Physician-guided support for recovery and resilience.
Billed monthly until you cancel. Medications in this program are compounded by a licensed 503A pharmacy. Compounded medications are not FDA-approved, and the FDA has not reviewed them for safety, effectiveness or quality. Your physician decides whether a medication is appropriate for you.


Sermorelin signals your body to release its own growth hormone, supporting the pathways involved in recovery and physical resilience.

NAD+ is a coenzyme involved in cellular energy metabolism. Injectable NAD+ is compounded and not FDA-approved, and evidence for its benefits is still emerging.
Your physician may prescribe sermorelin, which signals your body's own growth-hormone release, alongside compounded NAD+, and reviews your plan every 30 days.
1Intake
Tell us about your goals, health, and history in a short questionnaire for your physician to review.
2Doctor visit
Meet with an independent licensed physician by video to determine whether treatment is right for you.
3Ship
Your treatment kit ships to your door with step-by-step guidance for getting started.
4Ongoing support
Message your care team anytime through your patient portal. Your care team can arrange physician follow-up when clinical input is needed.
If treatment is right for you, a licensed pharmacy prepares it and an independent physician reviews your plan before you start and after every 30-day cycle.
Get started Program | Buying without a care program | |
|---|---|---|
| Prescription decision | Independent physician | Not included |
| Baseline IGF-1 | Required before treatment | Not included |
| Physician review | Every 30 daysRepeat, adjust or pause | Not included |
| Ongoing support | Care team or physician | Not included |

Yes. You’ll speak with an independent licensed physician by video about the treatment and whether it’s right for you.
Sermorelin and NAD+ are injected into the fatty tissue beneath the skin. Step-by-step guidance ships with your first order.
No. Perform is designed to complement those foundations, not replace them.
Your program renews monthly until you cancel. You can cancel anytime through your care team. Once a month's medication has been ordered, that month's charge can't be refunded.

Start with a short questionnaire and a video visit with a licensed physician. If treatment is right for you, your kit combines sermorelin and injectable NAD+, with clear instructions and ongoing support.
Billed monthly until you cancel. Medications in this program are compounded by a licensed 503A pharmacy. Compounded medications are not FDA-approved, and the FDA has not reviewed them for safety, effectiveness or quality. Your physician decides whether a medication is appropriate for you.
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