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Clinician Consultation Required

Clinician-Guided Longevity
& Performance Program

A clinically supervised program combining NAD+ optimization, peptide therapy, and advanced biomarker monitoring for adults whose clinician consultation confirms candidacy.

These are investigational and off-label protocols — your clinician will determine clinical appropriateness

Clinical Eligibility

Is This Program Right For You?

Longevity protocols are not for everyone. Your clinician will assess whether your current health status and goals make you a suitable candidate.

Typically a good candidate if…

  • Adult in generally good health, optimizing for performance and longevity rather than treating acute disease
  • Age 30+ with interest in slowing biological aging markers (NAD+, telomeres, mitochondrial function)
  • Athletes or high performers looking to improve recovery, cognitive sharpness, and body composition
  • Executive or high-stress lifestyle with signs of accelerated aging, burnout, or performance decline
  • Already optimized lifestyle (sleep, nutrition, exercise) and seeking the next tier of intervention

Not appropriate if…

  • Active cancer or history of hormone-sensitive malignancy (some peptides are contraindicated)
  • Uncontrolled diabetes or insulin resistance (affects GH-axis peptide safety)
  • Pregnancy or planning pregnancy
  • Chronic kidney disease (affects NAD+ precursor dosing)
  • Seeking performance enhancement for competitive sports (check governing body rules)
  • Not yet optimized sleep, nutrition, and exercise — those come first

Program Components

What's Included

Longevity Biomarker Panel

Advanced labs: NAD+ levels, IGF-1, ApoB, homocysteine, hsCRP, HbA1c, fasting insulin, and a full metabolic panel to establish your biological baseline.

Clinician Protocol Design

A licensed clinician reviews your biomarkers and designs a personalized protocol — not a one-size catalog.

NAD+ Optimization

NMN or NR supplementation, or IV NAD+ if clinically indicated. Targets mitochondrial health, cellular energy, and DNA repair mechanisms.

Peptide Therapy

Clinician-selected peptides may include BPC-157 (recovery), CJC-1295/Ipamorelin (GH pulse), or Epithalon (telomere support) — based on your profile and goals.

Quarterly Re-evaluation

Labs repeated every 90 days. Protocol adjusted based on biomarker response. No guesswork.

Performance Coaching Integration

Optional integration with your existing training or sleep coaching. Your clinician can coordinate with your team.

Clinical Evidence

The Science

Many longevity interventions are based on preclinical and early human data. We present what the evidence supports — and where uncertainty remains.

NAD+ & Aging

The cellular energy decline

NAD+ levels decline ~50% between ages 40–60. NAD+ is required for sirtuins (longevity proteins), mitochondrial function, and DNA repair. NMN and NR are precursors shown in human trials to raise NAD+ levels; clinical outcome data (lifespan, disease prevention) is still maturing. Current evidence supports improvement in energy, muscle function, and metabolic markers.

Peptide Therapy

Signaling molecules, not hormones

Peptides are short amino acid chains that signal specific biological pathways. BPC-157 shows strong preclinical wound healing and gut repair data. Growth hormone secretagogues (CJC-1295, Ipamorelin) stimulate pulsatile GH release — distinct from HGH injection, avoiding suppression of natural axis. Most peptide data is preclinical or case series; clinician supervision is required for safety.

What to Expect

Realistic timeline

  • Month 1: Baseline labs, clinician consultation, protocol initiated
  • Month 2–3: Energy, sleep quality, recovery often improve first
  • Month 3: Follow-up biomarkers, protocol refinement
  • Month 6+: Body composition, cognitive, and performance metrics assessed

Investment

Program Pricing

Protocols are built individually based on your biomarkers and goals. These ranges reflect the most common program configurations.

NAD+ Optimization

From $179/mo

  • Clinician consultation
  • NAD+ baseline panel
  • NMN or NR protocol
  • Quarterly monitoring labs

Peptide Protocol

From $249/mo

  • Clinician protocol design
  • Clinician-selected peptides
  • Injection supplies or oral formulations
  • Monthly check-ins

Vitamin Injections (B12 / Glutathione / Lipo-C)

From $149/mo

  • Clinician consultation
  • B12, glutathione, or Lipo-C injection protocol
  • Monthly delivery + self-administration supplies
  • Asynchronous clinician messaging

Longevity protocols are generally not covered by insurance. HSA/FSA may apply for clinician consultations and labs.

Compounded Medication Disclosure

Compounded medications are prepared by a licensed compounding pharmacy and are NOT approved by the U.S. Food and Drug Administration. They are dispensed only pursuant to a prescription from a licensed clinician who has determined the treatment is appropriate for you. Not all patients will qualify. Side effects are possible; your clinician will review your health history with you. Medication options and availability may change at any time without notice. This information is educational and is not a substitute for individualized medical advice.

The Enough! Health Ecosystem

Health Education →

Read the evidence on NAD+, peptides, and longevity biomarkers before deciding.

Health Assessment →

Free 5-minute assessment. Longevity candidacy is part of what we evaluate.

Hormone Optimization →

Hormonal balance is often the foundation longevity programs are built on.