Frequently Asked Questions

At AgelessRx, we strive for excellent service with a passion for your health. You are free to cancel, postpone, or pause your subscription at any time (and for any reason) prior to your next refill date. If at all possible, we kindly ask for a minimum of 48 hours notice before your next order is set to process.

AgelessRx cannot guarantee refunds for any cancellation requests received after our pharmacy partner has received your order. Furthermore, AgelessRx does not accept returns nor can we offer any refunds for any prescription product once it has left our pharmacy partner.

If you experience any issues with your shipment, or are dissatisfied with your product, please contact your care team within 30 days following your order fulfillment. We will be happy to review your request.

Yes, shipping is included on all the subscription products.

HSA/FSA cards may be accepted as payment at AgelessRx. If you would like to try using your HSA or FSA card for an order, simply enter your card information at checkout as you would any other card. 

Read more about using HSA/FSA funds before getting started. Please note that AgelessRx products and services are not eligible for direct insurance coverage or reimbursement.

Yes, we currently service every US state, but certain treatments may not be available in all states. Some treatments, such as cold-shipped injectables, cannot be reliably shipped to noncontiguous states like Alaska or Hawaii, while other treatments are restricted by regional law.

You can find the state-specific availability for each individual treatment underneath the “Get started” button on the treatment page. If you find that a particular treatment is not available in your state, our expert team can help you find an alternative that’s right for you.

No, our medical providers are only licensed to service people within the United States.

While we would love to support our members worldwide, at this time, we are only able to support people living in and residing at a US-based residential address.

Injections have better bioavailability than oral supplements as they bypass the digestive system completely, providing a direct supply of B12 into the bloodstream to fuel your body. Oral supplements might work for some, however, as we age, our ability to break down oral supplements often decreases.

The most common side effect of B12 injections is irritation at the injection site. If this occurs, consider changing placement on the body, or talk with your provider about using injections less often.

Rarer side effects may include headache, flushing, anxiety or jitteriness, and acne.

Do not use B12 injections if you are currently pregnant, breastfeeding or plan to become pregnant or breastfeed.

B12/MIC provides the same great vitamin supplementation as B12 injections, but with a few added benefits. MIC (methionine, inositol, and choline) is a blend of lipotropic compounds that support fat metabolism. When combined with MIC, the metabolism-supporting principles of the injection are amplified, enhancing the body’s ability to break through weight loss stagnation.

Most side effects of B12/MIC are generally mild in nature and dissipate within a short time frame following administration. Common side effects may include pain, redness or itching at the injection site. You may also experience occasional GI upset, headache, flushing, or jitteriness.

If irritation continues to occur, apply an over-the-counter itch cream, or talk to your provider if symptoms persist for several weeks or become intolerable.

Every body is different. Depending on your weight loss goals, lifestyle choices, and any underlying medical conditions, the results you see on the scale may vary. B12/MIC should be used in combination with diet and exercise to maximize results.

All B12/MIC injections are only available as intramuscular injections.

Subcutaneous injections deliver medication into the layer of tissue just below the skin, while intramuscular injections go one layer deeper, directly into the muscle.

Subcutaneous B12/MIC injections may be associated with an increased risk for irritations and reactions at the injection site. As such, our pharmacy partners only provide standard intramuscular injections.

Methylene Blue belongs to a class of medications known as oxidation-reduction agents. It is a metabolic enhancer with antioxidant, antimicrobial, and neuroprotective properties, considered the first synthetic drug used in medicine. 

Methylene Blue is FDA-approved for the treatment of methemoglobinemia, a rare blood disorder. A growing body of research also suggests it may support mitochondrial function, reduce oxidative stress, and enhance cognitive performance, including focus and healthy brain aging.

Methylene Blue has been studied for its potential to support healthy aging and cognitive function, with a wide range of potential longevity benefits.

For cognitive support and memory enhancement, Methylene Blue may help maintain brain health by improving memory, focus, and overall cognitive function. Methylene Blue also enhances mitochondrial efficiency and increases ATP production, which may improve energy while reducing fatigue and brain fog. Methylene Blue also offers anti-inflammatory support, regulating inflammatory pathways that cause inflammation in the brain by reducing cellular stress from mitochondrial dysfunction. Through neuroprotection and healthy brain aging, Methylene Blue may slow cognitive decline by improving mitochondrial function and enhancing blood flow to the brain, helping protect against age-related diseases.

Methylene Blue is both fat soluble and water soluble, allowing it to cross the blood-brain barrier and freely enter cells and inner structures, including mitochondria. Our mitochondria produce ATP, which acts as fuel for the brain to repair, grow, and keep you operating at optimal energy.

But part of what makes Methylene Blue unique is that research suggests it may help restore damaged mitochondria. When Methylene Blue gets into damaged mitochondria, it optimizes the movement of electrons, increases ATP production in the mitochondria, and reduces oxidative stress, giving our neurons plenty of energy to keep everything tip-top in the brain.

The result is that Methylene Blue may support cognitive health while helping to support mitochondrial energy and cellular health and reduce age-related damage from free radicals.

The most common side effects of Methylene Blue include blue urine, nausea, vomiting, stomach pain, diarrhea, and loss of appetite.

Blue urine is a normal reaction to Methylene Blue and is not cause for concern. If you notice that your urine is blue after taking Methylene Blue, wait until your urine clears before taking another dose. Feces, saliva, and sweat may also be temporarily discolored with a blue tint. Most people clear the medication from their system within 4-6 hours, or up to 24 hours.

Most side effects are mild and go away on their own within a week or two. Taking Methylene Blue with a full glass of water and a meal may help minimize the chances of side effects.

Some people may also notice anxiety or insomnia, mild urinary irritation, or hypersensitivity to UV (sun) exposure. To minimize the risk of these side effects, take Methylene Blue in the morning, drink plenty of water, and be mindful when spending time outside, especially during peak sun hours.

Methylene Blue should not be used by those with G6PD sensitivity. People who have or are at risk of renal dysfunction should check with their provider to see if taking Methylene Blue is safe and appropriate.

If you are currently taking antidepressants like SSRIs or MAOIs, you should not use Methylene Blue. This includes Trazodone, a mild SARI (serotonin antagonist and reuptake inhibitor) that may interact with Methylene Blue. Please inform your provider of all medications you are taking, including supplements and over-the-counter medications. For a full list of Methylene Blue side effects, please review the Mayo Clinic’s Methylene Blue resources.

Methylene Blue is not recommended for people under 18 years old or for people with kidney, liver, or cardiovascular disease. It is also not recommended for those taking antidepressants like SSRIs, SNRIs, or MAOIs.

If one of the above describes you, talk with your provider about possible alternatives.

Please note that Trazodone is a mild SARI (serotonin antagonist and reuptake inhibitor) that may interact with Methylene Blue. If you are a member who is currently taking Trazodone, do not take Methylene Blue.

Most medications are safe to use with Methylene Blue, including most AgelessRx products. The only exception is Trazodone, a mild SARI (serotonin antagonist and reuptake inhibitor) that may interact with Methylene Blue. If you are a member who is currently taking Trazodone, do not take Methylene Blue.

You should always tell your provider of all medications you’re taking before getting started with Methylene Blue, especially those for G6PD deficiency or those that affect your serotonin levels.

Your provider will only recommend a Methylene Blue prescription if they feel it is safe and appropriate for you. Please review the full list of possible drug interactions with Methylene Blue before requesting a prescription.

Methylene Blue capsules allow for simple, precise dosing so you can get consistent results. Our capsules are prepared by licensed, US-based pharmacy partners. Capsules also remove the risk of teeth or tongue staining and limit the bitter taste of Methylene Blue solution.

Liraglutide is a GLP-1 receptor agonist that is often sold as Saxenda (for weight loss) and Victoza (for diabetes). It helps regulate blood sugar, appetite, and digestion by mimicking the natural GLP-1 hormone. Brand-name versions of Liraglutide are FDA approved for weight management (Saxenda®) and the treatment of type 2 diabetes (Victoza®). Compounded Liraglutide has not been reviewed or approved by the FDA for safety, efficacy, or quality.

Liraglutide works by mimicking the natural hunger hormone, GLP-1, which plays a key role in regulating blood sugar and appetite. 

Liraglutide is designed to be as biochemically similar to the GLP-1 hormone as possible. The main difference is that it has a longer half-life. This allows the effects of the GLP-1 hormone to last longer in the body, helping to slow digestion and suppress cravings so you feel fuller for longer.

The most common side effects of Compounded Liraglutide are gastrointestinal issues such as nausea, vomiting, or diarrhea. These normally go away on their own within a few days, or up to 2-3 weeks, and many members develop a tolerance to these side effects. You can help prevent or ease these side effects by eating slower and at more regular intervals throughout the day, taking Compounded Liraglutide at the same time of day, drinking only water or clear, unsweetened beverages, and avoiding fried, greasy foods in favor of healthier, low-fat options.

For a complete list of side effects for Compounded Liraglutide, please review the Mayo Clinic’s Compounded Liraglutide resources.

Compounded Liraglutide is a daily medication, unlike many GLP-1 medications that are taken weekly. You can take Compounded Liraglutide with or without food, at any time of day or night. For the best results, try to take it around the same time each day.

For the best results, consider a reduced-calorie meal plan and increased physical activity while taking Compounded Liraglutide. If you already have a diet and exercise plan, great! If not, talk to your AgelessRx provider about a diet and exercise plan that works for you. 

A well-balanced diet with fresh fruits and vegetables and high-quality protein sources is key. Resistance training also helps to maintain your body composition and muscle, but any exercise is a step in the right direction, as long as you exercise for about 150 minutes each week.

Compounded Semaglutide is a semaglutide-based medication compounded by our partner pharmacies to address the ongoing national Semaglutide shortage so people unable to access semaglutide-based medications while they remain on the FDA’s Drug Shortage List can avoid lapse in treatment. Compounded Semaglutide has not been reviewed or approved by the FDA for safety, efficacy, or quality.

Compounded Semaglutide has not been reviewed by the FDA*, but our members report the following side effects: nausea, vomiting, diarrhea, stomach pain, and constipation. These normally go away on their own within a few days, or up to 2-3 weeks, and many members develop a tolerance to these side effects. You can help prevent or ease these side effects by eating slower and at more regular intervals throughout the day, taking Compounded Semaglutide at the same time of day each week, drinking only water or clear, unsweetened beverages, and avoiding fried, greasy foods in favor of healthier, low-fat options.

*Compounded Semaglutide has not been reviewed or approved by the FDA for safety, efficacy, or quality.

Microdosing GLP-1 is a low-dose therapy using compounded Injectable GLP-1 in small, gradual doses to help optimize health and longevity benefits while minimizing side effects.

Microdosing is the medical practice of administering very small doses of a drug, often to provide dose-specific benefits that might be different than the regular dose, while minimizing side effects.

Our medical experts expect that, by microdosing with GLP-1 medications, people could optimize the longevity benefits of GLP-1 with a lower risk of side effects. Clinical trials are underway to try to confirm these benefits.

Unlike higher doses of Semaglutide that are typically prescribed for diabetes or weight loss, Microdosing GLP-1 focuses on broader health and longevity benefits with reduced side effects.

The first difference is a lower dose. Microdosing GLP-1 is prescribed at very low doses, starting at about half the usual starting dose up to about ⅕ the full dose. The second is precision health benefits. Evidence suggests that microdosing could unlock longevity benefits like improved immunity¹, heart health², and cognitive function³. Clinical trials are underway to try to confirm these benefits. The third is reduced side effects. With lower doses also comes a potentially lower risk of side effects. If you do experience side effects, they’re more likely to be brief and mild.

¹J Clin Tran Endo, 2024. This review study analyzes human GLP-1 trials, including protocols via injection that may be considered low dose or microdosing.
²NEJM, 2016. The SUSTAIN 6 clinical trial, sponsored by Novo Nordisk, explores cardiovascular outcomes for people taking Semaglutide injections at doses as low as 0.5mg.
³Aging and Disease, 2022. This review study analyzes human and animal trials of various GLP-1 medications for their role in addressing the hallmarks of aging, such as mitochondrial function and oxidative stress, including low-dose protocols via injection for people with Parkinson’s on exenatide.

Low doses of GLP-1 medications have been shown to have several benefits. They may modulate inflammatory pathways¹ and may reduce risk of cognitive decline². They may also support cardiovascular health³ and may improve mitochondrial function and oxidative stress².

Low doses may also reduce side effects.

¹J Clin Tran Endo, 2024. This review study analyzes human GLP-1 trials, including protocols via injection that may be considered low dose or microdosing.
²Aging and Disease, 2022. This review study analyzes human and animal trials of various GLP-1 medications for their role in addressing the hallmarks of aging, such as mitochondrial function and oxidative stress, including low-dose protocols via injection for people with Parkinson’s on exenatide.
³NEJM, 2016. The SUSTAIN 6 clinical trial, sponsored by Novo Nordisk, explores cardiovascular outcomes for people taking Semaglutide injections at doses as low as 0.5mg.
⁴JAMA Network, 2022. A human trial analyzing people on Semaglutide injections that shows people who stopped at lower doses of GLP-1 medications experienced less side effects.

Microdosing GLP-1 is not intended as a weight loss treatment. Some people may achieve weight loss, but at low doses, any weight loss benefits are expected to be mild, if any at all. But don’t worry! If weight loss is your main goal, we have science-backed weight loss solutions that may be a better fit for you.

Microdosing GLP-1 is a low-dose GLP-1 prescription, which our experts expect may result in lower risk and severity of potential side effects than full-dose Semaglutide.

Injectable GLP-1 has not been evaluated by the FDA, but side effects are expected to be similar to other GLP-1 based medications reviewed by the FDA, which have the following side effects: nausea, diarrhea, vomiting, constipation, abdominal (stomach) pain, headache, fatigue, dyspepsia (indigestion), dizziness, abdominal distension, eructation (belching), hypoglycemia (low blood sugar) in people with type 2 diabetes, flatulence (gas buildup), gastroenteritis (an intestinal infection), and gastroesophageal reflux disease (a type of digestive disorder).

Common side effects normally go away on their own within a few days or up to 2-3 weeks. If you find that any side effects persist for longer than this or get worse over time, stop taking your medication and contact your provider as soon as possible.

This is only a summary of potential side effects and how to address them. For more information, please reference the Mayo Clinic’s Semaglutide resources, or ask your provider.

Tirzepatide may make oral contraceptives less effective. If you’re taking an oral contraceptive, ask your provider about potential alternatives before starting Compounded Tirzepatide + Glycine, or switch to a non-oral contraceptive.

Wegovy® is a once-weekly injectable medication or daily oral tablet that is FDA approved to support weight loss in adults with a BMI of 30 or more, or adults with a BMI of 27 or more with a weight-related health condition. Wegovy® contains Semaglutide, a GLP-1 receptor agonist that helps regulate appetite, blood sugar, and digestion.

Wegovy® works by imitating the natural GLP-1 hormone in the body that helps manage blood sugar and appetite. GLP-1 helps block glucagon, a hormone that increases blood sugar, and stimulates insulin release from the pancreas after you eat. By mimicking this gut hormone, Wegovy® slows down digestion and helps us feel fuller for longer.

The first thing you can do is calculate your BMI.

Wegovy® is FDA approved to treat weight loss in adults with a BMI of 30 or greater, or adults with a BMI of 27 or greater who also have at least one weight-related medical issue.

However, each potential Wegovy® candidate will be reviewed on a case-by-case basis, and approval is not guaranteed based on these criteria: your provider needs a full picture of your unique health profile to understand whether Wegovy® treatment is appropriate.

Those with BMIs below 25 will not be approved for Wegovy® treatment with AgelessRx, unless there is previous usage and treatment is for maintenance.

While Wegovy® is FDA approved for ages 12 and older, we do not treat children. Our services are for adults only.

Your Body Mass Index, or BMI, is a simple rule of thumb used by healthcare providers around the world to broadly categorize a healthy spectrum of height and weight differentials.

To calculate your BMI, divide your total weight by the square of your height, or use this BMI calculator. For most adults, a healthy BMI range is 18.5 to 24.9. A BMI of 25 to 30 is considered overweight, and a BMI above 30 is considered obese: Class 1 (30-34.9), Class 2 (35-39.9), and Class 3 (severe, 40+).

In a 68-week medical study of 1,961 adults living with obesity or excess weight with a related medical problem, adults lost ~35 lbs (or ~15% body weight) with Wegovy® injections. People taking placebo lost an average of 6 lbs (or ~2.5% body weight). The average starting weight for both groups was ~232 lbs.**

In a 64-week medical study, 1 in 4 adults lost 20% of body weight (~47 pounds) with the Wegovy® pill among 307 adults living with obesity or with overweight and at least one weight-related medical problem were studied. All participants were instructed to follow a reduced-calorie diet and increase their physical activity. 

**Results are from a 68-week medical study of adults with obesity (BMI ≥30) and adults with excess weight (BMI ≥27) who also had weight-related medical problems.

People respond to medicines differently, so there is no set time for when you can expect to see results with Wegovy^®. Ask your health care provider about what might be a realistic expectation for you.

We offer access to a prescription consultation for Wegovy® pens and oral tablets through NovoCare or Amazon Pharmacy, along with ongoing health monitoring and guidance if approved for a prescription. 

To get started, submit your medical intake to an AgelessRx provider, who will review your unique medical history and health goals to determine if Wegovy® is right for you. If approved, your AgelessRx provider will refer your prescription to the appropriate partner. 

From there, you will receive text messages from NovoCare or Amazon Pharmacy who will help you complete your Wegovy® order and provide payment directly to them. 

Please note, AgelessRx does not assist in any insurance coverage authorizations. 

Once you’ve created your account, you’ll be prompted to pay for your Wegovy® prescription. AgelessRx only provides a consultation to consider your Wegovy® prescription request, as well as ongoing healthcare monitoring for the duration of your prescription, if approved. The cost of the medication is separate and completed with NovoCare or Amazon Pharmacy. You will not receive your Wegovy® delivery until you complete payment with NovoCare or Amazon Pharmacy.

Please note that AgelessRx only charges for prescription access for Wegovy® and ongoing health monitoring. Pricing and shipping of Wegovy® is not provided by AgelessRx or any of its pharmacy partners.

Medication pricing is set by NovoCare (for Wegovy® injections) or Amazon Pharmacy (for Wegovy® Pill) and may change at any time. For current Wegovy® pricing, please refer directly to NovoCare or Amazon Pharmacy.

No, NovoCare or Amazon Pharmacy will fulfill all Wegovy® prescriptions. AgelessRx will only provide prescription access and ongoing monitoring to consider your request for a Wegovy® prescription, along with ongoing healthcare monitoring for the duration of your prescription.

Your AgelessRx provider will review your unique medical history, including your current prescription, and determine the dose that may be best for you. Your provider will always try to start you at a dose that most closely matches your previous prescription so that you can have a seamless transition without losing progress, as long as you have not been off your medication for more than 2 weeks. 

However, if it’s been more than 14 days since you’ve last taken a GLP-1 medication, your provider will have you start at the initial dose and restart your titration. Always follow your provider’s instructions.

The most common side effects of Semaglutide-based medications like Wegovy® are nausea and constipation. Other gastrointestinal issues like indigestion, vomiting, diarrhea, and delayed gastric emptying may occur, though they are less common. Some users may also experience irritation at the injection site. The side effects you may experience will vary depending on your prescribed dose, your medical history, and your lifestyle choices.

Your AgelessRx provider will provide further information on what side effects you may experience, and what you can do to reduce side effects.

Zepbound® is a once-weekly injectable medication that is FDA approved to support weight loss in adults with a BMI of 30 or more, or adults with a BMI of 27 or more with a weight-related health condition. Zepbound® contains Tirzepatide, a dual-action GLP-1 and GIP receptor agonist that helps regulate appetite, blood sugar, and digestion. 

Zepbound® contains the active ingredient Tirzepatide, which works by imitating 2 natural hormones in your body that help manage blood sugar and appetite: GIP and GLP-1. GIP helps your pancreas release more insulin after you eat, while GLP-1, which also increases insulin, slows down your digestion and reduces hunger. This dual action helps keep your blood sugar levels stable and can assist with weight loss.

Clinical trials have shown that most Zepbound® users can lose 15-20% of their initial body weight. For a 200lb individual, that equals about 30-40lbs. However, individual results may vary based on your prescribed dose, medical history, and lifestyle choices. For the best results, use Zepbound® with a reduced-calorie meal plan and regular exercise. If you feel that you’re not achieving your expected results, contact your provider to see what’s best for you.

For the best results, Zepbound® should be taken regularly for at least 6-12 months with a reduced-calorie meal plan and regular exercise. Clinical trials show an average of 15-20% weight loss within 72 weeks, or about 17 months, with many participants showing up to 8% weight loss within 12 weeks. However, this can vary depending on your health history, exercise level, and diet. Do not abruptly stop taking Zepbound®, as your appetite and weight may return just as quickly.

AgelessRx offers a prescription consultation for Zepbound® Single-Member-Use KwikPens®. 

To get started, submit your medical intake to an AgelessRx provider, who will review your unique medical history and health goals to determine if Zepbound® is right for you. If approved, your AgelessRx provider will refer your prescription to LillyDirect®. 

From there, you will receive text messages from LillyDirect®, who will prompt you to verify your identity (through a third-party platform called GiftHealth) and complete payment. Make sure to add injection supplies to check out, if prompted. Once payment is received, LillyDirect® will ship your prescription directly to your doorstep.

If approved, your AgelessRx provider will write you a new prescription each month according to the provider-guided titration schedule that they will provide you. For most people, you will stop increasing your dose after 4 months, unless you request to stay at your current dose.

You can pause your subscription at any time, but if you pause for more than 14 days after your previous prescription has ended, LillyDirect® may charge you a higher price. Pausing for more than 2 weeks may also mean restarting your titration, at your provider’s discretion.

LillyDirect® now offers a convenient multi-dose, Single-Member-Use Zepbound® KwikPens®, which contains 4 fixed doses, one dose taken weekly. These pens are designed for safer handling and increased convenience. Get started to have an AgelessRx provider review your prescription request. 

The price of Zepbound® varies depending on your prescribed dose, and special introductory pricing may apply to your first fills. Because pricing is set by LillyDirect® and is subject to change at any time, please refer directly to LillyDirect® for current Zepbound® pricing.

If you pause your subscription refills for more than 14 days after your previous titration ended, you may be charged a higher price. Pausing for more than 2 weeks may also mean restarting your titration, at your provider’s discretion.

Please note that AgelessRx only charges for a provider consultation for a Zepbound® prescription. Pricing and shipping of Zepbound® is not provided by AgelessRx or any of its pharmacy partners.

No, LillyDirect® fulfills all Zepbound® prescriptions. AgelessRx will only provide a prescription consultation for Zepbound®, as well as ongoing medical monitoring to ensure you’re receiving the best results. If an AgelessRx provider approves your request, they will forward your prescription to LillyDirect®, who will text you to complete your order. This will be completed monthly, as long as you maintain an active Zepbound® Consultation subscription.

Your AgelessRx provider will review your unique medical history, including your current prescription, and determine the dose that may be best for you. 

If you’re switching from Semaglutide to Tirzepatide, your provider may determine a different starting dose for you. Always follow your provider’s titration instructions, even if they differ from the guidelines above.

If you have been off your medication for more than 2 weeks, your provider will have you restart your titration at the starting dose.

The most common side effects of Tirzepatide-based medications are nausea and constipation. Other gastrointestinal issues like indigestion, vomiting, and diarrhea may occur, though they are less common. Some users may also experience irritation at the injection site. The side effects you may experience will vary depending on your prescribed dose, your medical history, and your lifestyle choices.

Your AgelessRx provider will provide further information on what side effects you may experience, and what you can do to reduce side effects.

Tirzepatide is the active ingredient in both Mounjaro® and Zepbound®. The primary difference between these medications is their FDA approved uses. Mounjaro® is FDA approved for managing type 2 diabetes, while Zepbound® is FDA approved for weight management.

A Continuous Glucose Monitor (CGM) is one of the most convenient ways to track your progress. You can compare sugar spikes after eating starchy carbs (with and without Acarbose!) to visibly see the impact Acarbose has on preventing spikes.

As with Metformin, Acarbose is FDA approved for the treatment of diabetes mellitus, type 2.

That depends on the Acarbose protocol for which you’re approved: Acarbose (1 Meal/Day), Acarbose (2 Meals/Day), and Acarbose (As Needed). All of these include a starting strength of 25mg tablets (tear-away packets include 2x25mg tablets). However, those taking Acarbose twice daily will eventually titrate up to 50mg tablets. If you’re on one of the Acarbose daily plans, check your Rx bottle to see your titration schedule and which dose you’re receiving. Additionally, you can always view your current Acarbose plan on your AgelessRx portal.

Acarbose specifically inhibits amylose, or starch, from being broken down into sugar. It doesn’t work to inhibit sugary carbs.

Examples of starchy carbs include grains, including rice, corn, wheat, rye, quinoa, millet, oats, barley, and any foods made from them (oatmeal, pasta, bread, cereal, pizza, pastries, etc.). Other starchy carbs include beets, carrots, turnips, potatoes (including sweet potatoes), yams, and peas.

Examples of sugary carbs include fruit juice, sports drinks, candies, honey, jams/jellies, any syrup, soda, table sugar, and brown sugar.

If you’re unsure which dosage is right for you, the best plan is to discuss your options with your provider. But, here are a few things to consider before you do.

First, how often do you eat starchy carbs? Those who enjoy the occasional indulgence may find taking Acarbose As Needed to be more beneficial. If, on the other hand, starchy carbs like rice, potatoes, wheat, or pasta are part of at least one of your meals each day, then you might want to consider one of our Acarbose Daily plans.

Second, decide whether your goals are short term or long term. Are you looking to reduce your risk for heart disease or stroke, or even further optimize your healthspan? If so, then one of our Acarbose Daily plans might best match your goals. But if you’re just looking to avoid crashes, headaches, or other more immediate aftereffects of sugar spikes, then perhaps a less substantial subscription is appropriate.

Finally, be honest with yourself and set realistic expectations. If you’re not ready to add a whole new treatment to your regimen, you can still casually reduce your risk with Acarbose As Needed, which is part of the reason why we designed multiple protocols.

The short answer is absolutely yes. Acarbose is an alpha-glucosidase inhibitor, meaning that it specifically acts on enzymes that break down starches. This only makes it more difficult for our bodies to absorb starch, delaying the digestion of carbohydrates. There is no evidence to suggest that Acarbose prevents the body from absorbing other nutritional components of foods.

SGLT2 Inhibitors like Invokana® (Canagliflozin) and Brenzavvy® (Bexagliflozin) are medications that help the body get rid of excess sugar before it can do long-term damage. Both Invokana® and Brenzavvy® are FDA approved for treatment of type 2 diabetes, but emerging research suggests they may also have extended longevity benefits, such as reduced risk of heart disease, improved kidney and liver health, better cognitive function, and moderate weight loss.

SGLT2 Inhibitors work by flushing excess sugar from the body through urine. They do this by blocking sodium-glucose cotransporter 2 (SGLT2), a protein that reabsorbs sugar from urine back into the bloodstream. By blocking SGLT2, medications like Invokana® and Brenzavvy® allow the body to remove up to 50-80g of glucose per day. By reducing excess glucose, SGLT2 Inhibitors may help people maintain stable blood sugar, which can mimic some benefits of caloric restriction.

Studies show SGLT2 Inhibitors may have several benefits. They have been shown to extend lifespan in mice, and they may reduce inflammation and oxidative stress. They may also lower HbA1c, improve cardiovascular health and kidney health, and lower the risk of dementia and Parkinson’s. In addition, they may help clear senescent cells and encourage moderate weight loss.

Though both Invokana® (Canagliflozin) and Brenzavvy® (Bexagliflozin) work in the same way, Invokana® has more years of research supporting its potential benefits, while Brenzavvy® is a relatively new SGLT2 that may show similar longevity benefits. The best results for each may occur in combination with a reduced-calorie diet and regular exercise.

Both Invokana® and Brenzavvy® are SGLT2 Inhibitors that work the same way. The only difference is that Invokana® has an extended range of FDA-approved uses: while Brenzavvy® is FDA approved for type 2 diabetes treatment, Invokana® is approved for treating type 2 diabetes and to reduce the risk of heart and kidney disease.

Invokana® has also been patented since 2013, with a wealth of scientific studies to support its extended uses. Though Brenzavvy® is a relatively new SGLT2 (FDA approved in 2023), it still shares the same mechanism of action and may show similar longevity benefits as research continues.

While Brenzavvy® has only been FDA approved since 2023, Invokana® has been patented since 2013, with a wealth of scientific studies to support its extended uses, which may explain its higher price. 

AgelessRx provides both Invokana® and Brenzavvy® at a competitive price according to what our pharmacy partners can source from the manufacturer. The prices listed on AgelessRx.com are out-of-pocket costs and are not affected by insurance: AgelessRx does not accept insurance for Invokana® and does not treat or manage type 2 diabetes or any other FDA-approved condition for SGLT2 Inhibitors.

The most common side effects of SGLT2 Inhibitors include increased urination, dehydration, hypotension (low blood pressure), dizziness, urinary tract infections (UTIs), and genital mycotic infections (yeast infections). Increased urination is a normal side effect of SGLT2 Inhibitors and not cause for concern. 

UTIs and yeast infections are among the most frequently reported side effects of SGLT2 Inhibitors. To reduce the risk of these and other side effects, drink plenty of water throughout the day (around 0.5 to 1 gallon) and follow proper genital hygiene practices. If you experience a UTI or yeast infection, you must seek treatment with your primary healthcare provider or a local urgent care clinic.

If you notice side effects other than increased urination, it’s okay to stop taking the medication until side effects clear, usually after a few days and up to a few weeks. Always let your care team know if you stop your medication so they can adjust your upcoming refills if necessary.

Serious side effects include euglycemic diabetic ketoacidosis (eDKA), Fournier’s gangrene, and acute kidney injury. These side effects typically occur in people with diabetes or compromised kidney function. Please tell your provider if you or anyone in your family has diabetes or compromised kidney function, or any other medical condition. AgelessRx does not manage or treat diabetes.

The above is not an exhaustive list. Please review these resources for Invokana® (Canagliflozin) and Brenzavvy® (Bexagliflozin).

Most people will notice a lift in energy within an hour or two of injection. Please note you should not use Glutathione Injections (0.5ml per injection) more than 5x per week.

Glutathione is essential for many functions, including cellular rejuvenation and repair. You may or may not feel an immediately noticeable effect of better DNA repair; most of our members who use the Glutathione Patches report some of the following benefits: improved energy, mental clarity, and faster recovery from illness and injury.

It is important to note the above benefits are not seen in all people. As long as instructions for application are properly followed, the GSH will be absorbed into the body regardless of whether a person feels it or not, helping to support higher GSH levels. Depending on how depleted your GSH levels are, you might need to build up your GSH level over a few weeks before noticing any benefits.

Atorvastatin is a member of a class of prescription medications called ‘statins’ that work to reduce the amount of cholesterol in your liver and help remove cholesterol already in the blood. As a result, it helps to lower your overall cholesterol levels.

Most statins, like Atorvastatin, require approximately 4-6 weeks to help cholesterol levels stabilize. You will complete a blood test within the first 3-6 months of treatment to check cholesterol levels (e.g. LDL, HDL, Total Cholesterol and Triglycerides) to identify measurable improvements.

Generally, Atorvastatin is safe to take long term, and, according to some experts, actually works best when taken over a long period of time.

Some evidence suggests that Atorvastatin can raise blood sugar in some people. If you have any concerns, speak to your provider.

Yes, you will be asked to complete a blood draw within 90 days of receiving your first fulfillment, then annually thereafter. While blood draw requisitions are included with your subscription, any valid labs completed within the prior 6 months can also be considered at the discretion of your assigned medical professional.

The point of taking statin medication is to lower cholesterol levels and prevent accumulation of cholesterol in the arteries, thereby reducing risk of heart disease. Ask your provider if Atorvastatin is right for you.

Atorvastatin is simply the generic version of Lipitor.

In most cases, Telmisartan can help to lower blood pressure within about two weeks. It often requires about four weeks to get the full effects of lowering blood pressure. However, everybody is different and it may take more or less time.

We offer 20mg tablets of Telmisartan. We only offer Telmisartan with a quarterly plan, supplying 90 daily doses per quarter (1 tablet daily, or as prescribed).

Naltrexone binds to opioid receptors, which are found all over the body including immune cells. In doing so, it displaces the endorphins which would normally stay bound to these receptors. By binding to the opioid receptors, it displaces the body’s naturally produced Opioid Growth Factor. When using naltrexone at a low dose (hence LDN), the binding is temporary and causes the body to then up-regulate or increase the opioid receptors, thereby restoring the endorphin system and balancing the immune system.

Yes! Studies have shown that LDN is not only safe to take for individuals with a compromised immune system, but that it may actually help to improve the ability of the immune system to function. Individuals with autoimmune diseases or compromised immune systems typically have lower levels of endorphins than those without autoimmunity or a lowered immune response. Due to the increase of endorphins triggered by Low Dose Naltrexone, we believe that LDN is a safe and possibly helpful therapy for these individuals. See the Science Page for more information.

In general, Low Dose Naltrexone should not be used by anyone taking opioids, such as Codeine, Hydrocodone, Fentanyl, Hydromorphone, Meperidine, Methadone, Morphine, Oxycodone, or Oxycontin. Because Naltrexone and prescription opioids bind to the opioid receptors, they can render one another ineffective, or worse, cause opioid withdrawal syndrome. LDN should be avoided in people with significantly impaired kidney or liver function.

If you are on thyroid medication, you may need to monitor your thyroid levels more closely as you start LDN. If you develop symptoms of hyperthyroidism while taking LDN, such as heart racing, increased anxiety, restlessness, or trouble sleeping, please stop LDN and talk to the provider who prescribes your thyroid medication.

Other conditions that require a modified protocol or require further consideration prior to use include Lyme Disease or other Chronic Infections (EBV, CMS, Bebesosis, Borellia, etc.), Mast Cell Activation Syndrome/Disease (MCAS/MCAD), and Ehlers Danlos Syndrome (EDS). A modified protocol or further consideration also applies to multiple chemical sensitivities or drug allergies (3 or more), mold or black mold illness or exposure, and mental illness (e.g. schizophrenia).

To derive the biggest benefit from LDN studies indicate it should be taken over an extended period. The longer a member takes LDN, the better it has been shown to “push back” diseases of aging, according to several research studies in both humans and lab animals (see our Science page).

Some benefits from LDN, such as increased energy and sleep quality and decreased pain, are realized relatively quickly, while others, such as cancer or heart disease reduction, may never be “felt” (i.e. you won’t know that tumors or blocked arteries have been prevented if they never develop).

We are serious about the safety of the products that we offer. Low Dose Naltrexone is compounded on site at a licensed compounding pharmacy based in the USA, with materials supplied by the Professional Compounding Centers of America (PCCA).

Unfortunately, no. AgelessRx does not work with people with any active form of cancer. You may seek an alternative LDN telemedicine service, such as LDN Direct.

The short answer is “No.”

Naltrexone is FDA approved for the treatment of opioid and alcohol addiction, and, in combination with bupropion, for weight management. These are known as the on-label indications. However, like many medications, naltrexone is used off-label for conditions such as Hashimoto’s, Crohn’s, Ulcerative Colitis, Ankylosing Spondylitis, PCOS, Type 2 Diabetes, Depression, anxiety, Fibromyalgia, Chronic Fatigue, MCAS/MCAD, ADHD, and many symptoms and conditions. Like with any medication, once the FDA has approved a medication for one use, a licensed provider can prescribe it in any way they see fit for their members.

Absolutely not! Our therapies are meant as an extra layer of protection. We strongly encourage our members to adopt a healthy lifestyle, including leveraging such practices as intermittent fasting, physical activity, stress reduction, etc.

If you are curious how you might live a longer, healthier life, you might consider a personalized Longevity Consultation.

Our manufacturing partner follows Good Manufacturing Practice (GMP*). Infinite ingredients are vegetarian and include calcium alpha-ketoglutarate, quercetin, glucosamine, carnosine, pterostilbene, astaxanthin, and curcumin.

*Good manufacturing practice (GMP) is a system for ensuring that products are consistently produced and controlled according to quality standards

Infinite is a daily, pill-form supplement formulated around the 9 hallmarks of aging and key tenets of the Kaufmann Protocol. Our team consulted with industry professionals to build Infinite by AgelessRx around quality ingredients and current science. We have plans in place to further study the results, and in the meantime, our suite of longevity tests can provide instant access to the results of your product experience.

Our team of experts suggests you may notice benefits within 30 days of supplementation. Like any supplement, everyone reacts differently and the timeframe of when you fully feel the results from daily use can vary.

Ideally, you will incorporate Infinite into your daily routine indefinitely. It is designed to be a long-term supplement that you can start at any age to support your longevity goals over time.

Glucosamine, one of the key ingredients of Infinite Longevity Support, is often sourced from the shells of shellfish such as shrimp. However, glucosamine is not derived from the protein that causes shellfish allergies. As such, it is normally safe to consume, even for those with shellfish allergies.

Your dosage will depend on whether you are approved for Generic Rapamycin or Compounded Rapamycin.

For Generic Rapamycin, you will start at 2mg per week and slowly titrate up to your target dose of 6-8mg (determined at the discretion of your provider) over 3 months.

For Compounded Rapamycin, you will start at 5mg per week and slowly titrate up to your target dose of 10-15mg (determined at the discretion of your provider) over 3 months.

You can only receive medication following a medical review and initial screening from an AgelessRx provider, who will determine your titration and target dose based on your unique medical history and health goals.

A Generic Rapamycin prescription contains Sirolimus tablets that are commercially available, while Compounded Rapamycin prescriptions contain Sirolimus capsules that are compounded and mixed by a US-licensed compounding pharmacy following applicable state and federal regulations.

Compounded Rapamycin may be less potent than Generic Rapamycin, which could lead to reduced side effects as well as reduced absorption or bioavailability. For this reason, Compounded Rapamycin is typically prescribed at higher doses than Generic Rapamycin.

Depending on your state’s regulations, one or both options may be available to you. If only one option is available to you, then we must comply with your state’s regulations and only consider the available option. If both options are available in your state, then you can choose to get started with either generically available Rapamycin, or Rapamycin that is compounded to order.

Compounded Rapamycin is typically less potent than Generic Rapamycin. That means Compounded Rapamycin may have a reduced risk of side effects. It also means Compounded Rapamycin is less bioavailable than Generic Rapamycin. To account for this, our medical experts typically prescribe Compounded Rapamycin at higher doses than Generic Rapamycin.

You will receive quarterly refills (once every 3 months) for your Rapamycin prescription, as long as you continue to do your required blood tests and electronic check-ins. Each quarterly refill will be equivalent to 3 monthly refills. However, you will be billed once per month for your prescription.

You must be at least 40 years of age, clinically stable, and in relatively good health (all of which will be assessed during your initial and ongoing visits) to take Rapamycin. You must also be able to give informed consent of your willingness to take off-label Rapamycin and to undergo routine blood work, as well as technologically capable to join virtual meetings and fill out online forms. There are no limitations on sex or ethnicity, and no maximum age limit.

Once approved, you will receive an automated message in your AgelessRx portal with the link to schedule your blood draw and a copy of your requisition form.

Your blood work is required to determine your continued eligibility. It should be completed as soon as possible. Once received, our experts will review your results and notify you of your approval status.

If you are approved, our team will generate a prescription for you with our partnering, US-based pharmacy. You will also receive updates and tracking information for your first shipment and all subsequent shipments through your AgelessRx portal.

From there, you will continue to provide blood work, fill out questionnaires, and meet as needed with your provider to track any benefits/side effects and determine that you remain eligible.

If you have anemia or other blood disorders, your provider may suggest other medications. Similarly, premenopausal or menopausal females may not receive approval.

Those who are scheduled to undergo major surgery, chemotherapy or immunosuppressant therapy for a transplant within the next 6 months are also considered to have risk factors that could prevent your approval. Other exclusion criteria include: chronic infection (such as HIV/AIDS, Lyme disease, etc.); any primary or secondary immune dysfunction or deficiency, and allergy to Rapamycin.

Our providers may not currently be open to discussing Rapamycin enrollment with women who are pregnant or planning to become pregnant.

Side effects of Rapamycin are generally mild, especially if taken in lower doses. The most common side effect is stomatitis (mouth ulcers). Diarrhea and nausea are also common. More serious side effects include susceptibility to bacterial infections like pneumonia, but these are usually reported in transplant recipients taking Rapamycin at higher doses.

Rapamycin was the first name given to the compound isolated on Easter Island (for its native name, Rapa Nui), but the first name given to Rapamycin medications was Sirolimus. As such, there seems to have been a bit of a schism in the scientific community regarding the correct nomenclature for this compound/medication. However, Rapamycin and Sirolimus are effectively interchangeable terms that mean the same thing.

Our medical team may be able to work with you, depending on your current dosage and the reasons you are taking it, but ultimately this is a discussion between you and your provider.

If you are taking a lower dose of Rapamycin that is similar to the dosages listed on our protocols, you may be eligible. Work with your assigned provider to confirm.

If you are taking a higher dose of Rapamycin (>15mg), our medical team will need to better understand why you are at these doses to determine if it is safe to transition you to the lower doses of our protocols.

All who enroll must be able to follow the same titration plan, regardless of whether you are currently prescribed Rapamycin, were previously enrolled in the PEARL trial, or have never taken Rapamycin before.

Metformin is not thought to drop blood sugar to dangerously low levels, a condition known as hypoglycemia. However, some people tolerate lower levels of blood sugar than others. For this reason, Metformin might cause some people to have symptoms of low blood sugar such as lightheadedness, nausea, and fatigue. Starting at a low dose and increasing slowly can help. In our experience, most people with a history of hypoglycemia can tolerate lower doses of Metformin. 

If you run into any issues, or if you have any questions on Metformin, please contact us.

You might find it helpful to use a Continuous Glucose Monitor (CGM) to monitor your blood sugar levels for a few days. You can learn more about CGM here.

Significant lactic acidosis is almost never seen in people who have properly functioning kidneys. Out of precaution, we ask that people stop taking Metformin at least 3 days before going for any kind of medical procedure or imaging that requires contrast (such as a CT scan). Ask the physician doing the procedure or ordering a test about Metformin to be sure.

People with pre-existing kidney problems may be at greater risk of lactic acidosis, regardless of dose.

Serious side effects for Metformin are very rare, making it among one of the safest prescription medications that are commonly prescribed. However, it should not be used by anybody who has an allergy to Metformin; anyone who has poor kidney function; or diabetics who are poorly controlled (unless closely supervised by their local provider). There are many situations where Metformin can be used, but with caution or at lower doses than typically prescribed. Our medical team takes all of these factors into account when reviewing requests for prescriptions.

There is no agreed upon “optimal dosing” for longevity. Some longevity experts take and recommend 1000mg per day. Others recommend 1500mg per day. The TAME trial will be looking at 1500mg per day. Some health goals, such as weight loss support, may even require higher doses for you to achieve your desired outcomes.

Typical dosage consists of two 500mg extended release (ER) pills per day. However, your actual dosage will be determined by a licensed medical professional after taking into account multiple factors, including your medical history, drug interactions, and age, as well as your overall health goals.

Our medical staff will balance these factors to determine the best target dose for you.

The benefits of Metformin include lower blood sugar levels, more stable energy throughout the day, and better glucose and insulin sensitivity, all of which can reduce our risk for age-related diseases. But these benefits may be hard to feel in our day-to-day lives.

Fortunately, tools like a Continuous Glucose Monitor (CGM) can help people see how Metformin decreases their blood sugar levels and glucose sensitivity. You can learn more about CGMs here.

Biological age testing can also help people see if Metformin has helped slow down their biological aging, as compared to their chronological aging. You can learn more about biological age tests here.

After several months of taking Metformin, people may be able to notice some benefits on their own, including less appetite, more stable energy throughout the day, and better sleep.

People may also experience weight loss while taking Metformin, but the best weight loss results occur after at least 6 months of use, and usually at higher doses. Talk with your provider to see if increasing your dose is right for you.

See our Metformin Science page for more details on how Metformin works and what can be measured to verify this.

To derive the biggest benefit from Metformin, studies indicate that it should be taken over an extended period. The longer a member takes Metformin, the better it has been shown to “push back” diseases of aging, according to several research studies in both humans and lab animals (see our Metformin Science section). 

Some benefits from Metformin, such as reduced appetite and lowered blood sugar control, can be felt and appreciated relatively quickly (especially with the help of a CGM); many members report feeling these benefits by the second check-in, or within 2-3 months.

Other benefits, such as reduced risk for cancer or heart disease, may never be “felt,” as these benefits are happening on a cellular level to prevent these conditions before they occur. In other words, we may never know that a tumor or blocked artery has been prevented if neither are able to develop.

Those taking Metformin primarily for weight loss benefits may have to take higher doses for a longer period of time. Talk with your provider to see if increasing your dose is right for you.

Some people cannot tolerate tablets and require liquid or topical versions. We do not currently offer liquid or topical Metformin.

Absolutely not! Our therapies are meant as an extra layer of protection. We strongly encourage our members to adopt a healthy lifestyle, including leveraging such practices as intermittent fasting, physical activity, stress reduction, etc. It is also important to look at other potentially helpful factors, including dietary supplements like resveratrol, vitamin D, and/or B12.

No. Metformin is FDA approved for people with Type 2 diabetes mellitus. This is the on-label indication for Metformin.

However, like many medications, Metformin is used off-label for conditions such as PCOS, obesity, and cancer. Once the FDA has approved a medication for one use, a provider can prescribe it in any way they see fit for their members. Metformin has been approved by the FDA to be studied specifically for human longevity as part of the TAME trial that started in 2020.

First, Metformin benefits and its mechanism of action have been studied much more extensively than Berberine. Second, as Berberine is a supplement, quality control and potency are not nearly as strictly controlled as Metformin which is distributed by a licensed, US-based pharmacy that is inspected and regulated by the FDA and state boards of pharmacy. Third, there might be overlap between Metformin and Berberine, but they have different mechanisms of action and have different benefits.

That depends largely on what dosage you’re receiving and how long you take Metformin.

The most commonly prescribed dosage of Metformin is 2 tabs (1000mg) per day. At these doses, many members won’t notice significant weight loss within 6-12 months. 

Studies that focus on doses between 1500mg and 2250mg per day have shown modest but consistent weight loss for people. At these doses, people may lose 3-12lbs (or 5-7% of their body weight) within 6-12 months. People may experience the lower ranges of weight loss within 2-3 months, while those with a higher BMI may achieve higher estimates of weight loss within a shorter period of time. Doses above 2000mg may also increase the incidence of side effects. 

These studies were done with immediate release (IR) Metformin, which is why we offer IR for weight loss. If you would prefer the extended release (ER) version, you can request a change with your care team.

If you’re taking Metformin primarily for weight loss, talk with your provider to see if increasing your dose is right for you. Adopting healthy lifestyle choices (such as regular exercise and a reduced calorie meal plan) may also help you achieve better weight loss outcomes while taking Metformin.

SCORED (Screening for Occult Renal Disease) is a clinical tool designed to help providers decide when to screen people for renal insufficiency, or kidney problems. 

Those taking the SCORED test will be asked 9 questions, such as your age range and gender, and whether you’re diabetic. Checking “Yes” to any question generates a certain number of points. Any score of 4 or more indicates that renal screening is necessary to assess kidney function.

If your provider recommends Metformin at a dose over 2000mg, they will also ask that you complete the SCORED assessment. People who score a 4 or more may be asked to complete additional blood work.

While Metformin is widely used in diabetes care and is also being studied for its potential longevity-related benefits, AgelessRx does not treat clinically diagnosed diseases and is not a replacement for an individual’s primary care provider.

An HbA1c above 7.5 may indicate a health condition that requires more comprehensive medical management. In these situations, our providers may determine that a member would be better served under a dedicated diabetes care plan with closer monitoring and ongoing care through the member’s primary care provider and other specialists.

Most people will notice a lift in energy within an hour or two of injection. Please note you should not use NAD+ Injections more than 3x per week.

Most people will feel effects within an hour of using NAD+ Nasal Spray.

NAD+ is not absorbed well through the intestines, and any that is absorbed is destroyed by the liver. The most effective methods of getting NAD+ into the body involve bypassing the intestines to deliver directly into the bloodstream, as is the case with our NAD+ injections. The next best method seems to be using iontophoresis patches that use a small battery-powered device to produce an electric current to drive the NAD+ under the skin and into the blood circulation.

The iontophoresis patches have a small battery operated device that facilitates the absorption of the medication (NAD+ or Glutathione) through your skin into your bloodstream, and because of this mechanism the patches are considered a medical device and are only available by prescription.

NAD+ is essential for many functions, including DNA repair. You may or may not feel an immediately noticeable effect of better DNA repair; most of our members who use the NAD+ Patches report some of the following benefits: improved energy, mental clarity, decreased cravings, better sleep, better mood, alleviation of depression/anxiety symptoms, faster recovery from illness and injury, as well as post workout recovery. This is not seen in all people. As long as instructions for application are properly followed, the NAD+ will be absorbed into the body regardless of whether a person feels it or not, helping to support higher NAD+ levels. Depending on how depleted your NAD+ levels are you might need to build up your NAD+ level over a few weeks before noticing any benefits.

We have a number of people who used NAD+ patches to help with addictions (tobacco, alcohol, and other substance abuse), and have reported positive results. There is clinical evidence suggesting benefits of NAD+ for addiction treatment. This is not something we specialize in, but we are happy to accommodate your NAD+ patch orders for the purpose of addiction treatment.

For member safety, our licensed providers do not prescribe NAD+ for those with active cancer, as there are some unknown risks associated with NAD+ and people with cancer. We plan to stay up-to-date as new findings emerge on this and will continue to keep our member’s wellbeing at the foundation of our decision making.

For those in remission or with a history of cancer, a U.S. licensed provider would review the intake form to determine whether or not it’s appropriate. If additional information is needed prior to approval, the reviewing provider would reach out.

Sermorelin is a peptide medication that mimics growth hormone-releasing hormone (GHRH). This triggers the pituitary gland in the brain to naturally produce human growth hormone (HGH). 

Sermorelin doesn’t simply replace HGH like other therapies. Instead, Sermorelin helps your body make more HGH naturally, reducing some of the risks associated with synthetic HGH therapy or other hormone-replacement therapies.

Sermorelin imitates growth hormone-releasing hormone (GHRH), which stimulates the pituitary gland to secrete human growth hormone (HGH). Through this action, Sermorelin works with the body to support HGH production in a natural rhythm.

In turn, HGH promotes the production of insulin growth factor-1 (IGF-1), a key driver of tissue repair, muscle health, cognitive function, and physiological fitness.

Sermorelin is taken as a subcutaneous injection into a fatty layer of tissue such as your thigh or abdomen. If you’re approved for a Sermorelin prescription, your provider will provide a tailored titration schedule and dosing instructions. Your shipment will also come with enough needles and syringes to complete your monthly titration schedule.

Sermorelin is generally well tolerated with a minimal risk of side effects. In fact, Sermorelin is often considered safer than other HGH therapies because it works with the body’s natural systems to produce HGH, as opposed to direct HGH replacement. However, there are risks with any treatment. Please see important safety information for Sermorelin and consult your provider about the potential risks and benefits.

No, Sermorelin has a different mechanism of action than steroids. 

Sermorelin is a synthetic peptide that mimics growth hormone-releasing hormone (GHRH), stimulating the pituitary gland in the brain to release more of the body’s natural human growth hormone (HGH). 

Steroids mimic hormones directly, acting as a replacement without stimulating the body to release its own hormones. This increases the risk of hormone imbalance, mood disorders, liver damage, and other related side effects.

Sermorelin is generally well-tolerated with a minimal risk of side effects. The most common side effects include pain, redness, or irritation at the injection site, as well as face or neck flushing, headache, and nausea.

Most side effects are mild and fade away on their own within a week or two.

Sermorelin should not be used by anyone below age 30, or by those with untreated hypothyroidism, untreated hyperglycemia or diabetes, moderate to severe liver dysfunction, moderate to severe kidney disease, or a known allergy to Sermorelin. It should also not be used by anyone who has or has had cancer within the last 2 years, or by anyone who is pregnant or breastfeeding, or planning to become pregnant or breastfeed.

Sermorelin was FDA approved in 1997 under the brand name Geref for the treatment of growth hormone deficiency or growth failure in children. However, the manufacturer discontinued Geref in 2008, ending its availability as a commercially available FDA approved medication. The FDA confirmed that the medication was not withdrawn for safety or effectiveness concerns.

Sermorelin imitates growth hormone-releasing hormone (GHRH), which stimulates the pituitary gland to secrete human growth hormone (HGH). Through this action, Sermorelin works with the body to support HGH production in a natural rhythm. 

In turn, HGH promotes the production of insulin growth factor-1 (IGF-1), a key driver of tissue repair, muscle health, cognitive function and physiological fitness.

Sermorelin Nasal Spray delivers Sermorelin through the nasal mucosa. This delivery pathway supports the body’s natural release of GHRH and enables a convenient, needle-free alternative method of administration.

Because it is needle-free, nasal spray delivery significantly lowers the barrier for individuals who may be uncomfortable with daily injections, making it easier to stay consistent with treatment over time.

Sermorelin Nasal Spray is taken as an intranasal spray. If you’re approved for a Sermorelin Nasal Spray prescription, your provider will provide a tailored titration schedule and dosing instructions.

Sermorelin is generally well tolerated, with a minimal risk of side effects. The most common side effects include post-nasal drip to throat, burning during administration, congestion, face or neck flushing, headache, and nausea.

Most side effects are mild and fade away on their own within a week or two.

PT-141 (Bremelanotide) is a melanocortin receptor agonist peptide that works through the central nervous system to support sexual desire and arousal. It acts on pathways in the brain involved in sexual response rather than directly affecting blood flow.

While PT-141 is not FDA-approved to treat medical conditions, it is used clinically to support sexual health and arousal in appropriate users under medical supervision.

PT-141 activates melanocortin receptors in the brain associated with sexual motivation and arousal signaling. This may help enhance sexual interest, responsiveness, and satisfaction in some individuals.

Individual results vary, and benefits are not guaranteed. Some users may experience increased sexual desire and libido, improved arousal response, enhanced sexual satisfaction, and improved overall mood and motivation.

PT-141 typically begins working within 45-60 minutes. Response timing varies based on dose, metabolism, and individual user sensitivity.

Most common side effects include nausea, flushing, headache, and temporary increase in blood pressure. Users of PT-141 Nasal Spray may experience post-nasal drip to the throat.

Less common but more serious reactions may include allergic reactions (rash, swelling, hives), significant hypertension, bradycardia, and acute hepatitis.

Stop use and contact your provider if significant or concerning symptoms occur. Seek immediate medical care for difficulty breathing or signs of a severe allergic reaction.

Do not use this medication if you have uncontrolled hypertension, serious cardiovascular disease, known hypersensitivity to peptide ingredients, active cancer, or if you are pregnant or breastfeeding.

Speak with your provider before use if you have heart disease, high blood pressure, kidney or liver disease, or use medications affecting blood pressure or heart rate.

Tadalafil is the generic form of Cialis, an FDA approved medication to treat erectile dysfunction in men since 2003. It is also FDA approved to treat enlarged prostate, a condition called benign prostatic hyperplasia (BPH), since 2011.

Tadalafil is the same active ingredient as found in branded Cialis. Tadalafil works by inhibiting phosphodiesterase type 5 (PDE5) enzymes, which enhances erectile function by the release of nitric oxide (NO). It is offered as a daily or as needed medication; Tadalafil is only available with a prescription.

At higher doses (20mg/day or more), Tadalafil is also used in both men and women to treat pulmonary arterial hypertension.

Tadalafil is the active ingredient used in Cialis and is the generic equivalent. As clinically evidenced, Tadalafil is just as safe and effective as branded Cialis; it works for the same amount of time and delivers the same lasting effects.

Taking Tadalafil daily at a lower daily dose (2.5mg or 5mg) reduces many common side effects and allows the freedom to be intimate on your own time without having to plan ahead.

The benefits go far beyond sexual health. When taken daily over the course of many years, Tadalafil may offer numerous longevity-enhancing benefits. Recent clinical research suggests that Tadalafil’s ability to improve blood flow may reduce the risk of heart disease and even lower the risk of dementia. These benefits stem from Tadalafil’s primary mechanism of action of improving blood flow.

As-needed tadalafil is dosed at 10mg and 20mg typically, but should only be taken no more frequently than once every other day. These higher, less-frequent doses are only used only for erectile dysfunction in men and are not expected to have much in the way of longevity benefits.

Tadalafil sets itself apart from other ED medications in three distinct ways.

First, it is the only ED medication available for daily use. This means you can be intimate at any time, rather than needing to take a pill from time to time, as needed, like other brands (e.g. Viagra).

Second, when taken as needed, a single dose can remain active up to 36 hours. Tadalafil is often referred to as “the weekend pill” because a single dose can remain active for up to 36 hours (whereas others, such as Viagra, remain active for only a few hours). Tadalafil provides the opportunity for spontaneity.

Third, it is earning clinical support for a variety of health and longevity benefits. We explore some of the latest research in this blog.

As with any drug product, there may be side effects. Generally, people who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours.

The most common Tadalafil side effects are headache, indigestion, back and muscle pain, flushing, and stuffy nose.

Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact your provider right away if you experience an erection that will not go away (priapism) or lasts longer than four hours, a sudden loss of vision in one or both eyes, a sudden decrease in hearing or hearing loss. The above information is only a summary. It may not cover all possible information. For a more complete list of possible side effects, click here.

Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches), Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.

For a more complete list of possible drug interactions, click here.

Anti-aging benefits: A clinical analysis cited PDE5 inhibitors, such as daily Tadalafil, as a worthwhile addition to any “anti-aging drug mixture because ED and BPH are most prevalent age-related conditions in aging men.” Furthermore, the analysis states that by “relaxing the tension [in senescent cells] may slow senescent-associated pathology… causing anti-vasoconstriction, anti-proliferative and anti-inflammatory effects.”

Reducing health risks related to aging: The same clinical analysis cited above suggests that by fighting against cellular senescence, PDE5 inhibitors, such as Tadalafil, may also help to reduce health risks related to aging, such as heart hypertrophy, myocardial infarction, cancer, neurodegenerative diseases, cystic fibrosis, diabetes, obesity and metabolic syndrome.

Anti-inflammatory properties: Per this clinical study in Scientific Reports, “chronic inflammation plays an important role in BPH/LUTS (lower urinary tract symptoms) and contributes to the clinical progression of BPH-related symptoms… Tadalafil, but not sildenafil or vardenafil, reduces pro-inflammatory factors.”

Improved cognitive function: In this clinical study, researchers state: “Erectile dysfunction is commonly associated with depression, and treatment with PDE5 inhibitors improves cognitive functions and depression, in addition to erectile dysfunction. Therefore, treatment of BPH/LUTS-ED with Tadalafil could improve people’ quality of life and their cognitive functions.”

Improved heart health: In this clinical study, researchers cite support for PDE5 inhibitors, such as Tadalafil, “improved contractile function, reduced chamber dilatation and reduced LVH.” In other words, keeping the heart rate normal, increasing blood flow and the ability for the heart to supply the body with enough blood, and reducing blood pressure to decrease the heart’s workload.

Yes, Tadalafil is FDA approved to treat erectile dysfunction (ED). At different doses, it is also FDA approved to treat symptoms of BPH and pulmonary arterial hypertension.

AgelessRx only partners with US-based pharmacies that are FDA registered and inspected facilities. As such, they routinely undergo strict manufacturing and approval processes for safety and efficacy that makes them available nationally to all other pharmacies in the country (including large and well-known providers, like Walgreens and CVS).

DMAE stands for dimethylaminoethanol (deanol for short). It is an organic, topical compound traditionally derived from fatty fish (salmon, sardines, anchovies). Studies suggest DMAE may help increase dermal (skin) thickness while also hydrating the skin. Used consistently, DMAE may have skin-firming effects.

Our Rx-exclusive gel contains Dimethylaminoethanol Bitartrate (DMAE), Hyaluronic acid (Sodium Hyaluronate), Alpha Lipoic Acid, Preserved Water, and Lavender Oil. This combination is formulated to be more effective than using any one of these ingredients alone.

Many members see results within just a few weeks of treatment. Significant overall skin tone improvement should be visible within 16 weeks.

While using DMAE, you may experience: Itching, Burning, Redness, or Peeling. Less common side effects may include muscle twitching, insomnia, sneezing/coughing/wheezing, severe eye irritation, or convulsion.

If you experience severe burning or rash, discontinue use and contact your care team.

Some over-the-counter creams may contain DMAE, however, at much lower percentages than available via a prescription. Some oral forms of DMAE are also available OTC, such as tablets or powders, however, they do not present the same anti-aging skin benefits as a topical form, such as gel or cream.

Based on available research, long-term use (1 year or more) of topical DMAE is associated with a good safety profile.

No. DMAE is linked to birth defects and miscarriage. Stop using DMAE immediately if you become pregnant. Do not use DMAE if you are pregnant or breastfeeding (including trying to get pregnant or are unsure whether you are pregnant).

DMAE is known to have a somewhat unpleasant smell, and our pharmacists describe DMAE as smelling vaguely like ammonia, which can smell fishlike to some. Our unique formulation of DMAE contains lavender oil to help reduce any unpleasant smells. Some may still detect the smell of ammonia, but the scent does not linger or stick to your skin, so you shouldn’t let this detract you from the benefits of DMAE.

GHK-Cu (Copper Tripeptide-1) is a naturally occurring peptide found in the body that supports skin repair and renewal processes, including collagen production and overall skin quality. Levels of GHK-Cu naturally decline with age. 

While GHK-Cu is not FDA-approved to treat medical conditions, it is commonly used in cosmetic dermatology for skin appearance and rejuvenation.

GHK-Cu Cream works locally within the skin layers (epidermis and dermis). Research suggests it may help support collagen and elastin production, promote tissue repair and remodeling, help regulate inflammatory signaling in the skin, support skin barrier integrity, and provide antioxidant activity within the skin. This treatment is intended for external skin use only.

GHK-Cu and retinol work through different mechanisms. Retinol accelerates cellular turnover to resurface the skin, while GHK-Cu works locally, signaling cells to repair and remodel, support collagen and elastin production, and build density and elasticity. Additionally, GHK-Cu does not cause photosensitivity and does not trigger a retinoid response, which can include initial breakouts, known as purging.

Individual results vary, and benefits are not guaranteed. With consistent use, some users may notice benefits such as improved skin firmness and elasticity, reduction in the appearance of fine lines, improved skin texture and tone, support for recovery from environmental stressors, and enhanced overall skin appearance.

GHK-Cu supports the skin’s own firmness pathways, so it may help with the appearance of mild laxity over time. It may signal the skin to produce collagen and elastin, the proteins that give skin its structure and bounce, which can improve firmness, density, and elasticity with consistent use. Individual results vary and are not guaranteed.

Skin renewal takes time. Some users may notice subtle improvements within a few weeks, while optimal results may appear after 2–3 months of regular use. Consistency is key for the best outcomes.

GHK-Cu is generally well tolerated, and copper toxicity is not a realistic concern with topical use. The most common side effects are mild and localized, such as temporary redness, tingling or warmth, dryness, or mild irritation, and these usually settle within a week or two.

Both strengths use the same peptide; the difference is intensity, and the right one depends on your skin and your goals.

The 0.5% cream is our gentle, everyday starting point. It is ideal if you are new to copper peptides or have sensitive or reactive skin, and it suits delicate areas like the face and around the eyes. It builds results gradually with a low chance of irritation.

The 3% cream is our higher-intensity option. It is formulated for skin that is already comfortable with active ingredients, for tougher or thicker-skinned areas, and for more advanced goals like firmness and deeper-set texture, delivering more peptide per application for those who want to push results further. Many people begin at 0.5% and step up to 3% as their skin adapts. Your provider will help match the strength to your goals and tolerance.

Most side effects are mild and localized to the application site. Common side effects may include mild redness or irritation, dryness, temporary tingling or warmth, and increased skin sensitivity.

Less common but more serious reactions may include allergic reaction (rash, swelling, hives), contact dermatitis, worsening of inflammatory skin conditions, and/or infection if applied to open or broken skin.

Stop use and contact your provider if significant irritation or concerning symptoms occur. Seek immediate medical care for signs of a severe allergic reaction, difficulty breathing, or signs of infection.

Do not use this medication if you have a known allergy to copper peptides or formulation ingredients, known copper metabolism disorders (such as Wilson’s disease), active or untreated skin infection at the application site, have active or recent cancer, significant heart dysfunction, or if you are pregnant, breastfeeding, or planning to become pregnant or breastfeed.

Speak with your provider before use if you have sensitive or reactive skin, eczema, psoriasis, rosacea, chronic skin conditions, or any history of contact dermatitis. Please also discuss any recent cosmetic procedures, such as chemical peels, microneedling, or laser treatments, as well as the use of retinoids, exfoliating acids, or other active skincare treatments.

Many members report seeing benefits within 30 minutes to 1 hour of using the product. Dermatologists sometimes demonstrate this by applying our cream to one of their member’s eyes at the beginning of the appointment. At the end of the 30 minute appointment, they hand them a mirror and show them the difference. So, results may be seen in as little as 30 minutes, and may continue to improve skin with prolonged use.

It is not expected to. We have not had reports of this cream causing breakouts or irritation, and some people use it on acne-prone skin.

Our NAD+ Face Cream contains NAD+ powder, sodium hydroxide (10% solution), propylene glycol, and HRT Botanical Base. 100% vegan, cruelty free.

Tretinoin is a topical form of retinoid applied to the skin. It is only available via prescription.

Our Tretinoin Anti-Wrinkle Cream contains retinoic acid (commonly 0.02% or 0.05%), hyaluronic acid, and ascorbic acid.

Most people see early results within 3-4 weeks, with more significant results after 8-10 weeks. If you are using Tretinoin as an acne treatment, noticeable results may take longer, between two to six months.

Most commonly, we prescribe a starting/initial prescription of 0.02%, working up to 0.05% upon first refill. In some cases, different strengths may be prescribed at the discretion of your provider. However, we typically do not recommend strengths over 0.05%, as higher concentrations (like 0.1%) are often too strong to properly treat wrinkles and come with exacerbated side effects: the 0.02% and 0.05% formulas offer the best balance of positive cosmetic outcomes while minimizing side effects.

You may experience itching, burning, redness, or peeling in the first days or weeks after starting Tretinoin. These are sometimes referred to as “retinoid reactions,” which are an initial skin response to retinoids like Tretinoin. 

Less common side effects may include edema (swelling), rash, skin hyperpigmentation (dark spots), and skin hypopigmentation (light spots).

If Tretinoin gets too close to your eye, it may cause a dry eye condition known as meibomian gland dysfunction/atrophy. Be careful to apply Tretinoin no further than your orbital bone (eye socket) to ensure that the medication stays out of your eye.

If you experience severe burning or rash, stop using Tretinoin and contact your care team.

For more information on Tretinoin side effects, please review the Mayo Clinic’s Tretinoin resources.

No. Topical Tretinoin is only available with prescription and is not sold over the counter.

Studies show that it’s safe to use Tretinoin over the long term, with some studies examining the effects of Tretinoin for as long as four years.

Though absorption from topical Tretinoin is minimal, we do not recommend using it during pregnancy or breastfeeding due to the theoretical risk of birth defects. Do not use Tretinoin if you are pregnant, breastfeeding, trying to become pregnant, or unsure whether you are pregnant. Stop using Tretinoin immediately if you become pregnant.

Trazodone is a serotonin agonist and reuptake inhibitor (SARI) that is FDA approved as an antidepressant. In recent years, Trazodone has also developed a reputation as a potent sleep aid: when taken at low doses (25-100mg), Trazodone acts strongly as a serotonin agonist to produce a sedative effect that has been shown to potentially improve sleep onset and duration.

When compared to benzodiazepines and other sleep aids, Trazodone is non-habit-forming with less side effects. Trazodone also stands out for having a shorter half-life, and thus a lower risk of daytime drowsiness and side effects.

Trazodone blocks serotonin type 2 (5-HT2), histamine H1, and alpha-1 adrenergic receptors, which reduces neurotransmitters associated with arousal. Studies show that this results in a calming sedative effect that may induce and maintain high-quality sleep.

Studies show that Trazodone’s unique mechanism of action can produce a calming effect that may help you fall asleep faster and stay asleep longer, while restoring healthy sleep patterns over time.

Studies also show that Trazodone may also help improve moods, reduce anxiety, and enhance cognitive function like memory recall and concentration.

Unlike other sleep aids, studies indicate Trazodone isn’t habit-forming or addictive, with a shorter half-life that also reduces the risk of side effects like grogginess.

The most common side effects of Trazodone are drowsiness, dizziness, headache, dry mouth, and nausea. Most side effects are mild and go away within a week or two, as your body adjusts to the medication.

Some side effects of Trazodone may affect your ability to drive a vehicle, operate heavy machinery, and perform other tasks requiring concentration and coordination. Plan to stay home or arrange a ride for the first few days after starting Trazodone, until you’re sure you won’t be drowsy, dizzy, or fatigued after taking the medication.

The side effects of Trazodone are dose-dependent and may indicate that a particular dose is too high. If you find you cannot tolerate your current dose, talk to your provider, who may lower your dose by 25mg until your side effects resolve. If you cannot tolerate 25mg of Trazodone, consider taking an alternative sleep aid such as Tran-Q Sleep.

Trazodone can be taken by generally healthy adults who are at least 25 years old.

People taking MAOI medications or antidepressants should not take Trazodone, as the combination may increase the risk of serotonin syndrome. Do not take Trazodone within 14 days of discontinuing an MAOI medication or antidepressant.

If you are pregnant or breastfeeding, or planning to become pregnant or breastfeed, do not take Trazodone.

Trazodone may not be appropriate for people with a history of heart, liver, or kidney conditions. People with compromised organ function may be at greater risk of side effects or increased complications with these organs.

Trazodone may also increase the risk of psychological side effects in younger people, and the risk of falling in older people.

The initial feeling of drowsiness normally occurs within 30-60 minutes after taking Trazodone. Clinical trials suggest that benefits like better sleep, improved memory recall, and enhanced concentration can be achieved within 4 weeks for most people. However, all people react uniquely to Trazodone, and results may vary. If you feel you’re not meeting your health goals on your prescribed dose, contact your care team to see if changing your target dose is right for you.

No, Trazodone is not habit-forming or addictive. However, Trazodone can cause a recurrence of side effects and sleep disturbances if you stop taking it suddenly. For this reason, most people should slowly wean off Trazodone before discontinuing the medication.

It is best to avoid alcohol while taking Trazodone. Alcohol can amplify the sedative effects of Trazodone, leading to increased drowsiness, dizziness, and impaired coordination. This combination may also negatively impact the quality of your sleep, reducing the restorative effects of the medication​.

Trazodone is safe for long-term use at low doses between 25-100mg. If you are approved for a prescription, your provider will reassess your prescription every 3-6 months to determine your ongoing eligibility based on your progress and health goals.

Trazodone can affect eating habits and make some people feel more or less hungry than usual. Though uncommon, some people may notice they slightly gain or lose weight as a result. Losing or gaining weight is not an intended effect of Trazodone. Do not take Trazodone expecting to see weight loss.

Most people can safely combine Trazodone with Tran-Q Sleep. However, you should always discuss this option with your provider before proceeding.

Some over-the-counter sleep supplements like melatonin and magnesium are usually safe to use with Trazodone. But you should always discuss any combination with your healthcare provider.

We can think of sleep architecture as “the house we sleep in,” or how well our brain is able to build a foundation of quality sleep.

Sleep architecture is defined by our brain activity as we sleep, or how well we pass through the stages of high-quality, restorative sleep: light sleep (stages 1-2), deep sleep (stages 3-4), and dream sleep (stage 5). The brain takes about 90 minutes to go through all of these stages, starting with the base (stages 1-2), then the siding (stages 3-4), and finally the roof (stage 5).

Just like a reliable house needs all of these parts to be comfortable, so too does reliable sleep. If it takes too long for us to fall asleep, or if our sleep is fragmented, then the quality of each stage deteriorates, leading to weaker sleep, or a less comfortable house to sleep in.

Those with healthy sleep patterns have good sleep architecture. On the other hand, those with insomnia are said to have poor sleep architecture, or poor sleep patterns that make it difficult to fall and stay asleep.

Studies show that users of Trazodone experience improved sleep architecture, fall asleep faster and stay asleep longer, while experiencing increased time spent in non-REM deep sleep (slow-wave sleep). Over time, this helps develop a more balanced sleep cycle with minimal impact on REM sleep​​.

The price of the Biological Age Test includes a provider’s order for testing, all lab and testing fees, and a copy of your results (revealing your Biological Age).

First, purchase the Biological Age Test from AgelessRx, then schedule your blood draw at Quest or a lab of your choice. Once you collect your blood draw results, enter your results into the Biological Age Calculator to reveal your Biological Age.

No. As part of your test price, AgelessRx provides an order from a licensed provider in your state through our network.

Unfortunately, no. All laboratory testing must be privately paid for at the time of purchase.

If you would like to see if this test will be reimbursed by your insurance, you can download a copy of your receipt from your account dashboard.

If you purchased your blood test through AgelessRx, you can go to any of the thousands of Quest Lab locations nationwide.

Once your order has been confirmed, you will receive the Biological Age Test User Guide which will guide you through the process of setting up an appointment.

If it is possible, yes. We encourage everyone to use their own doctor and health insurance for blood tests. However, if that is not possible or not as affordable, AgelessRx can help you arrange a blood draw at a local Quest Labs.

Once you have submitted your order, you will receive access to the Biological Age Test User Guide that outlines how to schedule an appointment at Quest Labs.

We encourage everyone to complete a Biological Age Test before starting a certain therapy. Then, repeat the test again within the next 6-12 months to see how the therapy has impacted your aging process.

After completing the calculator exercise, you will receive a personalized report detailing your Phenotypic Age and Chronological Age. Specifically, the difference between the two ages.

The test measures nine markers. Albumin and Alkaline Phosphatase measure liver function, while Creatinine measures kidney function. Glucose reflects metabolism, and C-reactive Protein reflects inflammation. Lymphocyte, Mean Cell Volume, Red Cell Distribution Width, and White Blood Cells all relate to the immune system.

You can learn more about each of the 9 blood markers on our Product Science Page.

Cologuard is a non-invasive, at-home stool test designed to detect the presence of colorectal cancer or precancerous conditions by analyzing DNA and blood in the stool. Cologuard is a prescription-only product that must be ordered by a healthcare provider on your behalf.

AgelessRx does not provide Cologuard collection kits directly. AgelessRx only offers medical consultations with expert providers to see if a Cologuard prescription is appropriate for you.

If you are approved for a Cologuard prescription, you must contact Exact Sciences, the manufacturer of Cologuard, directly to confirm your identity and remit payment to receive your collection kit.

Cologuard detects specific changes in the DNA and the presence of blood in your stool, which can be indicators of cancer or precancerous polyps. Each sample is analyzed by a US-licensed laboratory technician at Exact Sciences, the pathology company who launched Cologuard, who will deliver a positive or negative confirmation based on your sample.

Please note that a negative result does not rule out colorectal cancer, and a positive result is not a diagnosis. Cologuard should be used in addition to routine cancer screening tests with your healthcare provider, who will help you interpret your results and advise you on next steps.

Cologuard is recommended for individuals aged 45 and older who are at average risk for colorectal cancer and who do not have symptoms. Your AgelessRx provider will review your request to determine if Cologuard is right for you.

Cologuard is a prescription stool test provided by Exact Sciences. In order to receive Cologuard, you must receive a prescription from a licensed provider, such as your AgelessRx provider.

To get Cologuard, you can start by setting up a virtual visit with your AgelessRx provider, who will determine if Cologuard is right for you and provide a prescription if appropriate.

If you’re approved, your prescription will be sent to Exact Sciences, who will contact you directly to help you complete the process.

Please note that AgelessRx only provides a provider consultation to see if Cologuard is right for you. AgelessRx does not provide the Cologuard collection kit. You must complete your payment with Exact Sciences to receive your Cologuard collection kit.

The out-of-pocket cost for Cologuard is $382 if you choose not to go through insurance. You can always use your insurance if you prefer, but you may be charged more in the event that your insurance does not cover your Cologuard prescription.

No, Cologuard is not a replacement for a colonoscopy. Cologuard detects 42% of large polyps on average, while colonoscopies detect 95% of large polyps. Cologuard is an alternative screening option for those at average risk of colorectal cancer.

Cologuard is generally recommended every three years if your results are negative and you remain at average risk for colorectal cancer. Your provider may recommend you take Cologuard more often based on your unique medical background.

Cologuard can detect 92% of colorectal cancer and 42% of precancerous polyps. Cologuard also has a 13% false-positive rate, with an 8% false-negative rate.

Cologuard has been shown to be effective in detecting certain DNA and blood markers associated with colorectal cancer, but Cologuard does not provide a positive or negative diagnosis of cancer. Like all tests, it is not 100% accurate and may not detect all cancers. For this reason, it’s best utilized as an alternative screening tool for those at average risk of colorectal cancer. You should consult your primary care physician about your Cologuard results to determine next steps.

No, Cologuard is not recommended for individuals experiencing symptoms of colorectal cancer. In such cases, a diagnostic colonoscopy is advised.

Many insurance plans, including Medicare, cover the Cologuard test, but usually only ordered through a member’s primary care provider. AgelessRx does not facilitate the billing of insurance. All people ordering Cologuard through AgelessRx are expected to pay for the test out-of-pocket and AgelessRx does not help coordinate payment with insurance companies.

Cologuard is typically recommended for those with an average risk of colorectal cancer. Those who have a personal or family history of colorectal cancer are often considered to be at high risk and should consult with their healthcare provider for appropriate screening recommendations.

There is no direct risk involved in taking the Cologuard test, as it is a non-invasive stool-based DNA test.

Our Core Longevity Panel is a first-of-its-kind blood test that helps assess your risk for heart disease, diabetes/insulin resistance, and inflammation. This test measures 10 key biomarkers critical to your health and longevity.

When your sample is processed and reviewed by our world-class medical team, an easy-to-read copy of your digital lab report will be made available to you on your AgelessRx portal. You should always discuss results with your doctor, especially for any abnormal values.

Tests are currently only for adults aged 18 and older.

A comprehensive list of scientific journal references that reinforce our testing methodology are included below.

Cardiovascular health:

Courtney Nagel Sandler, MDMarie E. McDonnell, MD 2016 May, The role of hemoglobin A1c in the assessment of diabetes and cardiovascular risk Cleveland Clinic Journal of Medicine ; 83 Suppl 1(5):S4-S10

Ivana R Sequeira, Sally D Poppitt1 2017, HbA1c as a marker of prediabetes: A reliable screening tool or not, Review Article – Insights in Nutrition and Metabolism () Volume 1, Issue 1

Ho-Pham LT, Nguyen UDT, Tran TX, Nguyen TV. August 17, 2017, Discordance in the diagnosis of diabetes: comparison between HbA1c and fasting plasma PLOS ONE. doi:10.1371/journal.pone.0182192

Simmons RK, Rahman M, Jakes RW, et al. 2011, Effect of population screening for type 2 diabetes on mortality: long-term follow-up of the Ely cohort. Diabetologia.; 54(2): 312–319.

Couderc R1, Antar M1, Bonnefont-Rousselot D2, Paul JL3, Therond P4. Couderc R, et al. Ann Biol Clin (Paris). 2017. Blood lipid tests in 2017. Review article

Screening for Dyslipidemia in Younger Adults: A Systematic Review for the U.S. Preventive Services Task Force. Chou R, Dana T, Blazina I, Daeges M, Bougatsos C, Jeanne TL Ann Intern Med. 2016;165(8):560.

Clinical utility of different lipid measures for prediction of coronary heart disease in men and women. Ingelsson E, Schaefer EJ, Contois JH, McNamara JR, Sullivan L, Keyes MJ, Pencina MJ, Schoonmaker C, Wilson PW, D’Agostino RB, Vasan RS. JAMA. 2007;298(7):776.

Lipid parameters for measuring risk of cardiovascular disease. Arsenault BJ, Boekholdt SM, Kastelein JJ; Nat Rev Cardiol. 2011 Apr;8(4):197-206. Epub 2011 Feb 01.

Clinical Utility of a Fingerstick Technology to Identify Individuals With Abnormal Blood Lipids and High-Sensitivity C-Reactive Protein Levels Parin Parikh, MD, Heidi Mochari, MPH, RD, and Lori Mosca, MD, MPH, PhD; Am J Health Promot. 2009 Mar–Apr; 23(4): 279–282. doi: 10.4278/ajhp.071221140

Diabetic health:

Courtney Nagel Sandler, MDMarie E. McDonnell, MD 2016 May, The role of hemoglobin A1c in the assessment of diabetes and cardiovascular risk Cleveland Clinic Journal of Medicine ; 83 Suppl 1(5):S4-S10

Ivana R Sequeira, Sally D Poppitt1 2017, HbA1c as a marker of prediabetes: A reliable screening tool or not, Review Article – Insights in Nutrition and Metabolism () Volume 1, Issue 1

Ho-Pham LT, Nguyen UDT, Tran TX, Nguyen TV. August 17, 2017, Discordance in the diagnosis of diabetes: comparison between HbA1c and fasting plasma PLOS ONE. doi:10.1371/journal.pone.0182192

Simmons RK, Rahman M, Jakes RW, et al. 2011, Effect of population screening for type 2 diabetes on mortality: long-term follow-up of the Ely cohort. Diabetologia.; 54(2): 312–319.

Couderc R1, Antar M1, Bonnefont-Rousselot D2, Paul JL3, Therond P4. Couderc R, et al. Ann Biol Clin (Paris). 2017. Blood lipid tests in 2017. Review article

Screening for Dyslipidemia in Younger Adults: A Systematic Review for the U.S. Preventive Services Task Force. Chou R, Dana T, Blazina I, Daeges M, Bougatsos C, Jeanne TL Ann Intern Med. 2016;165(8):560.

Clinical utility of different lipid measures for prediction of coronary heart disease in men and women. Ingelsson E, Schaefer EJ, Contois JH, McNamara JR, Sullivan L, Keyes MJ, Pencina MJ, Schoonmaker C, Wilson PW, D’Agostino RB, Vasan RS. JAMA. 2007;298(7):776.

Lipid parameters for measuring risk of cardiovascular disease. Arsenault BJ, Boekholdt SM, Kastelein JJ; Nat Rev Cardiol. 2011 Apr;8(4):197-206. Epub 2011 Feb 01.

Clinical Utility of a Fingerstick Technology to Identify Individuals With Abnormal Blood Lipids

Inflammation:

High-Sensitivity C-Reactive Protein Levels Parin Parikh, MD, Heidi Mochari, MPH, RD, and Lori Mosca, MD, MPH, PhD; Am J Health Promot. 2009 Mar–Apr; 23(4): 279–282. doi: 10.4278/ajhp.071221140

LP(a) is one of the most significant biomarkers of heart disease. Short for lipoprotein(a), LP(a) is a type of LDL particle that has an apo(a) protein on top of it. LDL is sometimes referred to as bad cholesterol, and our bodies try to clean as much LDL from our bodies as possible. Apo(a) acts like a mask, disguising LDL particles so they can’t be recognized by our cells, making them much harder to clear from our bloodstream. This means LP(a) particles are much more likely to stick around in the blood, get into blood vessel walls, and cause plaque formation, leading to conditions like atherosclerosis.

The Core Longevity Panel measures 10 key biomarkers most likely to impact your longevity: five heart markers, four diabetes markers, and one inflammation marker.

The five heart markers are ApoB, LDL, HDL, total cholesterol, and triglycerides.

The four diabetes markers are glucose, HbA1c, insulin, and HOMA-IR.

The inflammation marker is hs-CRP.

With the Core Longevity Panel + LP(a) bundle, you can also measure your LP(a), a critical heart biomarker.

The Multi-Cancer Early Detection Test detects more than 50 types of cancer, many of which are not commonly screened for today, through a simple blood draw. The test does not diagnose cancer and not all cancers may be detected in the blood.

The test looks for signals present in the blood that may be associated with cancer at the time of your blood draw. If a cancer signal is detected, results can point to where in the body the cancer is coming from to help your healthcare provider guide next steps.

The test is recommended for use in adults with an elevated risk for cancer, such as those aged 50 or older.

The test is intended to be used in addition to, and not replace, other cancer screening tests your healthcare provider recommends.

Family history is only one of many risk factors associated with cancer development. These risk factors include eating habits, lifestyle, living or working environments, genetics, and many others. Talk to your healthcare provider to determine whether the test is right for you.

In a large-scale, clinical validation sub-study of CCGA, the test detected more than 50 cancer types across all stages.

The test is only available in the U.S. at this time. It is only available by prescription.

Annual screening provides the opportunity to detect more cancers early. It is up to your healthcare provider to determine the appropriate screening interval based on your underlying risk factors. You should discuss a recommended interval with your primary healthcare provider.

The test is not intended to replace guideline-recommended cancer screening tests. One of the most pressing unmet needs in early cancer detection is to identify cancers for which there are no existing recommended screening tests. This test is designed to detect many cancer types, including those that lack routine screenings. The United States Preventive Services Task Force (USPSTF) currently recommends screening paradigms for lung (for high-risk smokers), breast, cervical, prostate, and colorectal cancers.

Furthermore, the test detects more than 50 cancers, and not all cancers may be detected in the blood. Recommended routine cancer screening tests such as colonoscopy or mammograms are commonly used and have been shown to reduce cancer deaths. This test is intended to be used in addition to and not replace these tests and can help maximize the benefits of early cancer detection. Missing recommended screening or ignoring symptoms could lead to a delayed diagnosis of cancer. Ask your healthcare provider about what cancer screening tests are right for you.

Other genetic tests, such as 23andMe, simply look at the genetic sequencing of an individual, which you have no control over. With an epigenetic test, such as TruMe™, you can address the modifiable parts of your DNA (gene expression) with lifestyle changes to better take control of things like disease risk and rate of aging.

As an example, think about a light bulb and its components. Looking at the way the light bulb is constructed is like looking at DNA sequences (genetics). However, looking at epigenetic modifications is like looking at if the light bulb is on or off.

Genetics tells you what genes you have. More importantly, epigenetics tells you what genes are active. Epigenetics is the study of how the body adds and removes chemical “tags” to our DNA, to turn specific genes on or off. These tags record events that happen in your life: diseases, lifestyle, diet, environmental conditions.

Epigenetic changes happen way before symptoms of disease appear, and that makes epigenetics the most effective way to predict diseases. As a result, your epigenetic profile is often more important than just your genome because it reflects your ACTUAL state of health and predicts your health’s near or mid-term future.

The technology TruMe™ uses measures your DNA methylation at only a tiny fraction of the billions of nucleotides (the components that make up your DNA) and is subject to statistical error. Based on TruMe™ studies, they have approximately a 4.75 years’ error rate. If you see what you think is an error, please feel free to contact TruMe™ directly. Also, keep in mind that these are initial results. As people continue to join we will continue to update and improve your testing accuracy.

We recommend taking the test every six months because your DNA methylation measurably changes within that time. Plus, by taking the test more than once, you’ll be able to notice if the treatments (e.g. Metformin) and lifestyle changes (e.g. diet or exercise) you have applied to your health have been effective in reducing your biological age.

No. The TruMe™ test is a research study. The protocols TruMe™ uses are suitable for genetic research only, not for clinical genetic testing like you would receive at a hospital or doctor’s office. Clinical genetic testing is held to higher standards and is done in laboratories, which are certified by governmental regulations called CLIA (Clinical Laboratory Improvement Amendments). If you use the TruMe™ data for diagnostic purposes, you should always contact the doctor and have the results confirmed by tests recommended by a medical professional.

A Longevity Consultation is an opportunity to speak one-on-one with a longevity expert regarding possible treatment options. You will first provide information about your medical history for the expert to review and customize a Longevity Report specific to your needs. Together, you will discuss the report recommendations via a virtual consultation at a date/time of your choosing.

Your personalized Longevity Report contains Age-Related Recommendations & Therapies, Lifestyle Ratings & Recommendations, Suggested Longevity Interventions (Rx & Supplements), Suggestions for Additional Testing, an AgelessRx Member Checklist, and Tips for Next Steps/Getting Started. Your report also contains Lab Results and an Aging Score (Advanced Consultation Only).

Dehydroepiandrosterone (DHEA) is a steroid hormone produced by the adrenal glands, the same glands responsible for cortisol and adrenaline production. Here, DHEA serves a dual function as a precursor to Testosterone and Estrogen, acting as the building block to selectively build these hormones as needed; and a signaling molecule that balances metabolism, mood, immunity, and brain function. 

DHEA levels gradually decline with age, then drop significantly with perimenopause and post-menopause. Low DHEA levels can lead to fatigue, mood changes, low libido, vaginal atrophy, and metabolic decline. 

When used as part of bioidentical hormone replacement therapy (BHRT), DHEA is bioidentical to endogenous human DHEA and may help support declining levels associated with perimenopause, menopause, and aging. As a precursor hormone, it can be converted into androgens and estrogens, potentially contributing to improvement in related symptoms.

The most common side effects of DHEA, when used as part of bioidentical hormone replacement therapy (BHRT), include acne, hirsutism (facial or body hair growth), and thinning hair or hair loss. Spironolactone, an anti-androgen medication, may help block these effects; your provider may recommend Spironolactone as part of your treatment plan if you experience any of these symptoms. Always talk to your provider if your side effects become bothersome.

No, we only prescribe bioidentical DHEA, or DHEA that is chemically identical to the body’s own levels, as part of bioidentical hormone replacement therapy (BHRT). Both Oral DHEA and DHEA Cream contain bioidentical DHEA.

We offer Oral DHEA tablets, topical DHEA Cream, and DHEA Vaginal Suppositories. Your provider will advise on the best option based on your unique health history, medical needs, and symptoms.

Oral DHEA, DHEA Cream, and DHEA Suppositories all contain bioidentical DHEA. The only difference is how you take the medication: Oral DHEA tablets should be swallowed by mouth with a glass of water, while DHEA Cream should be rubbed evenly where your provider directs. Never apply DHEA Cream to breast tissue. DHEA Suppositories are inserted vaginally and are designed to support vaginal health and comfort. Always check your AgelessRx portal for your personalized dosing instructions.

Estradiol is one of three major types of estrogen produced naturally within the body. 

Estradiol levels gradually decline with age and significantly drop with perimenopause and menopause. This may lead to symptoms like hot flashes and vaginal dryness; signs of aging skin like thinning skin, reduced skin elasticity, and decreased collagen levels; and hallmarks of aging like inflammation, bone loss, and cognitive decline.

When used as part of bioidentical hormone replacement therapy (BHRT), Estradiol is designed to be bioidentical to human Estradiol, replacing depleted levels that may alleviate the symptoms of perimenopause, menopause, and aging.

As an estrogen hormone, Estradiol binds to estrogen receptors throughout the body, regulating diverse systemic functions, such as temperature control, blood flow, skin elasticity, sleep, and mood. Estradiol medications work by introducing bioidentical Estradiol to replace natural levels, which decline with perimenopause and menopause. This may help protect against osteoporosis and cognitive decline and relieve many symptoms of perimenopause and menopause, such as hot flashes, vaginal dryness, aging skin, and hallmarks of aging like inflammation, bone loss, and cognitive decline.

We offer Oral Estradiol tablets, transdermal Estradiol Cream, and Estradiol Patches. Your provider will advise on the best option based on your unique health history, medical needs, and symptoms.

Oral Estradiol, Estradiol Cream, and Estradiol Patch all contain bioidentical Estradiol. The only difference is how you take the medication: Oral Estradiol tablets should be swallowed by mouth with a glass of water, while Estradiol Cream should be rubbed evenly where your provider directs, typically the inner arm or thigh. Never apply Estradiol Cream to breast tissue. Estradiol Patch is applied to clean, dry skin on the lower abdomen or buttocks, never on breast tissue, and application sites rotated with each new patch. Always check your AgelessRx portal for your personalized dosing instructions.

Many women notice improvements within a few weeks, while some benefits may take several months to notice. However, results may vary from person to person. For the best results, take Estradiol consistently for as long as you need to manage perimenopause or menopause symptoms.

The most common side effects of Estradiol therapy include breast tenderness, fluid retention or bloating, and vaginal bleeding or spotting. If you experience nausea, try taking your dose with food. Limiting the salt content in your diet may also help reduce bloating.

Talk to your provider if your side effects become bothersome. If you experience vaginal bleeding, reach out to your provider immediately.

Progesterone is a key hormone for women’s health, alongside Estrogen and Testosterone, helping regulate the menstrual cycle, body temperature, sleep, uterine health, bone health, cardiovascular health, cognitive function, and mood. Progesterone also helps balance the effects of Estrogen: where Estrogen controls the first half of the menstrual cycle, Progesterone controls the second half, or the luteal phase. 

Both Estrogen and Progesterone levels slowly decline with age, and significantly drop with perimenopause and post-menopause. Taking Estrogen alone to treat these symptoms can increase the risk of uterine cancer, but combining bioidentical Progesterone balances these hormones and reduces the risk.

Progesterone works by binding to various receptors throughout the body, including those responsible for menstruation, sleep, and mood. When Progesterone levels start declining from age, perimenopause, and post-menopause, it can no longer influence these receptors as efficiently, leading to menstruation irregularities, mood changes, sleep disturbances, headaches, and weight gain. 

When used as part of bioidentical hormone replacement therapy (BHRT), Progesterone is designed to be chemically equivalent to natural Progesterone, replenishing depleted levels and restoring menstrual, sleep, body temperature, and mood cycles while protecting uterine health, cardiovascular health, bone health, and cognitive function.

The most common side effects of Progesterone therapy include drowsiness, dizziness, breast tenderness, headache, mood changes, bloating or fluid retention, and irregular periods or cessation of periods. 

The risk and severity of many of these side effects can be reduced by taking Progesterone at least 2 hours after your last meal at bedtime. Reducing salt in your diet may also help reduce bloating.

Drowsiness and dizziness may affect daytime activities and become dangerous if operating vehicles or machinery. To reduce the risk of daytime drowsiness, always take Progesterone before bedtime.

Nausea and fatigue are less common side effects of Progesterone that often go away on their own as your body adjusts to the medication. 

Talk to your provider if your side effects become bothersome. If you experience vaginal bleeding, reach out to your provider immediately for guidance.

No, we only prescribe bioidentical Micronized Progesterone as part of bioidentical hormone replacement therapy (BHRT). Our compounded Micronized Progesterone is designed to be chemically equivalent to natural Progesterone and better absorbed than other commercially available alternatives.

Yes, but take caution and pay close attention to your moods while taking Progesterone, especially in the initial weeks after starting the treatment. If you notice that your depression or anxiety worsens during this time, stop taking Progesterone and talk to your provider immediately.

Only synthetic Progesterone has been associated with a higher risk of cancer. Bioidentical Progesterone, which is designed to be chemically equivalent to natural human Progesterone, has been associated with a lower breast cancer risk when used in combination with Estrogen, as compared to synthetic Progesterone.