NAD+
NAD+ is a coenzyme found in every cell and involved in how cells make energy. Clinicians may discuss several forms, including injection, on a case-by-case basis.
Tired of being tired?
Start with labs, sleep and food. A licensed clinician reads the whole picture, and peptides come up only if they fit and only after the basics.
A licensed clinician decides eligibility for every treatment on this page. Peptide therapy is clinician-guided, where appropriate, and evidence is still emerging. Compounded medications are not FDA-approved.
Energy check-in
Better than Monday
Sleep
7h 42m
Sample member, illustrative data.
Pick the thing that bugs you most.
Each starts with questions and labs, not a product. A clinician looks for causes first and recommends only what fits.
Included with Glow, and a Starter member can add any of them after clinician review.
Energy: find the cause before the fix.
Feeling flat for weeks is worth a conversation. A clinician looks at sleep, food, mood and a short list of labs before anyone suggests anything else.
What we look at
- Sleep schedule and quality
- Iron (ferritin), B12 and vitamin D
- Thyroid (TSH) and blood sugar
- Caffeine and alcohol patterns
What a clinician may consider
- Treating what labs show
- A sleep and meal plan
- A movement plan you will keep
- A referral if you need in-person care
Bedtime consistencyWithin 30 min, 5 of 7 nights
Wind-downScreens off 40 min before bed
Sample member, illustrative data.
Sleep: a routine first, a conversation second.
Most sleep plans begin with timing, light and caffeine. If something else is going on, such as loud snoring or long pauses in breathing, a clinician will say so and refer you on.
What we look at
- Bedtime and wake-up consistency
- Light, screens and caffeine timing
- Snoring and breathing questions
- Mood and stress
What a clinician may consider
- A wind-down routine and sleep window
- Behavioral approaches for insomnia
- A sleep study referral when signs point to it
- A medication conversation, only if appropriate
MorningGentle cleanser · moisturizer · sunscreen
EveningCleanser · treatment your clinician picks
Sample routine tracker, 5 of 7 days. Photos stay private between you and your clinician.
Skin: fewer products, a clear plan.
Share photos in the app and answer a few questions. A clinician reviews them, simplifies your routine and decides whether a prescription option makes sense.
What we look at
- Breakouts, redness and dryness
- Your current products
- Cycle and medication history
- Photos over several weeks
What a clinician may consider
- A simpler routine
- Prescription topicals, when appropriate
- Labs when a pattern suggests it
- An in-person dermatology referral
Gut: log it, then look for patterns.
Two weeks of meals and symptoms usually tell more than a guess. A clinician reads the log, orders labs if it makes sense, and avoids cutting out whole food groups without a reason.
What we look at
- Meals, timing and symptoms
- Stress and sleep links
- Iron, B12 and vitamin D
- A celiac screen when appropriate
What a clinician may consider
- Fiber and meal-timing changes
- Guided elimination, never a blanket diet
- A dietitian session
- An in-person referral for red flags
Blood in stool, unexplained weight loss or severe pain need in-person care. Do not wait for a message reply.
Sleep window planner.
Tell us when you have to be up. We work backwards in 90-minute cycles, the rough length of one pass through the sleep stages.
Aim to be asleep by
11:15pm
Lights out 11:00 pmUp 7:00 am
- Start winding down
- 10:15 pm
- Last caffeine around
- 3:00 pm
General education, not medical advice. It takes most people about 15 minutes to fall asleep, so lights out is set 15 minutes before the target. Sleep needs vary, and a clinician can look at your own pattern.
Talk to a clinician about sleep ↗Peptides, with the evidence in plain sight.
Peptide therapy is clinician-guided, where appropriate, and the evidence is still emerging. We start with labs and a history review, and eligibility is always a licensed clinician's decision.
Clinician-guided, where appropriate, evidence still emerging
Sermorelin
Sermorelin is a synthetic analog of growth hormone-releasing hormone. Clinicians consider it for select patients, and dose and schedule are set individually after labs.
What is reasonable to say
- These are discussed one person at a time
- Labs and history come first, every time
- Sleep, food and movement come before any peptide
- A clinician may say not now, or no
What is still unknown
- How well these work for the goals people often hope for
- Long-term safety across different people
- Whether results seen in studies carry over to everyday use
- Which products are of consistent quality, since compounded ones are not FDA-approved
- AssessmentYou tell us your goals and history.
- Labs and reviewA clinician checks the basics first.
- The evidence, plainlyWhat is known, what is not, and the risks.
- A clinician decidesYes, not yet or no, and every answer is fine.
Dr. Martin Cole, MDIntegrative medicine. Walks members through what is known and unknown.
Kit about $79 to $149
Labs without the lab.
When a clinician orders a kit, it ships to your door. A few tests need a quick draw at a partner lab, and your clinician tells you which. Every result is reviewed by a person, not just pushed to an app.
- 1A clinician orders itOnly when it makes sense for your questions.Day 0
- 2Collect at homeA small sample, and instructions that fit on one card.Day 2 to 4
- 3Mail it backPrepaid box, no label to print.Same day
- 4Read and discussPlain-language notes, and a message from your clinician.3 to 5 days
Hormone-aware, never hormone-obsessed.
Cycles, skin and energy are connected, and sometimes labs explain a pattern. These are conversations a clinician leads, not boxes to tick.
Cycle questions
Irregular, painful or missing periods get a proper history and, when appropriate, labs. Tracking in the app makes the visit shorter.
A clinician decidesThyroid and energy
Thyroid labs are one of the first things we check when tiredness lingers. Results are reviewed with you, not just flagged.
A clinician decidesBreakouts and hormones
For persistent breakouts, a clinician may look at cycle patterns and order hormone labs alongside a skin plan.
A clinician decidesPriya Shah, NPWomen's health. Leads cycle, skin and hormone-aware check-ins with physician oversight.
Who this may not be right for.
Some care carries real risks for some people. These are common reasons a clinician may decline or pause a treatment, and a clinician may decline even when none of them applies.
- Pregnant, trying to conceive or breastfeeding
- Under 18
- A current or past cancer diagnosis that has not been cleared with your own doctor
- Taking medications that could interact, which your clinician reviews with you
- Symptoms that need an in-person exam first
Included with Glow
Everything on this page, one membership.
$129/mo
Home lab kits are billed separately, about $79 to $149 each. Medication, if a clinician prescribes it, is billed by the pharmacy.
- Energy, sleep, skin and gut programs with a clinician
- Quarterly lab review and a video visit
- Peptide evaluation, clinician-guided where appropriate (evidence still emerging)
- Nutrition coaching chat
- Sleep and energy tracking in the app
Common questions.
Not here? Ask in the assessment, and a clinician answers before you commit.
Compounded versions are not FDA-approved, and the FDA has not evaluated their safety, effectiveness or quality. Your clinician explains the specifics for anything they suggest, including the risks.
We cannot say that. Evidence is still emerging, results vary, and the basics of sleep, food, movement and labs come first. A clinician may recommend a peptide only if it fits, and may decline.
Yes. Most members never discuss peptides. Labs, sleep and habit coaching are the core of every plan.
Some decisions need one, and a clinician tells you when. Many check-ins happen by message, which is easier on a busy week.
Take the six-minute assessment. A licensed clinician reviews it, usually within a business day, and tells you what they recommend and why.
Important safety information
Compounded medications are not FDA-approved
Compounded products are prepared by a compounding pharmacy for an individual patient 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. We make no efficacy claims.
Before any treatment
- Tell your clinician every medicine and supplement you take
- Share your full medical and family history
- Expect labs first, and repeat labs if a plan continues
Possible side effects
These depend on the specific product and person, such as redness or soreness where an injection was given. Your clinician reviews the risks for anything they recommend, and you should report new symptoms right away.
Pregnancy
Not recommended during pregnancy or breastfeeding. Tell your clinician if you are pregnant or planning to be.
Results vary
Individual results vary, and no outcome can be promised. A licensed clinician decides eligibility and may decline a request. For severe symptoms, seek emergency care.
This page describes a fictional sample practice and is not medical advice.
Start with a question. Leave with a plan.
The assessment takes about six minutes, and a licensed clinician reads every answer.
