Longevity Stack
$499
/month
- One physician coordinating both therapies
- Combined energy, recovery, and composition support
- Bundled price below the sum of the two protocols
Combined protocol
HIPAA-aware platform503A U.S. pharmacyBoard-certified physiciansSecure checkout
The Longevity Stack: NAD+ and sermorelin, coordinated by one physician.
Our most complete protocol pairs physician-titrated NAD+ with sermorelin in a single plan, with one physician coordinating both therapies, monitoring, and check-ins, for less than two IV sessions a month.
Take the quiz
$499 /month
Cancel anytime · No contracts · If you're not approved, you're not charged for medication.
HIPAA-aware platform503A U.S. pharmacyBoard-certified physiciansSecure checkout
Why combine them
Two levers, one plan
NAD+ supports cellular energy and repair; sermorelin supports your own growth-hormone signaling. Run together under one physician, the protocols are sequenced and monitored as a system rather than two disconnected prescriptions.
Both are compounded medications, self-administered at home, and adjusted to your labs and how you respond. You get coordinated dosing and a single point of clinical accountability.
One physician
The same physician coordinates both therapies and your monitoring, with no fragmented care.
Energy + recovery
Combined support for daytime energy, recovery, sleep, and body composition over time.
Bundled price
$499/month, below the combined price of the two protocols purchased separately.
Is this you?
Who Longevity Stack tends to fit
You want the complete picture
You'd rather run energy and recovery together as one coordinated plan than stitch two protocols across two providers.
Already on one, eyeing the other
You started with NAD+ or sermorelin and want to add the second lever, with a single physician sequencing both.
Time-poor, optimization-serious
You want fewer moving parts: one intake, one physician, one shipment cadence, both therapies coordinated as a system.
Value-conscious without cutting corners
You want the most complete protocol we offer at a bundled price below buying the two separately, with no loss of oversight.
How it works at ElevateMD
Physician-directed, start to finish
Take the quiz
A 60-second eligibility check confirms your goals and your state.
Complete intake
A secure medical questionnaire, plus labs when your physician orders them.
Physician review
Your ElevateMD physician reviews everything and builds your protocol.
Shipped & supported
Your medication arrives with guidance, and your care team checks in.
Protocol: Both medications self-administered at home on your physician's coordinated protocol, adjusted to your labs and response.
What to expect
A realistic timeline
How many patients describe the first few months. This describes a typical process, not a promised outcome; individual results vary.
Before you start
One physician reviews your intake (and labs, often including IGF-1 for the sermorelin side) and sets a coordinated starting plan for both therapies. Approval isn't automatic.
Weeks 1–3
You learn two simple routines: daytime NAD+ and pre-bed sermorelin. Any mild adjustment effects from either tend to show up and settle here. Individual experiences vary.
Weeks 4–12
Your physician titrates both protocols toward target and may recheck labs, adjusting timing and dose as a system rather than two separate prescriptions.
Ongoing
You run a steady, coordinated protocol with one physician monitoring both therapies and refining them as your goals and numbers change.
Transparent pricing
$499/month for both protocols, one plan
Evaluation, both prescriptions, compounded medications, and coordinated monitoring, all for one transparent monthly price. Cancel anytime.
Prefer to start with one? Explore NAD+ or sermorelin on their own.
Physician review before you are ever prescribed · Cancel anytime, no contracts · If you are not approved, you are not charged for medication.
What's included
- One physician coordinating both NAD+ and sermorelin as a single, sequenced protocol
- A single medical intake and one physician relationship, with no repeating your history to multiple providers
- Compounded NAD+ and sermorelin from the same licensed U.S. 503A pharmacy, shipped together
- Coordinated timing: daytime NAD+ for cellular energy, pre-bed sermorelin to align with nighttime growth-hormone release
- All injection supplies and dosing protocols for both therapies in one shipment
- Unified lab interpretation, so one physician reads your markers with full context of both protocols
- Ongoing monitoring with coordinated dose adjustments, plus a bundled price below the two purchased separately ($499 vs. $578)
Certain medications referenced are compounded and prescribed by a licensed physician when clinically appropriate. Compounded medications are not FDA-approved.
After you order
What happens next
01
Physician review
A board-certified physician reviews your intake, typically within 24–48 hours. No prescription is written without it.
02
Approved & prescribed
If a protocol is appropriate, your physician writes it and sends it to a licensed U.S. pharmacy.
03
Shipped to your door
Your compounded medication arrives with a step-by-step injection guide.
04
Ongoing care
Your care team checks in, and your physician adjusts your protocol over time.
Transparent about what to expect
Safety, said plainly
Common & typically mild
- The same mild, typically short-lived injection-site effects associated with each therapy individually
- Brief flushing or warmth after the NAD+ injection
- Mild early headache or site reactions as your body adjusts to sermorelin
- Effects are tracked by one physician who sees how both protocols interact
How we keep it safe
- A single board-certified physician evaluates you and prescribes both therapies, so nothing falls between providers
- Both are compounded by a licensed U.S. 503A pharmacy under cGMP standards
- Dosing, timing, and sequencing are coordinated and adjusted together, not optimized in isolation
- One physician interprets your labs with full context of both protocols
- Care-team access and secure messaging throughout, with monitoring built in
This is general information, not a complete list of risks. Your physician reviews the side effects and contraindications specific to you. Statements on this site have not been evaluated by the FDA. These products and services are not intended to diagnose, treat, cure, or prevent any disease. Individual results vary.
Questions
Common Longevity Stack questions
What is included in the Stack?
Physician-titrated NAD+ and physician-prescribed sermorelin, coordinated in one protocol with monitoring and care-team support, for $499/month.
Can I start with one and add the other?
Yes. Many patients begin with NAD+ and add sermorelin after baseline labs. Your physician will recommend the right sequence for you.
Are these medications FDA-approved?
Both are compounded medications prepared by a licensed U.S. pharmacy and prescribed by a physician when clinically appropriate. Compounded medications are not FDA-approved.
Who is eligible?
Adults in a state where ElevateMD physicians are licensed who are cleared on physician review. Start with the quiz to check your fit.
Do I inject both at the same time?
No. NAD+ is taken during the day to support cellular energy, and sermorelin is taken before bed to align with your body's nighttime growth-hormone release. Two timings, two complementary pathways, one coordinated plan.
Why is the Stack less than buying both separately?
Bundling both therapies into one intake, one physician relationship, and one shipment cadence reduces overhead, and that saving is passed to you: $499/month versus $578 if purchased separately. The clinical oversight is identical.
Can I cancel one therapy but keep the other?
Yes. You can drop either NAD+ or sermorelin anytime by messaging the Care Team, and your remaining protocol continues at its individual price. No contracts, no cancellation fees.
Is combining the two safe for everyone?
For many patients the two are complementary, but every protocol requires physician approval. Your physician reviews your history, labs, and goals, and if either compound isn't appropriate for you, it won't be prescribed.
Can I use HSA or FSA funds for the Stack?
Many patients do, depending on their plan and administrator. Confirm eligibility with them, and we'll provide itemized receipts on request.
Clinical references
- Covarrubias et al., Nature Reviews Molecular Cell Biology (2020) — NAD+ metabolism and its roles in cellular processes during ageing
- Junnila et al., Nature Reviews Endocrinology (2013) — The GH/IGF-1 axis in ageing and longevity
- Walker, Clinical Interventions in Aging (2006) — Sermorelin and adult-onset growth hormone insufficiency
References are provided for scientific background on mechanism. They do not imply a specific outcome; individual results vary.
Ready when you are
Start your Longevity Stack evaluation today.
Take the 60-second eligibility quiz. No card required.
Take the QuizEducational, not medical advice. Individual results vary.