Protocols
Organized, evidence-based protocols aligned with patient outcomes to ensure optimal care.
Clinical Protocols — Quick Reference
All items are provider-directed and individualized. The examples below are educational layouts—final dosing and monitoring are set by the prescribing clinician.
Glutathione — Antioxidant & Detox
Standard Protocol
Loading (Weeks 1–4)
- 100 mg, twice weekly (injectable)
- 100 mg once weekly
High-Dose (90 days)
- 200 mg twice weekly × 13 weeks
- Best for: fatigue/immune support/liver detox (per clinician)
Sermorelin — GH Optimization
Base Protocol (sex-based)
- Females: 0.1 mg (100 mcg) daily, 5×/week
- Males: 0.2 mg (200 mcg) daily, 5×/week
- Cycle: 5 months on, 1 month off
Monitoring
- Evaluate q 30–90 days for efficacy & side effects
- Rotate SC sites; bedtime use common
NAD+ — Cellular Energy & Longevity
Phased Protocol
- Weeks 1–2: 50 mg twice weekly
- Week 3+: 100 mg once weekly
- Optional: titrate toward 150 mg weekly as needed
90-Day Total (example)
- Weeks 1–2: 200 mg
- Weeks 3–13: 1,100 mg
- Total: 1,300 mg / 90 days
Semaglutide — GLP-1 Program
Typical Titration
- 0.25 mg weekly × 4 weeks
- 0.5 mg weekly × 4 weeks
- 1.0 mg weekly; consider 1.7 → 2.4 mg as appropriate
Notes
- GI effects during up-titration—slow down if needed
- Protein, fiber, hydration, and resistance training help
Tirzepatide — Dual Agonist
Titration (example)
- 2.5 → 5 → 7.5 → 10 → 12.5 → 15 mg weekly
- Advance ~every 4 weeks per tolerance/response
Notes
- Reinforce nutrition targets; manage nausea proactively
- Monitor glucose and relevant labs
Tesamorelin — Visceral Fat/Metabolic
Schedule
- SC daily or weekday cycles per prescriber
- Reassess body-comp & waist at set intervals
Monitoring
- IGF-1, fasting labs, sleep and joint symptoms
CJC-1295 + Ipamorelin — GH Secretagogues
Evening Protocol
- Bedtime SC injections; rotate sites
- Nightly or cyclical schedules per clinic
Goals & Checks
- Sleep/recovery/body-comp support
- Track IGF-1, glucose, edema/paresthesia
PT-141 (Bremelanotide) — On-Demand
Use
- 1.75 mg SC ≥ ~45 min before activity
- Max 1 dose/24h; ≤ 8 doses/month
Considerations
- May ↑BP/↓HR temporarily; nausea common
- FDA-approved for premenopausal women w/ HSDD
Semax / Selank — Cognitive & Calm
Intranasal (Daytime)
- 1–3× daily or as-needed on work/study days
- Space sprays 5–10 min; no nose blowing for 10–15 min
Tips
- Prime, aim laterally, gentle sniff
- Track focus, calm, and sleep timing
AOD-9604 — Fragment Program
Daily Plan
- SC micro-dose per clinic (often morning)
- Cycle with nutrition & activity plan
Notes
- Adjunct to calorie control & resistance training
MOTS-c — Metabolic Resilience
Cycle
- SC injections on weekly or multi-weekly schedule
- Used with training & nutrition coaching
Monitor
- Energy, recovery, glucose, blood pressure
Epithalon — Circadian/Longevity
Cyclical Use
- Short courses seasonally or per provider
- Focus on sleep hygiene & rhythm support
Watch For
- Headache, sleep-pattern shifts—adjust timing
GHK-Cu — Skin/Scalp Cosmetic
Topical Program
- Nightly serum/cream to face/neck; daily scalp drops
- Add microneedling/LED only if cleared by clinic
Care
- Patch test; separate from strong acids/retinoids
- AM sunscreen; expect 4–8+ weeks for changes
Vitamin B12 — Repletion & Maintenance
Injection Examples
- Repletion: 1000 mcg IM weekly × 4–8 weeks
- Maintenance: 1000 mcg IM monthly (or as directed)
Oral/Sublingual
- 1000–2000 mcg daily; labs guide taper to maintenance
- Monitor for hypokalemia in severe anemia
Investigational/off-label agents used only with informed consent & monitoring.
Choosing the Right Protocol Based on Desired Outcomes
Energy & Vitality
- NAD+ loading → maintenance
- CJC-1295 + Ipamorelin (sleep/recovery)
- Vitamin B12 repletion/maintenance
- MOTS-c (training blocks)
Detox & Recovery
- Glutathione (standard or high-dose)
- NAD+ with oral support
- Consider combination therapy per clinician
Anti-Aging & Longevity
- Sermorelin cycles (with monitoring)
- Tirzepatide/Semaglutide for metabolic health
- Epithalon cycles; GHK-Cu cosmetic support
Safety Guidelines & Monitoring
Pre-Treatment Assessment
- Comprehensive history, meds, allergies
- Baseline labs & contraindication screening
- Goals & expectations discussion
- Informed consent for treatment protocols
Ongoing Monitoring
- Regular assessment of response & side effects
- Periodic labs as clinically indicated
- Adjustments based on individual response
- Education & support throughout treatment
Important: All protocols are individualized based on patient factors, history, and goals. Scheduled follow-ups ensure optimal outcomes and safety.