prescribed. Your provider will set expectations for your protocol, and response varies from person to person.
How strong is the evidence for these?+
It varies, and we are not going to flatten that into a single grade. GHK-Cu has reasonable dermatological data. NAD+ has well-established biochemistry and far more self-report than trial data. Thymosin Alpha-1 has a longer clinical history than most of this category. Each product page says which is which.
Do I need lab work?+
Not to start your intake. Your provider will tell you during review whether a panel is needed for your protocol. For the metabolic protocols a baseline and a three-month follow-up are recommended, because those are judged against markers rather than against how you feel. Lab work is billed separately.
What does "compounded" mean, and is it FDA-approved?+
Compounded medications are prepared specifically for you by a licensed pharmacy. They are not FDA-approved in the same way as commercially manufactured drugs, and the FDA does not verify their safety, effectiveness or quality. Your provider will walk you through what that means for your specific treatment.
Start with what's measurable.
Reviewed by a US-licensed provider, compounded at a registered pharmacy, shipped free.
Get started →Takes about 5 minutes · No charge until a provider approves