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

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.

GLP-1 F.A.Q.

PEPTIDE THERAPY

Accelerate recovery, reduce inflammation, and much more.

Get back in the game with one of our cutting-edge peptide options.

Peptides F.A.Q.

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.

H.R.T. F.A.Q.

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.

Order Lab Testing

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.

About The Doc

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.

See All Meds

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

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

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

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

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

PEPTIDES

PEPTIDES

INJECTABLES

GLP-1 PEPTIDES

GLP-1/GIP PEPTIDES

OTHER INJECTABLES

OTHER MEDICATIONS

  • Phentermine
    • Orally administered appetite suppressant used to support weight loss.

INJECTABLE

ORAL

TOPICAL

VAGINAL

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

GLP-1 FAQ

Recess Rx
Recess Rx

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:

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.