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Longevity
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Rapamycin Rx

An mTOR inhibitor with the strongest preclinical longevity data of any drug, prescribed weekly at low dose and under close clinical supervision.

  • The strongest animal data available
  • Intermittent dosing
  • Autophagy support
  • Flexible monthly plans
  • US-licensed pharmacies
  • Clinician-guided dosing
  • Pause or cancel anytime

Starting at$89 / mo

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  • HSA / FSA eligible
  • Ongoing, expert support
  • Free, discreet shipping
  • 100% online

Isn't this an immunosuppressant?
At daily transplant doses, yes. Weekly low-dose protocols are a different exposure pattern, and one study actually found improved vaccine response in older adults on intermittent mTOR inhibition. It still requires monitoring and holds around infection.
Is there human longevity data?
Not yet, and we won't pretend otherwise. The lifespan data is preclinical. Human trials are ongoing and currently measure biomarkers and immune function rather than lifespan.
What if I get mouth ulcers?
It's the most common reason to adjust. We typically reduce the dose or extend the interval, which resolves it for most people.

Mouth ulcers are the most frequently reported and most often dose-limiting effect. Lipid elevation, transient GI upset and delayed wound healing also occur. We hold dosing around surgery, vaccination and any active infection.

Who this is not for

  • Not appropriate with active infection, immunosuppression or planned surgery
  • Can raise lipids and affect glucose in some patients
  • Mouth ulcers are the most common dose-limiting effect
  • Human longevity outcome data does not yet exist — the case is mechanistic and preclinical

Regulatory status: Prescribed off-label. Read our full medical disclaimer.

Disclaimer

Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. This product is FDA-approved for other indications and is prescribed off-label here; the FDA has not evaluated it for the uses described on this page. Actual product packaging may appear differently than shown.

What is Rapamycin?

Rapamycin inhibits mTOR, a nutrient-sensing complex that tells cells to grow and divide when energy is abundant.

Suppressing mTOR shifts cells toward maintenance mode: autophagy increases, and damaged proteins and organelles get recycled instead of accumulating.

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Individual results vary. Figures shown are modelled from published literature and aggregated, self-reported member check-ins; they are illustrative and are not a guarantee of outcome. See the evidence tier for this treatment.

days to a fair assessment

90
Change03mo6mo12mo
Reported change from baseline

How Rapamycin works

  1. Week 1

    Onboarding, first dose and a check-in on tolerability. Most protocols start below the standard dose so your body has time to adjust.

  2. 30 Days

    Your first real signal. We review side effects, adherence and any early changes before deciding whether to adjust anything.

  3. 3 Months

    The window where most measurable change shows up. Repeat labs where the protocol calls for them, and a dose review either way.

  4. 6 Months

    Trend lines rather than single readings. We compare against your baseline panel and decide whether to continue, adjust or stop.

  5. 1 Year and Beyond

    Maintenance. The goal is the lowest effective dose you can hold, with twice-yearly labs keeping the protocol honest.

Our research is shaping what comes next

Most providers in this category focus on doing more. We study what happens when the goal is finding the right amount. With a fully in-house care team, longevity researchers, and 17+ protocols graded by evidence tier, we're built to support the bigger picture of your health.

  • Rapamycin fed late in life extends lifespan in genetically heterogeneous mice

    Nature · 2009

  • mTOR inhibition improves immune function in the elderly

    Science Translational Medicine · 2014

  • Intermittent rapamycin dosing and side-effect profile in healthy adults

    GeroScience · 2023

Read our research

Rapamycin
treatment insights

Optimal

Modelled response patterns are trending in the optimal range

03mo6mo12mo

Read our clinical trials

Longevity and longevity

Our researchers are studying rapamycin through a longevity-focused lens, exploring how lower-dose protocols may be used in long-horizon care beyond the primary indication.

Read our research

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Care that starts
with you

$89/month

What's included

  • Personalized, clinician-guided plan
  • Flexible monthly plans
  • Dispensed by a US-licensed pharmacy
  • Unlimited protocol adjustments and messaging
  • Ongoing support and check-ins
  • Pause or cancel anytime
  • Third-party potency and sterility testing
Get Started

How it works

Choosing how you age starts here

  1. Certified

    Clinician-led

    Connect with a clinician

    Connect with one of our US-licensed, in-house medical providers with 199+ years of combined clinical experience to make sure treatment is right for you. 100% online. No in-person visit required.

  2. Fast, discreet shipping

    Get your discreet shipment

    If approved, your treatment is compounded by a US-licensed pharmacy, third-party tested by lot, and shipped to your door in unbranded packaging — cold-chain where the formulation requires it.

  3. Ongoing support

    Adjust as you go

    Message your care team whenever something changes. Dose adjustments, side-effect questions and protocol changes are included in your membership — never another appointment, never another fee.

The protocol

Typical dose
3–6 mg once weekly
Route
Oral tablet, same day each week
Monitoring
Lipids, glucose, CBC every 6 months
Holds
Pause around surgery, vaccination or infection
Review
Clinician check-in every 3 months

A good fit if

  • A serious, evidence-literate approach to healthspan
  • You'll commit to twice-yearly monitoring
  • No immunosuppression and no active infection
  • You understand this is off-label with limited human outcome data

Worth knowing

  • Not appropriate with active infection, immunosuppression or planned surgery
  • Can raise lipids and affect glucose in some patients
  • Mouth ulcers are the most common dose-limiting effect
  • Human longevity outcome data does not yet exist — the case is mechanistic and preclinical

Ready when you are

Start Rapamycin today

Complete a ten-minute intake, get a licensed clinician's review, and find out whether this is right for you — before you pay for anything.

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