MEDICATIONS

Tadalafil Tablets Tadalafil is a medication commonly used to treat erectile dysfunction by increasing blood flow to the penile area, but it also offers several other potential benefits. It works by inhibiting the enzyme PDE5, which enhances blood flow throughout the body, including to muscles, promoting improved exercise performance and recovery. Commonly used for crazy pumps in the gym under medical supervision. Additionally, tadalafil has been shown to support endothelial function, improving blood vessel health, and may offer hormonal benefits, such as boosting testosterone levels and supporting overall cardiovascular health.

Enclomiphene 12.5-25mg Tablets Enclomiphene is an oral selective estrogen receptor modulator (SERM) used to support the body’s natural production of testosterone. Rather than supplying external testosterone, it works upstream by influencing hormonal signaling in the brain, helping stimulate natural testosterone production while preserving normal testicular function. In performance and bodybuilding contexts, enclomiphene is commonly selected by individuals who want to support testosterone levels, strength, recovery, and energy without suppressing natural hormone production. It is often used as an alternative to testosterone replacement therapy (TRT) when maintaining fertility and long-term endocrine function is a priority.

DHEA 25 mg Enclomiphene 25 mg Pregnenolone 25 mg Zinc 25 mg Elevate T is a powerful blend of DHEA, Enclomiphene, Pregnenolone, and Zinc, formulated to naturally support testosterone levels, enhance energy, and optimize overall hormonal production. DHEA and Pregnenolone serve as essential precursors to key hormones, promoting vitality and cognitive function. Enclomiphene helps stimulate natural testosterone production, while Zinc plays a crucial role in supporting androgen levels and overall male health. Together, this blend is designed to boost performance, improve recovery, and support optimal well-being for those looking to be absolute beasts without TRT. Currently Unavailable: AR, IN, MN, SC

Tirzepatide 10mg/mL Glycine 5mg/mL B12 0.5mg/mL This compounded formulation combines tirzepatide, glycine, and vitamin B12 and is prescribed by a licensed medical provider as part of a personalized treatment plan. Tirzepatide is a dual GLP-1 and GIP receptor agonist that plays a role in appetite regulation and glycemic control. Glycine is an amino acid involved in metabolic and cellular processes, and vitamin B12 supports normal energy metabolism and red blood cell formation. This formulation is designed for patients whose provider determines that a compounded option is clinically appropriate based on individual needs and medical history. Currently Unavailable: AR, AK, IN, MN, SC, CA

Telmisartan 20-40mg Tablets Telmisartan is an angiotensin II receptor blocker (ARB) widely used to support healthy blood pressure, vascular function, and cardiometabolic health. In performance and bodybuilding contexts, it is often considered the drug of choice for athletes and individuals using anabolic-androgenic agents (AAS) due to its unique profile that extends beyond blood pressure control. Unlike other ARBs, telmisartan also activates PPAR-γ, a nuclear receptor involved in fat metabolism, insulin sensitivity, and mitochondrial efficiency. This dual action makes it especially attractive for performance athletes seeking cardiovascular protection, improved endurance, better nutrient partitioning, and long-term metabolic resilience under medical supervision.

Doxepin 10mg Capsules Doxepin is a prescription medication commonly used in longevity and optimization medicine to support sleep maintenance and sleep continuity, two critical pillars of long-term health and recovery. Consistently staying asleep through the night is essential for hormonal regulation, metabolic stability, immune function, and cellular repair, all of which directly influence biological aging and performance. At low doses, doxepin is frequently selected for its targeted effects on histamine signaling, helping quiet nighttime wakefulness without heavy sedation or next-day grogginess. This makes it especially useful in longevity-focused protocols where the goal is restoring natural sleep architecture and deep recovery rather than simply inducing sleep.

Ezetimibe 10mg Tablet Ezetimibe is a cholesterol-lowering medication that works by reducing cholesterol absorption in the small intestine. It is often used as an adjunct to diet and lifestyle changes or in combination with statins to further reduce LDL cholesterol levels. Unlike statins, ezetimibe does not inhibit cholesterol synthesis in the liver, offering a unique and well-tolerated mechanism of action with minimal side effects. Emerging research suggests potential benefits beyond cholesterol control, including reducing markers of inflammation and possibly lowering the risk of neurodegenerative diseases.

Sermorelin 15mg Vial Sermorelin is a synthetic peptide that stimulates the body’s natural release of growth hormone by acting on the hypothalamus to increase growth hormone–releasing hormone (GHRH) signaling. Rather than supplying exogenous growth hormone, sermorelin encourages endogenous, pulsatile GH secretion, helping preserve normal feedback loops and long-term hormonal balance. In performance, recovery, and longevity contexts, sermorelin is commonly used to support sleep quality, recovery, body composition, and healthy aging by enhancing the body’s own growth hormone output. Supplied as 15 mg of lyophilized powder requiring reconstitution; all necessary supplies are included. Not available in: MA, CA, AR, KY, SC, AL

Metformin XR 500mg Tablet ER Metformin XR is an extended-release formulation of metformin designed to support insulin sensitivity, glucose control, and metabolic efficiency with smoother, more sustained activity throughout the day. By improving how cells respond to insulin and reducing excessive hepatic glucose output, it helps create a more stable metabolic environment without stimulating insulin secretion. In bodybuilding and performance contexts, metformin XR is often used to support insulin sensitivity during periods of high caloric intake, reduced activity, or post-cycle metabolic normalization. From a longevity perspective, its ability to reduce metabolic stress, improve nutrient handling, and support mitochondrial efficiency has made it a foundational tool in health-span–focused protocols under medical supervision. The extended-release (XR) formulation allows for slower absorption and steadier blood levels, which may improve gastrointestinal tolerability and provide more consistent metabolic support compared to immediate-release versions.

Apomorphine HCl — 3mg Tadalafil — 20mg Vardenafil — 15mg Sublingual Fast Dissolving Tablet VAST is a fast-acting, multi-pathway sublingual formulation designed to enhance erectile quality, arousal signaling, and overall sexual performance. By combining centrally acting dopaminergic stimulation with dual peripheral PDE5 inhibition, VAST targets both the neurological and vascular components of sexual function. Apomorphine HCl acts at the level of the central nervous system, stimulating dopamine receptors involved in sexual arousal and initiation. This helps increase libido, responsiveness, and the ability to initiate erections. Tadalafil and Vardenafil work peripherally by inhibiting PDE5, increasing nitric oxide–mediated vasodilation and enhancing blood flow to erectile tissue. The combination of two PDE5 inhibitors provides both sustained (Tadalafil) and more rapid, potent (Vardenafil) effects. Delivered sublingually, this formulation allows for faster absorption and onset compared to traditional oral tablets, making it well-suited for on-demand use. This product is commonly used in advanced sexual performance protocols where both arousal and erection quality are targeted simultaneously.

Propranolol 10, 20, 40mg Tablets Propranolol is a non-selective beta-blocker used to help regulate heart rate and blunt the physical manifestations of stress. By reducing sympathetic nervous system signaling, it helps calm physiologic responses such as rapid heartbeat, tremors, and adrenaline surges, without directly affecting cognition or alertness. In performance and optimization medicine, propranolol is commonly used to support calm focus and steadiness in high-pressure situations such as public speaking, competitive events, or cognitively demanding work. By controlling the body’s stress response, it allows mental performance to remain clear and controlled under medical supervision.

NAD+ 200mg/mL NAD+ (nicotinamide adenine dinucleotide) is a critical coenzyme found in every cell, playing a central role in energy production, DNA repair, and cellular resilience. NAD+ levels naturally decline with age, chronic stress, poor sleep, and high metabolic demand, which has made restoration strategies a major focus in longevity and performance medicine. Injectable NAD+ delivers this molecule directly into circulation, bypassing digestive limitations and supporting rapid cellular uptake. It is commonly used in longevity, cognitive, and metabolic optimization protocols to support mitochondrial function, energy production, and overall cellular health under medical supervision. Comes pre-reconstituted and ready for sterile intramuscular (IM) or subcutaneous (SubQ) injection, with all necessary supplies included. Currently Unavailable in AR, CA, SC, IN, MN, MS

PT-141 – 1 mg Oxytocin – 20 IU Tadalafil – 5 mg This compounded sublingual tablet combines three complementary pathways to support sexual desire, arousal, performance, and emotional connection. PT-141 acts centrally in the brain to stimulate sexual motivation and arousal, oxytocin supports bonding, intimacy, and emotional closeness, and tadalafil enhances blood flow to support physical performance and responsiveness. Rather than relying on a single mechanism, this formulation is designed to address both the mental and physical components of intimacy, making it a popular option for individuals seeking improved desire, confidence, and connection under medical supervision. About Sublingual Tablet: Sublingual tablets are small, medicated tablets designed to dissolve in the mouth, allowing faster absorption through the oral mucosa rather than standard swallowing.

Lipo-Mino is a compounded injectable formulation designed to support energy production, fat metabolism, and overall metabolic efficiency. It combines lipotropic compounds, B-vitamins, and amino acids that work together to support nutrient utilization, cellular energy production, and liver function. Because injectable delivery bypasses digestion, Lipo-Mino allows for efficient absorption of its active components, making it a popular option in weight-management, performance, and wellness protocols under medical supervision.

Key Ingredients

• Pyridoxine HCl (Vitamin B6): Supports protein metabolism, energy conversion, and neurotransmitter function
• Methionine: An essential amino acid that supports detoxification pathways and fat metabolism
• Inositol: Supports cellular signaling and lipid metabolism
• Choline Chloride: Plays a key role in liver health and fat transport
• Cyanocobalamin (Vitamin B12): Supports red blood cell production, nervous system function, and sustained energy
• L-Carnitine: Assists in transporting fatty acids into cells for energy production
• Thiamine HCl (Vitamin B1): Essential for carbohydrate metabolism and energy release
• Riboflavin (Vitamin B2): Supports mitochondrial energy production and cellular function

Not available in: AR, IN, MN, SC, CA, MS

Anastrozole 1mg Tablet Anastrozole is an oral aromatase inhibitor commonly used to manage estrogen levels by limiting the conversion of testosterone into estradiol. In performance and bodybuilding contexts, it’s often utilized as part of a broader hormone-optimization strategy to help maintain a favorable testosterone-to-estrogen balance, particularly during or after testosterone use. When estrogen levels rise disproportionately, individuals may experience unwanted effects such as water retention, fat gain, or diminished physique clarity. Anastrozole is frequently selected for its precision and potency, allowing for targeted estrogen control under medical supervision.

Lisinopril 10mg Tablet Lisinopril is an oral ACE inhibitor commonly prescribed to support healthy blood pressure and cardiovascular function. It works by inhibiting the angiotensin-converting enzyme (ACE), helping relax blood vessels and reduce vascular resistance, which improves blood flow and reduces cardiac workload. In performance and bodybuilding contexts, lisinopril is sometimes used to help manage elevated blood pressure associated with high bodyweight, intense training, stimulant use, or anabolic-androgenic exposure. Maintaining controlled blood pressure is increasingly recognized as a critical component of long-term performance, recovery, and cardiovascular longevity.

Glutathione 200mg/mL (30mL Vial) Glutathione is a powerful antioxidant naturally produced by the body and essential for cellular defense, detoxification, and overall metabolic health. Injectable glutathione delivers this compound directly into the bloodstream, bypassing digestive breakdown and allowing for higher bioavailability compared to oral forms. In performance, longevity, and optimization settings, glutathione injections are commonly used to support oxidative stress management, liver detoxification pathways, immune resilience, and cellular recovery, particularly during periods of high physical, metabolic, or environmental stress. Not available in the following states: CA, MS, AR, IN, MN, SC

L-Carnitine 500mg/ml 30mL Injectable L-Carnitine is a performance-focused metabolic therapy used to support fat utilization, training output, and androgen signaling. By delivering L-Carnitine directly into circulation, injectable administration achieves significantly higher and more reliable tissue levels than oral forms, making it a preferred option in serious body recomposition and testosterone-optimization protocols. Beyond its role in fat transport, L-Carnitine has been studied for its ability to support androgen receptor density and sensitivity in muscle tissue, helping improve how effectively testosterone signals at the cellular level. This makes it especially popular during cutting phases, recomposition cycles, or anytime maximizing the impact of endogenous or therapeutic testosterone is the goal. CURRENTLY UNAVAILABLE IN: CA, MS, AR, IN, MN, SC

Losartan Tablets Losartan is an angiotensin II receptor blocker (ARB) used to support healthy blood pressure, vascular function, and kidney protection. By blocking angiotensin II signaling, it helps reduce vasoconstriction, fluid retention, and cardiac strain, key concerns in high-performance athletes and bodybuilders exposed to intense training loads, elevated bodyweight, stimulants, or anabolic-androgenic agents. In bodybuilding and performance contexts, losartan is commonly used to manage blood pressure while preserving exercise capacity and endurance. Unlike some antihypertensive medications, it does not blunt training output and is often favored for its renal-protective effects and favorable tolerability profile under medical supervision.

NAD+ 200mg Sublingual Tablet NAD⁺ (nicotinamide adenine dinucleotide) is a foundational coenzyme involved in cellular energy production, mitochondrial function, and DNA repair. While NAD⁺ has traditionally been delivered via intravenous or injectable routes, sublingual tablet formulations were developed to reduce logistical barriers while still supporting effective absorption and daily consistency. These NAD⁺ tablets are designed for sublingual absorption, allowing the compound to be absorbed directly through the oral mucosa rather than relying solely on gastrointestinal digestion. This bypasses first-pass liver metabolism and supports more consistent systemic availability compared to standard oral swallowing. Each tablet is flavored and scored, enabling flexible dosing and easy protocol customization under medical supervision, making this format well suited for long-term longevity, metabolic, and cognitive-support protocols.

LDN 4.5mg Tablets Low-Dose Naltrexone (LDN) is a compounded formulation of naltrexone used at significantly lower doses than its traditional indication. At low doses, it works by briefly blocking opioid receptors, which may lead to a rebound increase in the body’s production of endorphins and enkephalins. These signaling molecules play important roles in immune regulation, inflammation control, and metabolic signaling. In longevity, autoimmune, and metabolic-health contexts, LDN is commonly used to support immune balance, reduce chronic inflammation, and promote healthier neuro-immune communication. It is often selected by individuals seeking a low-burden, system-level intervention under medical supervision.

Minoxidil 10% solution Finasteride 0.1% solution This compounded topical solution combines high-strength minoxidil with low-dose topical finasteride to address hair thinning and loss through two complementary pathways. By supporting follicle activity while locally reducing DHT at the scalp, it’s commonly used as an aggressive topical option for individuals seeking enhanced hair retention and regrowth support under medical supervision. Because both ingredients are delivered directly to the scalp, this formulation is often chosen by those looking to maximize local effectiveness while minimizing systemic exposure as part of a long-term hair optimization strategy. Minoxidil 10%: A higher concentration than standard 5% formulations, minoxidil supports scalp blood flow and follicle activity, helping maintain the growth (anagen) phase of the hair cycle and reduce shedding. Finasteride 0.1% (Topical): Applied directly to the scalp, topical finasteride helps reduce local DHT activity at the follicle, the hormone associated with androgen-related hair loss, without directly suppressing systemic testosterone production. Currently Unavailable: AR, IN, MN, SC

Icosapent Ethyl 1g Capsules Icosapent ethyl is a purified, prescription-grade omega-3 fatty acid (EPA) used to support cardiovascular health by targeting triglycerides, inflammation, and arterial stability. Unlike over-the-counter fish oil supplements, which can vary widely in quality and are susceptible to oxidation and rancidity, icosapent ethyl is manufactured under strict pharmaceutical standards to ensure purity, stability, and consistency. In performance and longevity contexts, it’s often chosen not only for its cardiovascular benefits, but also for the confidence that comes with a highly controlled, EPA-only formulation. This makes it especially attractive for individuals optimizing long-term heart health, lipid markers, and systemic inflammation without relying on supplements of uncertain quality.

Unlike traditional healthcare, which often overlooks key health markers, we focus on preventative care and optimization—not just reactive treatment. Normal healthcare rarely spends the time to educate you on what truly matters. But at algorx, we believe that education is the first step toward taking control of your health. That’s why our coaching is designed to give you actionable insights, without unnecessary upsells or ongoing commitments.

Trazodone 50mg Tablets Trazodone is a prescription medication commonly used in longevity and optimization medicine to support high-quality, restorative sleep, one of the most powerful levers for long-term health, performance, and aging. Deep, consolidated sleep is essential for hormonal regulation, metabolic health, cognitive function, immune resilience, and cellular repair, and chronic sleep disruption is increasingly recognized as a major accelerator of biological aging. Unlike traditional sleep medications that rely on heavy sedation, trazodone is often chosen for its ability to support sleep continuity and healthy sleep architecture, helping individuals fall asleep more easily and stay asleep through the night without suppressing restorative sleep stages. This makes it a frequent option in longevity-focused protocols where sleep quality, not just sleep duration, is the primary goal.

(Alpha Lipoic Acid / Ascorbic Acid / Estriol / Niacinamide / Tretinoin) 30g tube Vitality Cream is a precision-formulated topical designed for skin quality optimization: texture, tone, collagen signaling, and facial youthfulness. This compound targets multiple aging pathways at once: oxidative stress, impaired cellular turnover, declining estrogenic signaling in skin, and collagen breakdown. Alpha Lipoic Acid and Ascorbic Acid act as powerful antioxidants that protect against environmental damage while supporting collagen synthesis. Tretinoin accelerates skin cell turnover and improves fine lines and texture, while Niacinamide supports barrier function, oil balance, and even pigmentation. Estriol provides localized estrogenic signaling in the skin, a critical but often overlooked factor in maintaining thickness, elasticity, and glow as hormone signaling declines with age. This is structural skin support for people who care about facial aesthetics, long-term youthfulness, and maximizing how their face ages.

Metformin IR 500mg Tablets Metformin is an oral prescription medication widely used to support insulin sensitivity and glucose regulation. By improving how cells respond to insulin and reducing excessive hepatic glucose output, it helps promote more efficient energy utilization and metabolic control. Beyond glycemic support, metformin has drawn significant interest in longevity and performance communities for its effects on inflammation, mitochondrial function, and metabolic efficiency. In bodybuilding and physique-focused contexts, metformin is sometimes incorporated to support insulin sensitivity during periods of high caloric intake, reduced activity, or post-cycle metabolic normalization. In longevity-focused protocols, it is often selected for its system-level effects on metabolic signaling and age-related disease risk under medical supervision. This formulation is metformin hydrochloride (HCl), immediate-release (IR), not extended-release (XR).

Rosuvastatin 10mg Tablet Rosuvastatin is a highly potent statin used to optimize lipid markers and reduce long-term cardiovascular risk, with a strong emphasis on lowering ApoB, the most predictive marker of atherosclerotic disease. Rather than focusing solely on total cholesterol, rosuvastatin targets the number of atherogenic lipoprotein particles, making it a preferred option in modern cardiovascular and longevity medicine. In performance and optimization contexts, rosuvastatin is often selected for its high efficacy at low doses, long half-life, and favorable tolerability profile compared to older statins. Its limited penetration of the blood–brain barrier and lower muscle exposure make it attractive for individuals who want aggressive lipid control without compromising cognitive function, training capacity, or recovery, under medical supervision.

This advanced compounded scalp solution is specifically formulated for individuals experiencing androgenetic alopecia or other forms of hair thinning. It combines four clinically backed ingredients to support hair regrowth and scalp health: Minoxidil (7%) – A potent vasodilator that enhances blood flow to hair follicles, stimulating growth and extending the anagen (growth) phase of the hair cycle. Dutasteride (0.1%) – A powerful 5-alpha-reductase inhibitor that blocks both Type I and Type II enzymes to reduce DHT levels, a key factor in hair loss. Tretinoin (0.025%) – Increases cellular turnover and enhances minoxidil absorption by promoting a healthier scalp environment. Fluocinolone (0.025%) – A mild corticosteroid that helps reduce inflammation and irritation, making the formula more tolerable for sensitive scalps. Rather than relying on a single pathway, FollicRX targets the hormonal, vascular, inflammatory, and follicular contributors to androgen-related hair loss, making it a popular choice for those who want an aggressive, all-in-one topical protocol. Not available in the following states: AK, IN, MN, SC *Variants in mL

Ondansetron 4mg Tablets Ondansetron is a fast-acting prescription medication used to prevent and relieve nausea and vomiting by selectively blocking serotonin (5-HT3) receptors involved in the body’s emetic response. By targeting the nausea pathway directly, it provides effective relief without sedation or central nervous system suppression. In optimization and metabolic-therapy contexts, ondansetron is commonly prescribed to support tolerance and adherence when starting medications known to cause gastrointestinal side effects, including GLP-1 therapies such as semaglutide or tirzepatide.

Tamoxifen 10-20mg Tablets Tamoxifen is an oral selective estrogen receptor modulator (SERM) that works by blocking estrogen receptors in specific tissues. Rather than lowering estrogen levels directly, it selectively prevents estrogen from exerting effects where it is most problematic, while allowing estrogen signaling elsewhere in the body. In bodybuilding and performance contexts, tamoxifen is commonly used to manage estrogen-related effects, particularly those involving breast tissue. It is also frequently incorporated into post-cycle and hormone-recovery protocols to support endogenous testosterone signaling and hormonal normalization under medical supervision.

PT-141 10 mg/mL Nasal Spray 5 mL PT-141 (bremelanotide) is a centrally acting peptide designed to support sexual desire and arousal by activating melanocortin receptors in the brain. Unlike traditional sexual-performance medications that rely on blood-flow mechanisms, PT-141 works at the level of the central nervous system, influencing motivation, desire, and sexual responsiveness rather than vascular function. Delivered as a nasal spray, PT-141 allows for rapid absorption through the nasal mucosa and direct access to central pathways involved in arousal. It is commonly used by both men and women seeking to enhance libido, intimacy, and sexual confidence, particularly when desire is the limiting factor. Currently unavailable in: AR, IN, MN, CA, SC

Sildenafil is a medication primarily used to treat erectile dysfunction by increasing blood flow to the penile area, helping achieve and maintain an erection. It works by inhibiting the enzyme PDE5, which allows for greater nitric oxide activity, leading to relaxed blood vessels and improved circulation. Sildenafil has also shown potential benefits for pulmonary hypertension, supporting heart and lung health by improving blood flow and reducing the strain on the cardiovascular system.

Azelaic Acid / Alindamycin Phosphate / Tranexamic Acid w/ Niacinamide 5/1/5% 90g tube Clarity is a multi-pathway topical formulation designed to target acne, post-inflammatory pigmentation, and uneven skin tone in a single protocol. By combining antimicrobial, anti-inflammatory, and pigment-regulating agents, this cream addresses both active breakouts and the residual discoloration they leave behind. Azelaic Acid works to normalize keratinization, reduce inflammation, and inhibit the growth of acne-causing bacteria. Clindamycin Phosphate provides targeted antibacterial activity against Cutibacterium acnes, helping reduce active lesions and prevent new breakouts. Tranexamic Acid is included for its ability to reduce melanocyte activation and improve stubborn hyperpigmentation, particularly post-inflammatory erythema and melasma. Niacinamide supports skin barrier function, reduces sebum production, and further helps even skin tone while calming irritation. This formulation is commonly used in acne and skin-clearing protocols where the goal is not just fewer breakouts, but visibly clearer, more even, and higher-quality skin overall.

GHK-Cu 15mg Troche This sublingual troche features GHK-Cu, a copper peptide recognized for its role in skin support, tissue recovery, and cellular maintenance. It dissolves under the tongue for convenient absorption as part of a daily wellness habit. GHK-Cu is commonly used in skin and longevity routines to help maintain collagen, support firmness, and promote a healthy, refreshed appearance from the inside out. *This product is a troche, a small lozenge designed to dissolve slowly in the mouth for absorption through the oral mucosa, and it’s flavored with crème de menthe for a clean, minty taste. CURRENTLY UNAVAILABLE IN: IN, AR, SC, MN

Rapamycin (Sirolimus) 2mg Tablet Rapamycin (sirolimus) is a prescription medication that has become a central focus in longevity science due to its effects on the mTOR (mechanistic target of rapamycin) pathway, a key regulator of aging, cellular growth, and metabolic signaling. By modulating mTOR activity, rapamycin influences how cells allocate resources between growth, repair, and maintenance. In longevity and health-span optimization contexts, rapamycin is studied and used for its ability to promote cellular cleanup processes, improve stress resistance, and shift the body toward a maintenance-and-repair state rather than constant growth signaling. It is often incorporated into carefully structured longevity protocols under medical supervision.

Methylene Blue 5-25mg Capsules Methylene Blue is a potent nootropic and mitochondrial enhancer known for its ability to boost brain function, energy production, and cellular health. By improving oxygen utilization and ATP production, it may enhance mental clarity, memory, and cognitive endurance while also supporting antioxidant defense and neuroprotection. Often used for cognitive enhancement, anti-aging, and metabolic support, Methylene Blue is gaining popularity among biohackers and high performers seeking optimal brain function and cellular resilience. Currently unavailable: AL, IN, KS, LA, MS, MO, NV

Acarbose 50mg Tablets Acarbose is an oral medication used to support metabolic health by slowing the digestion and absorption of carbohydrates in the gut. By inhibiting alpha-glucosidase enzymes, it reduces post-meal glucose spikes and insulin surges, helping create a more stable metabolic environment. In bodybuilding and performance contexts, acarbose is commonly used to improve insulin control during high-carbohydrate intake, reduce unwanted fat gain, and support better nutrient partitioning during bulking or recomposition phases. In longevity-focused protocols, it is valued for its effects on postprandial glucose control, insulin signaling, and metabolic stress reduction under medical supervision.

Bimatoprost 0.03% Eyelash Growth Serum 5mL bottle Bimatoprost 0.03% is a prescription-strength topical serum used to support the appearance of longer, thicker, and darker eyelashes. It works by extending the growth (anagen) phase of the eyelash hair cycle, allowing lashes to grow longer and fuller over time with consistent use. This formulation uses the same active ingredient found in FDA-approved lash growth treatments and is commonly selected by individuals seeking noticeable lash enhancement under medical supervision. Note: Applicator brush not included. With typical dosing, bottle lasts 90-120 days.

(Caffeine / GHK-Cu / Tretinoin / Niacinamide) 30g tube Cashmere Face Cream is a multi-pathway facial optimization formula designed to improve texture, tone, structural density, and overall skin quality. This compound combines collagen signaling, cellular turnover, barrier support, and microvascular enhancement into a single advanced topical. Tretinoin drives epidermal renewal and collagen stimulation, helping improve fine lines, roughness, and uneven texture. GHK-Cu (Copper Tripeptide-1) supports dermal remodeling and skin regeneration signaling. Niacinamide reinforces barrier integrity, balances oil production, and improves tone consistency. Caffeine promotes microcirculatory support and helps reduce the appearance of puffiness while enhancing overall skin tightness. The result is skin that looks smoother, firmer, and more refined.

Nourisil Betamethasone 0.05% Lidocaine 5% This compounded scar therapy combines silicone-based Nourisil with Betamethasone 0.05%, a topical corticosteroid, and Lidocaine 5%, a local anesthetic, to support scar recovery and comfort. The formulation is designed to address both the appearance and physical symptoms of scar tissue by helping calm inflammation, reduce redness, and relieve irritation or discomfort. Often used for new or established scars, this therapy may help improve scar texture and appearance while easing itching, sensitivity, or pain commonly associated with healing skin. Not available in the following states: CA, AL, AR, KY, SC

Minoxidil 2.5mg Tablets Minoxidil (oral) is a once-daily medication that promotes hair growth by increasing blood flow to hair follicles and prolonging the growth (anagen) phase of the hair cycle. Visible changes may take several months, and consistent use is key for maintaining progress.

Dutasteride 0.5mg Capsules Dutasteride is an oral medication used to support hair preservation by significantly reducing levels of dihydrotestosterone (DHT), the primary hormonal driver of androgen-related hair loss. Unlike finasteride, which inhibits one form of the 5-alpha-reductase enzyme, dutasteride inhibits both type I and type II 5-alpha-reductase, leading to more comprehensive suppression of DHT production. In hair-loss optimization, dutasteride is commonly selected by individuals with progressive thinning or those who have not achieved adequate results with finasteride alone. Its broader and more durable DHT reduction makes it a powerful option for long-term hair maintenance when prescribed and monitored by a licensed provider.

Exemestane 25mg Tablets Exemestane is an oral aromatase inhibitor used to support estrogen management by permanently inactivating the aromatase enzyme responsible for converting androgens into estrogens. Rather than temporarily blocking estrogen production, its irreversible mechanism allows for sustained estrogen suppression until new aromatase enzymes are formed. In hormone-optimization and bodybuilding contexts, exemestane is commonly selected when precise estrogen control is needed, particularly alongside testosterone-based therapies. By helping manage elevated estradiol levels, it is often used to support a more balanced hormonal environment under medical supervision.

Nebivolol 2.5 + 5mg Tablets Nebivolol is a cardio-selective beta-blocker used to support healthy blood pressure and cardiovascular function. Unlike traditional beta-blockers that primarily slow heart rate, nebivolol also promotes nitric-oxide–mediated vasodilation, helping relax blood vessels and improve blood flow while reducing cardiac workload. In performance and bodybuilding contexts, nebivolol is often selected when blood pressure control is needed without the exercise intolerance or fatigue sometimes associated with older beta-blockers. Its favorable effects on endothelial function and vascular tone make it a preferred option for individuals seeking cardiovascular protection while maintaining training capacity, recovery, and overall performance under medical supervision.

Finasteride 1mg Tablet Finasteride is an oral medication used to support hair retention by reducing levels of dihydrotestosterone (DHT), a hormone strongly linked to androgen-related hair loss. It works by inhibiting 5-alpha-reductase, the enzyme responsible for converting testosterone into DHT, helping protect hair follicles from progressive miniaturization. In both clinical and performance contexts, finasteride is commonly selected by individuals looking to slow hair thinning and preserve existing hair while maintaining normal testosterone levels. It is often used as part of a long-term hair preservation strategy under medical supervision.

Raloxifene 60mg Tablet Raloxifene is a selective estrogen receptor modulator (SERM) that works by blocking estrogen activity in specific tissues, particularly breast tissue, while preserving estrogen’s beneficial effects elsewhere. Unlike aromatase inhibitors, it does not reduce overall estrogen levels, but instead selectively prevents estrogen from activating receptors where it is most problematic. In performance and bodybuilding contexts, raloxifene is commonly chosen for breast-tissue–specific estrogen control, especially in cases of estrogen-related gynecomastia or breast sensitivity. Its tissue selectivity makes it a preferred option when targeted estrogen receptor blockade is desired without broader hormonal suppression, under medical supervision.

Oxytocin 100 IU/ML Nasal Spray, 6ML Oxytocin is a naturally occurring neuropeptide involved in social bonding, emotional regulation, and stress modulation. Delivered as a nasal spray, oxytocin allows for rapid absorption through the nasal mucosa, supporting both central (brain-mediated) and systemic effects without the need for injections. In optimization and performance contexts, oxytocin is commonly used to support emotional connection, reduce stress reactivity, and promote a sense of calm and well-being. Beyond mood and bonding, oxytocin signaling is also involved in sleep regulation, pain modulation, cognitive processing, and tissue repair, making it a unique tool for both psychological and physical resilience. Currently Unavailable: AR, IN, MN, SC

GHK-Cu 3% Cream, 30g tube GHK-Cu 3% Cream is a high-potency topical designed for advanced skin remodeling and facial rejuvenation. GHK-Cu is a biologically active copper complex involved in collagen synthesis, tissue repair, and skin regeneration. GHK-Cu (Copper Tripeptide-1) plays a critical role in signaling fibroblasts to produce collagen, elastin, and glycosaminoglycans, the structural components that give skin thickness, firmness, and resilience. At a 3% concentration, this formulation is intended for experienced users looking to aggressively improve skin quality, accelerate recovery, and support long-term facial aesthetics. This cream is commonly used in looksmaxxing, scar revision, and anti-aging protocols where visible improvement in texture, density, and overall skin vitality is the goal.

Cabergoline 0.5mg Scored Tablet Cabergoline is a long-acting dopamine agonist commonly used to lower elevated prolactin levels by activating dopamine D2 receptors in the pituitary. In performance medicine contexts, prolactin management can be relevant for individuals experiencing prolactin induced gynecomastia, suppressed libido, reduced motivation, or hormonal disruption associated with elevated prolactin. By reducing prolactin and enhancing dopaminergic signaling, cabergoline may help support reduced breast tissue, sexual function, drive, and overall neuroendocrine balance under medical supervision. Dopamine plays a central role in reward, motivation, and sexual arousal pathways, making cabergoline a compound sometimes incorporated into protocols aimed at restoring libido, improving confidence, and optimizing hormonal signaling. **Cabergoline is commonly prescribed in low doses due to its long half-life. A typical starting protocol is 0.25 mg once per week, though dosing is ultimately determined by your provider based on your labs and clinical history. Because of this infrequent dosing schedule:

• 8 tablets (0.5 mg scored) may last up to 16 weeks

Each tablet is scored, allowing it to be split into two 0.25 mg doses when prescribed by your provider. Temporary note: Due to a current pharmacy supply constraint, cabergoline is only being dispensed in quantities of 8 tablets at this time. This is a temporary limitation and larger quantities are expected to be available again in the future.

Biotin 5mg Finasteride 1mg Minoxidil 2.5mg This powerful compounded combination therapy addresses hair thinning and loss through multiple complementary pathways. By supporting follicle health, hormone balance, and scalp blood flow, it’s commonly used as a comprehensive approach for individuals seeking to slow hair loss and support thicker, healthier-appearing hair under medical supervision. Rather than relying on a single mechanism, this formulation is designed to work systemically to support hair retention and regrowth as part of a long-term hair optimization strategy. Currently Unavailable: AR, IN, MN, SC

Vasoactive Intestinal Peptide 500 mcg/mL – 5 mL total VIP Nasal Spray delivers vasoactive intestinal peptide (VIP), a neuropeptide involved in immune modulation, vascular regulation, and neuroinflammatory balance. Administered intranasally for direct absorption, this formulation is commonly used in advanced recovery and optimization protocols. VIP plays a role in regulating inflammatory signaling, supporting microvascular tone, and maintaining epithelial integrity in respiratory and neurologic tissues. In performance and longevity-focused circles, it is often incorporated into protocols aimed at improving recovery, cognitive clarity, and systemic resilience. This is not a stimulant and not a hormone. It is a signaling peptide used in targeted protocols where immune balance and inflammatory modulation are priorities. Not available in AR, IN, MN, SC

Oxytocin 20IU PT-141 1MG Oxytocin + PT-141 is a compounded combination designed to support emotional connection, sexual desire, and intimacy through complementary central-nervous-system pathways. Oxytocin plays a key role in bonding, trust, and emotional closeness, while PT-141 (bremelanotide) acts on melanocortin receptors in the brain involved in sexual motivation and arousal. Unlike traditional erectile or blood-flow–based therapies, PT-141 works at the level of desire and arousal rather than vascular mechanics, and does not directly alter hormone levels. Together, this pairing is commonly used by both men and women seeking to enhance intimacy, connection, and sexual responsiveness under medical supervision. These sublingual tablets are formulated for convenient, discreet use and are often incorporated into relationship, confidence, and sexual-wellness optimization protocols. About Sublingual Tablets: Sublingual tablets are small, medicated tablets designed to dissolve in the mouth, allowing faster absorption through the oral mucosa rather than standard swallowing.

Ketoconazole 2% Shampoo Ketoconazole 2% Shampoo is a prescription-strength shampoo formulated to support scalp health in individuals dealing with dandruff, seborrheic dermatitis, and hair thinning associated with scalp inflammation. At 2%, it delivers a higher concentration of ketoconazole than over-the-counter versions, making it a stronger, clinician-directed option when persistent flaking, itching, or scalp irritation is present. By helping control scalp fungus and inflammation, ketoconazole 2% is commonly incorporated into hair-loss protocols to create a healthier scalp environment that supports hair retention and follicle function under medical supervision.

Tretinoin 0.025-0.05% Cream Tretinoin is a prescription-strength topical retinoid widely regarded as a cornerstone of modern looksmaxxing and skin optimization. It works by accelerating cellular turnover, stimulating collagen production, and improving skin texture and tone at the structural level rather than simply masking imperfections. In aesthetic and performance-focused self-optimization, tretinoin is commonly used to refine skin quality, enhance facial symmetry through clearer and smoother skin, and slow visible aging. By addressing acne, fine lines, uneven pigmentation, and texture simultaneously, it supports a sharper, cleaner, more youthful appearance over time when used consistently under medical guidance.

Azelaic Acid / Ivermectin / Metronidazole w/ Niacinamide 5/1/1% 90g tube Calming STL is a multi-mechanism topical formulation designed to reduce facial inflammation, persistent redness, and irritation-prone skin conditions. By combining antimicrobial, anti-inflammatory, and barrier-supportive agents, this cream targets the underlying drivers of chronic skin sensitivity rather than just masking symptoms. Azelaic Acid helps normalize skin turnover, reduce inflammation, and improve overall skin clarity. Ivermectin targets inflammatory pathways and is known for its role in managing conditions associated with skin microbiome imbalance, including Demodex-related irritation. Metronidazole provides additional anti-inflammatory and antimicrobial support, helping calm reactive skin and reduce visible redness. Niacinamide strengthens the skin barrier, reduces irritation, and supports a more even, resilient complexion. This formulation is commonly used in protocols focused on calming reactive, redness-prone, or rosacea-like skin, where the goal is to restore baseline skin stability, reduce flare-ups, and improve overall skin quality.

Methionine – 25 mg/mL Choline Chloride – 50 mg/mL Cyanocobalamin (Vitamin B12) – 1 mg/mL Lipo-B is a compounded injectable formulation designed to support fat metabolism, energy production, and liver function. By combining lipotropic amino acids with vitamin B12, this injection is commonly used in metabolic optimization and fat loss protocols to help improve energy utilization and support fat breakdown under medical supervision. Because injectable delivery bypasses the digestive system, Lipo-B allows for efficient absorption of these key nutrients, making it a popular option for individuals seeking enhanced metabolic support, improved energy levels, and recovery during periods of calorie restriction or increased training demand. Not available in: CA, AR, AL, KY, SC