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More energy. Sharper focus.
Actually built to last.

  • NAD+, B12 & peptide compounds, physician-prescribed
  • Assessment, prescription & shipping included
  • No insurance required
  • Licensed physician check-ins every month
  • All 50 states · ships in 3–5 days
Start Your Assessment What We Offer
Energy optimization protocol
Physician-prescribed energy

The Basics

Energy optimization protocol
What are peptides and NAD+?
Peptides are short chains of amino acids that act as signals in the body — telling it to produce more growth hormone, repair cells, or boost energy production. NAD+ is a coenzyme found in every cell that powers your metabolism and cellular repair. Both decline naturally with age.
Who is this for?
Adults experiencing low energy, poor sleep, slower recovery, or the gradual effects of aging who want a physician-supervised approach to feeling better at the cellular level.
How is the medication delivered?
Depending on your protocol, medication is delivered as a small at-home injection, nasal spray, or oral dropper. Your physician recommends the right format based on your goals and preferences.
How quickly does it work?
NAD+ patients often notice energy improvements within two to four weeks. Sermorelin effects on sleep and body composition typically build over six to twelve weeks with consistent use.
Is it safe?
All protocols are prescribed by a licensed physician after a thorough health assessment. These compounds have been used clinically for decades and are well established in the longevity and wellness space.
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Protocols

Choose your protocol

All options prescribed by a licensed physician

NAD+ Injectable
NAD+ Injectable
Nicotinamide Adenine Dinucleotide

One simple injection per week.

Starting at $229/mo
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NAD+ Nasal Spray
NAD+ Nasal Spray
Nicotinamide Adenine Dinucleotide

Daily nasal spray. No injections required.

Starting at $229/mo
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NAD+ Oral Dropper
NAD+ Oral Drops
Nicotinamide Adenine Dinucleotide

Daily sublingual drops. Simple and needle-free.

Starting at $229/mo
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B12 Injectable
B12 Injectable
Methylcobalamin

One simple injection per week. Sustained energy and cognitive support.

Starting at $145/mo
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Methylene Blue
Methylene Blue
Methylene Blue USP

Daily oral dose. Mitochondrial support for focus and mental clarity.

Starting at $145/mo
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Not sure what you need? Take the assessment →

Energy optimization

Physician-prescribed.
Shipped to your door.

No clinic visits Same-day Rx All 50 states

Medical energy optimization is physician-supervised care that targets the root causes of fatigue, brain fog, and burnout. A licensed physician evaluates your health profile and prescribes a compound protocol tailored to you. No insurance hoops, no waiting rooms.

Every compound is sourced from a licensed US compounding pharmacy, and your prescribing physician stays with you every step of the way, adjusting your protocol as your body responds.

01
Answer a few health questions

Complete a short online assessment. Takes under 5 minutes, no appointment needed.

02
Physician reviews same day

A licensed physician evaluates your profile and writes your prescription if you qualify.

03
Medication ships in 3–5 days

Compounded directly at a licensed US pharmacy and shipped to your door. All 50 states.

04
Ongoing support included

Monthly check-ins, dosage adjustments, and live physician access included in every plan.

Compounded medications are not FDA-approved finished drug products. They are prepared by licensed compounding pharmacies and prescribed by licensed physicians based on individual patient evaluation.

Everything you need, all in one place

Patient portal
Your patient portal

Track your progress, check in with your provider, and manage your care anytime, all in one place. Your health history, prescriptions, and shipment status at your fingertips 24/7.

24/7 support
Unlimited 24/7 support

Medical support continues throughout your entire care journey. Whenever you have a question, day or night, our support team is there. No waiting, no appointments needed.

Find your protocol

Not sure what's right for you?

Answer a few questions and a licensed physician will recommend the right energy protocol for your goals.

Take the Assessment

Takes less than 5 minutes · No obligation

Questions

Frequently asked questions

Are these compounds FDA-approved?
The medications prescribed through Tides are compounded by licensed pharmacies. Compounded medications are not FDA-approved finished drug products. They are prepared by licensed compounding pharmacies and prescribed by a licensed physician based on your individual health profile.
Do I need to visit a doctor in person?
No. The entire process is online. You complete a health assessment, a licensed physician reviews your profile and issues a prescription, and your medication ships directly to your door.
How long until I receive my medication?
Most patients receive their medication within 3-5 business days of their prescription being approved.
Can I cancel my subscription?
Yes. You can cancel anytime before your next billing cycle with no cancellation fee.
Which protocol is right for me?
Your physician reviews your health history and goals before prescribing. They will recommend the compound and delivery method best suited to your needs. You will not be charged for medication you are not prescribed.
What is the best peptide for energy and anti-aging?
NAD+ and Sermorelin are our most popular options for energy and anti-aging. NAD+ supports cellular energy production directly. Sermorelin stimulates your body's natural growth hormone production, which supports sleep, recovery, and body composition over time. Your physician can help determine which fits your goals best.
How much does peptide therapy cost online?
Pricing varies by compound. NAD+ and Sermorelin start at $149/month on a 52-week plan. B12, Glutathione, Methylene Blue, and Lipo-C start at $109/month. Every plan includes your physician consult, prescription, and shipping.
Can I combine multiple peptides in one protocol?
Yes. Many patients combine compounds — for example NAD+ for energy alongside Sermorelin for recovery and sleep. Your physician reviews your goals and health history to help build the right combination for you.
Get started

Your energy protocol starts here.

Answer a few questions. Get prescribed online. Receive medication at your door.

Start Your Assessment

Always consult your physician before starting any treatment program.

This website is for informational and educational purposes only and does not constitute medical advice. Always consult a licensed healthcare provider before starting any treatment. Tides Health is a subscription platform — fees apply for physician consultations and medication fulfillment. Results and testimonials featured on this site reflect individual experiences and are not guaranteed to be typical. Individual results vary.