Foundationinjectable
Tirzepatide
Acts on two satiety hormones (GLP-1 and GIP) for stronger appetite control and better insulin sensitivity.
What to expect: Often faster loss than GLP-1 alone; nausea early is common.
Evidence: Strong (RCTs)Where to start
Fix this first.
Your appetite and sleep are wired together. When sleep is short, hunger hormones rise and willpower loses. We quiet appetite first, repair sleep second, and protect muscle throughout.
Priorities, in order
- Fix sleep before chasing the scale
- Protein at 0.7g per lb goal weight
- Start GLP-1 while labs process
Foundations
- 7+ hours in bed
- Resistance training 2x/week
- Protein at every meal
Start today — no labs needed
- Semaglutide starter dose (no labs needed)
- Sleep and protein routine
What helps & how
What's in it, in plain language.
Metabolic flexibilityinjectable
MOTS-c
A mitochondria-derived peptide that improves how muscles use glucose for energy.
What to expect: More sustained energy and exercise tolerance.
Evidence: EmergingCellular energyinjectable
NAD+
A coenzyme every cell needs to turn food into energy; levels fall with age.
What to expect: Energy and mental clarity within days of a loading phase.
Evidence: ModerateThe protocol
Your plan, week by week.
- WK 1–4Tirzepatide2.5 mg typicalRange 2.5 mgWeeklyChanges when: Tolerating well
- WK 5–12Tirzepatide5 mg typicalRange 5–7.5 mgWeeklyChanges when: Loss under 0.5%/week
- WK 1–8MOTS-c5 mg typicalRange 5–10 mg2x weeklyChanges when: Energy improving
- WK 1–12NAD+100 mg typicalRange 50–200 mg2x weeklyChanges when: Physician review
Acute phase
Titration: weeks 1–8
Long-term
Maintenance at lowest effective dose
Review cadence
Every 4 weeks with your physician
Labs we look at — optimal ranges, not just "normal"
HbA1c · < 5.4%Fasting insulin · < 6 µIU/mLTSH · 1.0–2.0
Get the protocol
Everything in this protocol, in one order.
- TirzepatideFoundation · 2.5 mg, Weekly · injectable$38946 × $649
- MOTS-cMetabolic flexibility · 5 mg, 2x weekly · injectable$11346 × $189
- NAD+Cellular energy · 100 mg, 2x weekly · injectable$8946 × $149
3 peptides · 6-month supply
$5922
≈ $987/month · Rx — ships only after physician approval
Safety & eligibility
Honest about what this is — and isn't.
This protocol supports — it does not replace — nutrition counselling and care from your primary physician.
Not a fit if you have
- Pancreatitis
- MEN2 / medullary thyroid cancer
- Pregnancy
Your physician will ask
- Personal or family history of medullary thyroid cancer?
- History of pancreatitis?
- Pregnant or planning pregnancy?
A licensed, Vero-contracted physician reviews your intake and decides whether to prescribe. Nothing ships without that review.
About the expert
Dr. Daniel Reyes
MD
"Longevity is built in the boring decade before you need it."
Sample bio: Board-certified internist with 12 years in preventive and metabolic medicine.
More about Dr. →Start
Two ways to begin.
Recommended
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
Fastest
Start the protocol
$389 /month · 6 months
- Short health questionnaire
- Physician review & prescription
- Shipped from a licensed pharmacy
Optional add-ons: GHK-Cu for skin during loss ($99/mo)