05 — Straight Answers
The questions you're actually asking.
Does this actually work? What's the evidence?
Here's the honest version. The mechanisms are well-established science — NAD+'s role in cellular energy, sermorelin's action on pituitary growth-hormone release, glutathione's function as the body's principal antioxidant are all textbook biochemistry. Long-term human outcome data on injectable protocols is still maturing; this is a young field, and we won't dress early evidence up as settled proof. What we can tell you: these compounds have sound biological rationale, established safety profiles under physician supervision, and patients who report meaningful differences in sleep, recovery, and energy. Your physician will give you the same unvarnished picture before you spend a dollar.
Are these compounded? What does that mean?
Yes — all three are prepared by our licensed U.S. compounding pharmacy partners — Optimal Balance Pharmacy, Vios, and Integrity — under an individual prescription written by your physician. Compounded medications are not FDA-approved products; the pharmacy's licensing and [batch potency and sterility testing — confirm details] are how quality is maintained, and we'll share those details with any patient who asks. You should hear that from us plainly, not discover it in a forum.
Do I need bloodwork?
Not to begin — your physician can screen appropriateness from a comprehensive health assessment. But it's available to any patient who wants it, and there's a real case for it: a baseline panel before you start gives you something objective to measure change against, which is very much in the spirit of what longevity medicine should be. Many of our patients choose it. Your call, made with your physician.
Do I have to inject myself?
Yes — these are subcutaneous injections, which use a very fine, short needle just under the skin. Nearly everyone is surprised by how easy it becomes; your care team walks you through the first one and stays available for every question after. If self-injection is a hard no for you, tell your physician — it matters for choosing your protocol honestly.
Can I combine these? Or stack them with TRT or GLP-1 therapy?
Often, yes — many longevity protocols run two compounds together, and many Revana patients combine them with hormone or weight programs. But that's a clinical decision your physician makes with your full picture in view, not a bundle we sell. If a combination doesn't make sense for you, you'll hear that instead.
Who shouldn't take these?
Each compound has its own exclusions — certain medical histories, active conditions, medications, and pregnancy or breastfeeding among them — which is exactly what your physician's screening determines. Sermorelin in particular has contraindications your physician will review carefully. If these aren't appropriate for you, you'll know why, and it costs nothing to find out.
What does it cost?
Finding out is free — your assessment and physician review cost nothing, and you pay only if you begin. Each protocol is a one-time purchase, not a subscription: NAD+ is $249 for a one-month supply or $599 for three months; glutathione is $185 for one month or $299 for three; sermorelin comes only as a three-month protocol at $449, because it takes a full cycle to deliver results. Each includes medication, supplies, shipping, physician access, and follow-up care. Combinations are priced as the sum of the protocols, not a marked-up bundle. And if your physician doesn’t approve your protocol after checkout, you’re refunded in full. No contracts, no cancellation fees.
