turbocharge your results with recess rx!
Ian Justl Ellis, M.D. and Recess Fitness Club are proud to provide Texans with low-cost access to cutting-edge, prescription-only tools to optimize your fitness and health.
Schedule a free consultation or text (817) 583-8542 to start treatment!
turbocharge your results with recess rx!
Ian Justl Ellis, M.D. and Recess Fitness Club are proud to provide Texans with low-cost access to cutting-edge, prescription-only tools to optimize your fitness and health.
Schedule a free online consultation or text (817) 583-8542 to start treatment!
our services
GLP-1 THERAPY
GLP-1 patients lose 16% – 22.5% of their body weight, on average.
Book a free consult to discuss if this amazing treatment is right for you.
PEPTIDE THERAPY
Accelerate recovery, reduce inflammation, and much more.
Get back in the game with one of our cutting-edge peptide options.
HORMONE THERAPY
End low libido, energy, muscle mass, and excess body fat.
Book a consult to check your labs and discuss our H.R.T. options.
WALK-IN LABS
Get an in-depth look at your health with our low-cost lab testing.
Drawing labs can be done on YOUR schedule. M.D. review included.
DOC ON DEMAND
Board-certified M.D. care you can trust, available when YOU need it.
Text Dr. Justl Ellis anytime, and video consults are just a click away.
AND MUCH MORE!
We offer a full menu of treatments for all your wellness needs.
Meds for everything from low HGH to hair loss are sent directly to you.
OUR SERVICES
GLP-1 THERAPY
GLP-1 patients lose 16% – 22.5% of their body weight, on average.
Book a free consult to discuss if this amazing treatment is right for you.
PEPTIDE THERAPY
Accelerate recovery, reduce inflammation, and much more.
Get back in the game with one of our cutting-edge peptide options.
HORMONE THERAPY
End low libido, energy, muscle mass, and excess body fat.
Book a consult to check your labs and discuss our H.R.T. options.
WALK-IN LABS
Get an in-depth look at your health with our low-cost lab testing.
Drawing labs can be done on YOUR schedule. M.D. review included.
DOC ON DEMAND
Board-certified M.D. care you can trust, available when YOU need it.
Text Dr. Justl Ellis anytime, and video consults are just a click away.
AND MUCH MORE!
We offer a full menu of treatments for all your wellness needs.
Meds for everything from low HGH to hair loss are sent directly to you.
MOST POPULAR
MOST POPULAR
New patients must complete an initial consultation to receive a prescription.
New patients must complete an initial consultation prior to obtaining prescriptions. Existing patients may obtain prescriptions via text message.
All medications
All medications
Choose a category below and click on any medication name to review indications, formulations, efficacy and safety information, and pricing.
Click a medication name to review detailed treatment information and pricing.
SYNTHETIC HORMONES
- Nandrolone Decoanate
- Anabolic steroid used to treat muscle wasting conditions and anemia.
- Oxandrolone
- Oral anabolic steroid used to promote weight gain and muscle recovery.
- Testosterone + Nandrolone
- Synergistically treats low testosterone and promotes muscle growth.
PEPTIDES
- FOXO4-DRI
- Promotes healthy aging and potentially reduces age-related damage.
- Humanin
- May protect against cellular stress and age-related diseases.
- MOTS-C
- Regulates metabolism and enhances cellular energy production.
- SS-31 (Elamipretide)
- Reduces oxidative stress and improve mitochondrial function.
OTHER
- Rapamycin
- Immunosuppressant with anti-aging and cancer-fighting properties.
PEPTIDES
- Dihexa
- Peptide which may enhance cognitive function and promote nerve growth.
- Selank (TP-7)
- Peptide which may reduce anxiety and improve cognitive function.
- Semax
- Peptide which may enhance cognitive function and aid in neurological recovery.
OTHER
- Methylene Blue
- Antioxidant compound used for cognitive enhancement and neuroprotection.
- NAD+
- Powerful antioxidant co-enzyme used for anti-aging and metabolic support.
PEPTIDES
- GHK-Cu
- Peptide used for its skin healing, anti-aging, and regenerative properties.
- GHK-Cu + Biotin Scalp Foam
- Topical combination which enhances hair growth and skin health.
OTHER
- Bimatoprost
- Topical solution used to promote eyelash growth.
- Finasteride + Biotin + Vitamin C
- Oral combination used to treat hair loss and support hair health.
- Minoxidil + Finasteride + Retinoic Acid + Fluocinolone
- Topical solution combining multiple synergistic medications to treat hair loss.
PEPTIDES
- CJC-1295
- Growth hormone-releasing hormone analog that increases HGH levels.
- Ibutamoren (MK-677)
- HGH secretagogue that mimics ghrelin, increasing HGH levels.
- Ipamorelin
- Stimulates HGH release, aiding in muscle growth and fat loss.
- Sermorelin
- Growth hormone-releasing peptide which stimulates HGH production.
- Ipamorelin + CJC-1295
- Combination which enhances HGH secretion for muscle growth and anti-aging.
- Ipamorelin + Sermorelin
- Combination which stimulates HGH release for muscle growth and anti-aging.
- Ipamorelin + Tesamorelin
- Combination which increases HGH levels, promoting fat loss and muscle growth.
PEPTIDES
- Melanotan II
- Peptide used to enhance skin pigmentation and support the immune system.
- LL-37
- Antimicrobial peptide that supports wound healing and immune response.
- Thymosin Alpha-1
- Enhances immune function and supports defense against infections and diseases.
DIRECT REPLACEMENT
- Bi-Test (Cypionate + Propionate)
- Combination to treat low testosterone and promote muscle growth.
- Nandrolone Decoanate
- Injectable anabolic steroid used to treat muscle wasting conditions.
- Testosterone Tablets + Troches
- Oral treatment to improve symptoms like fatigue and reduced libido.
- Testosterone Cream
- Topical testosterone used to improve mood, libido, and muscle mass.
- Testosterone Cypionate
- Injectable long-acting testosterone used to treat low testosterone levels.
- Testosterone + Anastrozole
- Aromatase inhibitor addition reduces estrogen-related side effects.
- Testosterone + Nandrolone
- Two steroid combo used to treat low testosterone and muscle loss.
OTHER THERAPIES
- Clomiphene + Resveratrol + B6 + ZMA
- Stimulates testosterone production while supporting energy levels.
- Enclomiphene
- Treats low testosterone by stimulating natural testosterone production.
- Gonadorelin
- Gonadotropin-releasing hormone which stimulates testosterone production.
- Kisspeptin-10
- Increases testosterone and fertility by stimulating the release of GnRH.
ERECTILE DYSFUNCTION
- BiMix Injection
- Two-drug Injectable medication used to treat erectile dysfunction.
- TriMix Injection
- Three-drug Injectable combination used to treat erectile dysfunction.
- QuadMix Injection
- Four-drug injectable combination used to treat erectile dysfunction.
- Sildenafil
- Short-acting erectile dysfunction treatment to increase penile blood flow.
- Taladafil
- Long-acting erectile dysfunction treatment to increase penile blood flow.
LIBIDO
- Oxytocin
- Hormone which promotes social bonding, and enhance sexual arousal.
- PT-141 (Bremelanotide)
- Peptide which activates receptors involved in sexual arousal.
- Scream Cream
- Topical cream used to enhance sexual arousal in women.
- Taladafil + PT-141 + Oxytocin
- Treats erectile dysfunction while enhancing sexual arousal and intimacy.
PEPTIDES
- GHK-Cu
- Injectable peptide with skin healing, anti-aging, and regenerative properties.
- GHK-Cu + Biotin Topical Foam
- Topical combination used to enhance hair growth and skin health.
- LL-37
- Antimicrobial peptide that supports wound healing and the immune response.
- Melanotan II
- Enhances skin pigmentation and supports the immune system.
SKIN WHITENING
- Hydroquinone + Azelaic Acid + Niacinamide Cream
- Reduces hyperpigmentation and skin inflammation.
- Hydroquinone + Fluocinolone + Kojic Acid + Niacinamide + Triretinin Cream
- Reduces hyperpigmentation while improving cell turnover.
- Hydroquinone + Kojic Acid + Vitamin C Cream
- Reduces hyperpigmentation and fights free radical skin damage.
- Hydroquinone + Retinoic Acid Cream
- Treatment for hyperpigmentation that also enhances skin tone and texture.
- Hydroquinone + Tranexamic Acid Cream
- Treats hyperpigmentation by lightening dark spots and reducing inflammation.
PEPTIDES
- DSIP (Delta Sleep Inducing Peptide)
- Peptide that offers potential benefits for insomnia and other sleep disorders.
PEPTIDES
- BPC-157 Capsules
- Repairs tissues, reduces inflammation, and accelerates injury recovery.
- BPC-157 Injection
- Repairs tissues, reduces inflammation, and accelerates injury recovery.
- BPC-157 + Thymosin Beta-4
- Combination reduces inflammation and accelerates injury recovery.
- Thymosin Beta-4
- Promotes healing by enhancing cell migration and reducing inflammation.
INJECTABLES
- Ascorbic Acid (Vitamin C)
- Vitamin and antioxidant which boosts the immune system and supports skin health.
- B-Complex + Lidocaine + Methylfolate
- B vitamin combination to support nerve health and relieve pain.
- B-Complex + Methyl B12
- B vitamin combination which supports energy production and nerve health.
- Glutathione
- Supports the immune system and protects from oxidative damage.
- Methycobalamin (B12)
- Supports nerve health, blood production, and energy metabolism.
- NAD+
- Coenzyme involved in energy production, DNA repair, and metabolic health.
- Pyridoxine (B6)
- Supports nerve function, amino acid metabolism, and blood production.
- Vitamin D3
- Supports bone health, immune function, and calcium absorption.
GLP-1 PEPTIDES
- Semaglutide + NAD+
- Regulates appetite while enhancing metabolism and energy production.
- Semaglutide + Pyridoxine
- Regulates appetite while decreasing nausea and enhancing metabolism.
- Semaglutide + B12
- Oral combination that regulates appetite and enhances metabolism.
GLP-1/GIP PEPTIDES
- Tirzepatide + Levocarnitine
- Very potently regulates appetite while helping reduce muscle loss.
- Tirzepatide + Pyridoxine
- Very potently regulates appetite while decreasing GI effects.
- Very potently regulates appetite while decreasing GI effects.
OTHER INJECTABLES
- Lipoden (“Skinny Shot”)
- Boosts metabolism and supports fat burning via a mix of lipotropic agents.
- Lipoden (“Skinny Shot”) + BCAA
- Combination boosting fat metabolism and providing essential amino acids.
OTHER MEDICATIONS
- Phentermine
- Orally administered appetite suppressant used to support weight loss.
INJECTABLE
- Testosterone Cypionate
- Injectable long-acting testosterone used to treat low testosterone levels.
ORAL
- DHEA Capsules
- Oral hormone that supports hormone balance, energy, and overall well-being.
- DHEA + Pregnenolone Capsules
- Oral combination used to support hormone balance and cognitive function.
- Progesterone Tablets + Troches
- Hormone used to balance estrogen and protect the uterine lining.
- Testosterone Tablets + Troches
- Oral hormone used to improve symptoms like fatigue and reduced libido.
TOPICAL
- Bi-Estrogen Cream
- Topically applied HRT combining two forms of estrogen.
- Bi-Estrogen + Progesterone + Testosterone Cream
- Topically applied HRT that addresses multiple menopausal symptoms.
- Estradiol Cream
- Potent topical estrogen used in HRT to alleviate menopausal symptoms.
- Estriol Cream
- Topically applied estrogen used in HRT for its favorable safety profile.
- Progesterone Cream
- Hormone used to balance estrogen and protect the uterine lining.
- Testosterone Cream
- Topical formulation used to improve mood, libido, and muscle mass.
VAGINAL
- Progesterone Vaginal Suppository
- Hormone used to balance estrogen and protect the uterine lining.
MEET THE DOC
Dr. Ian Justl Ellis is a board-certified physician with a doctorate from the University of Colorado School of Medicine. He completed a residency in Emergency Medicine and is fellowship-trained in Medical Education. He graduated summa cum laude with an undergraduate major in Athletic Training.
Dr. Justl Ellis is also a Personal Fitness Instructor and nutrition expert certified by the International Fitness Professionals Association and has helped clients of all ages and fitness levels achieve their goals since early in his college career.
Have questions? Dr. Justl Ellis may be contacted directly via text message at (817) 583-8542 or via email at md@recessrx.com.
wall of fame
Victoria E.
Tiffany M.
Sharon H.
Robert M.
Nicholas E.
Marcia S.
Angela G.
Victoria E.
Tiffany M.
Sharon H.
Robert M.
Nicholas E.
Marcia S.
Angela G.
GLP-1 FAQ
Patients on semaglutide lose an average of 16% of their weight, and patients on tirzepatide lose an average of 22.5% of their weight. NEJM 2022 and Nat Med 2022
Patients taking semaglutide and tirzepatide lose an average of 16% and 22.5% of their body weight. NEJM and Nat Med 2022
GLP-1 agonist medications are a genuinely revolutionary class of medications that put achieving a healthy body weight within reach for most people.
The most well known of these medications, and the most affordable, is semaglutide (commercially sold under the brand names Ozempic® and Wegovy®).
A second-generation medication called tirzepatide (brand name Mounjaro®) is also available. This medication binds to an additional receptor called the glucose-dependent insulinoptropic polypeptide (GIP), intensifying its treatment effect.
GLP-1 (glucagon-like-peptide 1) is an endogenous peptide naturally found in the pancreas, peripheral and central nervous system, heart and blood vessels, kidneys, lungs, and intestinal mucosa.
Both semaglutide and tirzepatide are stabilized peptides that bind tightly to the GLP-1 hormone receptor.
Stimulation of the GLP-1 receptor has has many beneficial effects, but primary among them is extremely potent appetite suppression and dramatic slowing of emptying of the stomach—eliminating cravings and causing a rapid reduction in body weight.
Tirzepatide is a second generation medication which binds to an additional receptor called the glucose-dependent insulinotropic polypeptide (GIP) receptor. This dual-receptor action results in even more dramatic results.
Yes!
We ship compounded semaglutide and tirzepatide directly to your door from our pharmacy partners at a fraction of the cost of “brand name” medications.
Semaglutide is the more affordable of the two options. Many patients recoup the entire cost of semaglutide treatment via lower food costs alone!
Tirzepatide is a premium option and is available to those wishing to spend more for the best possible results.
You may use Health Savings Account (HSA) funds to pay for Recess Rx services.
Semaglutide and tirzepatide are both administered via subcutaneous injection (under the skin) once a week.
A syringe kit with complete instructions of how to draw up and self-administer the medication will be shipped to you with your first medication delivery.
Side effects of GLP-1 medications are generally mild, and most can be decreased or eliminated by careful adjustment of your diet under the supervision of Dr. Justl Ellis.
The most commonly experienced side effects are nausea and diarrhea. Occasionally, moderately severe side effects such as stomach pain and vomiting may occur.
Very severe or life-threatening side effects are very rare but can occur.
Our formulations of both semaglutide and tirzepatide are compounded with either pyridoxine (which helps decrease unwanted gastrointestinal side effects such as nausea), NAD+ (which helps with metabolic regulation and energy production), or levocarnitine (which helps mitigate muscle loss).
Comprehensive information on GLP-1 medications written for patients, including efficacy data, contraindications, and a full list of potential side effects, may be accessed via this document from the Department of Texas Health and Services.
FDA prescriber information data sheets for semaglutide may be accessed here.
FDA prescriber information data sheets for tirzepatide may be accessed here.
Semaglutide:
An average patient taking semaglutide will lose 16% of their body weight—nearly 7x more than with lifestyle interventions alone.
Put another way, the average 200 pound patient can expect to lose at least 30-35 pounds or more during a course of treatment.
Tirzepatide:
An average patient taking tirzepatide will lose a remarkable 22.5% of their body weight—nearly 10x more than with lifestyle interventions alone.
The average 200 pound patient could expect to lose at least 45 pounds or more during a course of these medications.
Additional treatment effects:
Patients taking GLP-1 agonists also show dramatic improvements in waist circumference, blood sugar and blood pressure levels, sleep apnea, and overall level of physical function—as well as a significant reduction in risk of adverse cardiac events such as heart attack and stroke.
Comprehensive information on GLP-1 medications written for patients, including efficacy data, contraindications, and potential side effects, may be accessed via this document from the Department of Texas Health and Services.
FDA prescriber information data sheets for semaglutide may be accessed here.
FDA prescriber information data sheets for tirzepatide may be accessed here.
Treatment effects for semaglutide were first described in this 2021 study in the New England Journal of Medicine. These findings were confirmed in the STEP 5 Trial published in Nature Medicine in 2022.
Treatment effects for tirzepatide were first described in this 2022 study, also published in the New England Journal of Medicine.
Multiple trials showing reduction in risk of adverse cardiac events such as heart attack in patients taking GLP-1 agonist medication may be reviewed here and here.
Further resources are available on request.
Peptide FAQ
BPC-157 may accelerate recovery from musculoskeletal injury and illness as well as improve gut health, wound healing, and neurological function.
BPC-157 may accelerate recovery from injury and illness, improve gut health and improve neurological functioning.
Peptides are large proteins composed of amino acid chains and regulate a wide range of biological functions. Peptides signal and trigger the body’s molecules and cells to perform specific healing tasks vital to our health and well-being.
About 7,000 naturally occurring peptides have been identified, and medical treatment with natural or artificially created peptides is currently the focus of intense study.
The first therapeutic peptide synthesized and used for human treatment was insulin in 1921. Since then, remarkable achievements have been made resulting in the approval of more than 33 peptide drugs worldwide since 2000. Many more are under current investigation.
Advantages of large-molecule peptide therapy over other medication classes include very high specificity i.e., they typically do not bind to anything other than their intended receptor. This can result in significantly higher effectiveness and a generally lower side effect profile than other classes of medications.
The field of peptide therapy is expanding rapidly, and a wide variety of conditions can be treated with peptides.
Conditions treated include:
- Boosting hormone levels
- Improving sleep quality
- Stimulating hair growth
- Enhancing cognitive function
- Treating sexual dysfunction
- Decreasing joint and muscle pain
- Increasing muscle mass
- Increasing weight loss
- Promoting immune function
- Increasing energy
Schedule a free virtual consultation with Dr. Justl Ellis to discuss your medical needs and to see if peptide therapy might be right for you!
We offer a variety of individual peptide therapies, each with their own unique physiologic effects and mechanisms of action. Synergistic combinations of certain peptides are also available.
For a full description of each peptide, please review the “All Medications” section of the Recess Rx homepage.
ANTI-AGING
- FOXO4-DRI
- Humanin
- MOTS-C
- SS-31 (Elamipretide)
BRAIN HEALTH
- Dihexa
- Selank (TP-7)
- Semax
WEIGHT LOSS
- Semaglutide
- Tirzepatide
GUT HEALTH
- BPC-157
- BPC-157/Thymosin Beta 4
GROWTH HORMONE RELEASE
- CJC-1295
- CJC-1295/Ipamorelin
- Ibutamoren
- Ipamorelin
- Sermorelin
- Sermorelin/Ipamorelin
- Tesamorelin/Ipamorelin
SEXUAL FUNCTION
- PT-141 Bremelanotide
SKIN HEALTH
- GHK-Cu
- LL-37
SLEEP THERAPY
- DSIP (Delta Sleep Inducing Peptide)
TISSUE RECOVERY
- BPC-157
- BPC-157/Thymosin Beta 4
Peptide therapy is a rapidly evolving field with a wide variety of newly available treatments.
Certain peptides, such as the GLP-1 weight loss peptides, are FDA approved therapies have been studied extensively and have been conclusively shown to be tremendously effective in human treatment populations.
Many other peptides show significant promise in animal studies and theoretical models and are being demonstrated anecdotally and in small human studies as being safe and effective. Most peptide therapies are not yet FDA approved and treatment with them should be considered experimental.
Schedule a consultation with Dr. Justl Ellis to discuss the efficacy and safety of the individual peptide therapy you are interested in.
Side effects of peptide therapy are generally mild but are usually related to their target receptor.
For example, GLP-1 weight loss medications slow gastric emptying and as such may cause nausea and other gastrointestinal side effects.
As another example, DSIP (Delta Sleep Inducing Peptide) is taken to improve sleep duration and quality but in some cases may result in drowsiness.
A full discussion of the known side effect profiles of each peptide can be found by clicking on the individual peptide under the “All Medications” section of the Recess Rx homepage.
Most peptides are refrigerated, short-shelf-life medications administered by subcutaneous injection. Some peptides may be taken by mouth.
A comprehensive review article published in a peer reviewed journal discussing current applications and future directions for peptide therapies may be found here.
For more specific information, refer to the individual peptides listed in the “All Medications” section of the homepage.
male hrt FAQ
Testosterone levels fall ~2% per year after 40. 20% of 60+ men over 60 and 50% of 80+ men have low levels. Clin Interv Aging 2008
Testosterone levels fall ~2% per year after 40. 20% of 60+ men and 50% of 80+ men have levels below the normal range. Clin Interv Aging 2008
Testosterone is a critical hormone which plays multiple important roles in the body, such as the development of male secondary sexual characteristics during puberty, development and maintenance of muscle mass and strength, maintenance of bone strength, sex drive, and fertility and sperm production.
As men age, testosterone levels drop very gradually, about 1% to 2% each year. More than a third of men over age 45 may have reduced levels of testosterone than might be considered normal.
There are also a variety of conditions that may result in low testosterone other than normal aging, such as pituitary conditions, direct injury or damage to the testes, certain medications, and autoimmune conditions, among others.
Testosterone levels have also been declining in otherwise healthy younger men over the last decades. Reasons for this are multi-factorial.
Men who have low testosterone levels and are suffering from undesirable symptoms could benefit from hormone replacement therapy.
Men with laboratory confirmed testosterone levels below the 60th percentile for age AND symptoms of testosterone deficiency are eligible for testosterone replacement therapy.
An initial consultation with Dr. Justl Ellis as well as laboratory testing to confirm the diagnosis of low testosterone is required prior to starting treatment
Testosterone replacement therapy by Recess Rx is intended solely for treatment of the medical condition of low testosterone and will not be prescribed for recreational, performance enhancing, or other uses.
A reasonable goal for treatment is maintenance of testosterone levels at above the 75th percentile for age. Testosterone levels during treatment will be monitored and dosing will be decreased if serum testosterone levels increase above the 99th percentile for age.
Symptoms of testosterone deficiency in adult men include reduced body and facial hair, loss of muscle mass, low libido, impotence, small testicles, reduced sperm count and infertility, irritability, poor concentration and depression, and brittle bones.
Treatment with testosterone should improve the symptoms of low testosterone. Increasing muscle mass, higher libido, improved sexual function, and improved mood may occur during treatment.
Many symptoms that can be attributed to low testosterone could also be caused by other factors (such as clinical depression, other physiologic reasons for low libido, etc). Responses to testosterone replacement therapy are individual and results of treatment are not guaranteed.
Testosterone replacement therapy may cause higher than normal red blood cell counts (polycythemia), which may increase the risk of heart problems or blood clots. While rare, when these complications occur, they may be serious or even life-threatening.
Testosterone treatment may cause enlargement of the prostate, which may result in difficulty urinating or an increased risk of urinary tract infections. Testosterone supplementation may also decrease sperm production and decrease fertility.
Minor side effects of testosterone therapy include gynecomastia (development of increasing breast tissue in males), acne, and depression.
This list of side effects is not comprehensive. An FDA document fully describing the indications, risks, and benefits of testosterone replacement therapy with testosterone cypionate can be reviewed by clicking here.
Testosterone replacement is contraindicated (not allowed) in persons with a known allergy to testosterone cypionate or any of its components and in men with breast cancer or prostate cancer.
For direct hormone replacement, we most commonly prescribe injectable testosterone cypionate, which is a long-acting form of testosterone typically administered by intramuscular injection once a week. Customized and alternative regimens (i.e., combining testosterone with nandrolone to improve the side effect profile) are available.
Alternative regimens to increase natural production of testosterone are also available. Examples of medications used include enclomiphene, gonadorelin, and kisspeptin-10. The route and frequency of administration of these medications depends on the medication and individual patient factors.
For details about the medications we use, please refer to the individual medications listed under the “Men’s Hormone” section of the “All Medications” section of the homepage.
Schedule a consultation with Dr. Justl Ellis to determine which regimen might be right for you. Once ordered, medication will be delivered to your home along with instructions and supplies for self-administration.
female hrt FAQ
Hormonal imbalances due to menopause, PCOS, obesity, or other conditions can cause significant dysfunction. HRT can help!
Direct hormone replacement can improve symptoms related to PCOS, obesity, menopause, and many other hormonal conditions.
The hormonal system and monthly cycle in women is complex! Estrogen, progesterone, and other hormones all must be in balance to maintain female fertility and physiologic function.
Most women are aware that menopause can cause significant and dramatic hormonal changes. Fewer are aware that there are many issues that can affect younger women’s hormones as well, such as polycystic ovarian syndrome (PCOS) to being obese or underweight, among others.
If you are suffering from hot flashes, mood changes, poor sleep quality, low energy, or poor sexual function, abnormal hormone levels may be part of the cause. Hormone replacement therapy can be part of the solution!
Getting your hormones checked with Recess Rx is a low-cost and convenient way to put you on the path to treatment and wellness.
If your hormones are identified as being out of balance, many different types of medications can be used to improve your levels and also improve your level of function.
Most women with hormone levels outside of the normal range are potential candidates for hormone replacement or modulating therapy.
Depending on the hormones involved, some patients may have conditions that prevent them from being candidates for treatment.
HRT is an individual decision that each woman should make after a comprehensive discussion of risks and benefits with a qualified physician.
Hormone replacement therapy with estrogens is absolutely contraindicated in women with:
- Unexplained vaginal bleeding
- Estrogen-sensitive breast and endometrial cancers or a genetically elevated risk of breast cancer
- A history of blood clots or blood clotting disorders
- A history of coronary artery disease or stroke
- A history of elevated triglyceride levels or gallbladder disease
- A history of liver disease.
Discuss your individual medical history with Dr. Justl Ellis during your consultation.
Risks of HRT vary with the type, dose, route of administration, duration of use, and age of initiation.
Historically, treatment with oral estrogens had been shown to increase the risks of breast and uterine cancer, cardiovascular events, and blood clots.
Modern HRT regimens significantly reduce or even eliminate these risks by reducing the doses used and using different methods of application (such as topical creams, and vaginal suppositories).
We give the smallest doses needed of the safest possible preparations to achieve the patient’s desired treatment goals.
Treatment regimens are individualized and depend on your own lab results and symptoms.
Direct estrogen replacement with either estradiol or estriol (or a combination of both) is the most commonly used hormone replacement therapy.
Estrogen is usually taken transdermally via a topical cream or patch. Oral estrogens are available but carry significant risks.
Direct progesterone replacement can be accomplished via dissolving troches, topical creams, and vaginal suppositories.
Additional supporting medications such as DHEA, testosterone, and others may also be prescribed on an individual basis.
There are many benefits of bioidentical hormone replacement therapy, including:
- Reduction in direct hormonally related symptoms such as mood swings, low energy, hot flashes, and night sweats
- Lowering of risk of heart attack, stroke, and blood clots
- Reduced risk of breast cancer
- Reduced risk of osteopenia and osteoporosis
- Improved sleep quality
- Improved mood
- Improved cognition and brain health
- Reduced all-cause mortality for under-60 women in their first 10 years of menopause
- Decreased anxiety and depression in certain populations
Responses to hormone replacement therapy are individual and results are not guaranteed.
Schedule a consultation with Dr. Justl Ellis to get your labs checked and see if hormone replacement might be right for you!
Review the “Women’s Hormone” section under the “All Medications” section of the homepage for detailed information on the medications we prescribe.
An easy-to-understand PDF guide to HRT written by the Veteran’s Administration can be reviewed by clicking here.
A comprehensive, peer-reviewed journal review of the topic of HRT in menopause can be reviewed by clicking here.
GENERAL FAQ
Drug compounding is the process of combining, mixing, or altering ingredients to create a medication tailored to the needs of an individual patient.
Our compounded medications contain the same active pharmaceutical ingredients as “name brand” medications and are available at a significantly lower cost.
In some cases, medications are formulated with additional compounds to increase their effectiveness or help decrease side effects. For example, our tirzepatide is compounded with either pyridoxine (to decrease nausea) or levocarnitine (to help with lean mass maintenance during weight loss).
Third-party testing for purity, potency, and sterility is performed on all sourced medications to ensure the highest quality and effectiveness.
We obtain our medications from fully licensed and independently inspected compounding pharmacies within the state of Texas.
The two pharmacies we primarily use are Texas Star Pharmacy in Plano and Grand Avenue Pharmacy in Austin.
Medication orders will be submitted to our pharmacy partners the same day they are purchased. Medications are shipped directly to your home address and typically arrive within 1-5 business days depending on your address and whether your medications require refrigeration.
Most medications will ship the next business day after the order is placed and will be sent from either Plano or Austin.
Yes! Any patient who refers another patient to Recess Rx who purchases a medication or subscription will receive a $50 credit on their next order or subscription price. There is no limit to the number of patients you can refer!
Yes! You may use Health Savings Account (HSA) funds to cover your membership cost—and many people recoup the entire cost of their membership via lower food costs alone.
We do not accept commercial insurance. However, you may use Health Savings Account (HSA) funds to cover your membership cost.
Drug compounding is the process of combining, mixing, or altering ingredients to create a medication tailored to the needs of an individual patient.
Our compounded medications contain the same active pharmaceutical ingredients as “name brand” medications and are available at a significantly lower cost.
In some cases, medications are formulated with additional compounds to increase their effectiveness or help decrease side effects. For example, our tirzepatide is compounded with either pyridoxine (to decrease nausea) or levocarnitine (to help with lean mass maintenance during weight loss).
Third-party testing for purity, potency, and sterility is performed on all sourced medications to ensure the highest quality and effectiveness.
We obtain our medications from fully licensed and independently inspected compounding pharmacies within the state of Texas.
The two pharmacies we primarily use are Texas Star Pharmacy in Plano and Grand Avenue Pharmacy in Austin.
Medication orders will be submitted to our pharmacy partners the same day they are purchased. Medications are shipped directly to your home address and typically arrive within 1-5 business days depending on your address and whether your medications require refrigeration.
Most medications will ship the next business day after the order is placed and will be sent from either Plano or Austin.
Yes! Any patient who refers another patient to Recess Rx who purchases a medication or subscription will receive a $50 credit on their next order or subscription price. There is no limit to the number of patients you can refer!
Yes! You may use Health Savings Account (HSA) funds to cover your membership cost—and many people recoup the entire cost of their membership via lower food costs alone.
We do not accept commercial insurance. However, you may use Health Savings Account (HSA) funds to cover your membership cost.
Nandrolone Decoanate
- Intramuscular Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 200mg/mL (10mL vial) | $199 |
INDICATIONS AND USAGE:
- Nandrolone Decanoate is an anabolic steroid used to promote muscle growth, support recovery, and alleviate symptoms of muscle wasting in conditions like chronic illness or severe trauma. It is commonly used in the management of anemia associated with kidney disease and for improving bone density in osteoporosis.
MECHANISM OF ACTION:
- Nandrolone binds to androgen receptors in muscle tissue, stimulating protein synthesis and promoting muscle growth. It also increases red blood cell production, enhancing oxygen delivery to muscles. Its anabolic effects are more pronounced than its androgenic effects, making it suitable for treating conditions that involve muscle loss.
COMMON SIDE EFFECTS:
- Common side effects include water retention, increased blood pressure, acne, and mood changes. Long-term use may lead to cardiovascular issues, liver strain, and hormone imbalances such as suppression of natural testosterone production.
CONTRAINDICATIONS:
- Nandrolone is contraindicated in individuals with prostate or breast cancer, severe heart, liver, or kidney disease, and those who are pregnant. It should not be used by individuals with hypersensitivity to the medication.
Oxandrolone
- Oral Troche
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 10mg (#30) | $480 |
| 25mg (#30) | $480 |
| 50mg (#30) | $480 |
| 100mg (#30) | $480 |
| 200mg (#30) | $480 |
INDICATIONS AND USAGE:
- Oxandrolone is an oral anabolic steroid used for promoting weight gain following extensive surgery, chronic infection, or severe trauma. It is also indicated for patients suffering from muscle wasting due to conditions like HIV/AIDS and to alleviate bone pain associated with osteoporosis.
MECHANISM OF ACTION:
- Oxandrolone enhances protein synthesis, promoting muscle growth and recovery. It increases nitrogen retention in muscle tissue, which supports muscle repair and reduces muscle breakdown. Additionally, it influences bone metabolism by enhancing bone density.
COMMON SIDE EFFECTS:
- Common side effects include liver toxicity, changes in cholesterol levels, acne, and hair loss. It may also cause mood changes and, in high doses, lead to testosterone suppression.
CONTRAINDICATIONS:
- Contraindicated in individuals with prostate or breast cancer, high levels of calcium in the blood (hypercalcemia), and severe liver or kidney disease. It is not recommended for use in women who are pregnant or breastfeeding.
Testosterone + Nandrolone
ADMINISTRATION ROUTE:
- Intramuscular Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 100mg-100mg/mL (10mL vial) | $199 |
INDICATIONS AND USAGE:
- This injectable combination is used in hormone replacement therapy for men with low testosterone levels, aiming to enhance muscle mass, improve recovery, and alleviate symptoms of androgen deficiency. It is also used for conditions involving muscle wasting or severe catabolic states.
MECHANISM OF ACTION:
- Combining Testosterone and Nandrolone provides a synergistic effect where Testosterone supports overall androgen levels and sexual function, while Nandrolone primarily promotes muscle growth and recovery by increasing protein synthesis. Together, they enhance muscle mass, strength, and endurance.
COMMON SIDE EFFECTS:
- Common side effects may include water retention, increased blood pressure, acne, and potential suppression of natural testosterone production. There is also a risk of gynecomastia (enlarged breast tissue) due to hormonal imbalances.
CONTRAINDICATIONS:
- Contraindications include prostate cancer, male breast cancer, severe heart, liver, or kidney conditions, and known hypersensitivity to either component. Regular monitoring is necessary to manage potential side effects.
FDA Data Safety Sheets for Testosterone | FDA Data Safety Sheet for Nandrolone
FOXO4-DRI
ADMINISTRATION ROUTE:
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 10mg/mL (5mL vial) | $599 |
INDICATIONS AND USAGE:
- FOXO4-DRI is an experimental peptide therapy used for anti-aging purposes, aiming to reduce cellular senescence and promote healthy aging. It is primarily researched for its potential to rejuvenate tissues and improve longevity by targeting age-related cellular damage.
MECHANISM OF ACTION:
- FOXO4-DRI interferes with the interaction between the FOXO4 protein and p53, a key regulator of cellular senescence. By disrupting this interaction, FOXO4-DRI promotes the selective elimination of senescent cells, which are cells that have stopped dividing and contribute to age-related tissue dysfunction. Removing these cells helps restore tissue function and enhances regenerative capacity.
COMMON SIDE EFFECTS:
- As an experimental therapy, there is limited data on side effects. Potential risks may include immune reactions, fatigue, or localized inflammation at the injection site. Long-term effects are not well established.
CONTRAINDICATIONS:
- There are no established contraindications due to the experimental nature of the therapy, but it should be avoided in individuals with active infections, autoimmune conditions, or hypersensitivity to peptide therapies.
FDA Data Safety Sheet: Not available (experimental therapy)
Humanin
ADMINISTRATION ROUTE:
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 1mg/mL (10mL vial) | $559 |
INDICATIONS AND USAGE:
- Humanin is a mitochondrial-derived peptide used for anti-aging and neuroprotective purposes, potentially improving cellular function and protecting against age-related diseases such as Alzheimer’s disease.
MECHANISM OF ACTION:
- Humanin works by protecting cells from apoptosis (programmed cell death) and oxidative stress, enhancing mitochondrial function, and improving metabolic health. It interacts with receptors that regulate cell survival and inflammation, potentially reducing neurodegeneration and supporting cognitive health.
COMMON SIDE EFFECTS:
- Limited data exists, but potential side effects may include mild gastrointestinal symptoms, fatigue, or localized injection site reactions. Its safety profile remains largely unexplored in long-term use.
CONTRAINDICATIONS:
- Humanin should be used with caution in individuals with known peptide allergies or autoimmune conditions. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental therapy)
MOTS-C
ADMINISTRATION ROUTE:
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 10mg/mL (10mL vial) | $599 |
INDICATIONS AND USAGE:
- MOTS-C is a mitochondrial-derived peptide that supports metabolic health and cellular energy, often used for anti-aging purposes and metabolic disorders like obesity or type 2 diabetes.
MECHANISM OF ACTION:
- MOTS-C improves metabolic function by regulating glucose metabolism and enhancing mitochondrial energy production. It activates pathways that improve insulin sensitivity and promote cellular adaptation to stress, supporting overall metabolic health.
COMMON SIDE EFFECTS:
- Potential side effects are not well-documented, but may include fatigue, dizziness, or mild gastrointestinal symptoms. Long-term safety data is limited due to the peptide’s experimental status.
CONTRAINDICATIONS:
- MOTS-C should be avoided in individuals with known allergies to peptides or active autoimmune conditions. It is not recommended for use in pregnant or breastfeeding individuals.
FDA Data Safety Sheet: Not available (experimental therapy)
SS-31 (Elamipretide)
ADMINISTRATION ROUTE:
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 40mg/mL (5mL vial) | $489 |
INDICATIONS AND USAGE:
- SS-31, also known as Elamipretide, is a peptide therapy used to improve mitochondrial function and reduce oxidative stress, potentially benefiting conditions related to aging, such as muscle weakness and heart failure.
MECHANISM OF ACTION:
- SS-31 targets the inner mitochondrial membrane, binding to cardiolipin, a phospholipid critical for mitochondrial function. This stabilizes the mitochondrial structure, reduces reactive oxygen species (ROS) production, and improves cellular energy production.
COMMON SIDE EFFECTS:
- Reported side effects include injection site reactions, fatigue, headaches, and transient muscle soreness. It may cause mild gastrointestinal symptoms in some individuals.
CONTRAINDICATIONS:
- SS-31 should not be used in individuals with known hypersensitivity to the peptide. Caution is advised in those with active autoimmune diseases or mitochondrial disorders.
FDA Data Safety Sheet: Not available (experimental therapy)
Rapamycin
- Oral Capsules
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 2mg (#24) | $389 |
| 4mg (#24) | $389 |
| 6mg (#24) | $389 |
INDICATIONS AND USAGE:
- Rapamycin is an mTOR inhibitor used as an immunosuppressant in organ transplantation and is being explored for its anti-aging and potential cancer-preventive properties.
MECHANISM OF ACTION:
- Rapamycin inhibits the mechanistic target of rapamycin (mTOR), a protein that regulates cell growth and metabolism. By inhibiting mTOR, Rapamycin reduces cellular senescence, enhances autophagy (cellular cleanup), and promotes resistance to stress, all of which may slow down the aging process.
COMMON SIDE EFFECTS:
- Common side effects include mouth sores, headaches, high blood pressure, and increased risk of infections. Long-term use may affect glucose metabolism, potentially leading to insulin resistance or hyperlipidemia.
CONTRAINDICATIONS:
- Rapamycin is contraindicated in individuals with severe liver or kidney impairment, active infections, and hypersensitivity to the drug. It should not be used during pregnancy or breastfeeding.
Dihexa
ADMINISTRATION ROUTE:
- Oral Capsules
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 5mg (#30) | $599 |
| 5mg (#90) | $719 |
INDICATIONS AND USAGE:
- Dihexa is a nootropic peptide used for cognitive enhancement and potential treatment of neurodegenerative conditions such as Alzheimer’s disease. It is known to promote synaptogenesis and neuronal growth.
MECHANISM OF ACTION:
- Dihexa is thought to function by binding to hepatocyte growth factor (HGF) and its receptor, c-Met, which plays a crucial role in neuronal growth and synaptic plasticity. This interaction enhances neurogenesis and supports the repair and regeneration of damaged neurons, potentially improving cognitive function.
COMMON SIDE EFFECTS:
- Limited data is available, but potential side effects may include headaches, fatigue, or dizziness. Long-term safety and efficacy have not been well established due to its experimental status.
CONTRAINDICATIONS:
- Dihexa should be avoided in individuals with a history of peptide allergies or active central nervous system infections. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental therapy)
Selank
ADMINISTRATION ROUTE:
- Nasal Spray
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 7.5mg/mL (5mL) | $249 |
| 10mg/mL (5mL) | $249 |
INDICATIONS AND USAGE:
- Selank, also known as TP-7, is a peptide used for its nootropic and anxiolytic effects. It is primarily used to alleviate anxiety, improve cognitive function, and enhance mood.
MECHANISM OF ACTION:
- Selank modulates the activity of neurotransmitters, including serotonin and dopamine, which are involved in mood regulation and stress response. It also exhibits anti-inflammatory properties by influencing the expression of cytokines and supports brain-derived neurotrophic factor (BDNF) levels, enhancing neuroplasticity and cognitive performance.
COMMON SIDE EFFECTS:
- Common side effects may include mild headaches, fatigue, or nasal irritation (if administered intranasally). It is generally well tolerated, with few adverse effects reported.
CONTRAINDICATIONS:
- Selank is contraindicated in individuals with known hypersensitivity to peptides. It is not recommended for use during pregnancy or breastfeeding due to limited safety data.
FDA Data Safety Sheet: Not available (experimental peptide therapy)
Semax
ADMINISTRATION ROUTE:
- Nasal Spray
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 7.5mg/mL (5mL) | $249 |
| 10mg/mL (5mL) | $249 |
INDICATIONS AND USAGE:
- Semax is a nootropic peptide used for cognitive enhancement, neuroprotection, and the treatment of conditions such as stroke recovery and optic nerve damage.
MECHANISM OF ACTION:
- Semax is believed to enhance levels of brain-derived neurotrophic factor (BDNF), which supports neuroplasticity and the repair of neurons. It also modulates neurotransmitter levels, such as dopamine and serotonin, potentially improving mood, cognition, and mental clarity.
COMMON SIDE EFFECTS:
- Reported side effects are typically mild and may include nasal irritation (when used as a nasal spray), headaches, or temporary mood changes.
CONTRAINDICATIONS:
- Semax should not be used by individuals with known hypersensitivity to the peptide or in those with active neurological infections. It is not recommended for use during pregnancy or breastfeeding.
MORE INFORMATION:
- FDA Data Safety Sheet: Not available (experimental therapy)
Methylene Blue
- Subcutaneous Injection
- Intramuscular Injection
- Oral Capsules
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 50mg caps (#30) | $299 |
| 10mg/mL (10mL vial) | $439 |
INDICATIONS AND USAGE:
- Methylene Blue is used as a cognitive enhancer and neuroprotective agent, as well as for its approved uses in treating methemoglobinemia and certain types of infections.
MECHANISM OF ACTION:
- Methylene Blue acts as a metabolic enhancer and antioxidant by improving mitochondrial function and supporting cellular respiration. It reduces oxidative stress in the brain, potentially protecting against neurodegenerative diseases and improving cognitive function.
COMMON SIDE EFFECTS:
- Common side effects include gastrointestinal upset, headaches, and dizziness. At higher doses, it can cause confusion, serotonin syndrome (especially if combined with serotonergic drugs), or urine discoloration (blue or green).
CONTRAINDICATIONS:
- Methylene Blue is contraindicated in individuals with known hypersensitivity to the dye, those taking serotonergic medications (due to the risk of serotonin syndrome), and individuals with severe renal impairment.
NAD+ (Nicotinamide Adenine Dinucleotide)
ADMINISTRATION ROUTE:
- Subcutaneous Injection
- Nasal spray
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 300mg/mL nasal spray (15mL) | $289 |
| 200mg/mL (10mL vial) | $249 |
INDICATIONS AND USAGE:
- NAD+ (Nicotinamide Adenine Dinucleotide) is used for cognitive enhancement, anti-aging, and supporting cellular energy production, as well as for treating conditions such as chronic fatigue syndrome and neurodegenerative disorders.
MECHANISM OF ACTION:
- NAD+ plays a key role in cellular metabolism by participating in redox reactions and energy production within mitochondria. It is involved in DNA repair, gene expression, and maintaining mitochondrial function, which are critical for overall cellular health and longevity.
COMMON SIDE EFFECTS:
- Side effects may include flushing, headaches, or mild nausea, particularly with high doses or intravenous administration. Long-term side effects are not well studied in supplemental use.
CONTRAINDICATIONS:
- NAD+ should be used with caution in individuals with known allergies to any of the components of the preparation. Safety during pregnancy or breastfeeding has not been established.
FDA Data Safety Sheet: Not available
GHK-Cu
ADMINISTRATION ROUTE:
- Subcutaneous Injection
- Topical Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 10mg/mL (5mL vial) | $269 |
| 0.5% cream (30mL) | $289 |
INDICATIONS AND USAGE:
- GHK-Cu is a copper peptide used in hair restoration and skin care to promote hair growth, improve scalp health, and enhance skin regeneration.
MECHANISM OF ACTION:
- GHK-Cu promotes tissue regeneration and healing by increasing the production of collagen and other extracellular matrix components. In hair restoration, it stimulates hair follicle activity and supports the health of the scalp by promoting blood vessel growth and reducing inflammation.
COMMON SIDE EFFECTS:
- Side effects are generally minimal but may include temporary scalp irritation, redness, or itching.
CONTRAINDICATIONS:
- GHK-Cu should not be used by individuals with known allergies to copper or peptide-based products. It is also not recommended for use during pregnancy or breastfeeding without medical consultation.
FDA Data Safety Sheet: Not available
GHK-Cu + Biotin
ADMINISTRATION ROUTE:
- Topical Scalp Foam
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 0.5%-0.5% (30mL bottle) | $269 |
INDICATIONS AND USAGE:
- This combination is used for hair restoration to promote hair growth and scalp health. It is formulated with GHK-Cu to stimulate hair follicles and Biotin to strengthen hair strands.
MECHANISM OF ACTION:
- GHK-Cu enhances tissue regeneration and hair follicle activity, while Biotin, a B-vitamin, supports keratin production to strengthen hair. Together, they work synergistically to improve hair density and reduce shedding.
COMMON SIDE EFFECTS:
- Possible side effects include scalp irritation, itching, or redness, especially if the product is used on broken or sensitive skin.
CONTRAINDICATIONS:
- Individuals with a history of allergies to copper peptides, biotin, or other ingredients in the foam should avoid using this product. Use during pregnancy or breastfeeding should be discussed with a healthcare professional.
FDA Data Safety Sheet: Not available
Bimatoprost Solution
ADMINISTRATION ROUTE:
- Topical Eyelash Solution
FORMULATIONS & COST
| AMOUNT | COST |
|---|---|
| 0.03% (5mL bottle) | $120 |
INDICATIONS AND USAGE:
- Bimatoprost is used to enhance eyelash growth and may also be used off-label for promoting hair growth on the scalp.
MECHANISM OF ACTION:
- Bimatoprost is a prostaglandin analog that prolongs the growth phase (anagen phase) of hair follicles, resulting in longer, thicker, and darker eyelashes. Its effect on hair follicles on the scalp is thought to be similar, though less well-studied.
COMMON SIDE EFFECTS:
- Common side effects include eye irritation (when used near the eyes), darkening of the skin around the treated area, or hair growth in unintended areas if the medication spreads beyond the application site.
CONTRAINDICATIONS:
- Bimatoprost is contraindicated in individuals with a history of eye conditions such as uveitis or those at risk for macular edema. It should not be used during pregnancy or breastfeeding without consulting a healthcare professional.
Finasteride + Biotin + Vitamin C
ADMINISTRATION ROUTE:
- Oral Capsule
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 1mg-2.5mg-100mg (#60) | $120 |
| 1mg-2.5mg-100mg (#90) | $149 |
INDICATIONS AND USAGE:
- This oral combination is used to treat hair loss by reducing hair follicle miniaturization and providing essential nutrients for hair growth.
MECHANISM OF ACTION:
- Finasteride inhibits the conversion of testosterone to dihydrotestosterone (DHT), a hormone that contributes to hair loss. Biotin supports keratin production, while Vitamin C serves as an antioxidant, promoting healthy scalp conditions.
COMMON SIDE EFFECTS:
- Common side effects may include decreased libido, erectile dysfunction, or breast tenderness (due to Finasteride). Biotin and Vitamin C are generally well-tolerated but can occasionally cause digestive discomfort.
CONTRAINDICATIONS:
- Finasteride is contraindicated in women who are pregnant or may become pregnant, as it can cause birth defects. Caution is advised in individuals with known allergies to any of the components.
Minoxidil + Finasteride + Retinoic Acid + Fluocinolone
ADMINISTRATION ROUTE:
- Topical Scalp Solution
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 5%-0.1%-0.01%-0.01% (30mL) | $120 |
| 5%-0.1%-0.01%-0.01% (90mL) | $179 |
| 5%-0.1%-0.025%-0.025% (30mL) | $120 |
| 5%-0.1%-0.025%-0.025% (90mL) | $179 |
INDICATIONS AND USAGE:
- This topical combination is used to treat hair loss by stimulating hair growth and addressing scalp conditions that may hinder hair regrowth.
MECHANISM OF ACTION:
- Minoxidil is a vasodilator that increases blood flow to hair follicles, promoting growth. Finasteride reduces DHT levels in the scalp. Retinoic Acid enhances absorption of the active ingredients, while Fluocinolone, a corticosteroid, reduces inflammation.
COMMON SIDE EFFECTS:
- Side effects may include scalp irritation, itching, or redness. There is also a risk of systemic absorption of Finasteride, potentially leading to sexual side effects.
CONTRAINDICATIONS:
- This combination should not be used by individuals with scalp infections, open wounds, or known allergies to any components. It is contraindicated during pregnancy due to the presence of Finasteride.
FDA Data Safety Sheet for Minoxidil | FDA Data Safety Sheet for Finasteride
CJC-1295
ADMINISTRATION ROUTE:
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 2mg/mL (5mL vial) | $329 |
INDICATIONS AND USAGE:
- CJC-1295 is a growth hormone-releasing hormone (GHRH) analog used to increase growth hormone levels in the body, promoting muscle growth, fat loss, and anti-aging effects.
MECHANISM OF ACTION:
- CJC-1295 binds to GHRH receptors in the pituitary gland, stimulating the release of growth hormone. Its long-acting nature increases the half-life of endogenous GHRH, allowing for more stable and prolonged growth hormone release.
COMMON SIDE EFFECTS:
- Potential side effects include injection site reactions, water retention, flushing, or dizziness. Some users may experience an increase in appetite or mild numbness.
CONTRAINDICATIONS:
- CJC-1295 should be avoided in individuals with a history of cancer or growth-related disorders. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (research peptide therapy)
Ibutamoren (MK-677)
- Oral Capsule
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 25mg (#30) | $239 |
| 25mg (#60) | $449 |
| 25mg (#90) | $529 |
INDICATIONS AND USAGE:
- Ibutamoren is used to increase growth hormone levels and insulin-like growth factor 1 (IGF-1) to promote muscle growth, fat loss, and improve sleep quality. It is often used for anti-aging, bodybuilding, or in individuals with growth hormone deficiencies.
MECHANISM OF ACTION:
- Ibutamoren is a growth hormone secretagogue that mimics ghrelin, a hormone that stimulates growth hormone secretion. It activates the ghrelin receptor, leading to increased endogenous growth hormone and IGF-1 levels.
COMMON SIDE EFFECTS:
- Side effects may include increased appetite, water retention, fatigue, and mild joint pain. There is also a risk of insulin resistance with prolonged use.
CONTRAINDICATIONS:
- Ibutamoren should not be used by individuals with active cancer or those at risk of developing diabetes due to its effects on insulin sensitivity. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (research compound)
Ipamorelin
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 2mg/mL (5mL vial) | $269 |
INDICATIONS AND USAGE:
- Ipamorelin is a growth hormone-releasing peptide used to stimulate the natural production of growth hormone, often for anti-aging, fat loss, and muscle growth purposes.
MECHANISM OF ACTION:
- Ipamorelin binds to growth hormone secretagogue receptors, promoting the release of growth hormone from the pituitary gland. It is selective and does not significantly affect cortisol or prolactin levels, making it a safer option for growth hormone stimulation.
COMMON SIDE EFFECTS:
- Common side effects include mild injection site reactions, water retention, or headaches. Some users may experience dizziness or flushing.
CONTRAINDICATIONS:
- Ipamorelin should be avoided in individuals with a history of cancer or growth disorders. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (research peptide therapy)
Sermorelin
ADMINISTRATION ROUTE:
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 3mg/mL (5ml vial) | $269 |
INDICATIONS AND USAGE:
- Sermorelin is a GHRH analog used to stimulate the production of growth hormone, primarily for anti-aging, muscle growth, and fat loss.
MECHANISM OF ACTION:
- Sermorelin binds to GHRH receptors in the pituitary gland, promoting the release of endogenous growth hormone. It stimulates the natural pulsatile release of growth hormone, mimicking the body’s own growth hormone production process.
COMMON SIDE EFFECTS:
- Common side effects may include injection site irritation, flushing, dizziness, or headaches. It may also cause temporary numbness or tingling.
CONTRAINDICATIONS:
- Sermorelin is contraindicated in individuals with known hypersensitivity to the peptide or in those with active malignancies. It is not recommended during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (peptide therapy for research purposes)
Ipamorelin + CJC-1295
ADMINISTRATION ROUTE:
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 2mg-2mg/mL (5mL vial) | $379 |
INDICATIONS AND USAGE:
- This combination is used to maximize growth hormone release, providing benefits such as increased muscle growth, fat loss, and anti-aging effects.
MECHANISM OF ACTION:
- The combination of Ipamorelin and CJC-1295 works synergistically to stimulate growth hormone production. CJC-1295 increases GHRH activity, while Ipamorelin stimulates the release of growth hormone from the pituitary, resulting in a more significant and sustained elevation in growth hormone levels.
COMMON SIDE EFFECTS:
- Possible side effects include injection site reactions, water retention, dizziness, or mild headaches. Users may also experience increased appetite or slight numbness.
CONTRAINDICATIONS:
- This combination should not be used by individuals with active cancer or those with growth-related conditions. It is also contraindicated during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (research peptide combination)
Ipamorelin + Sermorelin
ADMINISTRATION ROUTE:
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 2mg-2mg/mL (5mL vial) | $269 |
| 2mg-3mg/mL (5mL vial) | $269 |
INDICATIONS AND USAGE:
- This combination is used to stimulate growth hormone production for anti-aging, muscle growth, and weight management.
MECHANISM OF ACTION:
- Sermorelin acts as a GHRH analog, while Ipamorelin works as a growth hormone secretagogue, both promoting natural growth hormone release. This dual action provides a more robust growth hormone stimulation than using either peptide alone.
COMMON SIDE EFFECTS:
- Side effects may include mild injection site irritation, dizziness, or headaches. There is also a potential for water retention or increased appetite.
CONTRAINDICATIONS:
- This combination is contraindicated in individuals with cancer, growth-related disorders, or hypersensitivity to peptide components. It should not be used during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental therapy)
Ipamorelin + Tesamorelin
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 0.3mg-3mg/mL (10mL vial) | $489 |
INDICATIONS AND USAGE:
- This combination is used to enhance growth hormone secretion for muscle growth, fat loss, and metabolic health improvement.
MECHANISM OF ACTION:
- Tesamorelin stimulates GHRH receptors, promoting the release of growth hormone, while Ipamorelin directly stimulates the pituitary to release growth hormone. Together, they provide a powerful approach to increasing growth hormone levels and enhancing body composition.
COMMON SIDE EFFECTS:
- Potential side effects include injection site reactions, water retention, dizziness, or headaches. Some individuals may experience joint pain or increased appetite.
CONTRAINDICATIONS:
- The combination is contraindicated in individuals with active cancer, uncontrolled diabetes, or those with hypersensitivity to the components. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental therapy)
Melanotan II
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Melanotan II is a synthetic peptide used primarily for tanning by increasing skin pigmentation. It also has potential immune-modulating effects and may enhance sexual arousal.
MECHANISM OF ACTION:
Melanotan II mimics the action of alpha-melanocyte-stimulating hormone (α-MSH), which binds to melanocortin receptors in the skin, stimulating melanin production. This increased pigmentation protects the skin against UV radiation. It also binds to other melanocortin receptors involved in immune regulation and sexual function.
COMMON SIDE EFFECTS:
Common side effects include nausea, flushing, headaches, and increased skin pigmentation in moles or freckles. There may also be temporary darkening of existing skin lesions.
CONTRAINDICATIONS:
Melanotan II should not be used by individuals with a history of melanoma or skin cancer, as it may darken existing lesions. It is also contraindicated in those with known hypersensitivity to the peptide.
FDA Data Safety Sheet: Not available (research peptide)
LL-37
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 1mg/mL (5mL vial) | $269 |
INDICATIONS AND USAGE:
- LL-37 is an antimicrobial peptide used to support immune function and enhance the body’s defense against infections, including bacterial and viral infections.
MECHANISM OF ACTION:
- LL-37 exhibits broad-spectrum antimicrobial activity by disrupting the cell membranes of bacteria, viruses, and fungi. It also modulates the immune response by promoting the recruitment of immune cells and reducing inflammation.
COMMON SIDE EFFECTS:
- Possible side effects may include localized irritation at the injection site, mild fatigue, or headache. Long-term safety is not well-established.
CONTRAINDICATIONS:
- LL-37 should be used cautiously in individuals with autoimmune conditions or hypersensitivity to peptides. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental therapy)
Thymosin Alpha-1
- Subcutaneous Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 3mg/mL (5mL vial) | $259 |
INDICATIONS AND USAGE:
- Thymosin Alpha-1 is used as an immune-modulating peptide to enhance the immune response, particularly in conditions such as chronic infections, cancer, or autoimmune diseases.
MECHANISM OF ACTION:
- Thymosin Alpha-1 stimulates the production and activity of T-cells, which are crucial for adaptive immune responses. It also reduces inflammation and improves the body’s ability to fight infections and cancer by modulating the activity of various immune cells.
COMMON SIDE EFFECTS:
- Common side effects may include mild injection site reactions, fatigue, or flu-like symptoms. It is generally well-tolerated with few adverse effects.
CONTRAINDICATIONS:
- Thymosin Alpha-1 is contraindicated in individuals with hypersensitivity to the peptide. Caution is advised in those with autoimmune disorders, as it may exacerbate symptoms.
FDA Data Safety Sheet: Not available (research peptide)
Testosterone (Oral)
- Rapid Dissolving Tablet (RDT)
- Buccal Troche
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 1mg RDT (#30) | $120 |
| 1mg RDT (#90) | $290 |
| 100mg RDT (#30) | $179 |
| 100mg RDT (#90) | $259 |
| 200mg RDT (#30) | $179 |
| 200mg RDT (#90) | $259 |
| 1mg troche (#30) | $120 |
| 1mg troche (#90) | $290 |
| 50mg troche (#30) | $120 |
| 50mg troche (#90) | $259 |
| 100mg troche (#30) | $120 |
| 100mg troche (#90) | $259 |
INDICATIONS AND USAGE:
- Oral testosterone (rapid dissolving tablets and troches) is used in hormone replacement therapy for men with low testosterone levels to restore normal hormone levels and alleviate symptoms such as fatigue, low libido, and muscle loss.
MECHANISM OF ACTION:
- Testosterone acts as the primary male sex hormone, influencing the development of male secondary sexual characteristics, muscle mass, bone density, and libido. Oral formulations deliver testosterone through the mucous membranes, bypassing the digestive system to avoid first-pass metabolism.
COMMON SIDE EFFECTS:
- Common side effects include headaches, increased red blood cell count, mood changes, and potential liver strain. There may also be a risk of increased blood pressure or gynecomastia (enlarged breast tissue).
CONTRAINDICATIONS:
- Contraindications include prostate cancer, male breast cancer, severe heart or liver disease, and known hypersensitivity to testosterone. It should not be used by women who are pregnant or breastfeeding.
Testosterone (Topical Cream)
ADMINISTRATION ROUTE:
- Topical Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 5% (50mg/g) cream (30g) | $129 |
| 5% (50mg/g) cream (60g) | $169 |
| 10% (100mg/g) cream (30g) | $139 |
| 10% (100mg/g) cream (60g) | $179 |
| 20% (200mg/g) cream (30g) | $159 |
| 20% (200mg/g) cream (60g) | $199 |
INDICATIONS AND USAGE:
- Testosterone topical cream is used in hormone replacement therapy for men with low testosterone to improve symptoms such as fatigue, decreased libido, and muscle weakness.
MECHANISM OF ACTION:
- Topical testosterone is absorbed through the skin, providing a steady release of the hormone into the bloodstream to restore normal levels. It mimics the natural diurnal pattern of testosterone production in men.
COMMON SIDE EFFECTS:
- Side effects may include skin irritation at the application site, increased red blood cell count, mood swings, and potential increase in blood pressure. There is also a risk of transferring the medication to others through skin contact.
CONTRAINDICATIONS:
- It is contraindicated in men with prostate or breast cancer and should not be used in women, especially during pregnancy or breastfeeding. Care should be taken to avoid skin contact with others after application.
Bi-Test Injection (Cypionate + Propionate)
ADMINISTRATION ROUTE:
- Intramuscular Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 25mg-175mg/mL (6mL vial) | $99 |
| 25mg-175mg/mL (12mL vial) | $149 |
INDICATIONS AND USAGE:
- Bi-Test is an injectable combination of testosterone cypionate and testosterone propionate used to treat low testosterone levels in men, enhancing muscle mass, strength, and libido.
MECHANISM OF ACTION:
- The combination of testosterone cypionate (a long-acting ester) and testosterone propionate (a short-acting ester) provides both immediate and sustained release of testosterone. This dual action helps maintain stable hormone levels and reduces the need for frequent dosing.
COMMON SIDE EFFECTS:
- Common side effects include injection site reactions, increased red blood cell count, mood changes, acne, and gynecomastia. There is also a risk of increased blood pressure and cholesterol changes.
CONTRAINDICATIONS:
- Contraindications include prostate or breast cancer, severe liver or heart conditions, and known hypersensitivity to the components. It should not be used by women, particularly during pregnancy.
FDA Data Safety Sheet for Testosterone Cypionate | FDA Data Safety Sheet for Testosterone Propionate
Testosterone Cypionate
- Intramuscular Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 20mg/mL (10mL vial) | $129 |
| 50mg/mL (5mL vial) | $129 |
| 100mg/mL (5mL vial) | $129 |
| 100mg/mL (10mL vial) | $139 |
| 200mg/mL (5mL vial) | $139 |
| 200mg/mL (10mL vial) | $149 |
INDICATIONS AND USAGE:
- Testosterone cypionate is used in hormone replacement therapy to treat men with low testosterone levels, aiming to improve symptoms such as low libido, fatigue, and muscle loss.
MECHANISM OF ACTION:
- As a long-acting ester of testosterone, testosterone cypionate is absorbed slowly from the injection site, providing a sustained release of the hormone over one to two weeks.
COMMON SIDE EFFECTS:
- Side effects may include increased red blood cell count, water retention, mood changes, acne, and potential suppression of natural testosterone production.
CONTRAINDICATIONS:
- It is contraindicated in men with prostate cancer, breast cancer, or severe heart, liver, or kidney disease. Women, particularly those who are pregnant or breastfeeding, should not use this medication.
Testosterone Propionate
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
estosterone Propionate
INDICATIONS AND USAGE:
Testosterone propionate is used to treat low testosterone in men and is favored for its shorter duration of action, allowing for more frequent dose adjustments.
MECHANISM OF ACTION:
This short-acting testosterone ester is quickly absorbed, providing a rapid increase in testosterone levels. Its effects last for a few days, requiring more frequent injections compared to longer-acting esters.
COMMON SIDE EFFECTS:
Common side effects include injection site pain, increased red blood cell count, mood swings, and acne. It may also cause gynecomastia and water retention.
CONTRAINDICATIONS:
It is contraindicated in patients with prostate or breast cancer, severe cardiovascular disease, or liver impairment. It is not recommended for use in women who are pregnant or breastfeeding.
Testosterone Cypionate + Anastrozole
- Intramuscular Injection
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
| 200mg-0.5mg/mL (10mL vial) | $169 |
| 200mg-1.0mg/mL (10mL vial) | $169 |
INDICATIONS AND USAGE:
- This combination therapy is used in men undergoing testosterone replacement therapy to prevent estrogen-related side effects, such as gynecomastia, by inhibiting the conversion of testosterone to estrogen.
MECHANISM OF ACTION:
- Testosterone increases androgen levels, while Anastrozole, an aromatase inhibitor, reduces the conversion of testosterone into estrogen, helping to maintain hormonal balance and reduce the risk of estrogenic side effects.
COMMON SIDE EFFECTS:
- Potential side effects include joint pain, fatigue, headaches, increased cholesterol levels, and changes in libido. Testosterone-related side effects such as acne, mood swings, and increased red blood cell count may also occur.
CONTRAINDICATIONS:
- It is contraindicated in men with prostate or breast cancer and in individuals with hypersensitivity to either component. It should not be used by women, particularly those who are pregnant or breastfeeding.
FDA Data Safety Sheet for Testosterone | FDA Data Safety Sheet for Anastrozole
Clomiphene + Resveratrol + B6 + ZMA
ADMINISTRATION ROUTE:
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
- This compounded combination is used to treat men with hypogonadism, aiming to improve testosterone levels, reduce oxidative stress, and support overall hormone balance and energy levels.
MECHANISM OF ACTION:
- Clomiphene acts as a selective estrogen receptor modulator (SERM), stimulating the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which boost testosterone production. Resveratrol provides antioxidant support, Vitamin B6 aids in hormone production and energy metabolism, and ZMA (zinc, magnesium, and Vitamin B6) supports testosterone levels and muscle recovery.
COMMON SIDE EFFECTS:
- Side effects may include headaches, mood swings, nausea, and changes in libido. Clomiphene may cause visual disturbances in some users.
CONTRAINDICATIONS:
- Contraindications include a history of hormone-sensitive cancers or liver disease. It should be used cautiously in men with a history of cardiovascular disease.
MORE INFORMATION:
- FDA Data Safety Sheets: Not available for compounded combinations
Enclomiphene
ADMINISTRATION ROUTE:
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
- Enclomiphene is used to treat secondary hypogonadism in men by stimulating the natural production of testosterone, while preserving fertility.
MECHANISM OF ACTION:
- Enclomiphene is a selective estrogen receptor modulator (SERM) that increases the production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which in turn stimulate the testes to produce more testosterone naturally.
COMMON SIDE EFFECTS:
- Common side effects may include headaches, mood changes, nausea, and dizziness. There may also be a risk of increased hematocrit or acne.
CONTRAINDICATIONS:
- Enclomiphene is contraindicated in men with prostate cancer, severe liver disease, or known hypersensitivity to SERMs. It should not be used by women, especially during pregnancy or breastfeeding.
MORE INFORMATION:
- FDA Data Safety Sheet: Not available
Gonadorelin
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Gonadorelin is used to stimulate the production of sex hormones, treating conditions like hypogonadism and delayed puberty in men.
MECHANISM OF ACTION:
Gonadorelin is a synthetic form of gonadotropin-releasing hormone (GnRH) that stimulates the release of LH and FSH from the pituitary gland, which are essential for testosterone production and spermatogenesis.
COMMON SIDE EFFECTS:
Potential side effects include headaches, dizziness, nausea, and localized irritation at the injection site.
CONTRAINDICATIONS:
It is contraindicated in individuals with hormone-sensitive cancers (e.g., prostate cancer) and known hypersensitivity to GnRH analogs.
FDA Data Safety Sheet: Not available
Kisspeptin-10
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Kisspeptin-10 is used to regulate reproductive hormone function and improve fertility in men by stimulating the release of GnRH.
MECHANISM OF ACTION:
Kisspeptin-10 acts on receptors in the hypothalamus to promote the release of GnRH, which increases the secretion of LH and FSH, leading to enhanced testosterone production.
COMMON SIDE EFFECTS:
Side effects are typically mild and may include headaches, nausea, or temporary injection site irritation.
CONTRAINDICATIONS:
Kisspeptin-10 is contraindicated in individuals with hormone-sensitive cancers and those with hypersensitivity to peptide-based therapies.
FDA Data Safety Sheet: Not available (research peptide)
BiMix (Papaverine + Phentolamine)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
BiMix is an injectable medication used to treat erectile dysfunction by enhancing blood flow to the penis. It is a combination of two drugs: Papaverine and Phentolamine.
MECHANISM OF ACTION:
BiMix works by combining the vasodilatory effects of Papaverine, which relaxes the smooth muscles of the blood vessels, and Phentolamine, which inhibits alpha-adrenergic receptors that can constrict blood vessels. Together, they increase blood flow to the penile tissue, resulting in an erection.
COMMON SIDE EFFECTS:
Common side effects include pain at the injection site, prolonged erections (priapism), and potential bruising. There is also a risk of fibrosis with frequent use.
CONTRAINDICATIONS:
BiMix is contraindicated in individuals with conditions that predispose them to priapism (e.g., sickle cell anemia) and those with penile deformities. It should not be used in patients with a history of hypersensitivity to any component of the formulation.
FDA Data Safety Sheet: Not available
TriMix (Alprostadil + Papaverine + Phentolamine)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
TriMix is an injectable formulation used to treat erectile dysfunction. It combines three medications: Papaverine, Phentolamine, and Prostaglandin E1 (Alprostadil).
MECHANISM OF ACTION:
The combination of Papaverine and Phentolamine enhances blood vessel relaxation, while Prostaglandin E1 directly relaxes smooth muscles in the corpus cavernosum, resulting in increased blood flow to the penis to achieve an erection.
COMMON SIDE EFFECTS:
Common side effects may include pain or bruising at the injection site, prolonged erections (priapism), and possible fibrosis with long-term use.
CONTRAINDICATIONS:
Contraindications include anatomical deformation of the penis, conditions predisposing to priapism, and known allergies to any of the ingredients. Use should be cautious in patients with bleeding disorders.
FDA Data Safety Sheet: Not available
QuadMix (Alprostadil + Papaverine + Phentolamine + Atropine)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
QuadMix is an advanced injectable treatment for erectile dysfunction, consisting of Papaverine, Phentolamine, Prostaglandin E1 (Alprostadil), and Atropine.
MECHANISM OF ACTION:
The combination of four agents provides a synergistic effect. Papaverine and Phentolamine relax blood vessels, Prostaglandin E1 enhances smooth muscle relaxation in the penile tissue, and Atropine, an anticholinergic, further aids in maximizing blood flow.
COMMON SIDE EFFECTS:
Potential side effects include pain at the injection site, prolonged erections (priapism), localized bruising, and fibrosis with repeated use.
CONTRAINDICATIONS:
QuadMix is contraindicated in individuals with penile abnormalities, conditions leading to priapism, and those with hypersensitivity to any component. It should not be used in patients with cardiovascular instability.
FDA Data Safety Sheet: Not available
Sildenafil
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Sildenafil is an oral medication used to treat erectile dysfunction by enhancing blood flow to the penis during sexual stimulation.
MECHANISM OF ACTION:
Sildenafil inhibits phosphodiesterase type 5 (PDE5), an enzyme that degrades cyclic guanosine monophosphate (cGMP). By increasing cGMP levels, Sildenafil promotes relaxation of smooth muscles in the corpus cavernosum, allowing for increased blood flow and an erection.
COMMON SIDE EFFECTS:
Common side effects include headaches, flushing, indigestion, nasal congestion, and dizziness. It may also cause visual disturbances (e.g., blue-tinged vision).
CONTRAINDICATIONS:
Sildenafil is contraindicated in individuals taking nitrates or nitric oxide donors, as this can lead to severe hypotension. It should not be used in patients with severe cardiovascular disease or recent history of stroke or heart attack.
Taladafil
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Tadalafil is an oral medication used to treat erectile dysfunction and is also indicated for benign prostatic hyperplasia (BPH) in some cases.
MECHANISM OF ACTION:
Tadalafil inhibits PDE5, resulting in increased levels of cGMP. This leads to relaxation of smooth muscles in the blood vessels of the penis, promoting enhanced blood flow and an erection. Its longer half-life allows for effects lasting up to 36 hours.
COMMON SIDE EFFECTS:
Side effects may include headaches, muscle aches, flushing, indigestion, and back pain. It may also cause nasal congestion or dizziness.
CONTRAINDICATIONS:
Tadalafil is contraindicated in patients taking nitrates or guanylate cyclase stimulators due to the risk of severe hypotension. It should be avoided in individuals with significant cardiovascular conditions.
Oxytocin
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Oxytocin is used to enhance sexual arousal, improve intimacy, and promote social bonding.
MECHANISM OF ACTION:
Oxytocin is a naturally occurring hormone that acts on the central nervous system and reproductive organs. It promotes the release of neurotransmitters involved in bonding and sexual arousal, enhancing feelings of closeness and intimacy.
COMMON SIDE EFFECTS:
Common side effects include headaches, nausea, dizziness, and flushing. It may also cause uterine contractions if used in high doses in pregnant women.
CONTRAINDICATIONS:
Oxytocin is contraindicated in individuals with known hypersensitivity to the hormone. It should not be used to enhance libido during pregnancy due to its potential to induce labor.
Oxytocin
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Oxytocin is used to enhance sexual arousal, improve intimacy, and promote social bonding.
MECHANISM OF ACTION:
Oxytocin is a naturally occurring hormone that acts on the central nervous system and reproductive organs. It promotes the release of neurotransmitters involved in bonding and sexual arousal, enhancing feelings of closeness and intimacy.
COMMON SIDE EFFECTS:
Common side effects include headaches, nausea, dizziness, and flushing. It may also cause uterine contractions if used in high doses in pregnant women.
CONTRAINDICATIONS:
Oxytocin is contraindicated in individuals with known hypersensitivity to the hormone. It should not be used to enhance libido during pregnancy due to its potential to induce labor.
PT-141 (Bremelanotide)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
PT-141, also known as Bremelanotide, is used to treat hypoactive sexual desire disorder (HSDD) in both men and women by enhancing sexual arousal.
MECHANISM OF ACTION:
PT-141 activates melanocortin receptors in the central nervous system, which are involved in sexual desire and arousal. Unlike other medications for erectile dysfunction, it does not act on the vascular system but rather increases sexual drive by directly stimulating brain pathways.
COMMON SIDE EFFECTS:
Common side effects include nausea, headaches, flushing, and injection site reactions. Some individuals may experience increased blood pressure or transient darkening of moles or freckles.
CONTRAINDICATIONS:
PT-141 is contraindicated in individuals with uncontrolled hypertension or cardiovascular disease. It should not be used during pregnancy.
Scream Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Scream Cream is a compounded topical formulation designed to enhance sexual arousal and sensitivity in women by increasing blood flow to the genital area.
MECHANISM OF ACTION:
Scream Cream typically contains ingredients such as L-arginine (a vasodilator) and sildenafil (a PDE5 inhibitor) to improve blood flow, and other active components that may include hormones or herbal extracts. The combination works synergistically to enhance sensitivity and arousal.
COMMON SIDE EFFECTS:
Possible side effects include localized irritation, itching, or redness. There may also be mild systemic effects if ingredients like sildenafil are absorbed.
CONTRAINDICATIONS:
Contraindications include known allergies to any components in the cream and use during pregnancy. Care should be taken to avoid contact with mucous membranes other than the intended area.
FDA Data Safety Sheet: Not available
Taladafil + PT-141 + Oxytocin
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination is used to address multiple aspects of sexual function, including erectile dysfunction, arousal, and emotional bonding, by combining the effects of Tadalafil, PT-141, and Oxytocin.
MECHANISM OF ACTION:
Tadalafil enhances blood flow to the penile tissues by inhibiting PDE5, PT-141 stimulates sexual arousal through melanocortin receptors in the brain, and Oxytocin promotes bonding and intimacy by acting on the central nervous system. The combination works to improve both physical and psychological aspects of sexual function.
COMMON SIDE EFFECTS:
Side effects may include headaches, nausea, flushing, dizziness, and increased heart rate. There may also be localized irritation if taken in other forms, like troches.
CONTRAINDICATIONS:
This combination is contraindicated in individuals taking nitrates or those with uncontrolled hypertension, cardiovascular conditions, or known hypersensitivity to any of the components. It should not be used during pregnancy.
FDA Data Safety Sheets: Not available for the combination (refer to individual components: Tadalafil, Bremelanotide, and Oxytocin)
GHK-Cu
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
GHK-Cu is used in skin care to promote healing, improve skin firmness, and reduce fine lines and wrinkles. It also has applications for treating wounds and reducing inflammation.
MECHANISM OF ACTION:
GHK-Cu is a copper peptide that stimulates collagen and glycosaminoglycan synthesis, promotes tissue remodeling, and enhances the production of antioxidant enzymes. It binds to copper, facilitating skin regeneration and repair.
COMMON SIDE EFFECTS:
Side effects are typically mild and may include temporary skin irritation, redness, or itching at the application site.
CONTRAINDICATIONS:
GHK-Cu should be used with caution in individuals with known allergies to copper or peptide-based products. It is not recommended during pregnancy or breastfeeding without a doctor’s consultation.
FDA Data Safety Sheet: Not available
LL-37
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
LL-37 is used to enhance skin healing and treat various skin conditions, including chronic wounds, acne, and psoriasis. It is known for its antimicrobial properties.
MECHANISM OF ACTION:
LL-37 is an antimicrobial peptide that disrupts the membranes of bacteria, viruses, and fungi. It also modulates the immune system, reducing inflammation and promoting wound healing.
COMMON SIDE EFFECTS:
Potential side effects include localized skin irritation or redness. Long-term safety data are limited due to the peptide’s experimental status.
CONTRAINDICATIONS:
It should be used cautiously in individuals with autoimmune disorders or known hypersensitivity to peptide products. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental therapy)
Melanotan II
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Melanotan II is used for skin tanning by increasing melanin production, potentially reducing the risk of UV-induced skin damage.
MECHANISM OF ACTION:
Melanotan II mimics the action of alpha-melanocyte-stimulating hormone (α-MSH), which stimulates melanocytes in the skin to produce melanin, leading to darker pigmentation. It helps protect the skin against UV radiation.
COMMON SIDE EFFECTS:
Side effects include nausea, flushing, headaches, and increased pigmentation of moles or freckles. Darkening of existing skin lesions can also occur.
CONTRAINDICATIONS:
Melanotan II should not be used by individuals with a history of melanoma or skin cancer, as it may darken existing lesions. It is contraindicated in those with known hypersensitivity to the peptide.
FDA Data Safety Sheet: Not available (research peptide)
Hydroquinone + Azelaic Acid + Niacinamide Cream
ADMINISTRATION ROUTE:
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
- This compounded topical cream is used to treat hyperpigmentation conditions like melasma, acne scars, and age spots. It combines the depigmenting action of Hydroquinone with the anti-inflammatory effects of Azelaic Acid and the skin-soothing properties of Niacinamide.
MECHANISM OF ACTION:
- Hydroquinone inhibits melanin production by blocking the enzyme tyrosinase. Azelaic Acid reduces inflammation and decreases the production of abnormal melanocytes, while Niacinamide strengthens the skin barrier and reduces redness, supporting a more even skin tone.
COMMON SIDE EFFECTS:
- Common side effects include redness, irritation, dryness, and a mild stinging sensation. Hydroquinone can increase sensitivity to sunlight, making sunscreen essential during use.
CONTRAINDICATIONS:
- It is contraindicated in individuals with hypersensitivity to Hydroquinone, Azelaic Acid, or Niacinamide. It should not be used on broken skin or during pregnancy without medical consultation.
MORE INFORMATION:
- FDA Data Safety Sheet for Hydroquinone
Hydroquinone / Fluocinolone + Kojic Acid + Niacinamide + Triretinoin Cream
ADMINISTRATION ROUTE:
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
- This compounded cream is used to treat severe hyperpigmentation, such as melasma, by combining Hydroquinone for skin lightening, Fluocinolone for inflammation reduction, Kojic Acid for additional skin lightening, Niacinamide for calming the skin, and Tretinoin for enhancing cell turnover.
MECHANISM OF ACTION:
- Hydroquinone and Kojic Acid inhibit melanin production, while Fluocinolone reduces inflammation and redness. Niacinamide soothes the skin and helps maintain its barrier, and Tretinoin increases cell turnover, promoting the shedding of pigmented cells.
COMMON SIDE EFFECTS:
- Potential side effects include redness, peeling, irritation, dryness, and increased sensitivity to sunlight. Long-term use of Hydroquinone should be monitored to avoid skin damage.
CONTRAINDICATIONS:
- It is contraindicated in individuals with a history of hypersensitivity to any of the components. It should not be used in pregnancy or on broken skin.
MORE INFORMATION:
- FDA Data Safety Sheet for Hydroquinone
Hydroquinone + Kojic Acid + Vitamin C Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination cream is used for skin whitening and to reduce hyperpigmentation such as melasma, age spots, and dark patches caused by acne or hormonal changes.
MECHANISM OF ACTION:
Hydroquinone works by inhibiting the enzyme tyrosinase, which is responsible for melanin production. Kojic Acid also inhibits tyrosinase, enhancing the skin-lightening effect, while Vitamin C acts as an antioxidant and supports collagen synthesis, further improving skin tone and texture.
COMMON SIDE EFFECTS:
Common side effects may include skin irritation, redness, peeling, and dryness. There is a risk of increased sun sensitivity, necessitating the use of sunscreen.
CONTRAINDICATIONS:
Contraindications include known hypersensitivity to any of the components, as well as damaged or broken skin. It is not recommended for use during pregnancy.
FDA Data Safety Sheet for Hydroquinone | Kojic Acid and Vitamin C: Not available as individual data sheets
Hydroquinone + Tranexamic Acid Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination cream is used to treat stubborn hyperpigmentation by lightening dark spots and reducing the appearance of uneven skin tone.
MECHANISM OF ACTION:
Hydroquinone decreases melanin production by inhibiting tyrosinase, while Tranexamic Acid reduces pigmentation through its anti-inflammatory properties and inhibition of the plasminogen/plasmin pathway, which can contribute to skin discoloration.
COMMON SIDE EFFECTS:
Side effects may include mild irritation, redness, and peeling, especially if applied to sensitive areas. Sun exposure can exacerbate these effects, making sunscreen use essential.
CONTRAINDICATIONS:
The combination is contraindicated in individuals with hypersensitivity to either component and should not be applied to damaged skin. Use during pregnancy should be avoided.
FDA Data Safety Sheet for Hydroquinone | Tranexamic Acid: Not available for topical use
Hydroquinone + Retinoic Acid Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination is used for skin lightening and treating hyperpigmentation, as well as for improving skin texture and reducing fine lines.
MECHANISM OF ACTION:
Hydroquinone inhibits melanin synthesis, while Retinoic Acid promotes cell turnover, enhancing the removal of pigmented skin cells and allowing new, lighter skin cells to surface. Together, they provide a more comprehensive treatment for hyperpigmentation.
COMMON SIDE EFFECTS:
Common side effects include redness, peeling, dryness, and increased sensitivity to sunlight. Irritation may be more pronounced at the start of treatment.
CONTRAINDICATIONS:
The combination is contraindicated in individuals with hypersensitivity to Hydroquinone or Retinoic Acid and should not be used on broken skin. It is not recommended for use during pregnancy.
FDA Data Safety Sheet for Hydroquinone | Retinoic Acid
DSIP (Delta Sleep Inducing Peptide)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
DSIP is a peptide used to promote natural sleep patterns and improve sleep quality, especially in individuals with insomnia or irregular sleep cycles.
MECHANISM OF ACTION:
DSIP is believed to regulate sleep by modulating the activity of neurotransmitters involved in the sleep-wake cycle, including serotonin and melatonin. It also reduces stress-related hormonal activity, potentially aiding in sleep initiation and maintenance.
COMMON SIDE EFFECTS:
Side effects are generally minimal but may include fatigue, dizziness, or mild headaches. Due to its experimental status, long-term safety data are limited.
CONTRAINDICATIONS:
DSIP should be avoided in individuals with known hypersensitivity to peptides or those with active neurological disorders. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental peptide therapy)
BPC-157
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
BPC-157 is a peptide used to promote healing of various tissues, including muscles, tendons, ligaments, and the gastrointestinal tract. It is often utilized for sports injuries and inflammation control.
MECHANISM OF ACTION:
BPC-157 promotes tissue repair and regeneration by enhancing collagen production, angiogenesis (formation of new blood vessels), and modulating growth factors involved in healing. It also reduces inflammation and protects against damage in the gastrointestinal lining.
COMMON SIDE EFFECTS:
Side effects are typically minimal but may include mild fatigue, nausea, or localized irritation at the injection site.
CONTRAINDICATIONS:
BPC-157 should be used cautiously in individuals with known allergies to peptides. It is not recommended for use during pregnancy or breastfeeding without consulting a healthcare professional.
FDA Data Safety Sheet: Not available (experimental therapy)
BPC-157 + Thymosin Beta-4
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination is used to optimize tissue healing and recovery by leveraging the synergistic effects of BPC-157 and Thymosin Beta-4. It is often used in the treatment of musculoskeletal injuries and inflammation.
MECHANISM OF ACTION:
BPC-157 promotes collagen production and reduces inflammation, while Thymosin Beta-4 facilitates cellular repair and migration. Together, they accelerate the healing process and improve tissue integrity.
COMMON SIDE EFFECTS:
Potential side effects may include localized irritation, mild fatigue, or nausea. Both peptides are generally well-tolerated, with minimal adverse effects reported.
CONTRAINDICATIONS:
The combination should not be used in individuals with hypersensitivity to peptide-based treatments or those with severe autoimmune disorders. It is not recommended for use during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental peptide combination)
Thymosin Beta-4
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
Thymosin Beta-4
INDICATIONS AND USAGE:
Thymosin Beta-4 is used to enhance tissue healing and reduce inflammation, particularly in muscle, tendon, and ligament injuries. It also has potential benefits for wound healing and cardiovascular repair.
MECHANISM OF ACTION:
Thymosin Beta-4 promotes cell migration, reduces inflammation, and supports the regeneration of damaged tissues. It regulates actin, a protein involved in cell movement and structure, which is crucial for tissue repair processes.
COMMON SIDE EFFECTS:
Common side effects may include mild fatigue, headache, or localized injection site reactions. Long-term safety data are limited.
CONTRAINDICATIONS:
It should be used with caution in individuals with known hypersensitivity to peptides or autoimmune conditions. It is not recommended during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available (experimental therapy)
Ascorbic Acid (Vitamin C)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Ascorbic Acid, also known as Vitamin C, is used to support the immune system, enhance skin health, and act as an antioxidant. It is commonly used for vitamin C deficiency and as an adjunct in the management of chronic illnesses.
MECHANISM OF ACTION:
Ascorbic Acid functions as a potent antioxidant, neutralizing free radicals and protecting cells from oxidative stress. It also plays a key role in collagen synthesis, enhancing skin and connective tissue health, and supports immune defense mechanisms.
COMMON SIDE EFFECTS:
Common side effects may include gastrointestinal discomfort, such as nausea or diarrhea, especially at high doses.
CONTRAINDICATIONS:
Contraindications include known hypersensitivity to Ascorbic Acid and conditions like kidney stones, where high doses of Vitamin C may exacerbate symptoms.
B-Complex + Lidocaine + Methylfolate
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination is used to support nerve health and relieve neuropathic pain, providing essential B vitamins for cellular function and Lidocaine for localized pain relief.
MECHANISM OF ACTION:
B vitamins, such as B1, B6, and B12, play critical roles in nerve function and energy metabolism, while Methylfolate supports DNA synthesis and repair. Lidocaine acts as a local anesthetic, blocking sodium channels to reduce nerve signal transmission and alleviate pain.
COMMON SIDE EFFECTS:
Side effects may include mild dizziness, numbness, or localized irritation at the injection site. Rarely, allergic reactions to Lidocaine can occur.
CONTRAINDICATIONS:
The combination is contraindicated in individuals with hypersensitivity to Lidocaine or any B vitamin component. It should be used cautiously in those with severe liver disease.
FDA Data Safety Sheet: Not available for the combination (refer to individual components: Lidocaine)
B-Complex (+Methyl B12)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination supports energy metabolism, nerve function, and overall health, often used for B vitamin deficiency or as an adjunct in treating conditions like peripheral neuropathy.
MECHANISM OF ACTION:
B vitamins play essential roles in cellular energy production and red blood cell formation, while Methylcobalamin (Methyl B12) is a bioavailable form of Vitamin B12, supporting neurological function and DNA synthesis.
COMMON SIDE EFFECTS:
Side effects are generally rare but may include mild headaches, nausea, or localized injection site reactions.
CONTRAINDICATIONS:
Contraindications include known allergies to any of the components. Use with caution in individuals with Leber’s disease, a rare genetic eye disorder.
FDA Data Safety Sheet: Not available
Methylcobalamin (B12)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Methylcobalamin is used for treating Vitamin B12 deficiency and supporting nerve health, energy metabolism, and cognitive function.
MECHANISM OF ACTION:
As an active form of Vitamin B12, Methylcobalamin supports the production of red blood cells and helps maintain the myelin sheath that surrounds and protects nerve fibers.
COMMON SIDE EFFECTS:
Side effects are rare but may include headaches, nausea, or localized injection site reactions.
CONTRAINDICATIONS:
It is contraindicated in individuals with known hypersensitivity to Vitamin B12 or those with Leber’s disease.
FDA Data Safety Sheet: Not available
Pyridoxine (B6)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Pyridoxine is used to support nerve function, amino acid metabolism, and red blood cell production. It may also help alleviate symptoms of premenstrual syndrome (PMS) and morning sickness.
MECHANISM OF ACTION:
Pyridoxine plays a crucial role in neurotransmitter synthesis and amino acid metabolism, helping maintain nerve health and energy metabolism.
COMMON SIDE EFFECTS:
Side effects may include mild dizziness or gastrointestinal discomfort. High doses over long periods can cause nerve damage.
CONTRAINDICATIONS:
Contraindications include known allergies to Pyridoxine. Caution is advised in individuals with Parkinson’s disease who are taking Levodopa.
FDA Data Safety Sheet: Not available
Glutathione
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Glutathione is a powerful antioxidant used to detoxify the body, support the immune system, and reduce oxidative stress. It is also popular for skin brightening.
MECHANISM OF ACTION:
Glutathione neutralizes free radicals and detoxifies harmful substances in the liver. It also helps regenerate other antioxidants, such as Vitamin C and E, and supports cellular functions necessary for immune defense.
COMMON SIDE EFFECTS:
Common side effects may include mild gastrointestinal discomfort, headaches, or allergic reactions if administered intravenously.
CONTRAINDICATIONS:
Contraindications include known hypersensitivity to Glutathione. Use in individuals with asthma should be cautious, as it may trigger bronchospasm.
FDA Data Safety Sheet: Not available
NAD+ (Nicotinamide Adenine Dinucleotide)
INDICATIONS AND USAGE:
NAD+ is used to support cellular energy production, DNA repair, and metabolic health, often administered in anti-aging therapies and for conditions like chronic fatigue syndrome.
MECHANISM OF ACTION:
NAD+ plays a vital role in redox reactions, serving as a coenzyme in cellular respiration processes. It helps convert nutrients into energy and supports mitochondrial function.
COMMON SIDE EFFECTS:
Side effects may include flushing, headaches, or mild gastrointestinal discomfort.
CONTRAINDICATIONS:
It should be used cautiously in individuals with known allergies to NAD+ preparations. Safety during pregnancy or breastfeeding is not well established.
FDA Data Safety Sheet: Not available
Vitamin D3
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Vitamin D3 is used to support bone health, immune function, and calcium absorption. It is commonly prescribed to treat or prevent Vitamin D deficiency.
MECHANISM OF ACTION:
Vitamin D3 (cholecalciferol) helps maintain blood levels of calcium and phosphorus, promoting bone mineralization. It also modulates immune system activity and supports overall health.
COMMON SIDE EFFECTS:
Side effects are generally minimal but may include hypercalcemia if taken in excessive doses, leading to symptoms like nausea, vomiting, or kidney stones.
CONTRAINDICATIONS:
Vitamin D3 is contraindicated in individuals with hypercalcemia or severe kidney disease. Caution is recommended in patients with conditions like sarcoidosis, which can increase sensitivity to Vitamin D.
Semaglutide + NAD+
INDICATIONS AND USAGE:
This combination is used for weight management, enhancing weight loss and metabolic health while boosting cellular energy production.
MECHANISM OF ACTION:
Semaglutide, a GLP-1 receptor agonist, promotes weight loss by regulating appetite and slowing gastric emptying, increasing feelings of fullness. NAD+ supports cellular energy metabolism and mitochondrial function, helping reduce fatigue often associated with weight loss.
COMMON SIDE EFFECTS:
Side effects may include nausea, vomiting, diarrhea, headache, or dizziness. Semaglutide can also cause gastrointestinal discomfort during initial use.
CONTRAINDICATIONS:
The combination is contraindicated in individuals with a history of medullary thyroid carcinoma, multiple endocrine neoplasia syndrome type 2 (MEN 2), or hypersensitivity to any components. Use in pregnancy is not recommended.
FDA Data Safety Sheet: Not available for the combination (refer to individual components: Semaglutide)
Semaglutide + Pyridoxine
INDICATIONS AND USAGE:
This combination is used to support weight loss while boosting metabolism and maintaining nerve function during weight management.
MECHANISM OF ACTION:
Semaglutide regulates appetite through GLP-1 receptor activation, while Pyridoxine (Vitamin B6) supports metabolism and nerve health, helping alleviate fatigue and improve overall well-being during weight loss.
COMMON SIDE EFFECTS:
Side effects may include gastrointestinal discomfort, headache, or dizziness. Pyridoxine is generally well tolerated but may cause mild nausea in some individuals.
CONTRAINDICATIONS:
The combination is contraindicated in individuals with a history of medullary thyroid carcinoma, MEN 2, or known allergies to any components. It should not be used during pregnancy.
FDA Data Safety Sheet: Not available for the combination (refer to individual components: Semaglutide)
Semaglutide + Vitamin B12
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
An oral combination used for weight loss and energy support, especially in individuals with Vitamin B12 deficiency or increased requirements.
MECHANISM OF ACTION:
Semaglutide reduces appetite by acting as a GLP-1 receptor agonist, while Vitamin B12 supports red blood cell production and energy metabolism, improving fatigue and preventing deficiency during weight loss.
COMMON SIDE EFFECTS:
Common side effects include gastrointestinal symptoms, dizziness, and fatigue. Vitamin B12 is typically well tolerated but may cause mild headaches in some individuals.
CONTRAINDICATIONS:
This combination is contraindicated in patients with a history of medullary thyroid carcinoma, MEN 2, or allergies to any components. It is not recommended during pregnancy.
FDA Data Safety Sheet: Not available for the combination (refer to individual components: Semaglutide and Vitamin B12)
Tirzepatide + Levocarnitine
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination is used to enhance weight loss by regulating appetite and increasing fat metabolism.
MECHANISM OF ACTION:
Tirzepatide is a dual GLP-1 and GIP receptor agonist that helps promote weight loss by increasing satiety, while Levocarnitine facilitates the transport of fatty acids into mitochondria for energy production, enhancing fat oxidation.
COMMON SIDE EFFECTS:
Common side effects include gastrointestinal discomfort, headache, or dizziness. Levocarnitine may cause a “fishy” body odor in some individuals.
CONTRAINDICATIONS:
The combination is contraindicated in individuals with known allergies to any components or those with uncontrolled thyroid disorders. It should not be used during pregnancy.
FDA Data Safety Sheet: Not available for the combination (refer to individual components: Tirzepatide)
Tirzepatide + Pyridoxine (B6)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination is used for weight loss support and to enhance energy metabolism and nerve health.
MECHANISM OF ACTION:
Tirzepatide aids in weight reduction by stimulating GLP-1 and GIP receptors, leading to decreased appetite and improved insulin sensitivity. Pyridoxine supports nerve function and helps mitigate fatigue during weight loss.
COMMON SIDE EFFECTS:
Potential side effects include gastrointestinal discomfort, headache, or mild dizziness. Pyridoxine is well tolerated but may cause mild side effects like nausea.
CONTRAINDICATIONS:
The combination is contraindicated in individuals with medullary thyroid carcinoma, MEN 2, or known hypersensitivity to any components. Use in pregnancy is not recommended.
FDA Data Safety Sheet: Not available for the combination (refer to individual components: Tirzepatide)
Lipoden (Skinny Shot)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Lipoden, commonly known as the “Skinny Shot,” is a lipotropic injection used to support weight loss by enhancing fat metabolism and boosting energy.
MECHANISM OF ACTION:
Lipoden typically contains a combination of methionine, inositol, choline (MIC), and Vitamin B12, which support fat breakdown, liver health, and energy production. The lipotropic agents help mobilize fat stores and promote fat oxidation.
COMMON SIDE EFFECTS:
Side effects may include mild nausea, dizziness, or injection site irritation.
CONTRAINDICATIONS:
Contraindications include known allergies to any components. Individuals with severe liver or kidney disease should use it cautiously.
FDA Data Safety Sheet: Not available
Lipoden (Skinny Shot) + BCAAs
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination is used to enhance weight loss and support muscle preservation by adding branched-chain amino acids (BCAAs) to the standard Lipoden formula.
MECHANISM OF ACTION:
The Lipoden “Skinny Shot” enhances fat metabolism and energy production, while BCAAs help maintain muscle mass during weight loss by providing essential amino acids for muscle repair.
COMMON SIDE EFFECTS:
Possible side effects include injection site irritation, dizziness, or nausea.
CONTRAINDICATIONS:
Contraindications include allergies to any ingredients or use in individuals with severe liver or kidney disease.
FDA Data Safety Sheet: Not available
Phentermine
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Phentermine is a prescription medication used as a short-term aid for weight loss, particularly in individuals who are overweight or obese.
MECHANISM OF ACTION:
Phentermine acts as a sympathomimetic amine, similar to an amphetamine, stimulating the central nervous system to reduce appetite and increase energy expenditure.
COMMON SIDE EFFECTS:
Common side effects include insomnia, dry mouth, increased heart rate, and nervousness. It may also cause dizziness or gastrointestinal disturbances.
CONTRAINDICATIONS:
Phentermine is contraindicated in individuals with cardiovascular disease, hyperthyroidism, glaucoma, or a history of drug abuse. It should not be used during pregnancy or with other weight loss medications.
Bi-Estrogen (Estriol + Estradiol) Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Bi-Estrogen cream is used in hormone replacement therapy for menopausal women to alleviate symptoms such as hot flashes, vaginal dryness, and mood changes. It combines two forms of estrogen to mimic natural hormonal balance.
MECHANISM OF ACTION:
Estradiol is a potent estrogen that alleviates severe menopausal symptoms, while Estriol, a weaker estrogen, helps balance the formulation and reduce the risk of side effects associated with stronger estrogen therapies. Together, they help replenish declining hormone levels.
COMMON SIDE EFFECTS:
Common side effects may include breast tenderness, headaches, nausea, and localized irritation at the application site. Long-term use may increase the risk of blood clots or certain cancers.
CONTRAINDICATIONS:
Contraindications include a history of estrogen-sensitive cancers, liver disease, or a history of thromboembolic disorders. It should not be used during pregnancy.
FDA Data Safety Sheet: Not available for combination (refer to individual components: Estradiol and Estriol)
Bi-Estrogen (Estriol + Estrodiol) + Progesterone + Testosterone
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This comprehensive hormone replacement cream is used for treating menopausal symptoms while balancing estrogen, progesterone, and testosterone levels to support overall well-being.
MECHANISM OF ACTION:
Estradiol and Estriol provide estrogenic effects to alleviate menopausal symptoms, while Progesterone protects the uterine lining from estrogen stimulation. Testosterone is added to support libido, energy, and muscle mass.
COMMON SIDE EFFECTS:
Side effects may include breast tenderness, mood swings, headaches, or skin irritation. There is also an increased risk of blood clots and certain cancers with long-term use.
CONTRAINDICATIONS:
Contraindications include a history of hormone-sensitive cancers, liver disease, and thromboembolic disorders. It is not recommended during pregnancy.
FDA Data Safety Sheet: Not available for combination (refer to individual components: Estradiol, Estriol, Progesterone, and Testosterone)
DHEA
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
DHEA (Dehydroepiandrosterone) is used to support hormone balance, energy, and overall well-being, particularly in aging women experiencing symptoms of low androgens.
MECHANISM OF ACTION:
DHEA is a hormone precursor that the body converts into androgens and estrogens. Supplementation helps increase levels of these sex hormones, potentially improving mood, libido, and energy.
COMMON SIDE EFFECTS:
Common side effects may include acne, hair loss, mood changes, and increased body hair. High doses may exacerbate hormone-sensitive conditions.
CONTRAINDICATIONS:
Contraindications include hormone-sensitive cancers, liver disease, and uncontrolled adrenal disorders. It should not be used during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available
DHEA + Pregnenolone
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
This combination is used to support hormonal balance, cognitive function, and anti-aging in women experiencing symptoms of declining sex hormones.
MECHANISM OF ACTION:
DHEA serves as a precursor to androgens and estrogens, while Pregnenolone, another precursor hormone, supports the production of various steroids, including progesterone and cortisol. Together, they help maintain overall hormonal balance.
COMMON SIDE EFFECTS:
Possible side effects include acne, changes in hair growth, mood alterations, and fatigue. Higher doses may increase the risk of hormone-sensitive conditions.
CONTRAINDICATIONS:
Contraindications include hormone-sensitive cancers, uncontrolled adrenal disorders, and severe liver disease. It should be avoided during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available
Estradiol Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Estradiol cream is used in hormone replacement therapy to treat menopausal symptoms, particularly vaginal atrophy and dryness.
MECHANISM OF ACTION:
Estradiol replenishes declining estrogen levels in the body, providing relief from symptoms associated with menopause. It helps maintain the health of the vaginal mucosa and supports bone density.
COMMON SIDE EFFECTS:
Side effects may include breast tenderness, nausea, headaches, or localized irritation. Long-term use may increase the risk of blood clots or certain cancers.
CONTRAINDICATIONS:
It is contraindicated in women with a history of estrogen-sensitive cancers, liver disease, or thromboembolic disorders. It should not be used during pregnancy.
Estriol Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Estriol cream is used to treat symptoms of vaginal dryness and mild menopausal symptoms, providing a milder estrogenic effect than other forms of estrogen therapy.
MECHANISM OF ACTION:
Estriol is a weaker estrogen that helps maintain the vaginal mucosa and alleviate mild menopausal symptoms by binding to estrogen receptors and promoting tissue health.
COMMON SIDE EFFECTS:
Side effects may include localized irritation, breast tenderness, or headaches. The risk of side effects is generally lower compared to stronger estrogens.
CONTRAINDICATIONS:
Contraindications include a history of estrogen-sensitive cancers, liver disease, or thromboembolic disorders. It should not be used during pregnancy.
FDA Data Safety Sheet: Not available
Progesterone (Oral)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Oral Progesterone is used to balance estrogen therapy in hormone replacement, reduce the risk of endometrial hyperplasia, and alleviate symptoms of hormonal imbalance.
MECHANISM OF ACTION:
Progesterone stabilizes the uterine lining and counteracts the effects of estrogen on the endometrium. It also supports mood regulation and sleep quality.
COMMON SIDE EFFECTS:
Common side effects may include dizziness, fatigue, mood changes, and headaches. It may also cause gastrointestinal discomfort.
CONTRAINDICATIONS:
Contraindications include a history of hormone-sensitive cancers, liver disease, or unexplained vaginal bleeding. It should not be used during pregnancy.
Progesterone Cream
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Topical Progesterone is used to support hormone balance in menopausal women and reduce symptoms like hot flashes and mood swings.
MECHANISM OF ACTION:
Applied to the skin, Progesterone helps balance the effects of estrogen on the body, supporting hormonal equilibrium and providing relief from menopause-related symptoms.
COMMON SIDE EFFECTS:
Side effects may include skin irritation, dizziness, or mood changes. Long-term use requires monitoring to avoid hormone imbalances.
CONTRAINDICATIONS:
It is contraindicated in women with hormone-sensitive cancers or severe liver disease. It should not be used during pregnancy.
FDA Data Safety Sheet: Not available for topical use
Progesterone Vaginal Suppository
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Intravaginal Progesterone is used to treat infertility, support early pregnancy, and in hormone replacement therapy for menopausal women.
MECHANISM OF ACTION:
Delivered directly to the vaginal mucosa, Progesterone supports the uterine lining, maintaining conditions necessary for embryo implantation and pregnancy. It also balances estrogen therapy in HRT.
COMMON SIDE EFFECTS:
Side effects may include vaginal irritation, discharge, headaches, or mood swings. It may also cause dizziness.
CONTRAINDICATIONS:
Contraindications include known hormone-sensitive cancers, unexplained vaginal bleeding, or severe liver disease.
Testosterone (Oral)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Testosterone tablets or troches are used in hormone replacement therapy to improve symptoms associated with low testosterone in women, such as low libido, fatigue, and decreased muscle mass.
MECHANISM OF ACTION:
Orally or sublingually administered Testosterone increases androgen levels, which supports sexual health, energy, and muscle maintenance. It helps alleviate symptoms associated with low androgen levels in women.
COMMON SIDE EFFECTS:
Side effects may include acne, voice changes, mood swings, increased body hair growth, or fluid retention. In some cases, it may cause changes in cholesterol levels.
CONTRAINDICATIONS:
Contraindications include a history of hormone-sensitive cancers (e.g., breast cancer), severe liver or cardiovascular disease, and known hypersensitivity to testosterone. It should not be used during pregnancy.
FDA Data Safety Sheet for Testosterone
Testosterone (Topical Cream)
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Testosterone topical cream is used for hormone replacement in women with low testosterone levels, aiming to improve libido, energy, mood, and muscle strength.
MECHANISM OF ACTION:
The topical application of Testosterone is absorbed through the skin, allowing for a gradual release of the hormone into the bloodstream. This supports increased androgen levels while providing a more stable dosing method.
COMMON SIDE EFFECTS:
Common side effects include localized skin irritation, acne, increased hair growth, mood changes, and potential changes in voice. There may also be a risk of transferring the hormone to others through skin contact.
CONTRAINDICATIONS:
It is contraindicated in individuals with hormone-sensitive cancers, severe liver disease, and cardiovascular conditions. It should not be used during pregnancy or breastfeeding.
FDA Data Safety Sheet: Not available for topical use (refer to Testosterone)
Testosterone Cypionate
FORMULATIONS & COST:
| AMOUNT | COST |
|---|---|
INDICATIONS AND USAGE:
Testosterone Cypionate is used in women for hormone replacement therapy to improve libido, energy levels, and muscle mass, particularly in cases of androgen deficiency.
MECHANISM OF ACTION:
Testosterone supplementation helps restore androgen levels, supporting sexual health, muscle strength, and overall vitality.
COMMON SIDE EFFECTS:
Side effects may include increased body hair, acne, mood changes, or changes in voice. High doses may exacerbate hormone-sensitive conditions.
CONTRAINDICATIONS:
It is contraindicated in women with hormone-sensitive cancers, severe liver disease, or cardiovascular conditions.
One of my core memories is standing in front of a mirror at 14 and promising I wouldn’t end up like adults I saw trying–and failing–to get down to a healthy weight and stay there.
Well, as it turns out…
Getting and staying healthy and fit in our modern Western world is not so easy! In fact, for most people–even if you know how–it is really, really hard.
Exercising is hard, knowing how-when-and-what-the-heck-can-I-even-eat is hard, getting enough sleep and drinking enough water is hard, saying no to hyper-palatable, endlessly available, addictive junk food and drink is hard, not using drugs or alcohol is hard, “finding the time” is hard, dealing with stress is hard, fighting bad genes, injuries, and pain is hard!
Sometimes it all just feels darn near impossible.
And yet. It IS possible. And it is SO important to try.
As an Emergency Medicine doctor, a good portion of my days are spent in the Emergency Department taking care of people with complications from chronic diseases.
High blood pressure. High cholesterol. Obesity. Diabetes. Coronary Artery Disease. Congestive Heart Failure. Stroke. Emphysema. Cancer. Peripheral Vascular Disease.
Patients who can’t walk, or can’t move, or can’t move, or can’t breathe. Patients who have lost–or are losing–the ability to enjoy their work, their families, and their hobbies. Patients whose every day efforts are spent simply staying alive.
This is the natural end point of our culture, diet, and lifestyle in the United States. These conditions cause immense suffering.
I have dedicated my life to learning how to keep people from getting to that point. The tragedy (and the ray of hope) is that in nearly all cases, these diseases can be prevented! And many times, reversed!
But how?!
It hasn’t been easy for me. I have had many successes and many failures along the way.
I’ve been at <8% body fat as a finely tuned competitive athlete and ballroom and latin dancer. I’ve ALSO been >40% body fat, wearing XXL scrubs as a medical resident working 100+ hours a week, while trying to keep my family life afloat, with exercising and eating healthy entirely absent from my life–and feeling like the challenges were insurmountable.
I’ve struggled through injuries and chronic pain that made exercising feel impossible. I’ve battled binge eating, excessive exercise, and have struggled at times not to succumb to our culture’s over-emphasis of aesthetics over real, sustained, meaningful health.
I’ve had to separate the good from the nonsense when it comes to the endless flood of questionable nutrition and exercise advice. I haven’t done it on my own, either–I’ve needed lots of help along the way.
I now have the wisdom, knowledge, experience, and the plan to help anyone who is willing to get, and stay, healthy and fit.
I combine my expertise with a wide variety of cutting-edge treatments to maximize your health and wellness. At Recess Rx we offer everything from obesity treatments to peptide therapy to hormone replacement therapy, and everything in between. We also always address the root causes of disease and focus on fixing the lifestyle factors that got you in an unhealthy place in the first place.
It might not be easy for you, either. But it can be done. I started Recess Rx to help make the impossible possible for anyone willing to try.
Will you join me? We can do it together!