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A smiling man in a cream linen shirt standing on a sunlit coastal path with the sea and sky behind him.

Longevity care for men

A start-low, build-up NAD+ injection with clinician oversight.

The human evidence is still early.

Explore treatmentsTake the quiz
  • US clinicians
  • Licensed pharmacy
  • LegitScript
  • 4.5 on Google
  • Review fee refunded
  • Free discreet shipping

Start or switch your treatment this season. Your lab panel is on us.

Nov 1 to Jan 31. Given at your 3-month mark.

Explore your longevity options.

  • NAD+ InjectionFrom $62.50/week
  • Glutathione InjectionFrom $32.25/week
  • Methylene BlueFrom $1.54/day
  • Low-Dose Naltrexone (LDN)From $2.05/day
  • Sermorelin InjectionFrom $51.10/week

5 treatments

Free lab panel at month 3NAD+ 200 mg/mL injection vial package

NAD+ Injection

Injection · 200 mg/mL

From $62.50/week

Billed $250 every 4 weeks

Get startedLearn more
Free lab panel at month 3Glutathione 200 mg/mL injection vial package

Glutathione Injection

Injection · 200 mg/mL

From $32.25/week

Billed $129 every 4 weeks

Get startedLearn more
Free lab panel at month 3Methylene blue 5 mg capsules package

Methylene Blue

Capsule · 5 mg

From $1.54/day

Billed $129 every 84 days

Get startedLearn more
Free lab panel at month 3Low-dose naltrexone flex-dose pack

Low-Dose Naltrexone (LDN)

Tablet · 1.5 mg, stepping up to 4.5 mg

From $2.05/day

Billed $369 every 180 days

Get startedLearn more
Free lab panel at month 3Sermorelin injection vial

Sermorelin Injection

Injection · 1 mg/mL

From $51.10/week

Billed $219 every 30 days

Get startedLearn more

Free shipping. HSA/FSA eligible. Prescribed only if appropriate.

Sound familiar?

You’re far from the only one. A US-licensed clinician looks at what you’re noticing and whether treatment fits you.

  • Afternoon energy crashes
  • Slow recovery after workouts
  • Brain fog
  • Feeling older already
  • Poor sleep
  • Low stamina
  • Trouble focusing
  • Fatigue rest won't fix
  • Slower recovery after illness
  • Interest in healthy aging
  • Low motivation
  • Mid-life energy dip
NAD+ 200 mg/mL injection vial package

NAD+ Injection

Injection · 200 mg/mL

From $62.50/week

See NAD+ Injection
Man tending plants in his garden

12.4 years

the gap in the US between how long people live and how long they stay healthy

Source: Garmany and Terzic, JAMA Netw Open 2024
  • 4,400 steps

    a day was linked to lower mortality than 2,700 in 16,741 older women

    Source: Lee et al., JAMA Intern Med 2019
  • 19 trials

    Meta-analysis: NAD+ precursors lowered total cholesterol and triglycerides, with no clear effect on other outcomes

    Source: Oliveira-Cruz A, et al. Horm Metab Res 2024;56(11):818-26 (meta-analysis of randomized trials)

These are trials of oral NAD+ precursors (NMN and NR), not NAD+ injections. We found no published randomized trial of subcutaneous NAD+, so the evidence for the injection itself is still early. Ours is compounded and not FDA approved. Individual results vary.

Start without the risk

  • $20 review refunded if not prescribed
  • Cancel anytime
  • Full refund before your blood draw

For the days ahead. And the life in them.

Build a plan around your health, your habits, and what you want to keep doing.

A relaxed man in a sand-colored sweater walking along a quiet tree-lined path in warm late-afternoon light.

Keep doing what you love

For walks, weekends, and getting out there.

Man reviewing his health goals at home

Make everyday habits count

For the small choices that add up over time.

A man and a woman laughing together over coffee on a sunny terrace with mountains behind them.

Stay connected

For your people. And time well spent together.

What changes the result

Three things that matter alongside treatment.

  1. 01

    Move your mitochondria

    Exercise is one of the lifestyle factors that shape how well your mitochondria work. Regular training and walking are the base everything else sits on.

  2. 02

    Protect sleep and recovery

    Sleep, stress and exposure to pollutants all affect how your cells make energy. Steady sleep and stress habits do more for fatigue than any single supplement.

  3. 03

    Feed mitochondria with food

    A Mediterranean-style, plant-rich diet with fish, magnesium-rich foods and B vitamins supports mitochondrial function. We check B12 and methylmalonic acid because a shortfall in B12 can mimic low energy.

Your health, over time.

Start with a clearer picture. Share your goals, health history, and current routine so your clinician can help you choose a thoughtful next step.

Make your plan part of real life. Build a manageable routine and stay in touch about how you feel, including any side effects.

Take stock of your day-to-day. Review your energy, activity, and any relevant lab results together, and decide what deserves a place in your routine.

Keep what works for you. Your clinician can help refine your plan as your needs change, alongside the habits that support your health.

Think ahead, with support. Revisit your goals and overall health, and make a plan for the next year of doing what matters to you.

DISCLAIMER

These are suggested care check-ins, not established medication benefit timelines. The treatments above have not been shown to extend human lifespan or reverse aging. Evidence for wellness uses is limited and varies by treatment. Some uses are off-label; compounded medications are not FDA-approved. Individual results vary.

Research:Healthy aging researchCognitive healthCompounded medicinesCompounding safety

From goal to doorstep in four steps

Woman completing a private online health intake at home

Step 1

Tell us your goals

A few minutes

Step 1

Tell us your goals

A short, private intake about your health and what you want to improve.

A few minutes

A man with gray hair in a cream knit sweater relaxing on a sunny terrace beside olive trees, smiling during a phone call.

Step 2

A clinician reviews

Within 24 hours

Step 2

A clinician reviews

A licensed provider reviews your info and labs, if needed, and builds your plan.

Within 24 hours

Discreet treatment delivery

Step 3

Delivered to your door

2–5 business days

Step 3

Delivered to your door

Approved treatment ships free in plain, discreet packaging.

2–5 business days

Woman checking her ongoing care plan on her phone at home

Step 4

Ongoing care

Ongoing

Step 4

Ongoing care

Message your PocketMD provider anytime; we adjust your plan as you progress.

Ongoing

Explore treatments

Your questions, answered.

A Black man in his early 40s with a short beard reading a message from his care team
Can these treatments help me live longer?+

There is no proven promise of extra years from the treatments listed here. We focus on understanding your health and discussing options thoughtfully, alongside movement, nutrition, sleep, and routine preventive care.

Do I need all of these treatments?+

They are different treatments, not a standard bundle. Your clinician reviews your goals, conditions, and medications and may recommend a different approach or no prescription.

Will I need lab work?+

Sometimes. Your clinician decides which tests are useful for your history and the treatment being considered. Symptoms such as ongoing fatigue can have several causes and deserve a proper evaluation.

What should I know before starting?+

Share every medicine and supplement you take. Naltrexone interacts with opioid medicines, and methylene blue can interact dangerously with certain antidepressants. Compounded medicines are not FDA-approved. Your clinician will explain the risks and suitability of any option.

What does it cost to start?+

A $20 clinician review, refunded if you’re not prescribed. Each plan shows its lowest rate with the real bill, and you can cancel anytime.

How fast is it?+

A US-licensed clinician reviews within 24 hours, and approved orders ship free in 2 to 5 business days.

The clinicians behind your care

Your treatment is reviewed and prescribed by US-licensed clinicians in our network.

William Blackwell, MD

William Blackwell, MD

Weight and metabolic health

Board certified in emergency medicine and practicing telehealth since 2018. Focuses on weight management and metabolic health.

Shamail Tariq, MD

Shamail Tariq, MD

Cardiometabolic health

Board certified in cardiovascular disease and interventional cardiology. Focuses on preventive cardiology, blood pressure and cholesterol.

Explore other goals

A relaxed man in a sage linen shirt smiling toward the light on a sunlit Mediterranean terrace with terracotta pots.

Raise your own testosterone without shutting down sperm production.

One tablet a day, dosed from your labs.

Explore increase testosterone
Man walking along a coastal trail

Weight care. For your life.

A plan built around your health, your routines, and where you want to go.

Explore lose weight
A couple embracing outdoors in warm neutral colours

Closer. More you.

Make room for connection. Find private care that fits you.

Explore improve sexual function
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Your hair. Your way.

Get ahead of thinning. Find a hair-care routine that fits your life.

Explore improve appearance
Man in a green cap looking toward sunlight in the mountains

Keep your thyroid levels steady.

Levothyroxine from a US pharmacy, dosed from your TSH and free T4.

Explore manage thyroid
A man at breakfast on a sunny terrace

Low B12, fixed at the source.

A weekly methylcobalamin injection that skips your gut.

Explore supplements
A man enjoying morning coffee in the sun on his balcony

Your skin. Your everyday.

Clearer, smoother skin with one simple nightly step, prescribed for you.

Explore clearer skin

Make room for the years ahead.

You have things you still want to do. Start with a conversation about your health today.

Explore a thoughtful plan built around your goals, with a clinician to guide the next step.

Explore treatments

Stay on top of your health.

Join for practical tips, new treatments, and member-only offers.

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Hormone OptimizationWeight ManagementSexual HealthHair RestorationLongevity & Wellness

Women’s Care

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Prescription products require an online consultation with a licensed clinician who will determine if a prescription is appropriate. Individual results vary. Not for use in a medical emergency. © Vitals Vault

Verify Approval for www.vitalsvault.com

From $1.54/day · $20 clinician review.

Billed $129 every 84 days. $20 review refunded if not prescribed. Cancel anytime.

See treatments