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Weight care Nutrition & peptides Care team Pricing FAQ
Nutrition coaching · clinician-guided peptides

Eat well. Feel steady.

Coaching that fits your kitchen and your budget, plus an honest conversation about peptides: clinician-guided where appropriate, with the evidence still emerging.

A licensed clinician decides eligibility for every treatment on this page. Compounded medications are not FDA-approved.

Overhead view of a bowl with roasted salmon, quinoa, avocado, greens and orange slices on a light table
Today's protein
92 of 110 g
Sample day
Grocery list
Ready for the week
  • Salmon
  • Quinoa
  • Leafy greens
Nutrition coaching

No banned foods. Just a plan that works for your week.

Your coach, Hana Okafor RD, builds around the food you already like. Coaching is included with Plus and Plan for two, and it works whether or not medication is part of your plan.

Protein first

Protein at each meal helps you feel full and supports your muscles. Your coach sets a daily range from your weight, activity and health history.

For example: eggs and fruit at breakfast, beans or chicken at lunch.

Fiber and color

Vegetables, beans and whole grains keep digestion moving and meals satisfying. We aim for half the plate, in whatever colors you will actually eat.

For example: a salad on the side, or roasted vegetables in a bowl.

Fluids and timing

Steady water, smaller meals and a calm pace help when appetite changes. Your coach adjusts timing around your work and your family.

For example: a bottle by your desk, dinner a little earlier.

Plate builder

Build a plate and see what is on it.

Pick a protein, a base and a vegetable. The numbers are rounded, general estimates, and your coach sets your real targets. Nothing leaves your browser.

Protein
Base
Vegetable
Cooking for

Protein, about

25g

Fiber, about

9g
Shopping list for three dinners

    Rounded estimates for illustration. People with kidney disease or other conditions should follow their clinician's guidance on protein.

    A couple laughing while cooking a colorful vegetable dinner together in a bright kitchen
    A week with your coach

    One shopping list. Two people. Less to think about.

    With Plan for two, your coach plans the same week for both of you, so you cook once and eat well together. Each of you still has your own clinician review and your own targets.

    MonPlan and list
    TueCoach call
    WedCook once
    ThuDose day*
    FriCheck-in
    SatWalk
    SunPrep

    *Only if a clinician has prescribed a weekly medicine.

    • Shared grocery lists scaled for two
    • Meal ideas that work for different appetites
    • Coaching sessions together or one-on-one
    Clinician-guided peptides

    An honest look at peptides.

    Peptides are short chains of amino acids, and some people ask about them for sleep, energy or recovery. We discuss them only where a clinician finds it appropriate, and we are upfront that the evidence is still emerging.

    Where the evidence stands

    A plain-language scale, not a rating of any product.

    For the peptides discussed on this page, human evidence is still emerging. Your clinician will tell you what is known and what is not, and this page makes no efficacy claims.

    Sermorelin

    Clinician-guided, where appropriate, evidence still emerging

    Sermorelin is a synthetic analog of growth hormone-releasing hormone. It is studied for how it acts on the body's own growth hormone signaling. A clinician may consider it for select adults after labs and a history review, and dose and schedule are set individually.

    Form
    Injectable, prescribed by dose and schedule
    Compounded
    Compounded versions are not FDA-approved.
    Claims
    This page makes no efficacy claims for sermorelin.

    NAD+

    Clinician-guided, where appropriate, evidence still emerging

    NAD+ is a coenzyme found in every cell and involved in energy metabolism. Clinicians offer it in several forms, including injection and infusion, and consider each person on their own medical facts.

    Form
    Injection or infusion, set by the clinician
    Compounded
    Compounded versions are not FDA-approved.
    Claims
    This page makes no efficacy claims for NAD+.

    Every peptide is prescribed by a licensed clinician and prepared by a licensed pharmacy. Peptides are not a substitute for sleep, nutrition, movement or a plan your clinician has already prescribed.

    1. 1

      History first

      Your clinician reviews your medications, conditions and goals before anything else.

    2. 2

      Labs, if needed

      Baseline labs are ordered when they would change the conversation.

    3. 3

      Options and evidence

      You hear what is known, what is not, and the other things worth trying first.

    4. 4

      Your decision

      If a clinician finds it appropriate and you want to proceed, follow-up is scheduled.

    Before your conversation

    Bring these and the visit goes further.

    A short checklist for people who want to talk about peptides. It is not a screening test, and checking every box does not decide eligibility.

    0 of 6 ready

    Labs

    Labs come before the big decisions.

    A baseline panel gives your clinician numbers to work with. Follow-up draws check that a plan is working. Lab panels are billed separately at partner-lab rates, about $79 to $189 per panel.

    Metabolic Core

    • Fasting glucose Fasting
    • HbA1c Any time
    • Lipid panel Fasting
    • Comprehensive metabolic panel Fasting

    Thyroid and hormones Core

    • TSH and free T4 Morning
    • Total testosterone Morning
    • Estradiol If indicated
    • Vitamin D Any time

    Blood and nutrients Core

    • CBC Any time
    • Ferritin Any time
    • Vitamin B12 Any time
    • Magnesium Any time
    Fit

    Who this may not be right for.

    Peptide and medication care carries real risks for some people. These are common reasons a clinician may decline or pause treatment.

    A licensed clinician decides eligibility, and may decline even when nothing on this list applies to you.

    • Pregnant, trying to conceive or breastfeeding
    • A current or past cancer diagnosis, or a strong family history
    • Uncontrolled high blood pressure, diabetes or thyroid disease
    • Taking medicines that could interact
    • Under 18
    Pricing

    Coaching is part of Plus: $199 a month.

    Nutrition coaching and a peptide conversation, where a clinician finds it appropriate, are included in Plus and Plan for two.

    See all plans ↗
    Plus

    Coaching and clinician care

    $199/mo

    • Bi-weekly nutrition coaching with Hana Okafor RD
    • Peptide consult with a clinician, when appropriate
    • Baseline labs reviewed by your clinician
    • Unlimited messaging with your care team
    FAQ

    Common questions.

    Compounded peptides are not FDA-approved. A clinician decides whether a compounded option is appropriate for you, and we tell you in writing where a product comes from and which pharmacy prepares it.

    For the peptides on this page, human evidence is still emerging, and no clinician can promise an outcome. We do not make efficacy claims. Your clinician will explain what has been studied and what has not.

    It helps. Sleep, nutrition and movement usually come first, and your clinician will ask about them. Coaching is included with Plus and Plan for two.

    Yes. Many members use coaching and labs on their own. Medication or peptides are only part of a plan if a licensed clinician decides they are appropriate and you want them.

    Begin the assessment. A licensed clinician reviews it, and your coach reaches out to set up your first plan. Anything else is decided with you, one step at a time.

    Important Safety Information

    Some Tidewell members also use GLP-1 medicines (semaglutide or tirzepatide). The safety information for those medicines is below.

    Boxed warning: risk of thyroid C-cell tumors

    GLP-1 medicines such as semaglutide and tirzepatide caused thyroid C-cell tumors in rodents. It is not known whether they cause these tumors, including medullary thyroid carcinoma (MTC), in people. Do not use if you or a family member has had MTC, or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your clinician right away about a neck lump, hoarseness, trouble swallowing or shortness of breath.

    Common side effects

    • Nausea, vomiting and diarrhea
    • Constipation and stomach pain
    • Reduced appetite and tiredness

    Serious risks

    • Pancreatitis (severe, lasting stomach pain)
    • Gallbladder problems
    • Low blood sugar, especially with some diabetes medicines
    • Kidney problems, often after dehydration
    • Serious allergic reactions

    Pregnancy

    Not for use in pregnancy. Tell your clinician if you are pregnant, planning to become pregnant or breastfeeding.

    Results vary

    Medication is for adults, is used with nutrition and activity, and is prescribed only when a licensed clinician decides it is appropriate. Results vary from person to person.

    Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality. Peptide therapy is clinician-guided where appropriate, and evidence is still emerging. This page describes a fictional sample practice and is not medical advice.

    Start with a plate. Take it from there.

    Take the six-minute assessment and meet your coach. A licensed clinician reviews everything before any treatment is discussed.

    Sample form: it runs in your browser and nothing is sent.