Sermorelin
Nightly injection
Rather than replacing growth hormone, sermorelin prompts your pituitary to produce its own — preserving the natural overnight pulse and its feedback loop.
Starting at $129 / mo
Get StartedSleep and stress
Sleep is the intervention everything else depends on
No protocol survives contact with four hours of fragmented sleep. We treat sleep architecture and stress physiology as the foundation layer — because every other marker moves once it's fixed.
What usually goes wrong
The three reasons this stays unsolved
Asleep fast, awake at 3am
Early-morning waking is a cortisol and glucose pattern more often than a sleep-hygiene failure.
Wired and tired
A stress response stuck in the on position makes rest feel impossible even when you're exhausted.
Sedatives that cost you deep sleep
Many common sleep aids increase time in bed while reducing the restorative stages you actually need.
Our approach
How we treat sleep and stress
- 01
Characterize the pattern
Onset, maintenance and early-waking insomnia have different causes and different treatments.
- 02
Address the physiology
Glucose stability, evening light and stress-axis support come before any prescription.
- 03
Choose the right tool
If something is warranted, we pick the option that preserves sleep architecture.
- 04
Measure with wearables
Bring your own tracker data — we'll read it with you rather than at you.
What changes
What patients report
- Longer uninterrupted sleep blocks
- More time in deep and REM stages
- A calmer baseline through the day
- Less reliance on sedating medication
“I messaged about a side effect on a Sunday afternoon and had a real clinical answer before dinner. My old practice took eleven days to return a portal message.”
Laura M. · Brooklyn, NY · Low Dose Naltrexone · 7 months in
Matched protocols
4 treatments we prescribe for this
Each states its regulatory status and evidence tier on its own page. Your clinician decides which, if any, fits your history.
Ipamorelin / CJC-1295
Nightly injection
Pairs a selective growth-hormone secretagogue with a GHRH analog for a larger, longer pulse than either produces alone.
Starting at $149 / mo
Get StartedLow Dose Naltrexone
Nightly capsule
Unlike other treatments, works with the immune system to support a healthier inflammatory response, potentially helping with pain, energy, brain fog, and overall quality of life.
Starting at $25 / mo
Get StartedSelank
Nasal spray
Researched for anxiety reduction and attention without the sedation, dependence or withdrawal profile associated with conventional anxiolytics.
Starting at $79 / mo
Get StartedLearn
Worth reading first
Protocols
What microdosing a GLP-1 actually means
The molecule is the same. The dosing philosophy is the entire difference — and it's why some people tolerate it and others quit in week three.
Metabolic health
Muscle is the point
Losing weight is easy to measure and easy to get wrong. The composition of what you lose determines whether the result holds.
Protocols
What happens when you stop a GLP-1
Regain is the most predictable thing about these medications, and the least planned for. Here's the exit strategy.
Ready when you are
Sleep is the intervention everything else depends on
Ten minutes of questions, a licensed clinician's review, and a plan built around your history.
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