FAQs

Both are once-weekly injections with provider managed dosage at the same flat price. They differ in mechanism. Each works on GLP-1, the appetite and fullness pathway, but Tirzepatide adds a second pathway, GIP.

Based on your intake, health history, current medications, past attempts, and goals, your provider determines the best course of action.

The incretins your body produces break down within minutes. Tirzepatide is engineered to resist that breakdown, so a single injection covers a full week.

Every standard concentration costs the same, so if your dose rises, your bill won’t.

A lower dose approach to the same medication, prescribed when it fits your clinical picture.

BMI is only one part of the assessment. It is weighed alongside your history, medications, labs, and goals.

Yes, if your provider recommends it based on your current needs. People do move between medications based on bodily response and tolerance.

There is no fixed term. These medications are designed to support ongoing weight management; the timeline is yours and your provider’s to set.

Alongside your provider, you will decide the next chapter: maintain, reduce the dose, or taper off entirely.

Most ease as your body adjusts, but most common are digestive – nausea, constipation, diarrhea. There are also considerations that make these medications wrong for some people. Your provider will cover this in your consultation.

Yes, once weekly with a small, short needle, supplies included. This way the medication is absorbed directly into your bloodstream and goes straight to work.

Yes. Where it’s clinically appropriate, a Vivly provider will match the concentration you’re already on.

Vivly is self-pay, which is part of how the pricing stays flat and predictable. HSA and FSA funds may work depending on your plan administrator.

Compounded medications are prepared for an individual patient, per prescription, and are not approved by the FDA. They aren’t generic or interchangeable versions of any brand name product. Your provider will walk you through the benefits and risks before prescribing.

Your goals and history point to the answer, and your provider confirms it. Each treatment works differently – tirzepatide works on two incretin receptors, semaglutide only on one.

You can discuss your preference with your provider. B6 is commonly preferred by patients whose main concern is upset stomach, while B12 is preferred by patients focused on energy. It is often relevant for those with limited dietary B12 intake or a previously low level.

Each vial holds 2mL, and the prescribed dosage is the same at every concentration, 0.5mL per week. One vial, four weeks. When your dose changes, it’s the concentration that changes, not your routine.

We put a hold on your credit card when the intake form is submitted. You are only charged after a licensed provider reviews your history and approves your prescription.

No, and that’s by design. Six concentrations, one price, locked in from your first vial. Start low and you’ve already secured the same price as the highest concentration – so as your dose climbs, your bill stays the same. Every concentration gets the same care: same provider, same check-ins, same support. And because this treatment rewards consistency, longer plans earn even better pricing.

Common side effects when getting started or after a dose increase have included nausea, digestive discomfort, diarrhea, constipation, fatigue, and vomiting. Serious risks are listed in safety information below. Side effects usually ease as your body adjusts.

This is an important aspect of what intake is for. List all of it: prescriptions, supplements, and the occasional thing you barely think of as medication, so your provider can assess before prescribing. Never start, stop, or combine treatments on your own.

Usually not. Share your current medication, your concentration, and how long you’ve been on it at intake. Where your provider determines it’s appropriate, you can continue at the concentration you’re already on rather than titrating up from the beginning.

Bring documentation if you have it – a prescription label, a recent order, or records from your prescriber all help.

Evoluciona Pharma – a 503A sterile state-licensed compounding pharmacy in Stafford, Texas. Every batch is tested before release for potency, purity, sterility, and endotoxins.

Month-to-month plans can be canceled any time before your next billing date; prepaid plans cover a fixed term, billed once at approval. Before stopping the medication itself, talk to your provider as there is usually a sensible way to step down rather than stopping.

Your goals and history point to the answer, and your provider confirms it. Each treatment works differently — semaglutide works on one incretin receptor, while tirzepatide works on two.

The incretins your body makes break down within minutes. Semaglutide is engineered to resist that breakdown, so a single injection covers a full week.

Each vial holds 2mL, and the prescribed dosage is the same at every concentration, 0.5mL per week. One vial, four weeks. When your dose changes, it’s the concentration that changes, not your routine.

You can discuss your preference with your provider. B6 is commonly preferred by patients whose main concern is upset stomach, while B12 is preferred by patients focused on energy. It is often relevant for those with limited dietary B12 intake or a previously low level.

Common side effects when getting started or after a dose increase have included nausea, digestive discomfort, diarrhea, constipation, fatigue, and vomiting. Serious risks are listed in safety information below. Side effects usually ease as your body adjusts.

Evoluciona Pharma – a 503A state-licensed compounding pharmacy in Stafford, Texas. Every batch is tested before release for potency, purity, sterility, and endotoxins.

Usually not. Share your current medication, your concentration, and how long you’ve been on it at intake. Where your provider determines it’s appropriate, you can continue at the concentration you’re already on rather than titrating up from the beginning.

Bring documentation if you have it — a prescription label, a recent order, or records from your prescriber all help.

This is an important aspect of what intake is for. List all of it: prescriptions, supplements, and the occasional thing you barely think of as medication, so your provider can assess before prescribing. Never start, stop, or combine treatments on your own.

No, and that’s by design. Five concentrations, one price, locked in from your first vial. Start low and you’ve already secured the same price as the highest concentration – so as your dose climbs, your bill stays the same. Every concentration gets the same care, same provider, same check-ins, same support. And because this treatment rewards consistency, longer plans cost less per month.

Month-to-month plans can be canceled any time before your next billing date; prepaid plans cover a fixed term, billed once at approval. Before stopping the medication itself, talk to your provider as there is usually a sensible way to step down rather than stopping.

No. Vivly’s semaglutide is compounded and prepared for you individually to your provider’s prescription. Compounded medications aren’t FDA-approved and aren’t generic versions of brand name drugs.

Vivly is self-pay, which is why the pricing stays flat and predictable. HSA and FSA funds may work depending on your plan administrator.

The term describes Vivly’s lower-dose protocol, not a separate approved treatment. Compounded semaglutide and tirzepatide aren’t FDA-approved at any dose. A licensed provider can tell you if treatment is right for you.

Less concentration of the medication is in the vial, so a lower dose equals a lower price.

Yes. Your provider can move you up or down, based on how you’re handling the medication and what you’re working toward.

That isn’t something a page can answer, and you should be wary of one that tries. What we can tell you is that this is a managed protocol: your provider reviews how you’re doing and adjusts if it isn’t right for you.

Each is in its own territory: NAD+ for cellular energy, glutathione for antioxidant protection and liver support, sermorelin for recovery, tesamorelin for body composition. Two replenish molecules your body already makes; two prompt your body’s own growth hormone signaling.

None of these therapies are growth hormones. Sermorelin and tesamorelin are copies of the signal that asks your pituitary to release growth hormone. They prompt your body to make its own rather than adding any from outside, so your natural rhythm and feedback stay intact. Because they act on that axis, both follow a structured schedule rather than running continuously.

Both sermorelin and tesamorelin act on your growth hormone axis, and both build in rest, though on different schedules. Tesamorelin runs five days a week with two days off. That weekly pause is the rest, and it isn’t taken off for longer stretches. Sermorelin runs two months on, then one month off. The evidence doesn’t require that break. We build it in because the cost of a month off is small, and we’d rather be cautious with a hormone axis. Your provider sets your schedule.

These four therapies can also be prescribed alongside our metabolic treatments. See Bundles page for more information.

Your provider does, and what you tell them shapes it. Nothing is locked in: as you respond, they can hold, raise or lower your dose, at no extra cost.

There is no fixed term. Duration depends on the therapy, its protocol, your goals, and your bodily response. The timeline is yours and your provider’s to set.

Compounded medications are prepared for an individual patient, per prescription, and are not approved by the FDA. They aren’t generic or interchangeable versions of brand name drugs. Your provider will walk you through the benefits and risks before prescribing. The FDA does not review compounded preparations for safety, effectiveness or quality.

Neither. It is a coenzyme – a molecule your cells use in producing energy. Non-hormonal and it doesn’t work like caffeine. Think replenishment, not a jolt.

Experiences vary and NAD+ isn’t designed to be felt in the moment the way a stimulant is, but rather over time. People report steadier energy, and notable differences in recovery time.

This is an important aspect of what intake is for. List everything from prescriptions to supplements to the occasional thing you barely think of as medication, so your provider can assess before prescribing. Never start, stop, or combine treatments on your own.

Compounded medications are prepared for an individual patient, per prescription, and are not approved by the FDA. They aren’t generic or interchangeable versions of any brand name product. Your provider will walk you through the benefits and risks before prescribing.

Your provider will tell you your dose and schedule.

This is an important aspect of what intake is for. List all of it: prescriptions, supplements, and the occasional thing you barely think of as medication, so your provider can assess before prescribing. Never start, stop, or combine treatments on your own.

Glutathione doesn’t act on a receptor that can become desensitized, so there’s no pharmacological reason to cycle it. However, you will have periodic reviews with your provider to determine any adjustments or to stop treatment altogether. Sustained use has been associated with lower zinc levels. Worth mentioning to your provider.

Glutathione appears in several of our bundles: alongside NAD+, tesamorelin, or a GLP-1. Whether a combination is right for you is a clinical decision that your provider makes. Ask during your free consultation.

Compounded medications are prepared for an individual patient, per prescription, and are not approved by the FDA. They aren’t generic or interchangeable versions of any brand name product. Your provider will walk you through the benefits and risks before prescribing.

Both are GHRH analogs — both ask your pituitary for your own growth hormone rather than adding any from outside. Sermorelin is shorter-acting and closer to your body’s natural molecule; tesamorelin is engineered to hold the signal longer, and research on it has centered on visceral fat. Which fits you is a clinical decision made by your provider and can be discussed during your free consultation.

No, and the difference matters. Sermorelin prompts your body to release its own growth hormone rather than adding it from the outside, which leaves your natural pulse and feedback intact.

Insulin-like growth factor 1. Growth hormone signals your liver to produce it, and IGF-1 is what carries most of growth hormone’s effects out to your tissues. Because it stays steady in the blood while growth hormone comes in pulses, it’s also the number a provider can measure.

Sermorelin appears in several of our bundles. Whether a combination is right for you is a clinical decision your provider makes. Ask during your free consultation.

Compounded medications are prepared for an individual patient, per prescription, and are not approved by the FDA. They aren’t generic or interchangeable versions of any brand name product. Your provider will walk you through the benefits and risks before prescribing.

No, and the difference matters. Tesamorelin prompts your body to release its own growth hormone rather than adding it from the outside, which leaves your natural pulse and feedback intact.

The two days off give your IGF-1 a chance to come back down, rather than sitting elevated week after week.

Your provider may recommend checking IGF-1, and possibly glucose, to guide your dose. Whether labs are appropriate for you and how often is a clinical decision set by your provider.

At 0.5mL five days a week, your vial should last four weeks; at 0.4mL it stretches closer to five weeks.

Tesamorelin appears in several of our bundles – alongside NAD+, glutathione, or a GLP-1. Whether a combination is right for you is a clinical decision that your provider makes. Ask during your free consultation.

Talk to your provider first. Changes associated with this therapy aren’t maintained after stopping, so it’s worth a conversation rather than a decision made alone.

Compounded medications are prepared for an individual patient, per prescription, and are not approved by the FDA. They aren’t generic or interchangeable versions of any brand name product. Your provider will walk you through the benefits and risks before prescribing.