Tirzepatide is a dual-receptor agonist that activates both GLP-1 and GIP pathways, the two hormones your body uses to regulate appetite and energy balance. It is the first molecule of its kind to engage both receptors at once.
Targeted fat loss without sacrificing curvesAppetite control & reduced cravingsLean strength preservation through weight lossOptimized metabolic & cardiovascular health
Microdose tirzepatide uses the same dual GLP-1 + GIP receptor agonist as standard tirzepatide, prescribed at sub-therapeutic doses for metabolic optimization and steady body recomposition, with a lower side-effect profile and greater dosing flexibility than full-dose protocols.
Gentler side-effect profile & lower nauseaSteady appetite control through your cycleLean recomposition without crash dietingLong-term metabolic & cardiovascular health
NAD+ is a coenzyme central to cellular energy production, DNA repair, and mitochondrial function. Levels decline with age. Intranasal delivery bypasses the digestive tract, allowing for direct absorption through the nasal mucosa.
Semaglutide is a GLP-1 receptor agonist that targets the hormone pathway your body uses to regulate appetite, satiety, and blood sugar response. It is the longest-tenured GLP-1 in clinical use, with the deepest body of research behind it.
Sustainable weight loss without crashesLong-term appetite control & reduced cravingsHormone-aware dosing & glycemic balanceProven cardiovascular benefits
Two needle-free molecules under one intake. Oral semaglutide is a GLP-1 agonist; oral tirzepatide is a dual GLP-1 + GIP agonist. Both are compounded by a licensed US pharmacy and taken as a daily dose under the tongue, with no injection required. Your provider decides which fits you. Compounded medications are not FDA-approved, approval is not guaranteed, and individual results vary.
Needle-free daily ritualGentle appetite balance through your cycleDiscreet, no sharps disposalLong-term metabolic & hormonal harmony
Tirzepatide and semaglutide have observed up to a 25% reduction of body weight in patients. Done well, with hormonal support, nutrition guidance, and quarterly panels, the loss is lasting.
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Your goal. Your timeline.
Results vary by individual. Clinical supervision included.
Estimate only. Actual results vary. Prescriptions are never automatic or guaranteed.
02, How it works
Prescriptions are never automatic or guaranteed. Eligibility is evaluated case-by-case by a US-licensed clinician.
01
Complete your intake
Five minutes of intake. State of residence, medical history, the outcome you're after, weight, hormones, skin, sexual wellness. No upsells, no fake quizzes.
Avg. 4 min · 50 states supported
02
US-licensed clinician review
A physician-supervised care team reviews your labs and intake, typically within 4 hours. They match the protocol to your clinical fit, not a flat dosing template.
Quick approval
03
Instant Pharmacy Fulfillment
If prescribed, your medication ships from your nearest compound pharmacy in our network, free, discreet, on a schedule you control. Cancel anytime, one click.
Compounded, not FDA-approved
Physician-supervised
Real clinicians. Real labs. Real protocols.
Every prescription is reviewed by a US-licensed clinician, not a checkbox algorithm. Your care team sees your labs, your history, and your goals before anything ships.
24h
Avg. review time
100%
US-licensed prescribers
03, Peptide formulary
The compound is the tool. The outcome is the product.
We carry the molecules our clinicians actually prescribe, the ones with the labs behind them. Each protocol is supervised end-to-end and dosed by clinical fit, not a flat template.
Regulatory note: The FDA removed 12 peptides from Category 2 effective April 22, 2026. PCAC review is scheduled July 23–24, 2026. Eligibility for affected peptides is evaluated case-by-case.
Tirzepatide
GLP-1 / GIP · weight, appetite
Dual GIP and GLP-1 receptor agonist. Weekly subcutaneous dose, titrated by your clinician. Comprehensive panels included.
Bio-identical estradiol (patch, gel, or oral) paired with micronized progesterone where indicated. Dosed to your labs and symptom profile, not a flat template.
Melanocortin agonist for desire response. FDA-approved for premenopausal HSDD. As-needed subcutaneous dosing, addresses a different pathway than vascular ED meds.
Compounded medications are compounded, not FDA-approved. Prescriptions are never automatic or guaranteed. Eligibility evaluated case-by-case.
Pay over time with
04, Questions, answered
What you should know before you start.
For many women, yes, and often more effective than GLP-1 alone, because perimenopausal weight gain is driven partly by hormonal shifts. Your care team evaluates whether GLP-1 alone, hormone optimization alone, or a stacked protocol is the right clinical fit for your labs and symptoms.
Some are (PT-141 as Vyleesi, branded GLP-1s, branded BHRT). Many compounded peptides are not, they're compounded, not FDA-approved. The FDA removed 12 peptides from Category 2 effective April 22, 2026, with PCAC review scheduled July 23–24, 2026. We disclose status on every protocol.
Your prescriptions are fulfilled by our partner compounding pharmacy, VialsRX, an AI-powered pharmacy specializing in personalized compounding for weight management and anti-aging treatments. They can be contacted at: 6220 Westpark Dr, Houston, TX 77057 · (713) 497-5590 · vials.ai.
We also partner with F&F Pharmacies Inc dba Jungle Jim’s Pharmacy, located at 5484 Dixie Highway, Fairfield, OH 45014. They can be contacted at (877) 858-3784. They are able to dispense medications and maintain a license in 40 US states. Unfortunately, they cannot dispense sterile compounds and do not have a license in the following US states: California, Nevada, New Jersey, North Carolina, Texas, Massachusetts, Mississippi, New Hampshire, West Virginia, and Delaware.
Yes. Services are available in all 50 US states through our affiliated medical providers and pharmacy partners. All operations strictly adhere to applicable state licensure requirements.
Certain medications, specific formulations, or fulfillment options may vary. This is due to state-specific pharmacy regulations and local dispensing restrictions that our partners must follow.
You can reach their compliance and medical team directly via email at medicalcompliance@arorahealthgroup.com. Their administrative office is located at 300 Lenora Street, Seattle, WA 98121. You can also visit their website at arora-health.com.
Our clinical providers are Arora Health & Aesthetics, LLC. They can be contacted at medicalcompliance@arorahealthgroup.com. Arora Health has its office located at 300 Lenora Street, Seattle, WA 98121 · arora-health.com.
Yes. One click. No phone call. No 24-hour cancellation window. No prepaid balance forfeiture. If you cancel mid-cycle we ship what you've already paid for.