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

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.

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.

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.

Injectable · 200mg/mL · Multiple oils
Gold-standard injectable TRT. Available in MCT, grapeseed, and cottonseed oil. Male and female dosing supported.
Injectable · Pregnyl
Maintains testicular function and fertility during TRT. Also used standalone for LH stimulation and mild testosterone support.
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.
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.
Oral tablet · 0.5mg
Long-acting ergot-derived dopamine D2 receptor agonist for hyperprolactinemia and prolactinomas.
Oral tablet · 25mg
Third-generation steroidal (irreversible/suicide) aromatase inhibitor.
Oral tablet · 0.1mg
Synthetic mineralocorticoid for aldosterone replacement in primary adrenal insufficiency.
Injectable · SubQ, 1,500IU vial
Biosynthetic FSH for Sertoli cell stimulation and spermatogenesis.
Oral tablet · 5mg
Pharmaceutical form of cortisol, the primary endogenous glucocorticoid.
Oral capsule · 200mg
Kyzatrex is an FDA-approved oral testosterone undecanoate using a lipid-based delivery system requiring ingestion with food.
Oral tablet · 2.5mg
Third-generation nonsteroidal aromatase inhibitor that reversibly blocks CYP19A1, suppressing estrogen synthesis by 97 to 99%.
Oral tablet · 0.25mg
Non-ergot dopamine agonist with high D2/D3/D4 selectivity.
Oral tablet · 60mg
Second-generation SERM acting as estrogen agonist in bone and antagonist in breast/uterine tissue.
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...
Oral tablet · 20mg
First-generation SERM, cornerstone treatment for HR+ breast cancer.
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.
Oral tablet · 3mg/0.02mg, 24/4 regimen
Combined oral contraceptive with drospirenone (spironolactone-derived progestin) offering antimineralocorticoid and antiandrogenic properties.
Topical · 100 to 300mg/mL
Medisca HRT base, free of alcohols, parabens, and perfumes. Male and female formulations available.
Capsule · 12.5 to 25mg
Oral SERM that boosts natural testosterone production while preserving fertility. Alternative to traditional TRT.
Oral · Patch · Cream · Injectable
Full-spectrum estrogen replacement, oral tablets, transdermal patches, topical creams, and injectable formulations for precise dosing.
Oral capsule · Topical cream
Bioidentical progesterone supporting menstrual regulation, sleep quality, and mood. Standard in female hormone protocols alongside estradiol.
Capsule · 25mg sustained-release
Adrenal hormone precursor that converts to testosterone and estrogen. Levels decline with age, replacement supports energy, mood, and libido.
Capsule · 50mg sustained-release
Master hormone precursor that fuels production of nearly all steroid hormones. Supports cognitive function, stress resilience, and hormone balance.
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.
Oral tablet · 50mg
Alpha-glucosidase inhibitor that blunts postprandial glucose spikes.
Oral tablet · 15mg
PPAR-gamma agonist improving insulin sensitivity with significant NASH histologic improvement (PIVENS), cardiovascular risk reduction (PROactive), ...
Injectable · GLP-1 agonist
GLP-1 receptor agonist for sustained weight loss. Reduces appetite, improves glucose control, and supports metabolic health.
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.
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.
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.
Injectable · 3 to 5mg vial
Synthetic GHRH that stimulates the pituitary to produce its own growth hormone. Gentler, more physiologic approach than exogenous HGH.
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.
Troche · 50mg
PDE5 inhibitor with the highest PDE5 selectivity and potency among the class.
Oral tablet · 25 to 100mg
Original PDE5 inhibitor. Fast-acting on-demand option for erectile function support.
Injectable / nasal · Bremelanotide
Melanocortin receptor agonist that works centrally on libido and arousal, distinct mechanism from PDE5 inhibitors. For men and women.
Nasal spray
Bioidentical oxytocin nasal spray supporting intimacy, bonding, and arousal. Adjunct to broader hormone optimization protocols.
Oral tablet · 100mg, 300mg
Xanthine oxidase inhibitor for hyperuricemia.
Oral tablet · 10mg
Long-acting dihydropyridine CCB with 35 to 50 hour half-life.
Oral enteric-coated tablet · 81mg
Irreversible COX-1 inhibitor at low doses providing antiplatelet effects for ASCVD secondary prevention.
Oral tablet · 180mg
First-in-class oral ATP-citrate lyase inhibitor that reduces cholesterol synthesis upstream of HMG-CoA reductase.
Oral tablet · 0.6mg
Ancient alkaloid with potent anti-inflammatory properties.
Injectable · SubQ, 140mg/mL SureClick auto-injector pen
Fully human monoclonal antibody targeting PCSK9, dramatically increasing LDL receptor recycling.
Oral tablet · 145mg
PPAR-alpha agonist for hypertriglyceridemia and mixed dyslipidemia.
Oral tablet · 20mg
Long-acting ACE inhibitor with extensive evidence in hypertension, heart failure, post-MI remodeling, and diabetic nephropathy.
Oral tablet · 5mg
Third-generation beta-1 selective blocker with unique NO-enhancing mechanism via beta-3 receptor agonism and eNOS stimulation.
Oral capsule · 420mg
Phospholipid essential for cell membrane integrity and hepatic VLDL assembly.
Oral tablet · 20mg, 40mg, 80mg
Long-acting ARB with the longest half-life (~24 hours) of any ARB, providing superior 24-hour BP coverage.
Oral capsule · 250mg
Taurine conjugate of UDCA with greater cytoprotection and bioavailability.
Oral capsule · 300mg
Hydrophilic bile acid that replaces cytotoxic bile acids in the hepatic pool.
Oral tablet · 5 to 40mg
High-intensity statin. LDL and ApoB reduction for cardiovascular risk management. Strong outcome data.
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.
Injectable vial · 200mg/mL
The body's most abundant endogenous antioxidant, declining significantly with age.
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.
Injectable vial · 500mg/mL
Amino acid derivative essential for mitochondrial fatty acid transport (beta-oxidation).
Oral capsule · 5000IU D3 + 180mcg K2 MK-7
Synergistic combination of vitamin D3 and vitamin K2 (MK-7 form).
Oral tablet · weekly pulse
mTOR inhibitor with the strongest preclinical longevity data of any compound. Used in pulsed protocols for healthspan and immunity research.
Injectable / IV / nasal spray
Essential coenzyme for cellular energy and DNA repair. Levels decline with age, direct supplementation supports mitochondrial function and recovery.
Oral tablet · 25 to 150mcg
Synthetic T4. First-line treatment for hypothyroidism with precise, stable dosing.

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.
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.

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.
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.
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.
Liposomal capsule · 50mg
Flavonoid found in chamomile, parsley, and celery with anxiolytic and sleep-promoting properties.
Oral tablet · 8mg
Dual-mechanism cholinesterase inhibitor and allosteric nicotinic receptor modulator.
Oral capsule · 5mg, 10mg
Phenothiazine dye with unique mitochondrial electron carrier properties.
Oral tablet · 25 to 100mg
Off-label low-dose use for sleep onset and maintenance. Non-habit-forming alternative to traditional sleep medications.
SR capsule · 3 to 60mg
Bioidentical melatonin supporting circadian rhythm. Low-dose formulations match physiologic levels for sleep onset without grogginess.
Topical cream · 0.01%
Topical mTORC1 inhibitor for skin anti-aging.
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.
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.
Topical cream
Copper tripeptide that stimulates collagen, elastin, and glycosaminoglycan production. Strong evidence for wound healing and anti-aging.
Oral tablet · 275mg
Non-absorbable rifamycin antibiotic acting locally in the GI tract.
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.
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.
Multi-hormone
Custom estradiol + progesterone (+/- testosterone) bioidentical hormone replacement for perimenopause and menopause symptoms.
Vaginal suppository · 600mg + 100IU Vitamin E
Vaginal suppository used for recurrent yeast infections and bacterial vaginosis that are resistant to standard antifungal therapy.
Powder
Naturally occurring simple sugar that prevents E.
Oral tablet · 10mg/10mg
FDA-approved combination of doxylamine (antihistamine) and pyridoxine (vitamin B6) for nausea and vomiting of pregnancy (NVP).
Powder
Combination of myo-inositol and D-chiro-inositol used primarily for PCOS management.
Oral capsule · 200mg
Mast cell stabilizer that prevents degranulation and mediator release.
Oral tablet · 10mg
Leukotriene receptor antagonist (LTRA) for asthma, allergic rhinitis, and exercise-induced bronchoconstriction.
Oral disintegrating tablet · 8mg
5-HT3 receptor antagonist for nausea and vomiting prevention.
Oral tablet · 1000mg
Prodrug of acyclovir with superior oral bioavailability.
Oral tablet · 0.5mg, 1mg
Partial agonist at α4β2 nicotinic acetylcholine receptors, the primary subtype mediating nicotine dependence.
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.
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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