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Longevity & Vitality

Clinician-supervised longevity care,for your next chapter.

Clinician-supervised longevity protocols for midlife women, designed to support energy, cellular health, and vitality as you age. NAD+, Sermorelin, and B12 MIC programs are accessible from home, with transparent pricing and no waiting rooms.

Begin My EvaluationSee programs & pricing

Your first charge covers your evaluation and first treatment cycle. If treatment is not right for you, or you change your mind, your payment is refunded in full before medications ship.

Explore
Starting at
$109 / month
On longer B12 MIC plans
Protocols
3 options
NAD+, Sermorelin, and B12 MIC
Care model
Care from home
Message-based care, with video when needed
Choose your protocol

Three clinician-supervised longevity programs.

Each protocol is reviewed by a licensed clinician and tailored to your intake. Your first charge covers your evaluation and first treatment cycle. If treatment is not right for you, your payment is refunded in full.

Longevity Protocol

NAD+

Nicotinamide Adenine Dinucleotide
$229/ first 4 weeks
Then from $149/month on longer plans
4-week$229
12-week plan$179 / month
24-week plan$159 / month
48-week plan$149 / month

NAD+ is a coenzyme involved in cellular energy metabolism. Levels decline with age. This clinician-supervised program supports access to NAD+ through a structured, monitored protocol.

  • Async intake reviewed by licensed clinician
  • Prescription issued where clinically appropriate
  • Refill review at 3 to 4 weeks, then quarterly
  • Option to request video consult at no extra cost
  • Labs ordered as clinically merited
Cellular HealthEnergy MetabolismInjection or OralCompounded Rx

NAD+ is a compounded medication. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality. Available where clinically appropriate.

Longevity Protocol

Sermorelin

Growth Hormone Releasing Peptide
$229/ first 4 weeks
Then from $149/month on longer plans
4-week$229
12-week plan$179 / month
24-week plan$159 / month
48-week plan$149 / month

Sermorelin is a synthetic peptide that may support the body's own signalling for growth hormone production. This program is clinician-supervised and structured around your individual intake and labs.

  • Async intake reviewed by licensed clinician
  • Prescription issued where clinically appropriate
  • Refill review at 3 to 4 weeks, then quarterly
  • Option to request video consult at no extra cost
  • Labs ordered as clinically merited
Peptide TherapyGrowth HormoneInjection or OralCompounded Rx

Sermorelin is a compounded medication. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality. Available where clinically appropriate.

Vitality Protocol

B12 MIC

Methionine, Inositol & Choline
$145/ first 4 weeks
Then from $109/month on longer plans
4-week$145
12-week plan$129 / month
24-week plan$119 / month
48-week plan$109 / month

A clinician-supervised injectable combining B12 with three compounds involved in fat metabolism and energy production. Frequently used alongside weight management programs. The most accessible entry into the Hemma longevity portfolio.

  • Async intake reviewed by licensed clinician
  • 12-week prescription issued where appropriate
  • Quarterly async refill review
  • Option to request video consult at no extra cost
  • No standard labs in the initial pathway
B12LipotropicCompounded Rx

B12 MIC is a compounded medication. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality. Available where clinically appropriate.

Your first charge covers your evaluation and first treatment cycle. If treatment is not appropriate for you, your payment is refunded in full. These programs use compounded medications prescribed when clinically appropriate. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality. Labs are billed separately when ordered by your clinician.

NAD+ Protocol
HOW IT WORKS

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme that plays a central role in cellular energy metabolism.

AREAS OF CLINICAL INTEREST
  • Cellular energy metabolism
  • Mitochondrial function
  • DNA repair processes
  • Metabolic health markers
These are areas of active research interest, not guaranteed outcomes. Individual results vary.
IMPORTANT NOTE
Clinician gated
NAD+ requires a thorough clinical review and is prescribed only where appropriate.
NAD+ Program

Cellular energy, supervised by a clinician.

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme that plays a central role in cellular energy metabolism. Research suggests that NAD+ levels decline with age. This program provides clinician-supervised access to NAD+ through a structured protocol, with ongoing monitoring and clear refill pathways.

Formats & dosage

Injection
50 to 200mg per dose. Supplied as 200mg/ml in a 5ml vial. Dose within this range is determined by your clinician at intake and adjusted as needed.
Oral dropper
50, 100, or 150mg per dose. Next-gen patented oral formula. An alternative to injection for those who prefer a non-injectable route.
Dosage is not self-selected. Your clinician determines the appropriate dose and format based on your individual intake and clinical profile.

Program pricing

4-week$229
12-week plan$179 / month
24-week plan$159 / month
48-week plan$149 / month
Begin My Evaluation

NAD+ is a compounded medication. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality.

Sermorelin Protocol
HOW IT WORKS

Sermorelin is a synthetic peptide that may support the pituitary gland's natural signalling for growth hormone production.

AREAS OF CLINICAL INTEREST
  • Growth hormone secretion support
  • Body composition over time
  • Sleep quality and recovery
  • Energy and vitality
These are areas of active research interest, not guaranteed outcomes. Individual results vary.
IMPORTANT NOTE
Clinician gated
Sermorelin requires a thorough clinical review and is prescribed only where appropriate.
Sermorelin Program

Growth hormone support, clinically supervised.

Sermorelin is a synthetic peptide that may support the pituitary gland's natural signalling for growth hormone production. Rather than providing direct growth hormone therapy, this protocol is designed around careful clinician review, prescribing only where appropriate, and ongoing monitoring throughout treatment.

Formats & dosage

Injection
500 to 600mcg per dose. Supplied as 2mg/ml in a 5ml vial. Dose is set by your clinician based on your intake and adjusted at check-ins.
Oral dropper
600mcg per dose. Next-gen patented oral formula. Clinician will advise which format is appropriate for your clinical profile.
Dosage is not self-selected. Sermorelin is a clinician-gated protocol. Format and dose are determined by your clinician only after intake review.

Program pricing

4-week$229
12-week plan$179 / month
24-week plan$159 / month
48-week plan$149 / month
Begin My Evaluation

Sermorelin is a compounded medication. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality.

B12 MIC Protocol
HOW IT WORKS

B12 MIC combines vitamin B12 with methionine, inositol, and choline, three compounds involved in fat metabolism, liver function, and energy production.

AREAS OF CLINICAL INTEREST
  • Energy metabolism support
  • Fat metabolism and liver function
  • Frequently used alongside GLP-1 weight management programs
  • Nervous system support
These are areas of active research interest, not guaranteed outcomes. Individual results vary.
IMPORTANT NOTE
Clinician gated
B12 MIC requires a thorough clinical review and is prescribed only where appropriate.
B12 MIC Program

Energy and metabolism, clinically supported.

B12 MIC combines vitamin B12 with methionine, inositol, and choline, three compounds involved in fat metabolism, liver function, and energy production. It is frequently used alongside weight management protocols to support the body during that process. This is not an over-the-counter supplement. It is a compounded injectable prescribed at a clinician-determined dose, reviewed before every prescription and adjusted at each check-in.

Format & dosing

Subcutaneous injection
B12 MIC is administered as a subcutaneous injection. Unlike oral B12 supplements, subcutaneous delivery bypasses the digestive system entirely, meaning the compound is absorbed directly into tissue without passing through the gut.
Your clinician determines your formula, dose, and schedule based on your individual intake. Dosage is not self-selected.

Program pricing

4-week$145
12-week plan$129 / month
24-week plan$119 / month
48-week plan$109 / month
Begin My Evaluation

B12 MIC is a compounded medication. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality.

How it works

From evaluation to your door,in four steps.

No waiting rooms, no referrals. Complete your intake when it suits you and your clinician handles the rest.

  1. 1

    Choose Your Path

    Select the longevity protocol that matches your goals. NAD+, Sermorelin, and B12 MIC each have a distinct clinical profile. Your evaluation is tailored from the start.

  2. 2

    Complete Your Intake

    Answer questions about your health history, current medications, and goals. Takes around 5 to 7 minutes. Your clinician reads every word before making a clinical decision.

  3. 3

    Meet Your Clinician

    Your clinician reviews your intake and determines whether the protocol is appropriate for you. If treatment is not right for you, your payment is refunded in full.

  4. 4

    Begin Your Care

    Your prescription ships to your door. Regular async check-ins and dosage adjustments keep your care on track. Video consults available at any point at no extra cost.

Questions at any point? Message your care team directly through your secure patient portal.

Why this is different

Why clinician-supervised care is different from over-the-counter supplements.

When you buy a supplement off a shelf, you are buying a fixed, standard dose with no clinical oversight. Compounded medication works differently. It is prepared by a licensed pharmacy to a specification your clinician determines based on your individual intake.

This matters because the right dose for one person may be clinically inappropriate for another. A protocol that is not supervised is a protocol that cannot be adjusted when your body responds, when your health picture changes, or when it is simply not working as expected.

Hemma's longevity programs are clinician-gated. You cannot buy a prescription here the way you buy a vitamin. That is by design.

Comparison between over-the-counter supplements and Hemma longevity protocols
Comparison categoryOTC SupplementHemma Protocol
DosageFixed product dosingClinician-set range (e.g. 50 to 200mg NAD+)
Clinical reviewNo clinician review at purchaseBefore every prescription
AdjustmentsNo clinician-guided adjustmentsAt every check-in
Ongoing supportNo built-in care follow-upAsync + video available
Drug interactionsNo clinician screening at purchaseReviewed at intake
If it is not right for youProduct cost is still paidFull refund

Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality. This comparison refers to the care model, not product claims. Individual results vary.

What to expect

Care that fits around your life.

  1. 1

    Complete your intake

    A detailed online questionnaire covering your health history, current medications, lifestyle, and goals. Your clinician reads every word.

  2. 2

    Clinician review and prescription

    Your licensed clinician reviews your case asynchronously. If the protocol is appropriate, a prescription is issued. If not, your payment is refunded in full.

  3. 3

    Medication ships to you

    Your compounded medication ships from a licensed pharmacy directly to your door. Discreet packaging, no pharmacy trips required.

  4. 4

    Month 1 async check-in

    Your clinician reviews your progress and adjusts your protocol as needed. You can request a video consult at any point at no additional cost.

  5. 5

    Quarterly ongoing care

    After reaching a stable protocol, you move to quarterly async reviews with the option to escalate at any time. Labs ordered as clinically merited.

  • Licensed Clinicians
    Care through our partner network
  • HIPAA Compliant
    Your health data is always protected
  • HSA / FSA Eligible
    Use pre-tax dollars for your care
  • No Hidden Fees
    All-inclusive subscription pricing
Questions

Common questions about longevity care,answered clearly.

Longevity care involves compounded medications and clinician oversight. We want you to understand exactly what you are signing up for before your first charge.

View All FAQs

Ready to begin?

Clinician-supervised care,from home.

Complete your intake in around 5 to 7 minutes. A licensed clinician reviews your case and determines whether a longevity protocol is appropriate for you.

Your first charge covers your evaluation and first treatment cycle. If treatment is not prescribed or you change your mind before your medication ships, your payment is refunded in full.

Begin My Evaluation

Continue reading

Explore Longevity in the Hemma JournalWhat NAD+ Actually Does, and Why Levels Decline With AgeThe Longevity Window: Why Your 40s and 50s Are the Most Important Decade for Healthy Aging

Hemma Wellness is not a medical practice. All clinical services are provided by licensed healthcare professionals through our partner network. Individual results may vary.

These statements have not been evaluated by the Food and Drug Administration. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality. This content is intended for informational purposes only and does not constitute medical advice.

Labs are billed separately when ordered by your clinician, except where noted in specific program descriptions.