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Formulary

Every medication we prescribe — fully disclosed.

Compounded by licensed Massachusetts pharmacies. Prescribed only after labs and a physician video visit. Pricing is published with each medication once your treatment plan is set.

Prescription only MA residents 21+ EPCS / Ryan Haight

Foundation therapy

The base of every protocol.

Esterified testosterone is what TRT actually is. Everything else is an adjunct. The choice between cypionate and enanthate is supply-driven, not clinical.

Foundation therapy Tier 1 Testosterone Cypionate 200 mg/mL injection vial

Testosterone Cypionate

  • 200 mg/mL
  • 10 mL multi-dose vial
  • IM or SubQ

Our default. The single best-evidenced TRT modality for steady serum levels, predictable trough-to-peak, and durable symptomatic response. Long ester (~8-day half-life) means once- or twice-weekly dosing — no daily ritual, no patches, no rollercoaster.

  • Restores energy, libido, mood, and morning erections in confirmed hypogonadism
  • Improves lean mass, strength output, and recovery between training sessions
  • Stable trough levels reduce the highs/lows seen with gels or short-ester protocols
  • Backed by Endocrine Society 2018, AUA 2018, and TRAVERSE (NEJM 2023) cardiovascular safety data
Pricing published in your treatment plan
Alternate ester Tier 1 Testosterone Enanthate 200 mg/mL injection vial

Testosterone Enanthate

  • 200 mg/mL
  • 10 mL multi-dose vial
  • IM or SubQ

A clinically equivalent alternative to cypionate with a near-identical pharmacokinetic profile. Prescribed when supply favors enanthate at our compounding pharmacy or when a patient has a documented preference.

  • Same indications, dosing cadence, and outcomes as cypionate
  • Slightly shorter half-life (~7 days) — some patients prefer the trough profile
  • Interchangeable mid-cycle without a washout period
Pricing published in your treatment plan
HPG-axis & fertility adjuncts

Built for men who aren't done having kids.

Exogenous testosterone shuts down the testes. We co-prescribe — or in selected cases prescribe instead — to keep the HPG axis online when fertility, testicular volume, or natural production matter.

Fertility-aware Tier 1 HCG 5000 IU injection vial

HCG (Human Chorionic Gonadotropin)

  • 5,000 IU lyophilized
  • 10 mL multi-dose vial
  • Subcutaneous

Mimics LH at the testes. Co-prescribed with TRT to preserve testicular volume, intratesticular testosterone, and fertility — especially important for men under 45 or planning future children.

  • Maintains spermatogenesis during exogenous testosterone therapy
  • Prevents the testicular atrophy commonly seen on TRT alone
  • Supports baseline mood and libido contributions from the testes
  • Twice-weekly subcutaneous protocol; pairs cleanly with weekly testosterone
Pricing published in your treatment plan
Oral SERM · monotherapy option Tier 1 Enclomiphene 12.5 mg capsules bottle

Enclomiphene (citrate, 12.5 mg)

  • 12.5 mg per capsule
  • 60 capsules per bottle
  • Oral · daily or every-other-day

The pure trans-isomer of clomiphene — a selective estrogen receptor modulator that blocks negative feedback at the hypothalamus, raising LH and FSH so the testes produce your own testosterone. The oral, fertility-sparing alternative for men with intact testicular function.

  • Raises endogenous testosterone (often 100–200% over baseline) without exogenous hormone
  • Preserves spermatogenesis, testicular size, and natural pulsatile production
  • Free from the estrogenic side-effect profile that limits older clomiphene
  • Considered for younger men with secondary hypogonadism, planning fathers, or men who want a trial before committing to TRT
Pricing published in your treatment plan
Growth & longevity peptides

Endogenous GH, intelligently restored.

Secretagogues and analogs that work with the body's pulse, not against it. Prescribed selectively and only after labs justify the addition.

GH secretagogue Tier 1 Sermorelin 15 mg injection vial

Sermorelin

  • 15 mg total
  • 6 mL vial (2.5 mg/mL)
  • Subcutaneous · preservative-free

A synthetic GHRH analog that prompts your pituitary to release its own growth hormone in physiologic pulses. Restores the natural rhythm of GH secretion that declines with age — without the supraphysiologic spikes of exogenous HGH.

  • Deeper, more restorative slow-wave sleep
  • Improved recovery, body composition, and skin/connective-tissue quality
  • Pulse-based release preserves the negative-feedback loop — safer profile than rHGH
  • Nightly subcutaneous protocol, typically 5 nights on / 2 off
Pricing published in your treatment plan
Combination peptide Tier 1 Ipamorelin 6 mg + CJC-1295 6 mg combination injection vial

Ipamorelin + CJC-1295

  • 6 mg + 6 mg (12 mg)
  • 6 mL vial (2 mg/mL)
  • Subcutaneous · preservative-free

Two complementary GH secretagogues in a single shot. CJC-1295 (a long-acting GHRH analog) raises the baseline; Ipamorelin (a selective ghrelin/GHS-R agonist) drives a clean GH pulse without lifting cortisol or prolactin.

  • Stronger, more sustained GH/IGF-1 elevation than either peptide alone
  • Selective pulse — minimal effect on appetite, cortisol, or prolactin
  • Improved sleep architecture, fat oxidation, and recovery
  • Convenient single-injection alternative to running both peptides separately
Pricing published in your treatment plan
Visceral fat targeted Tier 1 Tesamorelin 12 mg injection vial

Tesamorelin

  • 12 mg total
  • 6 mL vial (2 mg/mL)
  • Subcutaneous · preservative-free

A stabilized GHRH analog with the strongest clinical evidence of any peptide for reducing visceral adipose tissue (VAT) — the metabolically active belly fat that drives insulin resistance and cardiovascular risk.

  • Documented VAT reduction in randomized clinical trials (FDA-approved for HIV-associated lipodystrophy)
  • Improves triglycerides, waist circumference, and metabolic markers
  • Raises IGF-1 with a relatively clean side-effect profile
  • Prescribed off-label for adult patients with stubborn central adiposity despite training and TRT
Pricing published in your treatment plan
Anabolic signaling Tier 1 IGF-1 LR3 600 mcg injection vial

IGF-1 LR3

  • 600 mcg
  • 6 mL vial (100 mcg/mL)
  • Subcutaneous

A long-acting analog of insulin-like growth factor 1 — the downstream mediator of most of growth hormone's anabolic effects. Where GH secretagogues raise IGF-1 indirectly, LR3 supplies it directly with an extended half-life.

  • Direct anabolic and recovery support — muscle protein synthesis and tissue repair
  • Useful in carefully selected, lab-monitored patients targeting recomposition or injury recovery
  • Half-life of ~20-30 hours allows once-daily dosing
  • Reserved for patients with stable labs, normal fasting glucose, and no contraindicating history
Pricing published in your treatment plan
Recovery & tissue repair

The substrate of energy and repair.

Adjuncts that work upstream of the symptoms most men chase — cellular energy, antioxidant defense, and tissue healing. Useful additions to a protocol, not replacements for core therapy.

Cellular energy Tier 1 NAD+ 1000 mg injection vial

NAD+

  • 1,000 mg
  • 10 mL vial (100 mg/mL)
  • IV or Subcutaneous

Nicotinamide adenine dinucleotide — the electron-shuttle coenzyme every mitochondrion in your body needs to produce ATP. Levels decline measurably with age. Direct injection bypasses the absorption losses of oral NAD precursors.

  • Mitochondrial efficiency and cellular ATP production
  • Substrate for sirtuins (SIRT1/SIRT3) and PARP DNA-repair pathways
  • Reported improvements in mental clarity, energy, and exercise tolerance
  • Available as IV (clinic-administered) or self-injection subQ protocols
Pricing published in your treatment plan
Master antioxidant Tier 1 Glutathione 200 mg/mL injection vial

Glutathione

  • 200 mg/mL
  • 10 mL vial (2,000 mg)
  • IV or IM

The body's primary endogenous antioxidant and a rate-limiting cofactor for hepatic Phase II detoxification. Oral glutathione is largely degraded in the gut; injection delivers it intact at therapeutic levels.

  • Supports liver detoxification and oxidative-stress recovery
  • Quenches reactive oxygen species generated by training, stress, and inflammation
  • Often paired with NAD+ in recovery protocols
  • Patients commonly report skin clarity, post-workout recovery, and reduced fatigue
Pricing published in your treatment plan
Tissue repair peptide Tier 1 BPC-157 10 mg injectable peptide vial

BPC-157 (Body Protection Compound-157)

  • 10 mg per vial
  • Lyophilized · reconstituted on-site
  • Subcutaneous · localized or systemic

A synthetic pentadecapeptide derived from a protective protein found in gastric juice. Studied for its role in angiogenesis, growth-factor signaling, and connective-tissue regeneration — particularly tendon, ligament, and gut lining.

  • Accelerated soft-tissue recovery — tendon, ligament, and muscle
  • Supports gut-barrier integrity and modulates inflammation
  • Short-cycle protocols (typically 4–8 weeks) tied to a specific recovery goal
  • Off-label, compounded by our licensed MA pharmacy; not a long-term daily peptide
Pricing published in your treatment plan

Ready to see what's appropriate for you?

Eligibility, labs, and a physician visit determine which medications — if any — are right. We never prescribe what you don't need.

Check eligibility

Important. All medications listed are prescription-only and dispensed solely after a documented physician video visit, baseline labs, and a determination of medical necessity. We do not ship to non-MA residents. Off-label prescribing is performed only when clinically appropriate and consented to in writing. FDA 2025 black-box warnings apply where indicated.