Vitality Protocol · Testosterone support

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Who this is for

Men 35+ with low drive, poor sleep and stubborn midsection fat.

What usually gets in the way

Guessing without labs. Treating a number instead of the symptoms behind it.

Start this protocolDesigned by Courtney Contreras, MPAS, PA-C
Where to start

Fix this first.

Drive, sleep and body composition move together. Labs show which lever to pull first — sometimes it is estrogen, sometimes sleep, sometimes signalling.

Priorities, in order

  • Labs before anything hormonal
  • Sleep is the cheapest testosterone
  • Address visceral fat

Foundations

  • Strength training 3x/week
  • Alcohol under 4 drinks/week
  • 7+ hours sleep

Start today — no labs needed

  • Sleep routine and sermorelin while labs process
What helps & how

What's in it, in plain language.

Natural productionoral

Clomiphene

Signals your body to produce more of its own testosterone.

What to expect: Levels typically rise in 4–6 weeks.

Evidence: Strong
Estrogen balance (if labs indicate)oral

Anastrozole

Lowers conversion of testosterone to estrogen.

What to expect: Used only when labs show elevated estradiol.

Evidence: Strong
Sleepinjectable

Sermorelin

Asks your pituitary to release your own growth hormone in its natural nightly pulse.

What to expect: Deeper sleep in 2–4 weeks; recovery improves by month 2.

Evidence: Moderate
Visceral fat & HDLinjectable

Tesamorelin

A growth-hormone releasing analogue that targets visceral (belly) fat and can improve HDL.

What to expect: Waist reduction over 12–26 weeks.

Evidence: Strong (FDA-approved indication)
Coming soonComing soon

Testosterone

Direct hormone replacement.

What to expect: Coming soon — not yet available through Vero.

Evidence: Strong
The protocol

Your plan, week by week.

  1. WK 0
    Lab panel
    TruDiagnostic panel typicalRange —Once
    Changes when: Physician reviews results first
  2. WK 1–12
    Clomiphene
    25 mg typicalRange 12.5–50 mg3x/week
    Changes when: Total T in optimal range
  3. WK 1–12
    Sermorelin
    300 mcg typicalRange 200–500 mcgNightly
    Changes when: Sleep improving
  4. WK 4–26
    Tesamorelin
    1 mg typicalRange 1–2 mgDaily
    Changes when: Waist/HDL review
Acute phase
Labs + initiation
Long-term
Quarterly lab-guided adjustment
Review cadence
Every 12 weeks with your physician

Labs we look at — optimal ranges, not just "normal"

Total testosterone · 600–900 ng/dLEstradiol · 20–35 pg/mLHDL · > 50 mg/dL
Get the protocol

Everything in this protocol, in one order.

  • Clomiphene
    Natural production · 25 mg, 3x/week · oral
    $414
    6 × $69
  • Anastrozole
    Estrogen balance (if labs indicate) · oral
    $294
    6 × $49
  • Sermorelin
    Sleep · 300 mcg, Nightly · injectable
    $1074
    6 × $179
  • Tesamorelin
    Visceral fat & HDL · 1 mg, Daily · injectable
    $1794
    6 × $299
  • Testosterone
    Coming soon · injectable / topical
    Prescribed after review
4 peptides · 6-month supply
$3576
≈ $596/month · Rx — ships only after physician approval
Prefer labs first?
Safety & eligibility

Honest about what this is — and isn't.

Testosterone replacement itself is not yet offered; this protocol uses non-controlled levers only.

Not a fit if you have

  • Liver disease
  • Osteoporosis (anastrozole)

Your physician will ask

  • Trying to conceive in the next 12 months?
  • History of blood clots?

A licensed, Vero-contracted physician reviews your intake and lab results (before you see them) and decides whether to prescribe. Nothing ships without that review.

About the expert
Portrait of Courtney Contreras
Courtney Contreras
MPAS, PA-C

"Labs first. Optimal ranges, not reference ranges."

Courtney is a board-certified physician assistant who has spent a decade in metabolic and regenerative medicine. Her practice is built on one conviction: most people are not failing their plan, they were never told what to fix first.

More about Courtney →
Start

Two ways to begin.

Required first step

Labs first

  • Order your at-home lab kit
  • Start what doesn't need labs now
  • Physician reviews results before you do
  • Your plan is tuned to your markers
Order lab kit
Starter while you wait

Start the protocol

$349 /month · 6 months
  • Short health questionnaire
  • Physician review & prescription
  • Shipped from a licensed pharmacy
Start intake

Optional add-ons: MOTS-c for mitochondrial health ($129/mo)

The goal · all peptides $3576Start

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