Compounded tirzepatide
Weekly GLP-1/GIP injection
Comes up for stubborn weight, cravings and food noise and blood sugar concerns
Learn more →Generally for a BMI of 27 or higher, or 25 or higher with a related condition.
Prescription only · Clinician decides
Treatments
Every option a Direct Wellness clinician may consider, grouped by care area. The symptom tags show why an option comes up in the care check. They are not promises of results.
Weight and metabolism
For the food noise that won't quit and the scale that won't move.
A weekly tirzepatide injection, with the dose set by your clinician.
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Perimenopause and menopause
For the 3 a.m. sweats, the brain fog, and the nights you can't sleep.
Estradiol as a patch or a gel, with progesterone or a vaginal cream when your clinician adds them.
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Estradiol
Skin patch or daily gel
Comes up for hot flashes or night sweats, poor sleep, mood swings, brain fog, irregular periods and low energy
Learn more →If you still have a uterus, progesterone is added to protect it.
Progesterone
Nightly capsule, taken with estradiol
Comes up for poor sleep, irregular periods and hot flashes or night sweats
Learn more →Added to an estradiol plan, not prescribed on its own here.
Vaginal estradiol cream
Low-dose cream, added to a patch or gel
Comes up for vaginal dryness and low sex drive
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NAD+
For people who want a clinician to look at low energy and brain fog.
NAD+ as an injection or a nasal spray, with the form and dose set by your clinician.
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NAD+ injection
Small injection under the skin, 3 to 5 times a week
Comes up for low energy and brain fog
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NAD+ nasal spray
One or two sprays in each nostril, daily
Comes up for low energy and brain fog
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Sermorelin
For people who want a clinician to look at sleep, strength, and recovery.
Sermorelin as an injection, a troche, or a dissolving tablet, with the dose set by your clinician.
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Sermorelin injection
Small injection at night, 5 nights a week
Comes up for losing muscle, poor sleep and low energy
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Sermorelin troches
500 mcg troche that dissolves in the mouth
Comes up for losing muscle, poor sleep and low energy
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Sermorelin dissolving tablets
300 or 1000 mcg tablet under the tongue, in the morning
Comes up for losing muscle, poor sleep and low energy
Learn more →Compounded medications are not FDA approved. Availability varies by state and pharmacy, and an option can change without notice. A licensed clinician decides whether any treatment is appropriate for you.