Metabolic & cellular optimization

Support your cells.
Not just your symptoms.

NAD+ and Sermorelin — reviewed by a licensed provider in an async, 5-7 minute consult. Cash-pay, no insurance needed.

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Sermorelin vial
NAD+ vial
0Metabolic & cellular optimization compounds
0 minAsync provider review time (as little as 5 min)
0-monthSupply per initial visit (1 mo + 2 refills)
0%Online — cash-pay, no insurance needed
NAD+ and SermorelinAsync provider review — no video callUp to 3-month supply per visitCash-pay, no insurance neededCancel anytimeNAD+ and SermorelinAsync provider review — no video callUp to 3-month supply per visitCash-pay, no insurance neededCancel anytime
By the numbers

Why NAD+ support matters more with age

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme in every cell, involved in energy production and DNA repair. Levels decline substantially with age — the well-documented pattern behind interest in NAD+ support.

HighMidLowAge 20Age 35Age 50Age 65Age 80

Curve is illustrative, based on published research on age-related NAD+ decline.

Outcomes

Why people choose async over the alternatives

There's no clinical trial for this compound bundle to cite — so judge us on what's actually different: a licensed provider reviews your intake in minutes, not weeks.

Gala Longevity — async review
5–7 min
Traditional in-person longevity clinic
Weeks-long wait + visit
Membership-based longevity program
Weeks + monthly fee
Unsupervised / OTC
No provider review
Treatments

Pick the path that fits your body.

Every option is reviewed and prescribed by a licensed provider who reads your full assessment — not a one-size-fits-all template.

Peptide Therapy

NAD+ (Nicotinamide Adenine Dinucleotide)
In stock

NAD+ (Nicotinamide Adenine Dinucleotide)

A cellular-energy coenzyme that declines with age — a subcutaneous injection you take at home.

$199/month
Learn more
Sermorelin
In stock

Sermorelin

A growth-hormone-releasing peptide that stimulates your body's own natural GH production.

$199/month
Learn more
How it works

From intake to your door, without a waiting room

No video call, no office visit. Everything happens on your phone.

1

Complete the online intake

Answer questions about your health history and goals for the compound(s) you're interested in — about 5-7 minutes to complete.

2

A licensed provider reviews, async

No video call required — a licensed provider reads your intake, matches it to the compound and delivery format that fits, and prescribes or follows up with a question.

3

Your supply ships, refills continue

Your initial visit covers up to a 3-month supply — one month plus two refills. A short async check-in every quarter keeps things going.

The science

Cellular resources decline with age. Support them directly.

NAD+ is a coenzyme every cell relies on for energy production and DNA repair, and it declines substantially as you age. Sermorelin works with your pituitary gland's own growth-hormone signaling. Each compound is reviewed against your history by a licensed provider before it ships.

  • Supports cellular energy and DNA repair
  • Works with your body's own signaling, not around it
  • Reviewed by a licensed provider before every shipment

Support your cells, on your schedule.

Take the online intake and let a licensed provider match you to the compounds and delivery format that fit your history — reviewed asynchronously, no video call required.

Frequently Asked Questions

Two at launch: NAD+ and Sermorelin, both peptide and cellular-optimization therapies. Your intake matches you to whichever fits your goals and history — and screens you against the wider protocol, so we can tell you when neither is the right call.
Yes. A licensed provider reviews your online intake asynchronously — no video call required — and the consult typically takes 5–7 minutes on their end. They prescribe what fits your history, or follow up with a question first.
The program is built entirely around an async model: you complete a detailed online questionnaire, and a licensed provider reviews it on their own time. It's the same clinical review, without scheduling around a live appointment.
Both compounds are subcutaneous injections you administer at home. Your provider confirms the format and dosing that fit your history during the async review.
Your initial visit covers up to a 3-month supply — shipped as one month plus two refills already on file. To continue past that, you complete a short async check-in questionnaire each quarter so your provider can review before the next supply ships.
No insurance — the program is cash-pay. Both compounds are $199 per month (a 28-day supply), and a longer term brings that down — the 12-month plan works out to $118 per month, $1,417 billed up front. You're charged when you check out, before a provider reviews — and if they can't prescribe for you, you're refunded in full. Cancel anytime.
If your GLP-1/GIP prescription already contains a small amount of nicotinamide riboside, you can still receive NAD+ as part of that prescription. You cannot also have a separate, standalone NAD+ prescription on top of that — your provider will confirm which situation applies to you.
It varies by compound, by person, and by what you're using it for — there's no single timeline we can promise. Your provider is the right person to talk through realistic expectations for the compound(s) in your plan.
No single compound is right for everyone — each one has its own screening questions (for example, NAD+ screens for hematocrit, and Sermorelin isn't prescribed under 25). Some conditions rule out the program altogether. Your intake surfaces all of this, and your provider makes the final call.