Find out what your body needs with clinical support.

Marek offers 700+ treatments used to create a customized treatment plan designed specifically for you.

All treatments

Tirzepatide injectable vial

Tirzepatide

Injectable · 10mg/mL · GLP-1 + GIP

Dual-pathway weight loss therapy targeting both GLP-1 and GIP receptors for superior fat loss vs. semaglutide alone.

Greater weight lossImproved A1CAppetite control
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Tesamorelin lyophilized vial

Tesamorelin

Injectable · 12mg lyophilized vial

GHRH analog that selectively reduces visceral adipose tissue while preserving lean mass. Strong evidence base for metabolic and body composition benefits.

Visceral fat lossLean mass preservationLipid improvements
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Tadalafil oral tablet

Tadalafil

Oral tablet · 5mg daily / 10 to 20mg PRN

Long-acting PDE5 inhibitor. Improves erectile function and may support cardiovascular and prostate health at low daily doses.

36-hour windowDaily-dose optionVascular benefits
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Testosterone cypionate injectable vial

Testosterone Cypionate

Injectable · 200mg/mL · Multiple oils

Gold-standard injectable TRT. Available in MCT, grapeseed, and cottonseed oil. Male and female dosing supported.

Restore energyBuild muscleImprove mood
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HCG

Injectable · Pregnyl

Maintains testicular function and fertility during TRT. Also used standalone for LH stimulation and mild testosterone support.

Fertility supportTesticular healthLH stimulation
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Omega 3 Ethyl Esters

Capsule · 1,000mg · pharmaceutical grade

Pharmaceutical-grade EPA/DHA concentrate (generic Lovaza). Used to lower elevated triglycerides and as an adjunct in cardiometabolic risk-reduction protocols.

Lowers triglyceridesCardio adjunctConcentrated EPA/DHA
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Ezetimibe

Oral tablet · 10mg

Cholesterol absorption inhibitor that lowers LDL when statins alone aren't enough, or as a statin-sparing option for those who don't tolerate statins.

LDL reductionWell toleratedStatin alternative
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Cabergoline

Oral tablet · 0.5mg

Long-acting ergot-derived dopamine D2 receptor agonist for hyperprolactinemia and prolactinomas.

Prolactin reductionLong-actingTwice-weekly
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Exemestane

Oral tablet · 25mg

Third-generation steroidal (irreversible/suicide) aromatase inhibitor.

Estrogen controlAromatase inhibitionOral dosing
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Fludrocortisone

Oral tablet · 0.1mg

Synthetic mineralocorticoid for aldosterone replacement in primary adrenal insufficiency.

Aldosterone replacementBlood pressure supportAdrenal support
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FSH (Recombinant)

Injectable · SubQ, 1,500IU vial

Biosynthetic FSH for Sertoli cell stimulation and spermatogenesis.

Fertility supportSpermatogenesisInjectable
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Hydrocortisone

Oral tablet · 5mg

Pharmaceutical form of cortisol, the primary endogenous glucocorticoid.

Cortisol replacementAdrenal supportPhysiologic dosing
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Kyzatrex® (Oral Testosterone)

Oral capsule · 200mg

Kyzatrex is an FDA-approved oral testosterone undecanoate using a lipid-based delivery system requiring ingestion with food.

Oral testosteroneNo injectionsFDA-approved
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Letrozole

Oral tablet · 2.5mg

Third-generation nonsteroidal aromatase inhibitor that reversibly blocks CYP19A1, suppressing estrogen synthesis by 97 to 99%.

Estrogen controlAromatase inhibitionFertility use
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Pramipexole

Oral tablet · 0.25mg

Non-ergot dopamine agonist with high D2/D3/D4 selectivity.

Dopamine supportRLS reliefNeurologic support
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Raloxifene

Oral tablet · 60mg

Second-generation SERM acting as estrogen agonist in bone and antagonist in breast/uterine tissue.

Bone densityEstrogen modulationBreast protection
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7-Keto DHEA

Oral capsule · 50mg 7-Keto DHEA + 100mg Pregnenolone

Non-reversible metabolite of DHEA that does NOT convert to sex hormones, making it unique for immune modulation and metabolic enhancement without a...

Metabolic supportNon-hormonalThermogenesis
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Tamoxifen

Oral tablet · 20mg

First-generation SERM, cornerstone treatment for HR+ breast cancer.

Estrogen modulationFertility supportBone protection
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Testosterone Enanthate

Injectable · IM/SubQ, sesame oil base

Testosterone enanthate is a long-acting esterified testosterone with a half-life of approximately 4 to 5 days, slightly shorter than cypionate.

Testosterone optimizationLong-acting esterEnergy & muscle
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Yaz (Drospirenone + Ethinyl Estradiol)

Oral tablet · 3mg/0.02mg, 24/4 regimen

Combined oral contraceptive with drospirenone (spironolactone-derived progestin) offering antimineralocorticoid and antiandrogenic properties.

ContraceptionCycle regulationAcne improvement
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Testosterone Cream

Topical · 100 to 300mg/mL

Medisca HRT base, free of alcohols, parabens, and perfumes. Male and female formulations available.

Needle-freeSteady levelsFlexible dosing
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Enclomiphene

Capsule · 12.5 to 25mg

Oral SERM that boosts natural testosterone production while preserving fertility. Alternative to traditional TRT.

Boost natural TPreserve fertilityOral dosing
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Estradiol

Oral · Patch · Cream · Injectable

Full-spectrum estrogen replacement, oral tablets, transdermal patches, topical creams, and injectable formulations for precise dosing.

Menopause reliefBone healthMultiple routes
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Progesterone

Oral capsule · Topical cream

Bioidentical progesterone supporting menstrual regulation, sleep quality, and mood. Standard in female hormone protocols alongside estradiol.

Better sleepHormone balanceBone protection
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DHEA

Capsule · 25mg sustained-release

Adrenal hormone precursor that converts to testosterone and estrogen. Levels decline with age, replacement supports energy, mood, and libido.

Adrenal supportHormone precursorEnergy
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Pregnenolone

Capsule · 50mg sustained-release

Master hormone precursor that fuels production of nearly all steroid hormones. Supports cognitive function, stress resilience, and hormone balance.

Hormone precursorCognitive supportStress resilience
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Anastrozole

Oral tablet · 0.25 to 1mg

Aromatase inhibitor used in low doses to manage estradiol elevation on TRT. Prevents estrogen-related side effects without over-suppression.

Estrogen controlLow-dose optionStandard TRT adjunct
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Acarbose

Oral tablet · 50mg

Alpha-glucosidase inhibitor that blunts postprandial glucose spikes.

Post-meal glucoseWeight supportOral dosing
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Pioglitazone

Oral tablet · 15mg

PPAR-gamma agonist improving insulin sensitivity with significant NASH histologic improvement (PIVENS), cardiovascular risk reduction (PROactive), ...

Insulin sensitivityGlycemic controlOral dosing
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Semaglutide

Injectable · GLP-1 agonist

GLP-1 receptor agonist for sustained weight loss. Reduces appetite, improves glucose control, and supports metabolic health.

Significant weight lossAppetite controlA1C improvement
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Metformin

Oral tablet · 500 to 1,000mg

First-line antidiabetic with 60+ years of clinical use. Activates AMPK, improves insulin sensitivity, and has emerging interest in longevity protocols.

Insulin sensitivityBlood sugar controlLongevity research
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Dapagliflozin

Oral tablet · 5 to 10mg

SGLT2 inhibitor (Farxiga) with FDA approvals across type 2 diabetes, heart failure, and chronic kidney disease. Cardiorenal protection beyond glycemic control.

Cardiorenal protectionBlood sugar controlHeart & kidney
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Bupropion

Oral tablet SR (150mg)

Norepinephrine-dopamine reuptake inhibitor (NDRI) supporting mood, energy, and appetite control. A non-injectable oral option within weight and wellness protocols.

Mood supportAppetite controlOral dosing
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Sermorelin

Injectable · 3 to 5mg vial

Synthetic GHRH that stimulates the pituitary to produce its own growth hormone. Gentler, more physiologic approach than exogenous HGH.

Natural GH supportBetter sleepAnti-aging research
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Tri-Mix

Injectable vial · Papaverine 30mg/mL + Phentolamine 1mg/mL + PGE1 10mcg/mL

Intracavernosal injection combining three vasodilatory agents for erectile dysfunction refractory to oral PDE5 inhibitors.

Erectile supportFor non-respondersReliable onset
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Vardenafil

Troche · 50mg

PDE5 inhibitor with the highest PDE5 selectivity and potency among the class.

Erectile supportHigh potencyTroche form
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Sildenafil

Oral tablet · 25 to 100mg

Original PDE5 inhibitor. Fast-acting on-demand option for erectile function support.

Fast onsetOn-demand dosingFlexible strength
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PT-141

Injectable / nasal · Bremelanotide

Melanocortin receptor agonist that works centrally on libido and arousal, distinct mechanism from PDE5 inhibitors. For men and women.

Central libido pathwayWorks for womenNon-vascular
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Oxytocin

Nasal spray

Bioidentical oxytocin nasal spray supporting intimacy, bonding, and arousal. Adjunct to broader hormone optimization protocols.

Intimacy supportBondingMood
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Allopurinol

Oral tablet · 100mg, 300mg

Xanthine oxidase inhibitor for hyperuricemia.

Uric acid controlGout preventionOral dosing
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Amlodipine

Oral tablet · 10mg

Long-acting dihydropyridine CCB with 35 to 50 hour half-life.

Blood pressureLong-actingOnce-daily
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Aspirin (Low-Dose)

Oral enteric-coated tablet · 81mg

Irreversible COX-1 inhibitor at low doses providing antiplatelet effects for ASCVD secondary prevention.

AntiplateletCardiovascular protectionLow-dose
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Bempedoic Acid (Nexletol)

Oral tablet · 180mg

First-in-class oral ATP-citrate lyase inhibitor that reduces cholesterol synthesis upstream of HMG-CoA reductase.

LDL reductionStatin alternativeOral dosing
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Colchicine

Oral tablet · 0.6mg

Ancient alkaloid with potent anti-inflammatory properties.

Anti-inflammatoryGout flaresCardiovascular use
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Evolocumab (Repatha)

Injectable · SubQ, 140mg/mL SureClick auto-injector pen

Fully human monoclonal antibody targeting PCSK9, dramatically increasing LDL receptor recycling.

Dramatic LDL dropPCSK9 inhibitionInjectable
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Fenofibrate

Oral tablet · 145mg

PPAR-alpha agonist for hypertriglyceridemia and mixed dyslipidemia.

Triglyceride reductionMixed dyslipidemiaOral dosing
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Lisinopril

Oral tablet · 20mg

Long-acting ACE inhibitor with extensive evidence in hypertension, heart failure, post-MI remodeling, and diabetic nephropathy.

Blood pressureCardioprotectiveOnce-daily
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Nebivolol

Oral tablet · 5mg

Third-generation beta-1 selective blocker with unique NO-enhancing mechanism via beta-3 receptor agonism and eNOS stimulation.

Blood pressureVasodilationBeta-1 selective
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Phosphatidylcholine

Oral capsule · 420mg

Phospholipid essential for cell membrane integrity and hepatic VLDL assembly.

Liver supportCell membrane healthLipid metabolism
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Telmisartan

Oral tablet · 20mg, 40mg, 80mg

Long-acting ARB with the longest half-life (~24 hours) of any ARB, providing superior 24-hour BP coverage.

Blood pressure24-hour coverageMetabolic benefits
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TUDCA (Tauroursodeoxycholic Acid)

Oral capsule · 250mg

Taurine conjugate of UDCA with greater cytoprotection and bioavailability.

Liver supportBile flowCellular protection
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UDCA (Ursodeoxycholic Acid)

Oral capsule · 300mg

Hydrophilic bile acid that replaces cytotoxic bile acids in the hepatic pool.

Liver supportBile acid balanceGallstone support
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Rosuvastatin

Oral tablet · 5 to 40mg

High-intensity statin. LDL and ApoB reduction for cardiovascular risk management. Strong outcome data.

Significant LDL dropApoB reductionCV event reduction
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Astaxanthin

Oral capsule · 10mg

Carotenoid antioxidant from Haematococcus pluvialis microalgae, 550x more potent than vitamin E and 6,000x more than vitamin C as a singlet oxygen quencher.

AntioxidantSkin & eye healthAnti-inflammatory
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Glutathione (Injectable)

Injectable vial · 200mg/mL

The body's most abundant endogenous antioxidant, declining significantly with age.

Master antioxidantDetoxificationSkin health
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GlyNAC (Glycine + NAC)

Oral combination · 900mg NAC capsule + 2x500mg Glycine capsules

Combination of glycine and N-acetyl cysteine that together provide all three amino acid substrates for glutathione synthesis.

Glutathione supportMitochondrial healthHealthy aging
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L-Carnitine (Injectable)

Injectable vial · 500mg/mL

Amino acid derivative essential for mitochondrial fatty acid transport (beta-oxidation).

Energy metabolismFat utilizationRecovery
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Vitamin D3 + K2

Oral capsule · 5000IU D3 + 180mcg K2 MK-7

Synergistic combination of vitamin D3 and vitamin K2 (MK-7 form).

Bone healthImmune supportCalcium regulation
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Rapamycin

Oral tablet · weekly pulse

mTOR inhibitor with the strongest preclinical longevity data of any compound. Used in pulsed protocols for healthspan and immunity research.

mTOR modulationLongevity researchPulsed dosing
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NAD+

Injectable / IV / nasal spray

Essential coenzyme for cellular energy and DNA repair. Levels decline with age, direct supplementation supports mitochondrial function and recovery.

Cellular energyDNA repairCognitive support
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Levothyroxine

Oral tablet · 25 to 150mcg

Synthetic T4. First-line treatment for hypothyroidism with precise, stable dosing.

Standard of carePrecise dosingLong half-life
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NP Thyroid tablet bottle

NP Thyroid

Oral tablet · 15 to 120mg

Natural desiccated thyroid from porcine glands, supplying both T4 and T3 in a fixed ratio. Each 60mg grain provides 38mcg levothyroxine and 9mcg liothyronine.

T4 + T3HypothyroidismFive strengths
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Liothyronine

Oral tablet · 5 to 25mcg

Synthetic T3 (Cytomel). Used as an adjunct to T4 for patients with conversion issues or persistent symptoms on levothyroxine alone.

Active T3 hormoneT4 adjunctSymptom resolution
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Finasteride tablet bottle

Finasteride

Oral tablet · 1mg / 5mg

5-alpha reductase inhibitor that blocks DHT production. Standard of care for male pattern hair loss, available as a 1mg or 5mg oral tablet.

Slows hair lossOral tabletStrong evidence
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Minoxidil

Topical · Oral · 2 to 5mg

Vasodilator that prolongs anagen phase and thickens hair shafts. Available topically and as low-dose oral for broader scalp coverage.

Topical & oralRegrowth supportCombination therapy
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Dutasteride

Oral capsule · 0.5mg

Stronger DHT blocker than finasteride, inhibits both type 1 and type 2 5-alpha reductase. Off-label use for resistant hair loss.

Stronger DHT blockadeFor resistant lossDual enzyme
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Apigenin

Liposomal capsule · 50mg

Flavonoid found in chamomile, parsley, and celery with anxiolytic and sleep-promoting properties.

Sleep supportCalmingAntioxidant
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Galantamine

Oral tablet · 8mg

Dual-mechanism cholinesterase inhibitor and allosteric nicotinic receptor modulator.

Cognitive supportMemoryLucid dreaming
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Methylene Blue

Oral capsule · 5mg, 10mg

Phenothiazine dye with unique mitochondrial electron carrier properties.

Mitochondrial supportCognitive supportCellular energy
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Trazodone

Oral tablet · 25 to 100mg

Off-label low-dose use for sleep onset and maintenance. Non-habit-forming alternative to traditional sleep medications.

Sleep onsetNon-habit-formingMood support
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Melatonin

SR capsule · 3 to 60mg

Bioidentical melatonin supporting circadian rhythm. Low-dose formulations match physiologic levels for sleep onset without grogginess.

Circadian supportSleep onsetJet lag
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Rapamycin Cream (Topical Sirolimus)

Topical cream · 0.01%

Topical mTORC1 inhibitor for skin anti-aging.

Skin anti-agingTopical mTORCollagen support
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Tretinoin

Topical cream · 0.025 to 0.1%

Prescription retinoid (vitamin A derivative) for fine lines, photo-aging, and acne. Gold standard for skin renewal with decades of evidence.

Reduces fine linesSmooths textureClears acne
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Spironolactone

Oral tablet · 25 to 100mg

Anti-androgen prescribed for hormonal acne and female pattern hair loss. Blocks androgen receptors at the skin and hair follicle.

Hormonal acneReduces oilinessAnti-androgen
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GHK-Cu

Topical cream

Copper tripeptide that stimulates collagen, elastin, and glycosaminoglycan production. Strong evidence for wound healing and anti-aging.

Collagen synthesisWound healingAnti-aging
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Rifaximin

Oral tablet · 275mg

Non-absorbable rifamycin antibiotic acting locally in the GI tract.

SIBO treatmentGut-selectiveIBS relief
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Low-Dose Naltrexone

Oral capsule · 1.5 to 4.5mg

Off-label low-dose naltrexone for autoimmune conditions, IBS, and chronic inflammation. Modulates immune response via TLR-4 antagonism.

Immune modulationAnti-inflammatoryWell tolerated
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Famotidine

Oral tablet · 10 to 40mg

H2 receptor antagonist reducing stomach acid for reflux, ulcers, and gastritis. Safer long-term profile than PPIs for some patients.

Reduces refluxHeals ulcersWell tolerated
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Bioidentical HRT

Multi-hormone

Custom estradiol + progesterone (+/- testosterone) bioidentical hormone replacement for perimenopause and menopause symptoms.

Perimenopause reliefBioidenticalCustom dose
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Boric Acid Suppository

Vaginal suppository · 600mg + 100IU Vitamin E

Vaginal suppository used for recurrent yeast infections and bacterial vaginosis that are resistant to standard antifungal therapy.

Vaginal healthRecurrent infectionspH balance
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D-Mannose

Powder

Naturally occurring simple sugar that prevents E.

UTI preventionUrinary healthNon-antibiotic
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Diclegis (Doxylamine + Pyridoxine)

Oral tablet · 10mg/10mg

FDA-approved combination of doxylamine (antihistamine) and pyridoxine (vitamin B6) for nausea and vomiting of pregnancy (NVP).

Morning sickness reliefPregnancy-safeFDA-approved
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Inositol (Myo- & D-Chiro-Inositol)

Powder

Combination of myo-inositol and D-chiro-inositol used primarily for PCOS management.

PCOS supportInsulin sensitivityOvulatory function
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Cromolyn Sodium

Oral capsule · 200mg

Mast cell stabilizer that prevents degranulation and mediator release.

Mast cell stabilizationAllergy controlMCAS support
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Montelukast

Oral tablet · 10mg

Leukotriene receptor antagonist (LTRA) for asthma, allergic rhinitis, and exercise-induced bronchoconstriction.

Asthma controlAllergy reliefOnce-daily
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Ondansetron

Oral disintegrating tablet · 8mg

5-HT3 receptor antagonist for nausea and vomiting prevention.

Nausea reliefFast-actingWell tolerated
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Valacyclovir

Oral tablet · 1000mg

Prodrug of acyclovir with superior oral bioavailability.

AntiviralOutbreak suppressionHigh bioavailability
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Varenicline (Chantix)

Oral tablet · 0.5mg, 1mg

Partial agonist at α4β2 nicotinic acetylcholine receptors, the primary subtype mediating nicotine dependence.

Smoking cessationCraving reductionProven efficacy
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These are our most commonly prescribed treatments. Our full formulary includes 700+ available therapies across hormones, peptides, metabolic health, cardiovascular, dermatology, gut health, and more.

Your provider prescribes what your data actually supports, never from a generic menu.

Every treatment starts with your data.

Your lab panel, hand-built from 1,000+ biomarkers. A dedicated health coach. A partnered licensed medical provider. Your protocol is built on that foundation, not prescribed from a menu.

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