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Two women sharing tea and conversation at an outdoor picnic table

Longevity care for women

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.

  • Low energy
  • Poor sleep
  • Slow recovery
  • Stiff joints
  • Brain fog
  • Stress
  • Afternoon slumps
  • Wanting to age well
NAD+ 200 mg/mL injection vial package

NAD+ Injection

Injection · 200 mg/mL

From $62.50/week

See NAD+ Injection
Woman completing a private health intake at home

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
  • 2.4 years

    wider for women than for men: women live longer but spend more years in poor health

    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

Start without the risk

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

For today. For everything still ahead.

Make space for your wellbeing, with care that considers your health, your routines, and what matters to you.

Woman walking her dog through her neighborhood

Keep doing what you love

For neighborhood walks and the plans you look forward to.

Woman watering herbs on her balcony

Make room for yourself

For small routines that put your wellbeing on the calendar.

Two women sharing a conversation at an outdoor café

Stay connected

For the people and moments that fill your days.

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 you. Talk through how you feel, what matters to you, and your health history. Together, you and your clinician can find a sensible next step.

Build a rhythm that fits your life. Make space for meals, movement, and rest, and stay in touch about how any prescribed treatment feels.

Take a moment to notice your everyday. Share what feels different—and what doesn’t—with your clinician, so your care keeps moving in the right direction.

Keep making room for yourself. Revisit your routines and your plan as your needs change, with support for questions along the way.

Look ahead to what you want more of. Reflect on the year, celebrate the habits you’ve kept, and set your next goals with your clinician.

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 South Asian woman in her early 50s with a silver streak in her hair reading a message from her 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.

How does this fit with menopause care?+

This care does not replace treatment for menopause symptoms. Changes in sleep, energy, or concentration can have several causes. Your clinician can help you understand what needs attention and whether menopause care, another approach, or no prescription makes sense.

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 all medicines and supplements, and tell your clinician if you are pregnant, planning pregnancy, or breastfeeding. Naltrexone interacts with opioid medicines. Methylene blue can interact dangerously with certain antidepressants and is unsuitable for people with G6PD deficiency. Your clinician will review treatment-specific risks with you.

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

Woman seated outdoors holding a yoga mat and looking toward the sunlight

Still you. More at ease.

Care for the changes you feel. More room for the life you love.

Explore relieve menopause symptoms
Woman smiling while jogging outdoors beside a landscaped walkway

Your pace. Your progress.

Weight care that makes room for your health, your routines, and you.

Explore lose weight
Woman leaning against her partner on a quiet lakeside pier

More connection. More you.

Your pleasure matters. Find private, personal care for desire and arousal.

Explore improve sexual function
Woman with wavy brown hair smiling on a garden terrace

Your hair. Still you.

Make room for fuller-looking hair. Find personal care that fits your everyday.

Explore improve appearance
Woman smiling in a white blouse against a warm stone wall

Keep your thyroid levels steady.

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

Explore manage thyroid
Woman holding a glass of water with supplement bottles on the table

Low B12, fixed at the source.

A weekly methylcobalamin injection that skips your gut.

Explore supplements
Woman gently touching her cheek in a skincare studio portrait

Your skin. Your everyday.

Make space for a simpler skin-care routine, guided by your concerns and your goals.

Explore clearer skin

Your next chapter starts with you.

You make time for so much. Your wellbeing deserves a place, too.

Explore your health, talk through your goals, and find care that fits the life you want to keep living.

Explore treatments

Stay on top of your health.

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

Vitals Vault

Personalized men's & women's care, built on your labs.

Men’s Care

Hormone OptimizationWeight ManagementSexual HealthHair RestorationLongevity & Wellness

Women’s Care

Hormone & Midlife CareWeight ManagementSexual WellnessHair RestorationLongevity & Wellness

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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