Prescription protocols for cellular energy, recovery, sleep, and healthy aging. Directed by a licensed clinician, monitored over time, and adjusted as you respond.
For when nothing is wrong, and you want more than nothing is wrong.
Prescription protocols for cellular energy, recovery, sleep, and healthy aging. Directed by a licensed clinician, monitored over time.
Find your starting point Book a free consult →An annual checkup asks one question: is anything wrong right now? It's a good question. It just isn't the only one worth asking. Most of what determines how the next twenty years feel is happening quietly, inside a range your doctor still calls normal.
A normal physical is built to catch disease, not to tell you how you're aging.
An annual checkup asks one question: is anything wrong right now? Most of what determines how the next twenty years feel is happening quietly, inside a range your doctor still calls normal.
Longevity care gets sold as a promise to live to 120. That's not what this is. It's about the gap between how long you live and how long you live well, and about making the next twenty or thirty years feel more like the last ten did. In practice that comes down to three things you can actually work on.
Not living forever. Feeling better for longer.
It's about the gap between how long you live and how long you live well. In practice that comes down to three things you can actually work on.
Pick the one that sounds most like you. These are starting points for a conversation with your clinician, not a prescription.
What do you want more of?
Pick the one that sounds most like you. These are starting points for a conversation, not a prescription.
Each one is prescribed only where it is appropriate, shipped to your door, and adjusted as you respond. Prices shown are the lowest rate on a multi-month package. Where a protocol is prescribed off-label, that is noted on its card: off-label prescribing is legal, common, and done at a clinician’s discretion.
Also available: metformin, $99 a month, and a continuous glucose monitor, $149 one time, for anyone who wants to see how their metabolism actually behaves. Every price →
Six protocols, every price.
Prices shown are the lowest rate on a multi-month package.
Also available: metformin, $99 a month, and a continuous glucose monitor, $149 one time. Every price →
Peptides are small signaling molecules with narrow, specific jobs, which makes them useful for particular goals. Each one is prescribed by a licensed clinician and prepared for you by a licensed compounding pharmacy. Sermorelin, above, is one of them.
Explore peptide therapySeven prescription peptides, from $199 a month.
Peptides are small signaling molecules with narrow, specific jobs. Each one is prescribed by a licensed clinician and prepared by a licensed compounding pharmacy.
Everything on this page is prescription-only and requires a clinician's assessment. That's the difference between this and a supplement subscription.
Prescription care, not a supplement shop.
Everything on this page is prescription-only and requires a clinician's assessment.
A protocol is a starting point, not a subscription on autopilot. Your clinician checks in on how you're responding, re-tests when there's a reason to, and adjusts what you're taking.
Nothing stays in your plan by default.
A protocol is a starting point, not a subscription on autopilot. Your clinician checks in, re-tests when there's a reason to, and adjusts what you're taking.
Going deeper is optional too: DUTCH hormone testing, methylation, gut health, and a continuous glucose monitor all sit on the labs page.
See all testing →You don't have to start with labs. It's just a better place to start.
What does longevity care at Refuvia cost?+
Protocols start at $125 a month and run to $199 a month for NAD+ and sermorelin. Peptides run from $199 to $350 a month. Multi-month packages lower the monthly rate, and there's no membership fee and no first-month premium.
What does NAD+ actually do?+
NAD+ is a coenzyme your cells use to turn food into energy and to power the enzymes that repair DNA. Levels decline with age, and supplementing it is meant to give those systems more of what they run on.
NAD+ nasal spray or injection?+
Both are available at the same price, $199 a month. The nasal spray is easier to stay consistent with. The injection is more direct. Your clinician will talk through which suits you.
Do I need labs before starting?+
No. Labs aren't a gate you have to clear. The Refuvia Baseline Panel is $199 and gives you and your clinician a clearer starting point, but you can begin without it.
Are these treatments FDA-approved?+
Some of these protocols are prescribed off-label, which means the medication is being used for a purpose other than the one it was originally approved for. Off-label prescribing is legal, common, and done at a clinician's discretion. Several peptides are not FDA-approved at all. Your clinician will tell you which category your protocol falls into.
How are these taken?+
It depends on the protocol: nasal sprays, capsules, sublingual options, and small injections you do at home. If an injection is involved, a free session with the care team shows you exactly how.
Where do peptides fit?+
Peptides are one part of longevity care, used for specific goals like recovery, sleep, and metabolic health. All seven, with prices, are on the peptide therapy page.
Can I take more than one?+
Often, yes, and many people do. Which combinations make sense depends on your goals and your history, and that's a conversation with your clinician rather than something to assemble yourself.
Is this just supplements with a prescription attached?+
No. Everything on this page is a prescription medication that requires assessment by a licensed clinician, and dispensing is handled by licensed pharmacies.
Can I cancel?+
Yes, any time. These are subscriptions, not contracts.
Questions about longevity care.
What does longevity care cost?+
Protocols start at $125 a month and run to $199 a month for NAD+ and sermorelin. Peptides run from $199 to $350 a month. Multi-month packages lower the monthly rate, and there's no membership fee and no first-month premium.
What does NAD+ actually do?+
NAD+ is a coenzyme your cells use to turn food into energy and to power the enzymes that repair DNA. Levels decline with age, and supplementing it is meant to give those systems more of what they run on.
Nasal spray or injection?+
Both are available at the same price, $199 a month. The nasal spray is easier to stay consistent with. The injection is more direct. Your clinician will talk through which suits you.
Do I need labs before starting?+
No. Labs aren't a gate you have to clear. The Refuvia Baseline Panel is $199 and gives you and your clinician a clearer starting point, but you can begin without it.
Are these FDA-approved?+
Some of these protocols are prescribed off-label, which means the medication is being used for a purpose other than the one it was originally approved for. Off-label prescribing is legal, common, and done at a clinician's discretion. Several peptides are not FDA-approved at all.
How are these taken?+
It depends on the protocol: nasal sprays, capsules, sublingual options, and small injections you do at home. If an injection is involved, a free session with the care team shows you exactly how.
Where do peptides fit?+
Peptides are one part of longevity care, used for specific goals like recovery, sleep, and metabolic health. All seven, with prices, are on the peptide therapy page.
Can I take more than one?+
Often, yes, and many people do. Which combinations make sense depends on your goals and your history, and that's a conversation with your clinician.
Is this just supplements?+
No. Everything on this page is a prescription medication that requires assessment by a licensed clinician, and dispensing is handled by licensed pharmacies.
Can I cancel?+
Yes, any time. These are subscriptions, not contracts.
Pick a protocol, or talk to the care team first and let them help you narrow it down. The consult is free and it isn't a sales call.
Book a free consult
Start where you're curious.
Pick a protocol, or talk to the care team first and let them help you narrow it down.
Book a free consultCompounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Some treatments described here are prescribed off-label. Off-label prescribing is legal and common, and means the medication is being used for a purpose other than the one it was originally approved for.
BPC-157, TB-500, KPV, DSIP, Epithalon, and MOTS-c are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. They are not sold as research-use-only peptides; if prescribed, each is prepared and dispensed by a licensed compounding pharmacy pursuant to an individual prescription.
Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Some treatments described here are prescribed off-label. Off-label prescribing is legal and common, and means the medication is being used for a purpose other than the one it was originally approved for.
BPC-157, TB-500, KPV, DSIP, Epithalon, and MOTS-c are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. They are not sold as research-use-only peptides; if prescribed, each is prepared and dispensed by a licensed compounding pharmacy pursuant to an individual prescription.