Two compounds. Two mechanisms. One integrated protocol.
NAD+ restores the cellular energy your body has been losing since your twenties. Sermorelin signals your pituitary to release growth hormone the way it did a decade ago. Together, they form a single physician-managed protocol that addresses aging at both the cellular and hormonal level.
NAD+ fuels the engine. Sermorelin rebuilds the frame.
Aging degrades two systems simultaneously: cellular energy production and hormonal signaling. The Longevity Stack addresses both in a single, physician-managed protocol.
NAD+ Cellular Energy
NAD+ is a coenzyme present in every cell, essential for DNA repair, mitochondrial function, and energy metabolism. Levels decline significantly with age. Subcutaneous NAD+ injections restore circulating levels to support cellular repair and sustained mental clarity.
- Mitochondrial energy production
- DNA repair and sirtuin activation
- Cognitive clarity and focus
- Cellular clearance pathways
Sermorelin Hormonal Optimization
Sermorelin is a growth hormone-releasing hormone (GHRH) analog that stimulates your pituitary gland to produce growth hormone naturally. Administered at bedtime to align with your body’s endogenous GH pulse during deep sleep.
- Natural growth hormone release
- Deep sleep quality enhancement
- Recovery and body composition
- Lean muscle support and fat metabolism
Most longevity programs address one pathway. The Longevity Stack addresses both simultaneously — cellular energy during the day, hormonal optimization during sleep. No competitor in telehealth offers this integrated approach under single physician oversight.
Two compounds that affect different biological systems. One physician who sees the complete picture.
When you source NAD+ from one provider and Sermorelin from another, neither physician understands your full protocol. With the Longevity Stack, one physician manages both — adjusting dosing, timing, and sequencing based on your labs and response.
Your physician can modify NAD+ and Sermorelin dosing together based on how your body responds, rather than optimizing each in isolation.
One physician reviews your metabolic, hormonal, and longevity biomarkers with full context of both protocols. No information lost between providers.
Morning NAD+ and bedtime Sermorelin are designed to complement each other. Your physician fine-tunes the timing based on your sleep patterns, energy levels, and individual response.
One medical intake, one physician relationship, one care team. No repeating your history to multiple providers or coordinating between separate practices.
Both compounds ship from the same licensed 503A pharmacy on the same schedule. One shipment, one tracking number, one refill cadence.
Your physician tracks your response to both compounds over time, adjusting the protocol as your biomarkers change. This is longitudinal care, not transactional prescribing.
What arrives at your door every month.
Everything you need for a complete longevity protocol, compounded by a licensed 503A pharmacy and shipped directly to your address.
NAD+ Protocol
Pharmaceutical-grade NAD+ for cellular energy restoration, DNA repair, and neuroprotection.
- 1,000mg NAD+ per vial (100mg/mL x 10mL)
- Subcutaneous injection supplies included
- Physician-prescribed dosing protocol
- Compounded by licensed 503A pharmacy
Sermorelin Protocol
GHRH analog for natural growth hormone optimization, recovery, sleep quality, and body composition.
- Sermorelin vial with physician-directed dosing
- Subcutaneous injection supplies included
- Physician-prescribed dosing protocol
- Compounded by licensed 503A pharmacy
Included with every Longevity Stack subscription
From screening to your door in days.
No clinic visits. No insurance. Free eligibility screening. Physician review within 24 hours.
Free Screening
Complete a brief medical intake online. No payment required. Your physician reviews your history, medications, and goals to determine eligibility.
Physician Review
A board-certified physician evaluates your intake within 24 hours. If approved, your physician prescribes both NAD+ and Sermorelin with a personalized dosing protocol.
Pharmacy Fulfillment
Your prescription is compounded by a licensed 503A pharmacy and shipped directly to your address with all injection supplies included.
Ongoing Care
Your physician monitors your progress, adjusts dosing as needed, and coordinates your protocol over time. Monthly refills ship automatically.
Save $79/month vs. purchasing separately.
No hidden fees. No insurance games. Physician consultation, pharmacy fulfillment, and ongoing clinical oversight included in every price.
Subcutaneous NAD+ injections for cellular energy restoration. Morning administration protocol.
- Physician consultation
- NAD+ subcutaneous injections
- 503A pharmacy fulfillment
- Ongoing physician oversight
- Dosing protocol & supplies
Sermorelin GHRH analog for natural growth hormone optimization. Bedtime administration protocol.
- Physician consultation
- Sermorelin subcutaneous injections
- 503A pharmacy fulfillment
- Ongoing physician oversight
- Dosing protocol & supplies
NAD+ and Sermorelin in one integrated protocol. The most comprehensive longevity program we offer.
- Physician consultation
- NAD+ subcutaneous injections
- Sermorelin subcutaneous injections
- 503A pharmacy fulfillment
- Ongoing physician oversight
- Dosing protocols & all supplies
- Coordinated protocol management
$578 separately vs. $499 as the Longevity Stack. With Optimize membership: $399/month.
Annual savings: up to $2,148Frequently asked questions.
Can I start with one protocol and add the other later?
Yes. Many patients begin with NAD+ or Sermorelin alone and add the second protocol after their first physician review. Your physician can adjust your protocol at any time. You will receive the Stack pricing ($499/month) as soon as both are active.
Do I inject both at the same time?
No. NAD+ is administered in the morning to support daytime cellular energy. Sermorelin is administered at bedtime to align with your body’s natural growth hormone release during sleep. Two separate injection times, two distinct biological pathways.
Is there a medical reason not to combine NAD+ and Sermorelin?
For most patients, combining NAD+ and Sermorelin is well-tolerated and complementary. However, every protocol requires physician approval. Your ElevateMD physician will evaluate your medical history, labs, and goals before prescribing. If either compound is contraindicated for you, your physician will recommend an alternative approach.
Why is the Stack cheaper than purchasing separately?
Bundling reduces our operational and pharmacy fulfillment costs. One clinical intake, one physician relationship, one shipment cadence. We pass those savings directly to patients. $499/month vs. $578 separately — a savings of $79/month, or $948/year. Optimize members save even more at $399/month.
Why does single-physician oversight matter for combined protocols?
When two compounds affect different biological systems, a single physician who understands your complete protocol can adjust dosing, timing, and sequencing more precisely. No information is lost between providers. Your physician sees the full picture of how both compounds interact with your individual biochemistry, labs, and response over time.
What if I want to cancel one protocol but keep the other?
No problem. You can drop either NAD+ or Sermorelin at any time by emailing [email protected]. Your remaining protocol continues at its individual price. No cancellation fees, no contracts.
Pair with your Longevity Stack.
Maximize your protocol with physician-selected labs, injectables, and coaching designed to complement NAD+ and Sermorelin therapy.
Longevity Baseline Panel
Comprehensive at-home blood draw covering metabolic, hormonal, inflammatory, and longevity biomarkers. Physician-reviewed results with protocol recommendations.
Glutathione
The body’s master antioxidant. Supports cellular protection, immune function, and oxidative stress reduction. Pairs directly with NAD+ for enhanced cellular protection.
Community & Coaching
Physician-led community with weekly content on nutrition, exercise, protocol optimization, and longevity science. Direct access to the medical team.
A physician-directed longevity protocol addressing both cellular energy and hormonal optimization.
Free eligibility screening. Physician review within 24 hours. No payment required until you are approved and ready to begin.
If any of the above resonated with you, you may be a candidate for physician-directed therapy. Start with a free screening — no payment, no commitment.
Check Your Eligibility →Start your eligibility screening.
No payment required. Takes under two minutes. A physician reviews every submission.