FAQ

General

How can I cancel or pause my subscription?

You can cancel or pause your subscription at any time prior to your next shipment. Simply login to your Customer Portal, click on “Orders”, then click “Manage” on any order you wish to modify.

What is your refund/cancellation policy?

At AgelessRx, you are free to cancel, postpone, or pause your subscription at any time (and for any reason) prior to your next shipment. If at all possible, we kindly ask for a minimum of 48 hours notice before your next order is set to process. AgelessRx cannot guarantee refunds for any cancellation requests received after the pharmacy has processed your order. Furthermore, AgelessRx does not accept returns nor guarantee refunds for any product once it has left the pharmacy.

If you experience any issues with your shipment, or are dissatisfied with your product, please contact our team within 30 days following your order fulfillment. We will be more than happy to help make things right.

How do I change my shipping address?

Login to your Customer Portal, click on the “Hello (Your Name)” menu, then “My Profile”. On the “My Info” row, click “Edit”, then save once you’ve updated your information.

How do I update my billing information?

To add a new payment method, login to your AgelessRx profile and click the “Orders” tab at the top of the page. Select the product you’d like to change your payment method, and select “Manage” at the right. The last 4 digits of your current payment method will be visible underneath the product details. Select “Update” next to it, then select “Add a Payment Method” on the next page to start entering your new payment details.

To edit an existing payment method, including changing your billing address, contact us at info@agelessrx.com.

How do I check my shipping status? Can I track my order?

When you login to your AgelessRx portal, you can view all your current and past orders by selecting the “Orders” tab at the top of the page. Your shipping information is indicated by the truck icon for each of your orders. To check your shipping status and tracking information, simply click the link next to the truck icon. We update tracking information for all orders as it becomes available to us, so if the text is not clickable, please wait and try again.

How do I place another one-time order?

The process for placing a one-time order is no different than that for monthly or quarterly orders. For each one-time order, you will have to select “Buy Now,” complete a new intake, and wait for approval from your AgelessRx prescriber. There is no way to initiate recurring one-time orders; to avoid filling out multiple intake forms and going through repeated approvals, we recommend subscribing to monthly or quarterly orders.

Why am I asked to provide my ID and selfie?

We require your ID and selfie to verify your age and identity in order to be in compliance with certain regulations. Your ID and selfie are stored on a HIPAA compliant server. If you are not comfortable submitting your ID/Selfie online, please email us at orders@agelessrx.com and we can accommodate alternative ways of ID verification (such as a quick video conference with a staff member).

Why am I being asked to book a video consultation? I thought it was all online?

For a small percentage of our patients (around 10%), in order to comply with state regulations, we ask them to book a video consultation with the prescriber. We identify these patients based on the address they provide and send them an email letting them know that their state requires a visual follow up. The consultation will be brief, as we have already collected all the information we need. There is no additional charge for the video consultation (it is already included in your price).

My medication was shipped from a compounding pharmacy. How is that different than a regular pharmacy?

Most compounding pharmacies also function as a standard retail pharmacy. Some of the prescriptions we currently offer are only available through custom compounding (for example NAD+). Metformin, on the other hand, is a commercially available medication and is not compounded. Our pharmacy partners buy Metformin from the same manufacturers and wholesalers as all other pharmacies in the USA.

Which pharmacies are shipping my order?

AgelessRx partners with several pharmacies, all of which maintain multiple accreditations including Legitscripts. To view a list of our pharmacy partners, click here.

I am running low on my prescription. How do I request a refill?

We try to stay ahead of our patients running low, but if for some reason you are running low, please email orders@agelessrx.com.

What are the benefits of using AgelessRx?

We assist you in setting up an online visit with a doctor knowledgeable about the risks and the benefits of products that have potential benefits in delaying or preventing age-related diseases. Our platform allows you to place an order online and receive it by mail without ever having to make any appointments, drive anywhere, or sit in any waiting rooms – all from the comfort of your home.

How does AgelessRx work?

First, you will complete an online intake form to gather information for the healthcare provider about your medical history. After that, the system will match you with a licensed provider who will review the information and evaluate your options. If the provider determines that prescription is appropriate, then it will be delivered to the address you provided, in discreet packaging. If your provider determines a prescription is not appropriate for you, they will provide you with information about next steps.

Is shipping included in the price/subscription cost?

Yes, shipping is included on all the subscription products.

Can I use my HSA or FSA card on AgelessRx?

AgelessRx currently accepts HSA cards to pay for your order on our website. If your desired HSA card does not go through, please contact us and we will provide you with a receipt that you could use to get reimbursed from HSA/FSA plans.

Please note that AgelessRx products and services are not eligible for direct insurance coverage or reimbursement.

Do I need to visit a clinic to get my prescription?

No, the service is designed to be a 100% online experience. This is what allows us to keep it as convenient and as affordable as possible for our customers.

All prescription requests are reviewed by a U.S. licensed medical professional to determine whether or not it is appropriate for the patient. In addition to this review, some states require a synchronous consultation, which requires a medical professional and patient to speak in real time via phone or video. Should this be required, a consultation via phone or video must be completed prior to the medical professional determining if a prescription is appropriate or not. In states that allow for an asynchronous consultation (the majority of states), the patient and medical professional can correspond without having to speak with each other in real time.

What is your Refund Policy?

At AgelessRx, you are free to cancel, postpone, or pause your subscription at any time (and for any reason) prior to your next shipment. If at all possible, we kindly ask for a minimum of 48 hours notice before your next order is set to process.

AgelessRx cannot guarantee refunds for any cancellation requests received after the pharmacy has processed your order. Furthermore, AgelessRx does not accept returns nor guarantee refunds for any product once it has left the pharmacy.

If you experience any issues with your shipment, or are dissatisfied with your product, please contact our team within 30 days following your order fulfillment. We will be more than happy to help make things right.

Do you service all 50 states?

Yes, we currently service every state.

Where are your products sourced from?

One of the benefits of using AgelessRx is that all medications offered on our platform are subject to the same FDA audit and quality controls as any medicine you might buy from any pharmacy in the US. Just like at your local pharmacy, these medications may originate from the U.S. or another country (this is especially common for generic drugs). However, all medications are always dispensed and shipped from a certified U.S. based pharmacy, which means they are subject to strict manufacturing and approval processes. Additionally, all medication is purchased from a facility that is registered and inspected by the FDA.

We are serious about the safety of the products we offer and make every effort to ensure that you receive only the highest quality medications, regardless of their origin. Our products are evaluated by the same standards and undergo the same approval processes that allow these and other medications to be sold at national pharmacies like Walgreens and CVS. If you would like to know more about where your products are manufactured or how they are dispensed, please do not hesitate to contact our team.

Is my information safe with AgelessRx?

We respect the privacy of your data and comply with the latest safety regulations. Your data is stored on a HIPAA compliant and secure server. You can review our Privacy Policy here.

How does the money back guarantee work?

Refunds per the money back guarantee can only be requested between the following days for these products:

  • Metformin purchased through AgelessRx within the last 60 days

You are eligible for a full refund of the prescription product if the following terms and conditions are satisfied:

  • You used the prescription product consistently as directed by your prescriber during the 60 day period
  • You requested a refund by contacting Customer Service via your AgelessRx portal or by emailing info@agelessrx.com any time within the 60 day period

Refund requests will not be accepted outside of the refund period listed above. Refunds will be made to the payment method you used to make your original purchase. Limit one refund per customer per eligible product. Returning customers who sign up at AgelessRx again are not eligible for a refund. Additional items from your order are not eligible for a refund.

AgelessRx reserves the right to forfeit the guarantee if we suspect any abuse of our money back guarantee offer.

Metformin

How does Metformin affect Vitamin B12 levels?

Metformin can cause a reduction in Vitamin B12 levels, perhaps by interfering with its absorption, or by some other mechanism. For this reason, patients on Metformin should either monitor their B12 levels or take extra B12 out of precaution. However, some studies suggest that there is no significant connection between B12 levels and Metformin.

Regardless of whether or not you take Metformin, it is important to maintain proper levels of Vitamin B12. For adults under age 65, the easiest way to get B12 is to take at least one 2,000mcg supplement each week, or a daily dose of 50mcg. 

As we age, our ability to absorb Vitamin B12 may decline. For those over 65 who eat plant-based diets, the supplementation should probably be increased up to 1,000mcg of B12 each day.

What do I do if I get stomach upset using Metformin?

Gastrointestinal (stomach cramps, nausea, diarrhea) symptoms are the most commonly reported side effects and occur in about 5-10% of patients. Using the ER (extended release) version of Metformin helps reduce this down to 2-5%. However, patients with a higher target dose (>2000mg) may have a higher incidence of side effects. Starting with a smaller dose (1 tablet) and ramping up to 2 tablets per day may help prevent or reduce side effects. You can see the tips from our Chief Medical Officer, Dr. Z, on how to help with the gastro-related discomfort here.

Can Metformin cause my blood sugar to drop too low?

Metformin is not thought to drop blood sugar to dangerously low levels, a condition known as hypoglycemia. However, some people tolerate lower levels of blood sugar than others. For this reason, Metformin might cause some patients to have symptoms of low blood sugar such as lightheadedness, nausea, and fatigue. Starting at a low dose and increasing slowly can help. In our experience, most patients with a history of hypoglycemia can tolerate lower doses of Metformin (500mg per day). 

If you run into any issues, or if you have any questions on Metformin, please contact us.

You might find it helpful to use a Continuous Glucose Monitor (CGM) to monitor your blood sugar levels for a few days. You can learn more about CGM here.

Can I take Metformin if I am prone to episodes of hypoglycemia?

There are several reasons why patients experience hypoglycemia. However, in our experience, most patients with a history of hypoglycemia can tolerate lower doses of Metformin (500mg per day). Metformin is not known to abnormally drop blood sugar levels.

If you have any questions on Metformin and hypoglycemia, or are experiencing any issues, please contact us.

You might find it helpful to use a Continuous Glucose Monitor Sensor (CGM) to monitor your blood sugar levels for a few days. You can learn more about CGM here.

Do I need to worry about lactic acidosis when taking Metformin?

Significant lactic acidosis is almost never seen in patients who take appropriate doses and have properly functioning kidneys. Out of precaution, we ask that patients stop taking Metformin at least 3 days before going for any kind of medical procedure or imaging that requires contrast (such as a CT scan). Ask the physician doing the procedure or ordering a test about Metformin to be sure.

Patients taking higher doses of Metformin may be at greater risk of lactic acidosis if they have pre-existing kidney problems. For this reason, all patients taking Metformin at doses above 2000mg are asked to complete the Screening for Occult Renal Disease (SCORED) evaluation to assess their risk for kidney disease.

Are there some people who should not use Metformin?

Serious side effects for Metformin are very rare, making it among one of the safest prescription medications that are commonly prescribed. However, it should not be used by anybody who has an allergy to Metformin; anyone who has poor kidney function; or diabetics who are poorly controlled (unless closely supervised by their local doctor). There are many situations where Metformin can be used, but with caution or at lower doses than typically prescribed. Our medical team takes all of these factors into account when reviewing requests for prescriptions.

Where are my Metformin pills coming from? What are the quality standards?

Our Metformin tablets are subject to the same FDA audit and quality controls as any medicine you buy from any pharmacy in the U.S. As is common for most generic drugs, Metformin tablets may be sourced from the U.S. or another country. Regardless of origin, medication is always dispensed and shipped from a certified U.S.-based pharmacy. This means any shipment of Metformin that you receive has been subject to strict manufacturing and approval processes and purchased from a facility that is registered and inspected by the FDA.

We are serious about the safety of the products we offer and make every effort to ensure that you receive only the highest quality medications. Our products are evaluated by the same standards and undergo the same approval processes that allow Metformin and other medications to be sold at national pharmacies like Walgreens and CVS. If you would like to know more about where your products are manufactured or how they are dispensed, please do not hesitate to contact our team.

What dose of Metformin will I receive?

There is no agreed upon “optimal dosing” for longevity. Some longevity experts take and recommend 1000mg per day. Others recommend 1500mg per day. The TAME trial will be looking at 1500mg per day. Some health goals, such as weight loss support, may even require higher doses for you to achieve your desired outcomes, up to 2250mg per day.

Typical dosage consists of two 500mg extended release (ER) pills per day. However, your actual dosage will be determined by a licensed medical professional after taking into account multiple factors, including your medical history, drug interactions, and age, as well as your overall health goals.

Our medical staff will balance these factors to determine the best target dose for you.

Should I take both of my Metformin tabs at the same time or apart?

You can take your Metformin tabs separately or apart, so long as you take your full dose within the same day. For example, if you’re prescribed two 500mg tabs per day, you can take them both at 5pm, or one at noon and the other at 5pm. Which you choose is purely a matter of preference; neither is more effective than the other. However, if you’re experiencing side effects, taking your tabs separately may help reduce discomfort.

What are ways I can monitor my response to Metformin?

The benefits of Metformin include lower blood sugar levels, more stable energy throughout the day, and better glucose and insulin sensitivity – all of which can reduce our risk for age-related diseases. But these benefits may be hard to feel in our day-to-day lives.

Fortunately, tools like a Continuous Glucose Monitor (CGM) can help patients see how Metformin decreases their blood sugar levels and glucose sensitivity. You can learn more about CGMs here.

Biological age testing can also help patients see if Metformin has helped slow down their biological aging, as compared to their chronological aging. You can learn more about biological age tests here.

Patients may be able to notice the following benefits on their own after several months of taking Metformin:

  • Less appetite
  • More stable energy throughout the day
  • Better sleep

Patients may also experience weight loss while taking Metformin, but the best weight loss results occur after at least 6 months of use, and usually at higher doses (1500-2250mg). For patients interested in more pronounced weight loss benefits, contact us to see if increasing your dose is right for you.

How long will I need to take Metformin?

To derive the biggest benefit from Metformin, studies indicate that it should be taken over an extended period. The longer a patient takes Metformin, the better it has been shown to “push back” diseases of aging, according to several research studies in both humans and lab animals (see our Metformin Science section). 

Some benefits from Metformin, such as reduced appetite and lowered blood sugar control, can be felt and appreciated relatively quickly (especially with the help of a CGM); many patients report feeling these benefits by the second check-in, or within 2-3 months.

Other benefits, such as reduced risk for cancer or heart disease, may never be “felt,” as these benefits are happening on a cellular level to prevent these conditions before they occur. In other words, we may never know that a tumor or blocked artery has been prevented if neither are able to develop.

Those taking Metformin primarily for weight loss benefits may have to take higher doses for a longer period of time. When dosing at 2 tabs per day (1000mg), some may not notice significant weight loss within the first 6 months. When taking higher doses (1500-2250mg), patients can lose 3-12lbs (or 5-7% of their body weight) within 6-12 months. Those with higher BMIs may experience higher ranges of weight loss more quickly. Some patients may experience the lower ranges of weight loss within 2-3 months, but this may not be true for everyone.

For patients interested in more pronounced weight loss benefits on Metformin, contact your prescriber to see if increasing your dose is right for you.

Do you offer liquid or topical Metformin?

Some people cannot tolerate tablets and require liquid or topical versions. These are not currently available through AgelessRx.

Are Metformin treatments and/or other longevity prescription therapies the only thing I need to live a longer, healthier life?

Absolutely not! Our therapies are meant as an extra layer of protection. We strongly encourage our patients to adopt a healthy lifestyle, including leveraging such practices as intermittent fasting, physical activity, stress reduction, etc. It is also important to look at other potentially helpful factors, including dietary supplements like resveratrol, vitamin D, and/or B12.

If you’re curious how you can live a longer, healthier life, you might consider a Longevity Consultation to learn more about your specific needs/goals as you age.

Is Metformin approved by FDA for longevity benefits?

No. Metformin is FDA approved for people with Type 2 diabetes mellitus. This is the on-label indication for Metformin.

However, like many medications, Metformin is used off-label for conditions such as PCOS, obesity, and cancer. Once the FDA has approved a medication for one use, a medical doctor can prescribe it in any way they see fit for their patient. Metformin has been approved by the FDA to be studied specifically for human longevity as part of the TAME trial that started in 2020.

I can get a Berberine supplement over the counter, why should I bother getting a prescription for Metformin?

First, Metformin benefits and its mechanism of action have been studied much more extensively than Berberine. Second, as Berberine is a supplement, quality control and potency are not nearly as strictly controlled as Metformin which is being distributed by a licensed, US-based pharmacy, subject to FDA and US Pharmacy Board audits and purity standards.  Third, there might be overlap between Metformin and Berberine, but they have different mechanisms of action and have different benefits.

How do I take Metformin?

Start with a small dose to avoid stomach discomfort (½ or 1 tablet per day with food). Over the next few days, see how your body responds to Metformin. If you do not notice any stomach discomfort, try to increase your dose to what has been prescribed on the bottle. If you do experience stomach discomfort, it should resolve within 2 weeks as your body adjusts to the medication, at which point you should increase to your prescribed dose.

Our default protocol is the extended release (ER) version of Metformin, which reduces stomach discomfort. You will receive more detailed instructions by email, once your order is approved.

How do I know if Metformin is doing anything for me?

Some benefits of Metformin can be seen and appreciated within the first few months. These include reduced appetite and lowered blood sugar, which can be easily measured at home with a Continuous Glucose Monitor (CGM), or at your next doctor visit. 

Other benefits of Metformin, such as weight loss, may take more time and require a dose adjustment with your prescriber. At the target dose of 2 tabs per day, many patients may not notice significant weight loss while taking Metformin. At higher doses (1500 – 2250mg), patients may lose 3-12lbs (or 5-7% of body weight) within 6-12 months. Contact us to see if increasing your dose is right for you.

Metformin achieves its primary benefits by working on our metabolism to improve our health and reduce our risk for disease from a cellular level – all of which goes beyond what can be seen or felt, which may make it difficult for some to appreciate the benefits of Metformin. See our Metformin Science page for more details on how Metformin works to slow down the aging process and what can be measured to verify this.

How can I change the dosage or form of my Metformin prescription?

Our medical team will determine what dose is most appropriate for you based on a variety of factors. You can contact your prescriber at customer@agelessrx.com to explain why you’d like a dose change. Your request will be reviewed and, if deemed safe and appropriate, accommodated the next time your prescription is filled.

At this time, only Metformin tablets can be provided. Please inform your prescriber if you feel you can’t tolerate this form of Metformin.

How much weight loss can I expect while taking Metformin?

That depends largely on what dosage you’re receiving and how long you take Metformin.

The most commonly prescribed dosage of Metformin is 2 tabs (1000mg) per day. At these doses, many patients won’t notice significant weight loss within 6-12 months. 

Studies that focus on doses between 1500mg and 2250mg per day have shown modest but consistent weight loss for patients. At these doses, patients may lose 3-12lbs (or 5-7% of their body weight) within 6-12 months. Patients may experience the lower ranges of weight loss within 2-3 months, while those with a higher BMI may achieve higher estimates of weight loss within a shorter period of time. Doses above 2000mg may also increase the incidence of side effects. 

Our experts typically recommend a target dose of 2250mg for the most optimal weight loss benefits, but this may vary depending on your unique health history. 


If you’re taking Metformin primarily for weight loss, contact us to see if increasing your dose is right for you. Adopting healthy lifestyle choices (such as regular exercise and a reduced calorie meal plan) may also help you achieve better weight loss outcomes while taking Metformin.

What is the SCORED test and why am I being asked to take it?

SCORED (Screening for Occult Renal Disease) is a clinical tool designed to help prescribers decide when to screen patients for renal insufficiency, or kidney problems. 

Those taking the SCORED test will be asked 11 questions, such as your age range and gender, and whether you’re diabetic. Checking “Yes” to any question generates a certain number of points. Any score between 0-3 indicates normal renal function with 99% accuracy. Any score of 4 or more indicates that renal screening is necessary to assess kidney function.

If your prescriber recommends Metformin at a dose over 2000mg, they will also ask that you complete the SCORED assessment. Patients who score a 4 or more may be asked to complete additional blood work.

What is the best dose for weight loss on Metformin?

Doses between 1500mg and 2250mg have shown the best weight loss results for Metformin, averaging at 3-12lbs, or 5-7% of your body weight. On these doses, some patients can experience the lower estimates of weight loss within 2-3 months, with the best outcomes occurring after 6-12 months of use. Patients with higher BMIs may experience better weight loss within a shorter time frame, but this may not be true for everyone.


Our experts typically recommend a target dose of 2250mg for patients taking Metformin primarily for weight loss, but your AgelessRx prescriber may recommend a different dose depending on your unique health history. Talk to your prescriber to see which dose is best for you.

LDN

How do I take Low Dose Naltrexone?

You will always start by taking 1 capsule at bedtime for the first 2 weeks. As your body adjusts to the medication, you will begin titrating to the target dose. Your titration schedule will vary slightly depending on whether you are receiving 0.5 mg capsules or 1.5 mg capsules.

For 0.5mg capsules, you will increase your dose by 1 capsule every 14 days for about 3 months, until you reach the target dose of 3.0mg, or 6 capsules. You will then begin receiving 1.5mg capsules and cap your dose at 4.5mg, or 3 capsules.

For 1.5mg capsules, you will increase your dose by 1 capsule every 10 days until you reach the target dose of 4.5mg, or 3 capsules.

However, not everyone finds these target doses most beneficial for them. Read our blog How to Find Your ‘Goldilocks’ LDN Dose to learn more about finding which particular dose is most beneficial to you.

What is Low Dose Naltrexone’s effect on the immune system?

Naltrexone binds to opioid receptors–which are found all over the body including immune cells. In doing so, it displaces the endorphins which would normally stay bound to these receptors. By binding to the opioid receptors, it displaces the body’s naturally produced Opioid Growth Factor. When using naltrexone at a low dose (hence LDN), the binding is temporary and causes the body to then up-regulate or increase the opioid receptors, thereby restoring the endorphin system and balancing the immune system.

Can I take Low dose Naltrexone if I have a compromised immune system?

Yes! Studies have shown that LDN is not only safe to take for individuals with a compromised immune system, but that it may actually help to improve the ability of the immune system to function. Individuals with autoimmune diseases or compromised immune systems typically have lower levels of endorphins than those without autoimmunity or a lowered immune response. Due to the increase of endorphins triggered by Low Dose Naltrexone, we believe that LDN is a safe and possibly helpful therapy for these individuals. See the Science Page for more information.

What happens if I have a hard time tolerating LDN?

If you are having a hard time tolerating LDN, or fear you may as you begin your treatment, you may consider a slower ramp-up period or a lower daily dosage. Read our blog post for a ton of helpful information to remedy your tolerance of LDN.

If, at any time, you are unable to tolerate LDN, discontinue use or talk to a licensed medical professional ASAP.

Is Low Dose Naltrexone safe for everyone to use?

In general, Low Dose Naltrexone should not be used by anyone taking opioids, such as Codeine, Hydrocodone, Fentanyl, Hydromorphone, Meperidine, Methadone, Morphine, Oxycodone, or Oxycontin. Because Naltrexone and prescription opioids bind to the opioid receptors, they can render one another ineffective–or worse, cause opioid withdrawal syndrome. LDN should be avoided in patients with significantly impaired kidney or liver function.

If you are on thyroid medication, you may need to monitor your thyroid levels more closely as you start LDN. If you develop symptoms of hyperthyroidism while taking LDN, such as heart racing, increased anxiety, restlessness, or trouble sleeping, please stop LDN and talk to your doctor who prescribes your thyroid medication.

Other conditions that require a modified protocol or require further consideration prior to use include:

  • Lyme Disease or other Chronic Infections (EBV, CMS, Bebesosis, Borellia, etc.)
  • Mast Cell Activation Syndrome/Disease (MCAS/MCAD)
  • Ehlers Danlos Syndrome (EDS)
  • Multiple chemical sensitivities or drug allergies (3 or more)
  • Mold or black mold illness or exposure
  • Mental illness (e.g. schizophrenia)
What do I do if I experience side effects from Low Dose Naltrexone?

Most LDN side effects can be easily remedied and minimized by simply adjusting the dose. This is largely why we start new patients at a lower dosage and slowly ramp up to the prescribed dose.

If you’re taking 1.5 mg capsules, try slowing your titration schedule a bit or reducing the total number of capsules you’re taking at once. Another option is to reduce the frequency at which you take LDN – for example, taking it every other day or every third day may help your body adjust to a regular dose. You could also consider changing the time of day at which you take LDN; taking LDN in the morning or at night may help offset side effects such as sleep disturbance.

If you’re only taking a single 1.5 mg capsule and still find that the side effects are intolerable, we recommend switching to 0.5 mg capsules. This may be just the dose your body needs to allow it to adjust.

For more information on how to have the best experience with LDN, be sure to read our blog, Maximizing the Benefits of LDN.

What dose of Naltrexone will I receive?

The most widely studied LDN dose is 4.5mg, so the dose we commonly prescribe starts with a single 1.5mg capsule each night before bed, increasing by 1 capsule every 10 days until the target dose of 3 capsules is achieved.

We also offer 0.5mg capsules for those who have trouble tolerating larger doses. This ramp-up process is much slower, starting with a single capsule before bed and increasing by 1 capsule every 14 days until the target dose of 6 capsules is reached. At this point, the 0.5mg capsules will be replaced by 1.5mg capsules, and the target dose will increase to 4.5mg, or 3 capsules per night.

However, actual dosage will be determined by a licensed medical professional after taking into account multiple factors, including medical history, possible drug interactions, and the age of the patient.

What are ways I can monitor my response to Low Dose Naltrexone?

In the short term, people often notice an improvement or reduction of symptoms related to inflammation and rampant oxidative stress. These symptoms will vary from person to person, but can include chronic flatulence, cramping, diarrhea, constipation, headache, joint pain, brain fog, muscle pain, fatigue, unexplained weight gain, lower back pain, skin issues/rashes, excessive mucus production, seasonal allergies, food sensitivities, trouble falling asleep, or trouble staying asleep.

How long will I need to take Low Dose Naltrexone?

To derive the biggest benefit from LDN studies indicate it should be taken over an extended period. The longer a patient takes LDN, the better it has been shown to “push back” diseases of aging, according to several research studies in both humans and lab animals (see our Science page).

Some benefits from LDN, such as increased energy and sleep quality and decreased pain, are realized relatively quickly, while others, such as cancer or heart disease reduction, may never be “felt” (i.e. you won’t know that tumors or blocked arteries have been prevented if they never develop).

Where are my Low Dose Naltrexone pills coming from? What are the quality standards?

We are serious about the safety of the products that we offer. Low Dose Naltrexone is compounded on site at a certified compounding pharmacy based in the USA, with materials supplied by the Professional Compounding Centers of America (PCCA).

What happens if I cannot tolerate my LDN dose?

If you are having trouble ramping up to your recommended dose, please contact us.

The solution may be as simple as switching to a lower dose of 0.5 mg capsules, or adjusting when you take your medication. We may also be able to adjust your current dose or recommend you to a partnering doctor for further evaluation. However, everyone reacts and adjusts to LDN differently, and there’s no copy/paste solution that works the same for everyone, so it’s important to explore solutions with a healthcare professional before attempting any on your own.

Can I request LDN if I have an active cancer?

Unfortunately, no. AgelessRx does not work with patients with any active form of cancer. You may seek an alternative LDN telemedicine service, such as LDN Direct.

Is Low Dose Naltrexone approved by the FDA for longevity benefits?

The short answer is “No.”

Naltrexone is FDA approved for obesity and the treatment of opioid and alcohol addiction- also known as the on-label indication. However, like many medications, naltrexone is used off-label for conditions such as Hashimoto’s, Crohn’s, Ulcerative Colitis, Ankylosing Spondylitis, PCOS, Type 2 Diabetes, Depression, anxiety, Fibromyalgia, Chronic Fatigue, MCAS/MCAD, ADHD, and many symptoms and conditions. Like with any medication, once the FDA has approved a medication for one use, a medical doctor can prescribe it in any way they see fit for their patient.

Are Low Dose Naltrexone and/or other longevity prescriptions the only thing I need to live a longer, healthier life?

Absolutely not! Our therapies are meant as an extra layer of protection. We strongly encourage our patients to adopt a healthy lifestyle, including leveraging such practices as intermittent fasting, physical activity, stress reduction, etc.

If you are curious how you might live a longer, healthier life, you might consider a personalized Longevity Consultation.

NAD+ Patch

Why do I need to use the patches, can’t I just take NAD+ in a pill form?

NAD+ is not absorbed well through the intestines, and any that is absorbed is destroyed by the liver. The most effective methods of getting NAD+ into the body involve bypassing the intestines to deliver directly into the bloodstream, as is the case with our NAD+ injections. The next best method seems to be using iontophoresis patches that use a small battery-powered device to produce an electric current to drive the NAD+ under the skin and into the blood circulation.

Why do I need a prescription for NAD+ patches?

The iontophoresis patches have a small battery operated device that facilitates the absorption of NAD+ through your skin into your bloodstream, and because of this mechanism the patches are considered a medical device and are only available by prescription.

The instructions say to use the NAD+ patches once a week, but can I try other doses?

There is no firmly established dosage for NAD+. Based on consensus from our scientific advisors, 400mg once a week of NAD+ was the optimal for an average AgelessRx customer (a 50 year old person), and was shown to increase NAD+ levels by up to 5x. Other people who are older or younger, or who might have other reasons for using NAD+ patches (for example, addiction therapy) might use patches more or less frequently than one time per week. If you use two patches at a time, or more than one time per week, the NAD+ boosting results compound.

How often should I wear the NAD+ patch?

There is no firmly established dosing for NAD+. Based on consensus from our scientific advisors, 400mg once a week of NAD+ was the optimal for an average AgelessRx customer (a 50 year old person), and was shown to increase NAD+ levels by up to 5x.

Depending on your age, how depleted your NAD+ levels are, and your objectives, you could use the patch more or less often than our default protocol of one time per week.

Our typical protocol is to use the patch once per week after loading it with the NAD+ solution (as shown in our educational videos), and wearing the patch for 4 hours. It is normal for the patch to not be completely dry after 4 hours.

What should I expect when I use the NAD+ Patches?

NAD+ is essential for many functions, including DNA repair. You may or may not feel an immediately noticeable effect of better DNA repair; most of our customer who use the NAD+ Patches report some of the following benefits: improved energy, mental clarity, decreased cravings, better sleep, better mood, alleviation of depression/anxiety symptoms, faster recovery from illness and injury, as well as post workout recovery. This is not seen in all clients. As long as instructions for application are properly followed, the NAD+ will be absorbed into the body regardless of whether a person feels it or not, and will achieve higher NAD+ levels needed for better health and longevity. Depending on how depleted your NAD+ levels are you might need to build up your NAD+ level over a few weeks before noticing any benefits.

Why should I supplement with TMG (also known as Betaine) while using the NAD+ patch?

While using the patch, if you end up having excess niacinamide, your body will use a methylation process to eliminate the excess amounts. This methylation process creates a need for extra methyl donors, which is why we suggest supplementing with trimethylglycine (TMG also known as betaine), 1000mg on the days when the NAD patch is used. TMG is easily obtainable on Amazon or any other vitamin retailer.

How long should I keep the patches on?

The 4 hour patches have a battery that stops working after 4 hours. After that you can keep the patch on for a few more hours but absorption will be minimal.

How do I load the patch with the NAD+ Solution?

Please refer to our visual demonstration.

How do I place the patch on my body?

The patch is a small adhesive bandage that you can place anywhere on your body. Upper arm is the most common placement, but it can be put wherever is most comfortable for you. When sticking the patch to your body, hold the entire patch in your open hand and apply in one motion.

How do I remove the patch?

To ensure it doesn’t come free, the adhesive used for the patch is quite strong. At the end of four hours, you can soak the patch for a few minutes with warm water to make the removal easier.

I noticed that the NAD+ liquid is much paler yellow than it was in the previous package. Is that okay?

NAD+ has a tendency to be a different shade of yellow, depending on pH. For the iontophoresis solution, the pH is between 4 and 5. The closer the pH is to 4, the less yellow it will be. The closer the pH is to 5, the more yellow it will be. Our partner pharmacy has tested the solution at both ends of the pH, and the potency remains the same.

Do NAD+ patches help with overcoming addictions?

We have a number of clients who used NAD+ patches to help with addictions (tobacco, opioids, and other substance abuse), and have reported positive results. There is a lot of clinical evidence suggesting benefits of NAD+ for addiction treatment. This is not something we specialize in, but we are happy to accommodate your NAD+ patch orders for the purpose of addiction treatment.

I got a rash after using the NAD+ Patches. Now what?

A small percent of patients report a rash where they applied the patch. Please contact us for further advice.

Sometimes, it helps to apply the patch over a joint, such as the knees or wrists. It seems that skin on some parts of the body are more prone to develop rash than others.

Can I use NAD+ treatments if I have cancer and/or a history of cancer?

For patient safety, our licensed prescribers generally caution the use of NAD+ for those with active cancer, as there are some unknown risks associated with NAD+ and cancer patients. We plan to stay up-to-date as new findings emerge on this and will continue to keep our patient’s wellbeing at the foundation of our decision making.

For those in remission or with a history of cancer, a U.S. licensed prescriber would review the intake form to determine whether or not it’s appropriate. If additional information is needed prior to approval, the reviewing prescriber would reach out.

NAD+ Nasal Spray

How often should I use it?

You can use your NAD+ nasal spray 1-2x daily or as needed.

How long will one bottle last?

Your NAD+ Nasal Spray (14 ml bottle) contains enough solution for approximately 120 sprays.

Will I feel anything when I administer the NAD+?

You may feel a slight burn or sting when administering the nasal spray.

How long before I start to feel benefits/results?

Most patients will feel effects within an hour.

Do I have to refrigerate my NAD+ solution?

Yes. Refrigeration may help preserve the potency of the NAD+.

NAD+ Injection

How do I administer the injection and how often should I use it?

You will draw up the prescribed amount with the provided insulin needle and syringe, then inject subcutaneously. The recommended dose of general health is to start out with 0.1ml and, as desired, slowly ramp up to 0.5ml (100mg) up to 3x per week.

Each 0.1ml (10 units) of solution equals 20mg of NAD+. As such, 0.1ml (10 Units) = 20mg NAD+, 0.25ml (25 Units) = 50mg of NAD+, and 0.5ml (50 Units) = 100mg of NAD+.

Where on my body should I use the injection?

Ideally, the injection is administered into a fatty layer of skin, such as: back of arm, abdomen, or flank/lumbar region.

How much NAD+ am I injecting each time?

Each 0.1ml (10 units) of solution equals 20mg of NAD+. As such, 0.1ml (10 Units) = 20mg NAD+, 0.25ml (25 Units) = 50mg of NAD+, and 0.5ml (50 Units) = 100mg of NAD+.

What comes with my NAD+ injection order?

Your NAD+ injection order will arrive with the following: one (1) 5ml vial of NAD+ injectable solution (200 mg/ml concentration), syringes, and needles for administration.

What happens if I run out of syringes or needles before my vial is empty?

You can purchase additional insulin syringes and/or needles from a local pharmacy or drugstore, such as Walgreens or CVS.

Will I feel anything when I inject the NAD+?

You may feel a slight sting or burn when administering the injection, but it varies from person-to-person.

How long before I start to feel benefits/results?

Most patients will notice a boost in energy within an hour or two of injection. Please note you should not use NAD+ Injections more than 3x per week.

Do I have to refrigerate my NAD+ solution?

Yes. Refrigeration may help preserve the potency of the NAD+.

I dropped my syringe or needle on the floor. Can I still use it?

If all is still sealed and the needle sheath is still on it, it is OK to use. You will want to use a new syringe or needle if anything was unsealed/open as it hit the floor.

When should I discard my vial?

NAD Injections have a BUD of 90 days after the pharmacy compounds it. The potency remains stable if kept cold (refrigerated or frozen). However, once you puncture a multi-dose vial, you should discard it after 28 days.

Can I use NAD+ treatments if I have cancer and/or a history of cancer?

For patient safety, our licensed prescribers generally caution the use of NAD+ for those with active cancer, as there are some unknown risks associated with NAD+ and cancer patients. We plan to stay up-to-date as new findings emerge on this and will continue to keep our patient’s wellbeing at the foundation of our decision making.

For those in remission or with a history of cancer, a U.S. licensed prescriber would review the intake form to determine whether or not it’s appropriate. If additional information is needed prior to approval, the reviewing prescriber would reach out.

What color should my NAD+ injection solution be?

NAD+ injections are generally clear in color. If your solution is a yellowish color, this can be due to a slight variation in PH. Solution that is yellow/gold is still good and safe to use. If it is dark/brown in color, please reach out to our customer service team with a photo for further assistance.

Why should I supplement with TMG (also known as Betaine) while using NAD+ injections?

While using the injections, if you end up having excess niacinamide, your body will use a methylation process to eliminate the excess amounts. This methylation process creates a need for extra methyl donors, which is why we suggest supplementing with trimethylglycine (TMG also known as betaine), 1000mg on the days when the NAD injection is used. TMG is easily obtainable on Amazon or any other vitamin retailer.

What happens if I run out of syringes or needles?

You can purchase additional insulin syringes and/or needles from a local pharmacy or drugstore, such as Walgreens or CVS.

NAD+ Face Cream

How do I apply the cream and how often should I use it?

Splash water on your face to moisten your skin, then apply an even layer once before bed. Allow the cream enough time to absorb and dry before adding any other cosmetic creams or products.

Why does my cream have such a strong scent?

Since our cream is pure NAD+, there is currently no way to add a fragrance to help with the scent. The scent does, however, typically diminish within the first hour or two of use.

Can I use my cream with other cosmetic creams?

Yes, of course. We have not had any reports of skin irritation or break outs when used with other creams.

How long before I start to see results?

Likely, you will see benefits within 30-minutes to 1-hour of using the product. Dermatologists sometimes demonstrate this by applying our cream to one of their patient’s eyes at the beginning of the appointment. At the end of the 30 minute appointment, they hand them a mirror and show them the difference. So, results can be seen in 30 minutes, but will continue to improve skin with prolonged use.

Why does the cream have to be applied to a moist face?

Wetting your face before applying the cream allows it to spread easier and more evenly than it would if your face was dry. This also keeps you from using more cream than necessary, so you don’t go through the cream faster than intended.

Why do I have to refrigerate my cream?

Refrigeration, especially in the summer months or if you live in a warm climate, will help preserve the potency of the NAD+. Having the cream at lower temperatures when applying may also help to reduce any skin inflammation (an added benefit).

Is it safe to use the cream around my eyes?

Yes, but be cautious not to get any cream in the eyes. The cream visibly reduces eye bags and puffiness.

Will the cream clog my pores?

No. We have patients who use it to treat acne. We have not had anyone report that this cream has caused a break out or irritation.

Is it safe to apply make-up (e.g. foundation) over my cream?

Yes. Most of our patients report that their make-up goes on smoother after they have applied the cream (and let it dry first).

What are the ingredients in AgelessRx NAD+ Face Cream?

Our NAD+ Face Cream contains NAD+ powder, sodium hydroxide (10% solution), propylene glycol, and HRT Botanical Base. 100% vegan, cruelty free.

DMAE

What is DMAE?

DMAE stands for dimethylaminoethanol (deanol for short). It is an organic and topical compound traditionally from fatty fish (salmon, sardines, anchovies). It’s been clinically proven to increase dermal (skin) thickness while also hydrating better than many OTC moisturizing products. Used consistently, DMAE can have acute skin-firming effects.

What are the ingredients in ARX DMAE Firming Gel?

Our Rx-exclusive gel contains Dimethylaminoethanol Bitartrate (DMAE), Hyaluronic acid (Sodium Hyaluronate), Alpha Lipoic Acid, Preserved Water, and Lavender Oil. This combination has been scientifically-proven to be more effective than using one or the other alone.

How do I use DMAE?

Moisten your skin and apply 1 pump to your face twice daily (once in the AM, once in the PM). Spread a thin, even layer over the face and neck and gently smooth into your skin. Allow the gel to completely absorb before continuing with any other serums, treatments, or moisturizers of choice. Apply a daily SPF 30+.

How do I know DMAE is working?

Early signs of DMAE at work are mild signs of tingling, burning, or, in some cases, mild peeling following application.

When will I start to see results?

Many patients see results within just a few weeks of treatment. Significant overall skin tone improvement should be visible within 16 weeks.

What are common side effects?

While using DMAE, you may experience: Itching, Burning, Redness, or Peeling. Less common side effects may include muscle twitching, insomnia, sneezing/coughing/wheezing, severe eye irritation, or convulsion.

If you experience severe burning or rash, discontinue use and consult your doctor or medical professional.

Can I buy DMAE over-the-counter?

Some over-the-counter creams may contain DMAE, however, at much lower percentages than available via a prescription. Some oral forms of DMAE are also available OTC, such as tablets or powders, however, they do not present the same anti-aging skin benefits as a topical form, such as gel or cream.

Do I have to use SPF while using this product?

Yes. Your skin may be more sensitive to sunlight while during DMAE. As such, AgelessRx recommends a daily SPF of 30 or higher.

Can I use other cosmetic creams while using this product?

Generally, yes. Using DMAE concurrently with topical drying agents, such as salicylic acid and benzoyl peroxide, can increase the drying effects. Do not apply these agents to the same areas as your topical DMAE.

How should I store my DMAE?

Store your DMAE at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep away from children and pets. Do not share your prescription cream with anyone else.

I just started using DMAE and my skin is peeling. Is this normal?

Yes. Early signs of DMAE at work may be mild signs of tingling, burning, or, in some cases, mild peeling following application.

How long is it safe to use this product for?

Based on available research, long-term use (1 year or more) of topical DMAE is associated with a good safety profile.

Is it safe to use this product while pregnant or breastfeeding?

No. DMAE is linked to birth defects and miscarriage. Stop using DMAE immediately if you become pregnant. Do not use DMAE if you are pregnant or breastfeeding (including trying to get pregnant or are unsure whether you are pregnant).

Can I use this product on both my face and neck?

Yes. Studies show that prescription-strength DMAE is effective in reducing the appearance of sagging neck skin. Just apply enough product (a pea-sized amount) to produce a thin layer on the desired skin area, such as the neck.

Can I use DMAE with my NAD+ Face Cream?

Yes, you absolutely can use both together. You will want to apply the DMAE to clean skin once in the AM and again in the PM. You can also apply your NAD+ Cream in the AM and again the PM (your preference).

Be sure to apply the DMAE to clean, dry skin and allow it to completely dry out on your skin before you apply the NAD+ Cream. Once dry, you can lightly moisten your skin with a few drops of water and then apply your NAD+ Cream. Be sure to allow the cream to dry completely before applying any other moisturizers or cosmetics.

DMAE is a great all-over corrector but focuses on rehydrating tired and sagging skin. It’s great to use on your neck, as well. NAD+ Cream, on the other hand, is great for reversing signs of sun damage, fine lines and wrinkles, and improving overall texture. It also can help treat adult acne.

Tretinoin

What is Tretinoin?

Tretinoin is a topical form of retinoid applied to the skin. It is only available via prescription.

What are the ingredients in ARX Tretinoin cream?

AgelessRx’s Tretinoin Anti-Wrinkle Cream contains retinoic acid (commonly 0.02% or 0.05%), hyaluronic acid, and ascorbic acid.

How do I use Tretinoin?

Cleanse your skin and apply 1 to 2 pumps (pea-sized amount) to your face at bedtime up to 3x per week. Follow with a moisturizer of your choice. Apply a daily SPF 30+.

How do I know Tretinoin is working?

Early signs of Tretinoin at work are mild signs of tingling, burning, or, in some cases, mild peeling within following application. This is due to your skin turning over new layers, resulting in brighter and tighter skin. Most patients see early results within 3-4 weeks, with more significant results after 8-10 weeks.

When will I start to see results?

Most patients see early results within 3-4 weeks, with more significant results after 8-10 weeks. If you are using Tretinoin as an acne treatment, noticeable results may take longer, between two to six months.

What strengths does AgelessRx Tretinoin cream come in?

Most commonly, AgelessRx prescribes a starting/initial prescription of 0.02%, working up to 0.05% upon first refill. In some cases, different strengths may be prescribed at the discretion of the reviewing doctor or medical professional. However, we typically do not recommend strengths over 0.05%, as higher concentrations (like 0.1%) are often too strong to properly treat wrinkles and come with exacerbated side effects: the 0.02% and 0.05% formulas offer the best balance of positive cosmetic outcomes while minimizing side effects.

What are common side effects?

Sometimes referred to as “retinoid reactions,” you may experience: Itching, Burning, Redness, or Peeling. Less common side effects may include Erythema nodosum (severe skin inflammation), Edema (swelling), Rash Skin hyperpigmentation (dark spots), and/or Skin hypopigmentation (light spots).

If you experience severe burning or rash, discontinue use and consult your doctor or medical professional.

Can I buy Tretinoin over-the-counter?

No. Topical Tretinoin is only available with prescription and is not sold over the counter.

Do I have to use SPF while using this product?

Yes. Your skin may be more sensitive to sunlight while during Tretinoin. As such, AgelessRx recommends a daily SPF of 30 or higher.

Can I use other cosmetic creams while using this product?

Generally, yes. Using retinoids concurrently with topical drying agents, such as salicylic acid and benzoyl peroxide, can increase the drying effects of retinoids. Do not apply these agents to the same areas as your topical Tretinoin.

How should I store my Tretinoin?

Store your Tretinoin at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep away from children and pets. Do not share your prescription cream with anyone else.

I just started using Tretinoin and my skin is peeling. Is this normal?

Yes. Early signs of Tretinoin at work are mild signs of tingling, burning, or, in some cases, mild peeling within following application. This is due to your skin turning over new layers, resulting in brighter and tighter skin. Most patients see early results within 3-4 weeks, with more significant results after 8-10 weeks.

Is it safe to wax when using this product?

AgelessRx recommends to stop using Tretinoin for at least 5-7 days prior to any facial waxing, especially around the area being waxed. This is due to your skin becoming more sensitive when using Tretinoin, which can result in skin that is irritated, red, and painful, giving a “rug burn” appearance when waxed.

How long is it safe to use this product for?

Studies show that it’s safe to use Tretinoin over the long term, with some studies examining the effects of tretinoin for as long as four years.

Is it safe to use this product while pregnant or breastfeeding?

No. Tretinoin is linked to birth defects and miscarriage. Stop using Tretinoin immediately if you become pregnant. Do not use Tretinoin if you are pregnant or breastfeeding (including trying to get pregnant or are unsure whether you are pregnant).

Can I use this product on both my face and neck?

Yes. Tretinoin can help reduce and prevent wrinkles on the neck. If you elect to apply Tretinoin to your neck area, be sure to apply a daily SPF 30+ as it can increase the risk of sun sensitivity and damage.

Tadalafil (Cialis)

What is Tadalafil?

Tadalafil is the generic form of Cialis, an FDA approved medication to treat erectile dysfunction in men since 2003. It is also FDA approved to treat enlarged prostate, a condition called benign prostatic hyperplasia (BPH), since 2011.

Tadalafil is the same active ingredient as found in branded Cialis. Tadalafil works by inhibiting phosphodiesterase type 5 (PDE5) enzymes, which enhances erectile function by the release of nitric oxide (NO). It is offered as a daily or as needed medication; Tadalafil is only available with a prescription.

At higher doses (20mg/day or more), Tadalafil is also used in both men and women to treat pulmonary arterial hypertension.

What’s the difference between Tadalafil and Cialis?

Tadalafil is the active ingredient used in Cialis and is the generic equivalent. As clinically evidenced, Tadalafil is just as safe and effective as branded Cialis; it works for the same amount of time and delivers the same lasting effects.

How do I take Tadalafil?

Dosage and instructions differ depending on if you choose/are prescribed to take Tadalafil daily or as needed.

Tadalafil – Daily: You will take a single tablet (2.5mg or 5mg) with a glass of water at approximately the same time each day. Tadalafil can be taken with or without food; it is taken without regard to sexual activity.

Tadalafil – As Needed: You will take a single tablet (10mg or 20mg) with a glass of water a minimum of 1-2 hours before sexual activity. Tadalafil can be taken at any time of day or night, with or without food.

What are the benefits of taking Tadalafil daily versus as needed?

Taking Tadalafil daily at a lower dose (2.5mg versus 10mg) than what would be prescribed for as needed reduces many common side effects. Furthermore, it allows you the freedom to be intimate on your own time (and at any time) versus having to take a pill.

Lastly, more recent clinical research suggests added health and longevity benefits, such as anti-inflammatory properties, better blood flow to all major organs, and improved cognitive function and mental clarity.

What are the advantages of Tadalafil over other ED meds?

Tadalafil sets itself apart from other ED medications in three distinct ways:

  1. It is the only ED medication available for daily use. This means you can be intimate at any time, rather than needing to take a pill from time to time, as needed, like other brands (e.g. Viagra).
  2. When taken as needed, a single dose can remain active up to 36 hours. Tadalafil is often referred to as “the weekend pill” because a single dose can remain active for up to 36 hours (whereas others, such as Viagra, remain active for only a few hours). Tadalafil provides the opportunity for spontaneity.
  3. It is earning clinical support for a variety of health and longevity benefits. We explore some of the latest research in this blog.
What are the possible side effects of Tadalafil?

As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours.

The most common Tadalafil side effects are:

  • Headache
  • Indigestion
  • Back and muscle pain
  • Flushing
  • Stuffy nose

Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if you experience an erection that will not go away (priapism) or lasts longer than four hours, a sudden loss of vision in one or both eyes, a sudden decrease in hearing or hearing loss. The above information is only a summary. It may not cover all possible information. For a more complete list of possible side effects, click here.

What are possible drug interactions with Tadalafil?

Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches), Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.

For a more complete list of possible drug interactions, click here.

What are the longevity benefits of Tadalafil?

Anti-aging benefits: A clinical analysis cited PDE5 inhibitors, such as daily Tadalafil, as a worthwhile addition to any “anti-aging drug mixture because ED and BPH are most prevalent age-related conditions in aging men.” Furthermore, the analysis states that by “relaxing the tension [in senescent cells] may slow senescent-associated pathology… causing anti-vasoconstriction, anti-proliferative and anti-inflammatory effects.”

Reducing health risks related to aging: The same clinical analysis cited above suggests that by fighting against cellular senescence, PDE5 inhibitors, such as Tadalafil, may also help to reduce health risks related to aging, such as heart hypertrophy, myocardial infarction, cancer, neurodegenerative diseases, cystic fibrosis, diabetes, obesity and metabolic syndrome.

Anti-inflammatory properties: Per this clinical study in Scientific Reports, “chronic inflammation plays an important role in BPH/LUTS (lower urinary tract symptoms) and contributes to the clinical progression of BPH-related symptoms… Tadalafil, but not sildenafil or vardenafil, reduces pro-inflammatory factors.”

Improved cognitive function: In this clinical study, researchers state: “Erectile dysfunction is commonly associated with depression, and treatment with PDE5 inhibitors improves cognitive functions and depression, in addition to erectile dysfunction. Therefore, treatment of BPH/LUTS-ED with Tadalafil could improve patients’ quality of life and their cognitive functions.”

Improved heart health: In this clinical study, researchers cite support for PDE5 inhibitors, such as Tadalafil, “improved contractile function, reduced chamber dilatation and reduced LVH.” In other words, keeping the heart rate normal, increasing blood flow and the ability for the heart to supply the body with enough blood, and reducing blood pressure to decrease the heart’s workload.

What if I miss a dose?

If you miss a dose while taking this medicine once daily for an erection problem, benign prostatic hyperplasia, or both, take it as soon as you remember, however, do not take more than one dose per day.

If you are taking this medicine as needed for erection problems, this does not apply. Simply take a single tablet 1-2 hours prior to sexual activity.

Do I have to take a loading dose if taking Tadalafil for the first time?

When taking Tadalafil As Needed, no loading dose is required—a single tab is effective. Simply take a single Tadalafil tablet 1-2hours before sexual activity. A single dose can remain effective for up to 36 hours.

Where should I store my medication?

Store your medication at room temperature (no higher than 86 F). You should throw away any unused medication after the expiration date on your prescription bottle.

As with all prescription medications, keep out of reach of children and pets. Do not share your medication with anyone else.

Is Tadalafil FDA approved?

Yes, Tadalafil is FDA approved to treat erectile dysfunction (ED). At different doses, it is also FDA approved to treat symptoms of BPH and pulmonary arterial hypertension.

Where do my pills come from?

AgelessRx only partners with U.S. based pharmacies that are FDA registered and inspected facilities. As such, they routinely undergo strict manufacturing and approval processes for safety and efficacy that makes them available nationally to all other pharmacies in the country (including large and well-known providers, like Walgreens and CVS).

GSH Nasal Spray

How often should I use it?

You can use your GSH nasal spray 1-2x daily or as needed.

How long will one bottle last?

Your GSH Nasal Spray (15 ml bottle) contains enough solution for approximately 150 sprays.

Will I feel anything when I administer the GSH?

You may feel a slight burn or sting when administering the nasal spray.

How long before I start to feel benefits/results?

Most patients feel effects within one hour.

Do I have to refrigerate my GSH solution?

Yes. Refrigeration may help preserve the potency of the GSH.

GSH Patch

Why do I need a prescription for GSH Patches?

The iontophoresis patches have a small battery operated device that facilitates the absorption of GSH through your skin into your bloodstream, and because of this mechanism the patches are considered a medical device and are only available by prescription.

How often should I wear the patch?

Standard protocol is to wear the patch once per week for four hours. Depending on your age, how depleted your GSH levels are, and your objectives, you may elect to use the patch more or less often.

Where should I place the GSH patch?

Ideally, place the patch where hair will not interfere with mild adhesive. Common locations are upper arm, abdomen, back, and thigh.

How long should I keep the patches on?

The 4 hour patches have a battery that stops working after 4 hours. After that you can keep the patch on for a few more hours but absorption will be minimal.

What should I expect when I use GSH Patches?

GSH is essential for many functions, including cellular rejuvenation and repair. You may or may not feel an immediately noticeable effect of better DNA repair; most of our customers who use the GSH Patches report some of the following benefits: improved energy, mental clarity, and faster recovery from illness and injury.

It is important to note the above benefits are not seen in all clients. As long as instructions for application are properly followed, the GSH will be absorbed into the body regardless of whether a person feels it or not, and will achieve higher GSH levels needed for better health and longevity. Depending on how depleted your GSH levels are, you might need to build up your GSH level over a few weeks before noticing any benefits.

How do I remove the patch?

To ensure it doesn’t come free, the adhesive used for the patch is quite strong. At the end of four hours, you can soak the patch for a few minutes with warm water to make the removal easier.

I got a rash after using the GSH patches. Now what?

A small percent of patients report a rash where they applied the patch. Please contact us for further advice.

Sometimes, it helps to apply the patch over a joint, such as the knees or wrists. It seems that skin on some parts of the body are more prone to develop rash than others

GSH Injection

How do I administer the injection and how often should I use it?

You will draw up the prescribed amount with the provided insulin needle and syringe, then inject subcutaneously. The recommended dose is 0.5ml (100mg GSH) up to 5x per week.

Each 0.1ml (10cc/units on syringe) of solution equals 20mg of GSH. As such, 0.1ml = 20mg GSH, 0.25ml(25 Units) = 50mg of GSH, and 0.5ml = 100mg of GSH.

My instructions say to inject mL, but my syringe says CC/Units. Now what?

Some syringes may come with Units instead of mL. To convert, 0.5mL equals 50 Units on your syringe.

Where on my body should I use the injection?

Ideally, the injection is administered into a fatty layer of skin, such as: back of arm, abdomen, or flank/lumbar region.

How much GSH am I injecting each time?

Each 0.1ml (10 units on syringe) of solution equals 20mg of GSH. As such, 0.1ml = 20mg GSH, 0.25ml(25 Units) = 50mg of GSH, and 0.5ml = 100mg of GSH.

The standard injection of GSH is 0.5ml (50 units on syringe), which equates to 100mg GSH per injection.

What comes with my GSH injection order?

Your GSH injection order will arrive with the following: one (1) 10ml vial of GSH injectable solution (200 mg/ml concentration), syringes, and needles for administration.

What happens if I run out of syringes or needles before my vial is empty?

You can purchase additional insulin syringes and/or needles from a local pharmacy or drugstore, such as Walgreens or CVS.

Will I feel anything when I inject the GSH?

You may feel a slight sting or burn when administering the injection, but it varies from person-to-person.

How long before I start to feel benefits/results?

Most patients will notice a boost in energy within an hour or two of injection. Please note you should not use GSH Injections (0.5ml per injection) more than 5x per week.

Do I have to refrigerate my GSH solution?

Yes. Refrigeration will help preserve the potency of the GSH.

I dropped my syringe or needle on the floor. Can I still use it?

If all is still sealed and the needle sheath is still on it, it is OK to use. You will want to use a new syringe or needle if anything was unsealed/open as it hit the floor.

When should I discard my vial?

GSH Injections have a BUD of 90 days after the pharmacy compounds it. The potency remains stable if kept cold (refrigerated or frozen). However, once you puncture a multi-dose vial, you should discard it after 28 days.

B12 Injection

Why should I choose an injection over an OTC supplement?

Injections have better bioavailability than oral supplements as they bypass the digestive system completely, providing a direct supply of B12 into the bloodstream to fuel your body. Oral supplements might work for some, however, as we age, our ability to break down oral supplements often decreases.

How much B12 is administered per injection?

The solution contains 1000mcg of B12 per ml/cc.

How often do I administer the B12 injection?

Start by injecting 1ml/cc 1-2 times per week. If desired, you can slowly increase up to 2ml/cc 1-2 times per week, or as prescribed. Should you ramp up tp 2ml/cc, contact our team to adjust your ongoing Rx.

How do I administer the injection?

B12 injections are administered intramuscularly. Below are a few helpful videos to help you get started:

  1. This brief & informative video from our pharmacy partner will help you understand how to properly draw up your solution.
  2. This video helps to illustrate the proper techniques for administering your injection.
What are the most common side effects?

The most common side effect of B12 injections is irritation at the injection site. If this occurs, consider changing placement on the body or use injections less often.

Do not use B12 injections if you are currently pregnant, breastfeeding or plan to become pregnant or breastfeed.

How should I dispose of my supplies?

It is essential to follow an aseptic technique to prevent infection from bacteria, viruses, and other pathogens. Use needles and syringes only once. Dispose of your used supplies in an FDA-approved sharps container. Additionally, dispose of punctured vials within 28 days. You can read more about this technique, and get additional tips on how to dispose of your supplies, here.

What classifies something as “sterile”?

In a general medical context, sterile essentially means germ-free. Though this is often applied to medical environments like operating rooms and medical tools like scalpels, sterile can also be used to refer to medications. Sterile medications are compounded in a sterile environment to keep the medication free of germs from the time it’s compounded to the time it’s used. This method is necessary for injections, eye drops, and any medication that bypasses your body’s normal defense system.

Is Cyanocobalamin B12 synthesized with other additives?

No. Cyanocobalamin B12 is made by adding a molecule of the cyano group to a cobalt ion. To alter this process with further additives would create a compound that is fundamentally different from Cyanocobalamin B12.

As with any injectable medication, Cyanocobalamin B12 injections will often have trace amounts of benzyl alcohol as a preservative, and acetic acid or acetate as a buffer.

Is Cyanocobalamin B12 as safe and effective as Methylcobalamin B12?

Like Methylcobalamin B12, Cyanocobalamin B12 is considered safe and well-tolerated. Both have a well-established safety profile as a supplement and an injection.

There is some evidence to suggest that Cyanocobalamin B12 may be absorbed better, while Methylcobalamin B12 may be retained better. Other studies suggest that Methylcobalamin B12 may have a wider range of potential health benefits, like improving nerve function.

However, both Methylcobalamin B12 and Cyanocobalamin B12 share many of the same benefits, including better energy, better sleep, and better cognitive function. Further studies are needed to determine if any form of B12 is more effective than others, both as a supplement and as a prescription injectable.

Is there any difference in the dosage requirements compared to Methylcobalamin B12?

Cyanocobalamin B12 injections have the same standard dosage and titration as Methylcobalamin B12, but your prescriber may recommend a different dosage and titration plan depending on your goals and unique medical history. Always follow the dosage and titration plan set by your prescriber.

Is Cyanocobalamin B12 administered differently than Methylcobalamin B12?

Both are offered as intramuscular injections.

What does it mean to say that Cyanocobalamin B12 is synthetic?

When a compound is synthesized, it is created from other substances by a chemical reaction.

While Methylcobalamin B12 is a naturally occurring form of B12 found in animal-based foods like meat and eggs, Cyanocobalamin B12 is not found in nature. Instead, Cyanocobalamin B12 is chemically synthesized by attaching a molecule of the cyano group to a cobalt ion. By contrast, Methylcobalamin has a molecule of the methyl group attached to a cobalt ion.

However, this isn’t to suggest that Methylcobalamin B12 is always derived from a natural source. In fact, Methylcobalamin B12 may also be synthesized in a laboratory, though to do so, it is usually reduced from Cyanocobalamin B12.

For these reasons, Cyanocobalamin B12 is often the simplest and least labor-intensive form of B12 to produce, which may explain why it’s the most commonly prescribed form of B12 by both physicians and pharmacies.

Where is Cyanocobalamin B12 sourced from? Does it differ from Methylcobalamin B12?

Cyanocobalamin B12 is often created by reducing another naturally occurring form of B12 known as adenosylcobalamin, which comes from microbial fermentation. To do this, scientists reduce adenosylcobalamin and add a molecule of the cyano group through chemical reaction, a process referred to as synthesizing.

Methylcobalamin B12 can be extracted from the sources where it naturally occurs, but it can also be produced in a laboratory by a similar method described above. The only difference is that Methylcobalamin is created from a reduced form of Cyanocobalamin B12 with the addition of a molecule from the methyl group.

Does Cyanocobalamin B12 have different side effects?

Cyanocobalamin B12 injections are not known to have different side effects than other B12 injectables. These side effects include headache, nausea, fatigue, diarrhea, and rash at the injection site. For a full list of potential side effects, please reference the Mayo Clinic’s resources here.

What is the difference between Cyanocobalamin and Methylcobalamin?

Cyanocobalamin and Methylcobalamin are both forms of B12. The only difference is which molecule is attached to the cobalt (cobalamin) ion: the former contains a molecule of the cyano group, while the latter contains a molecule of the methyl group. Both share the same potential longevity benefits, and both solutions contain 1000mcg of B12 per ml/cc.

B12/MIC Injection

What makes B12/MIC different from regular B12?

B12/MIC provides the same great vitamin supplementation as B12 injections, but with a few added benefits. When combined with MIC, the metabolism-boosting principles of the injection are amplified, enhancing the body’s ability to break through weight loss stagnation.

How often do I administer the injection?

Start by injecting 1ml/cc 1-2 times per week. If desired, you can slowly increase up to 2ml/cc 1-2 times per week, or as prescribed. Should you ramp up tp 2ml/cc, contact our team to adjust your ongoing Rx.

What are the most common side effects?

Most side effects of B12/MIC are generally mild in nature and dissipate within a short time frame following administration. Common side effects may include:

  • Pain or redness at the injection site
  • Itching or a feeling of swelling all over the body
  • Muscle cramps & weakness
  • Upset stomach & urinary problems
  • Swelling in the ankles or feet
  • Unusual tiredness

​​If irritation continues to occur, apply an over-the-counter itch cream, preferably with hydrocortisone, or discontinue use entirely. ​In more rare yet severe cases, you may experience irregular heartbeat or trouble breathing. If this happens, discontinue use immediately and contact your healthcare provider. Do not use B12/MIC if you are currently pregnant, breastfeeding or plan to become pregnant or breastfeed.

Will I lose weight?

Every body is different. Depending on your weight loss goals, lifestyle choices, and any underlying medical conditions, the results you see on the scale may vary. B12/MIC should be used in combination with diet and exercise to maximize results.

How do I administer the injection?

B12/MIC injections are administered intramuscularly. Below are a few helpful videos to help you get started:

  1. This brief & informative video from our pharmacy partner will help you understand how to properly draw up your solution.
  2. This video helps to illustrate the proper techniques for administering your injection.
How should I dispose of my supplies?

It is essential to follow an aseptic technique to prevent infection from bacteria, viruses, and other pathogens. Use needles and syringes only once. Dispose of your used supplies in an FDA-approved sharps container. Additionally, dispose of punctured vials within 28 days.

You can read more about this technique, and get additional tips on how to dispose of your supplies, here.

Can I get subcutaneous B12/MIC injections?

All B12/MIC injections are only available as intramuscular injections.

Subcutaneous injections deliver medication into the layer of tissue just below the skin, while intramuscular injections go one layer deeper, directly into the muscle.

Subcutaneous B12/MIC injections may be associated with an increased risk for irritations and reactions at the injection site. As such, our pharmacy partners only provide standard intramuscular injections.

Wegovy®

What is Wegovy®?

Wegovy® (semaglutide) injection 2.4 mg is an injectable prescription medicine used for adults with obesity (BMI ≥30) or overweight (excess weight) (BMI ≥27) who also have weight-related medical problems to help them lose weight and keep the weight off.

  • Wegovy® should be used with a reduced-calorie meal plan and increased physical activity.
  • Wegovy® contains semaglutide and should not be used with other semaglutide-containing products or other GLP-1 receptor agonist medicines.
  • It is not known if Wegovy® is safe and effective when taken with other prescription, over-the-counter, or herbal weight-loss products.
  • It is not known if Wegovy® can be used safely in people with a history of pancreatitis.
  • It is not known if Wegovy® is safe and effective for use in children under 18 years of age.
How does Wegovy® work?

Wegovy® works by mimicking a hormone that targets areas of the brain involved in regulating appetite and food intake. This can help you eat less, which can lead to weight loss.

What is BMI & how do I calculate my BMI?

Your Body Mass Index, or BMI, is a simple rule of thumb used by healthcare providers around the world to broadly categorize a healthy spectrum of height and weight differentials.

To calculate your BMI, divide your total weight by the square of your height, or use this BMI calculator. For adults, you should expect a result somewhere between 18 and 30.

How do I know if Wegovy® is right for me?

The first thing you can do is calculate your BMI.

Wegovy® is FDA approved to treat weight loss in adults with a BMI of 30 or greater, or adults with a BMI of 27 or greater who also have at least one weight-related medical issue.

However, each potential Wegovy® candidate will be reviewed on a case-by-case basis, and approval is not guaranteed based on these criteria: your prescriber needs a full picture of your unique health profile to understand whether Wegovy® treatment is appropriate.

Those with BMIs below 25 will not be approved for Wegovy® treatment with AgelessRx.

How much weight have people lost taking Wegovy®?

In a 68-week medical study of 1,961 adults living with obesity or excess weight with a related medical problem, adults lost ~35 lbs (or ~15% body weight). People taking placebo lost an average of 6 lbs (or ~2.5% body weight). The average starting weight for both groups was ~232 lbs.

**Results are from a 68-week medical study of adults with obesity (BMI ≥30) and adults with excess weight (BMI ≥27) who also had weight-related medical problems including high blood pressure or high cholesterol. People with type 2 diabetes were excluded. Both groups were instructed to take the medicine along with a reduced-calorie meal plan and increased physical activity. 7% of people taking Wegovy™ (92 people) left the medical study due to side effects, compared to 3.1% of people taking placebo (20 people).

How soon can I expect to lose weight with Wegovy®?

People respond to medicines differently, so there is no set time for when you can expect to see results with Wegovy®. Ask your health care provider about what might be a realistic expectation for you.

What are the most common side effects of Wegovy®?

The most common side effects of Wegovy® may include: nausea, diarrhea, vomiting, constipation, stomach (abdomen) pain, headache, tiredness (fatigue), upset stomach, dizziness, feeling bloated, belching, gas, stomach flu, and heartburn.

Tell your health care provider if you have any side effects that bother you.

Can I travel with Wegovy®?

It is possible to travel with your Wegovy® pen:

  • When traveling by air, keep your Wegovy® pen with you or in your carry-on, as it may freeze in the baggage compartment. Be sure to check with the airline to see if they have any specific baggage rules.
  • If needed, Wegovy® may be stored between 46°F and 86°F in the original carton for up to 28 days.
How often is Wegovy® taken?

Wegovy® is taken once a week, any time of day, with or without food.

Why are there different color pens?

Wegovy® comes in 5 different doses: 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, and 2.4 mg. Each dose comes in its own color pen.

Do I have to take Wegovy® on the same day every week?

Yes, it’s recommended that you take Wegovy® on the same day every week at a time that is most convenient for you.

Can I change the day or time when I take Wegovy®?

Take Wegovy® 1 time each week, on the same day each week, at any time of the day. You may change the day of the week you take Wegovy® as long as your last dose was given 2 or more days before.

Should I take Wegovy® with a meal?

You can take Wegovy® with or without food.

What should I do if I have missed a dose of Wegovy®?

If you miss a dose of Wegovy® and the next scheduled dose is more than 2 days away (48 hours), take the missed dose as soon as possible.

If you miss a dose of Wegovy® and the next scheduled dose is less than 2 days away (48 hours), do not administer the dose. Take your next dose on the regularly scheduled day.

If you miss doses of Wegovy® for more than 2 weeks, take your next dose on the regularly scheduled day or call your health care provider to talk about how to restart your treatment.

What do I do if the liquid in my Wegovy® pen is cloudy?

Wegovy® should be clear and colorless. If it is not clear and colorless, DO NOT USE IT. Safely dispose of the Wegovy® pen and contact our pharmacy directly (information listed on your prescription) or our team for a replacement.

How can I dispose of my used Wegovy® pens?

It’s important to properly dispose of your used Wegovy® pens. Do not throw the pen away in your household trash. Instead, use an FDA-cleared sharps disposal container or a sturdy household container with a tight-fitting lid, like a heavy-duty plastic container. Other requirements include puncture resistant, upright and stable during use, leak resistant and properly labeled.

What temperature is best for storing Wegovy®?

Upon arrival, refrigerate your Wegovy® pens between 36°F and 46°F. Do not freeze or store under 36°F.

After using a Wegovy® pen, you can safely store it at room temperature between (46°F and 86°F). Once a pen has been used or exposed to non-refrigerated temperatures, it must be used within 28 days.

Your Wegovy® prescription will arrive with a temperature tag attached to indicate whether it was exposed to brief (2 hours), moderate (12 hours), or prolonged (48 hours) temperatures during transit. If the temperature tag indicates prolonged exposure, please contact us for a replacement.

Ozempic®

What is Ozempic®?

Ozempic® is a semaglutide-based medication that is FDA approved to treat type 2 diabetes. Clinical trials have also demonstrated that Ozempic®, as well as semaglutide medications like Wegovy® (also manufactured by Novo Nordisk), can reduce weight, regulate appetite, and lower cardiovascular risk factors.

How does Ozempic® work?

The active ingredient in Ozempic® is semaglutide. Semaglutide falls into a category of medications known as GLP-1 receptor agonists (GLP-1 RAs), which imitate the GLP-1 hormone to reduce the amount of glucose delivered into the bloodstream and encourage more insulin production from your pancreas. GLP-1 RAs also act on the digestive system to delay gastric emptying, thereby delaying the release of food from the stomach, and modulate brain activity to suppress appetite.

What are the most common side effects of Ozempic®?

The most common side effects of Ozempic® include nausea, diarrhea, vomiting, constipation, abdominal (stomach) pain, headache, fatigue, dyspepsia (indigestion), dizziness, abdominal distension, eructation (belching), hypoglycemia (low blood sugar) in patients with type 2 diabetes, flatulence (gas buildup), gastroenteritis (an intestinal infection) and gastroesophageal reflux disease (a type of digestive disorder).

Can I travel with Ozempic®?

Ozempic® must be refrigerated until your first use. Once you’ve used the pen at least once, it can be stored at room temperature for up to 56 days. If you’re traveling, make sure to pack an Ozempic® pen that you’ve already used. If you’ll be traveling for more than 56 days, make sure your Ozempic® pens are properly stored in a refrigerated pack between 36°F and 46°F.

How often is Ozempic® taken?

You only need to take Ozempic® once per week. It’s best to take your injection on the same day each week. You can take your dose at any time of that day, with or without food.

What is the difference between Ozempic® pens and Wegovy® pens?

Wegovy® pens are single-use injections that have one dose predialed and ready to go; once they’re used, they can be safely discarded in a sharps container. The spring-loaded plunger will also click twice when the injection is successfully administered to notify you that you’re finished.

Ozempic® pens, on the other hand, are designed with multiple doses to be used multiple times. Users must insert a fresh needle tip for each use and manually dial in their prescribed dose by turning the dial on the top of the pen clockwise until the window displays the correct dosage. When administering your dose, you will press down on the plunger until the window dials back down to 0 – about six seconds. There are no click indicators on an Ozempic® pen, so pay close attention to the dial and count slowly to six before removing the needle.

Do I have to take Ozempic® on the same day every week?

Taking Ozempic® on the same day each week yields the best results. Not only does this give your body the best chance to acclimate to the medication, but it balances the amount of medication in your system, so you can achieve consistent outcomes with just the right dose.

Can I change the day or time when I take Ozempic®?

It’s perfectly acceptable to adjust your dosing schedule, if the day of the week you chose previously is no longer best for you. You can simply start taking Ozempic® on your newly chosen day, so long as at least 48 have passed since your last injection.

Should I take Ozempic® with a meal?

Ozempic® can be taken with or without a meal.

What should I do If I miss a dose?

If you miss your scheduled day, just take your dose whenever you can next, so long as it’s within 5 days of the missed dose, then resume your normal dosing schedule. Never double up on doses if you missed one the previous week. We recommend setting a once-weekly reminder on your phone so you have the best opportunity to take Ozempic® as consistently as possible.

What do I do if the liquid in my Ozempic® pen is cloudy?

If the solution in your pen appears cloudy or discolored, do not use the pen and contact AgelessRx customer support.

How can I dispose of my used Ozempic® pens?

Always dispose of your Ozempic® pens in an FDA-cleared sharps container. Sharps containers can be reused and are often available for less than $10 at your local pharmacy.

What temperature is best for storing Ozempic®?

Upon arrival, refrigerate your Ozempic® pens between 36°F and 46°F. Do not freeze or store under 36°F.

After using an Ozempic® pen, you can safely store it at room temperature between (46°F and 86°F). Once a pen has been used or exposed to non-refrigerated temperatures, it must be used within 56 days.

How do I know if my Ozempic® shipment was compromised in transit?

All of our pharmacy partners take special care to insulate each Ozempic® shipment to stay within appropriate temperatures during transit. Depending on which of our pharmacy partners fulfills your prescription, Ozempic® may arrive with a temperature tag to indicate whether it was exposed to brief (2 hours), moderate (12 hours), or prolonged (48 hours) temperatures during transit. If the temperature tag indicates prolonged exposure, please contact us immediately.

If you do not receive a temperature tag, check the interior of the package and the medications packaging with the back of your hand. If either is hot to the touch, please contact us immediately.

Compounded Semaglutide

What Is Compounded Semaglutide?

Compounded Semaglutide is a semaglutide-based medication compounded by our partner pharmacies to address the shortage of Wegovy® and avoid lapse in treatment for those unable to access semaglutide-based medications while they remain on the FDA’s Drug Shortage List.

How does Compounded Semaglutide work?

Semaglutide falls into a category of medications known as GLP-1 receptor agonists (GLP-1 RAs), which imitate the GLP-1 hormone to reduce the amount of glucose delivered into the bloodstream and encourage more insulin production from your pancreas. GLP-1 RAs also act on the digestive system to delay gastric emptying, thereby delaying the release of food from the stomach, and modulate brain activity to suppress appetite.

Semaglutide is the active ingredient in Ozempic®, Wegovy®, and – you guessed it – Compounded Semaglutide. As such, Compounded Semaglutide follows the same mechanism of action as these medications.*

*Compounded Semaglutide has not been FDA approved for weight loss, but is temporarily approved by the FDA as a short-term alternative due to the ongoing semaglutide shortage.

What are the most common side effects of Compounded Semaglutide?

Compounded Semaglutide contains the active ingredient semaglutide* and thus shares common side effects: nausea, vomiting, diarrhea, stomach pain, and constipation. These normally go away on their own within a few days, or up to 2-3 weeks, and many patients develop a tolerance to these side effects. You can help prevent or ease these side effects by:

  • Eating slower and at more regular intervals throughout the day
  • Taking Compounded Semaglutide at the same time of day each week
  • Drinking only water or clear, unsweetened beverages
  • Avoiding fried, greasy foods in favor of healthier, low-fat options

*Compounded Semaglutide has not been FDA approved for weight loss, but is temporarily approved by the FDA as a short-term alternative due to the ongoing semaglutide shortage.

Can I travel with Compounded Semaglutide?

Yes! As long as you follow proper storage guidelines during your trip, you can safely travel with Compounded Semaglutide.

As a reminder, your Compounded Semaglutide vials must be refrigerated before using. Once the top of the vial has been pierced, you must discard the vial after 28 days, even if there is still some solution remaining. It is best to bring a refrigerated travel case with you to safely store your vials, especially if you plan to travel for more than 28 days.

Can I change the day or time when I take Compounded Semaglutide?

It’s perfectly acceptable to adjust your dosing schedule. You can simply start taking Compounded Semaglutide on your newly chosen day, so long as at least 48 hours have passed since your last injection.

What should I do if I miss a dose?

If you miss taking Compounded Semaglutide on your scheduled day, you can still take your dose whenever you can, so long as it’s within 5 days of the missed dose. You can then resume your normal dosing schedule. If more than 5 days have elapsed, skip this dose and take it on your next normally scheduled day. Never double up on doses if you missed one the previous week.

Is Compounded Semaglutide safe?

Compounded Semaglutide is made in an FDA-registered compounding pharmacy. Further, we have ensured that all formulations will only be compounded using pure semaglutide base, rather than salt-based peptides. Our partner pharmacies will continue to uphold our same standards of excellence for this and all other products, so that you can have the best outcomes possible. Compounded Semaglutide has the same side effects and safety profile as the medication that it is standing in for, Wegovy.

What is the difference between Compounded Semaglutide and Ozempic® or Wegovy®?

Ozempic® and Wegovy® are brand name semaglutide-based medications manufactured by Novo Nordisk, while Compounded Semaglutide is developed by our partner compounding pharmacies and features the same active ingredient as Ozempic® and Wegovy® (semaglutide). Another noticeable difference is that Compounded Semaglutide is self-administered via traditional syringes, while Ozempic® and Wegovy® feature a modern injection pen.

Wegovy® is currently on the FDA’s Drug Shortage List, but in the last quarter of 2022 alone, providers wrote over 9 million prescriptions for these medications, a number that has only grown since. When the demand for a medication goes up while the available supply goes down, the FDA allows compounding pharmacies to develop medications for the duration of an official shortage to avoid lapse in treatment.

Is Compounded Semaglutide made from Semaglutide salts?

No, our compounding pharmacies do not use any type of semaglutide salt in any formulation of Compounded Semaglutide. We’ve gone to great lengths to ensure that our partner pharmacies uphold the same standards of excellence for this product as they would with any other, which means only using the safest and purest formulations available. Our partner pharmacies have also provided certificates of authenticity confirming that they use pure semaglutide base.

Why has the FDA issued warnings about Compounded Semaglutide?

The FDA’s warning on Compounded Semaglutide specifies that consumers should be wary of 1) semaglutide that is compounded from an unregulated, unlicensed source; 2) semaglutide that is sold without a prescription; and 3) medications compounded with different active ingredients than semaglutide, such as salt forms of semaglutide.

Our compounding pharmacies are both FDA regulated and US licensed. Further, they have provided certificates of authenticity certifying that they compound semaglutide from pure semaglutide base, without any trace of any form of semaglutide salt. Our licensed prescribers only recommend Compounded Semaglutide with a prescription, and only after they have deemed it appropriate following a virtual visit.

The FDA has also specified that compounded versions of semaglutide should only be prepared to address a shortage of semaglutide; when semaglutide is no longer on the FDA’s Drug Shortage List, we will resume prescribing non-compounded semaglutide as available.

Is Compounded Semaglutide delivered via an injection pen?

If you’ve previously used semaglutide-based medications, you may have also grown accustomed to injection pens. These modern alternatives to syringes already have the semaglutide solution drawn within the pen, ready to deliver your exact prescribed dose at the push of a button.

As you might expect of any leading-edge medical innovation, these injection pens also drastically inflate the cost of the medication itself and have also contributed to the shortage. As such, our compounding pharmacies will be offering Compounded Semaglutide via traditional vials and syringes to democratize access to this medication while it remains on the FDA’s Drug Shortage List.

When drawing the solution for your Compounded Semaglutide, please be aware that the measurements may appear different than they would on a traditional Ozempic® or Wegovy® pen; consult the instructions on your vial as a reminder before you begin. The method for administering your injection is also distinct from that of injection pens, and you will always have to discard your needle and syringe after one use.

Why is AgelessRx offering Compounded Semaglutide?

With a mission to democratize access to prevention-first and longevity-driven therapies, we’ve heard the frustrations of our patients in light of the national Wegovy® shortage. While the shortage is ongoing, we will offer Compounded Semaglutide as an accessible, affordable alternative for those who are qualified for semaglutide.

What will happen when the Wegovy® shortage ends?

Once the shortage is over, we will work closely with our prescribers, pharmacies, and patients to find the best alternative. However, we plan to offer therapies that are no longer in shortage for our patients. In the meantime, we will be sure to update everyone affected as soon as we have any news regarding the shortage.

Infinite Longevity Support

How often do I take Infinite?

Infinite is taken once daily (1 sachet = 3 capsules), preferably in the morning.

I forgot my dose. Should I double up?

No. If you miss a dose, simply take your dose as soon as you remember (not more than once daily). Do not double your next dose.

Do I need to take Infinite with food?

No. You can take Infinite with or without food. We do recommend taking it with a small glass of water.

What are the ingredients and are they tested?

Our manufacturing partner only follows GMP*, and this leads to a top-quality, highly tested product. Infinite ingredients are vegetarian and include calcium alpha-ketoglutarate, quercetin, glucosamine, carnosine, pterostilbene, astaxanthin, and curcumin.

*Good manufacturing practice (GMP) is a system for ensuring that products are consistently produced and controlled according to quality standards

What makes Infinite unique from other longevity supplements?

Infinite is a first and only daily, pill-form product that addresses the 9 hallmarks of aging and key tenets from the Kaufmann Protocol. Additionally, our team has consulted with the top industry professionals to ensure that Infinite by AgelessRx is of the highest quality ingredients, the best methods of action and based on the latest science. There are plans in place to thoroughly test the results – and in the meantime, our suite of longevity tests can provide instant access to the results of your product experience.

How long before I start to feel benefits/results?

Our team of experts indicate that you will experience noticeable benefits within 30 days of supplementation. Like any supplement, everyone reacts differently and the timeframe of when you can fully enjoy the positive results from daily usage can vary.

How long should I take Infinite for?

Ideally, you will incorporate Infinite into your daily routine indefinitely. It is designed to be a long-term supplement that you can start at any age to help slow down the aging process.

Does Infinite Longevity Support contain any allergens?

Glucosamine, one of the key ingredients of Infinite Longevity Support, is often sourced from the shells of shellfish such as shrimp. However, glucosamine is not derived from the protein that causes shellfish allergies. As such, it is normally safe to consume, even for those with shellfish allergies.

Atorvastatin

How does Atorvastatin work?

Atorvastatin is a member of a class of prescription medications called ‘statins’ that work to reduce the amount of cholesterol in your liver and help remove cholesterol already in the blood. As a result, it helps to lower your overall cholesterol levels.

How often will I need to take Atorvastatin?

Atorvastatin is taken once daily around the same time. Your dose can be taken either with or without food, on a full or empty stomach.

How do I know if Atorvastatin is working?

Most statins, like Atorvastatin, require approximately 4-6 weeks to help cholesterol levels stabilize. You will complete a blood test within the first 3-6 months of treatment to check cholesterol levels (e.g. LDL, HDL, Total Cholesterol and Triglycerides) to identify measurable improvements.

Are there any long-term side effects?

Generally, Atorvastatin is safe to take long term, and, according to some experts, actually works best when taken over a long period of time.

What will happen if I stop taking it?

If you stop taking Atorvastatin, your cholesterol levels may rise again. If you want to stop taking your medication, consider finding other ways to lower your cholesterol.

What if I forget to take it? Or take too much?

In the event you forget to take your daily dose within the same day, take it as soon as you remember. If you don’t remember until the following day, skip the missed dose and take the next one when you normally do.

If you take more than your prescribed dose, it’s unlikely to harm you. Consult with your doctor if you have any concerns.

Do I need to take Atorvastatin with food?

You can take Atorvastatin with or without food. However, if it makes you feel sick, taking it after you eat can help.

Does taking Atorvastatin increase my risk of diabetes?

Some evidence suggests that Atorvastatin can raise blood sugar in some people. If you have any concerns, speak to your doctor.

Do I need blood work?

Yes, this can be provided to AgelessRx based on your most recent doctor or laboratory visit or can be purchased via AgelessRx with our Core Longevity Panel. Any valid labs completed within the prior 6 months will be considered at the discretion of your assigned medical professional.

Can I take a statin as a preventative measure?

The point of taking statin medication is to lower cholesterol levels and prevent accumulation of cholesterol in the arteries, thereby reducing risk of heart disease. Ask your doctor if Atorvastatin is right for you.

What is the difference between Atorvastatin and Lipitor?

Atorvastatin is simply the generic version of Lipitor.

Is there anything I need to take while taking Atorvastatin?

Yes, we recommend patients take at least 100mg of CoQ10 per day while on any statin.

Acarbose

How do I take Acarbose?

Take your prescribed dose with the first bite of a starch-heavy meal, such as pizza or pasta. Tablets can be swallowed with a drink of water or chewed with your first mouthful of food. Do not take more than prescribed. If you are subscribed to an Acarbose Daily plan, your meals don’t always have to be carb-heavy to take Acarbose, so don’t feel like you have to carb load every day – in fact, it’s bad for your longevity to do so. Just take Acarbose with whatever your heaviest meal of the day would be.

How often can I take Acarbose?

Each Acarbose Protocol calls for a different frequency that will change how often you take Acarbose. For Acarbose (As Needed), you can take Acarbose up to 8 times a month with the first bite of a carb-heavy meal – which meals you take it with are up to you. For our Acarbose Daily plans, you will take 1-2 tablets either with 1 meal/day or 2 meals/day, according to your titration schedule.

Your AgelessRx prescriber will help you guide you to the protocol that best suits your needs.

How can I measure the effectiveness of Acarbose?

A Continuous Glucose Monitor (CGM) is one of the most convenient ways to track your progress. You can compare sugar spikes after eating starchy carbs (with and without Acarbose!) to visibly see the impact Acarbose has on preventing spikes.

What is Acarbose typically used for?

As with Metformin, Acarbose is FDA approved for the treatment of diabetes mellitus, type 2.

When is Acarbose most effectively used?

Acarbose is most effective when taken with the first bite of a high-carb meal.

Can I take Acarbose even if I don’t have diabetes?

Talk to your doctor to see if Acarbose is right for you.

How long until I can see if Acarbose is working for me?

Every person is different. You should talk to your doctor about monitoring options while on Acarbose (if prescribed).

What dose of Acarbose will I receive?

That depends on the Acarbose protocol for which you’re approved – Acarbose (1 Meal/Day), Acarbose (2 Meals/Day), and Acarbose (As Needed). All of these include a starting strength of 25mg tablets (tear-away packets include 2x25mg tablets). However, those taking Acarbose twice daily will eventually titrate up to 50mg tablets. If you’re on one of the Acarbose daily plans, check your Rx bottle to see your titration schedule and which dose you’re receiving. Additionally, you can always view your current Acarbose plan on your AgelessRx portal.

How many carbs are in a carb-heavy meal?

A carb-heavy meal has about 30 grams of starch or more. This is roughly equivalent to half of a bagel.

Some may find that even less starch can make their meals seem “heavy,” but when considering whether to take Acarbose with your meal, 30 grams of starch should be your reference.

Those who keep a longevity-friendly, low-starch diet can take Acarbose with any meal. Just pick one or two meals per day with which to take Acarbose.

What kind of carbs does Acarbose inhibit?

Acarbose specifically inhibits amylose, or starch, from being broken down into sugar. It doesn’t work to inhibit sugary carbs.

Examples of starchy carbs include:

  • Grains
  • Including rice, corn, wheat, rye, quinoa, millet, oats, barley, and any foods made from them (oatmeal, pasta, bread, cereal, pizza, pastries, etc.)
  • Beets
  • Carrots
  • Turnips
  • Potatoes (including sweet potatoes)
  • Yams
  • Peas

Examples of sugary carbs include:

  • Fruit juice
  • Sports drinks
  • Candies
  • Honey
  • Jams/jellies
  • Any syrup
  • Soda
  • Table sugar & brown sugar
What if I miss a dose?

If a dose is missed, simply move on to the next scheduled dose. Never double up your dose to make up for the one you missed; only use Acarbose as prescribed.

How do I know which dosage to select?

If you’re unsure which dosage is right for you, the best plan is to discuss your options with your AgelessRx prescriber. But, here are a few things to consider before you do.

First, how often do you eat starchy carbs? Those who enjoy the occasional indulgence may find taking Acarbose As Needed to be more beneficial. If, on the other hand, starchy carbs like rice, potatoes, wheat, or pasta are part of at least one of your meals each day, then you might want to consider one of our Acarbose Daily plans.

Second, decide whether your goals are short term or long term. Are you looking to reduce your risk for heart disease or stroke, or even further optimize your healthspan? If so, then one of our Acarbose Daily plans might best match your goals. But if you’re just looking to avoid crashes, headaches, or other more immediate aftereffects of sugar spikes, then perhaps a less substantial subscription is appropriate.

Finally, be honest with yourself and set realistic expectations. If you’re not ready to add a whole new treatment to your regiment, you can still casually reduce your risk with Acarbose As Needed – which is part of the reason why we designed multiple protocols.

Does Acarbose allow the body to absorb other nutritional components (proteins, fats, etc)?

The short answer is absolutely yes. Acarbose is an alpha-glucosidase inhibitor, meaning that it specifically acts on enzymes that break down starches. This only makes it more difficult for our bodies to absorb starch, delaying the digestion of carbohydrates. There is no evidence to suggest that Acarbose prevents the body from absorbing other nutritional components of foods.

Rapamycin

What dose will I receive?

Generic Sirolimus is taken on a titrated plan to move from 2mg to 6mg per week over three months, ultimately ending at 6-8mg (at the discretion of the prescriber). You can only receive medication following a medical review and initial screening.

How often do I take Rapamycin?

If, after doctor review and screening, you are approved for Rapamycin, you will only take one dose of Rapamycin each week. You may take more than one pill as part of your titration plan, but the frequency will not change. For example, if you receive 2mg pills and your dose is currently 8mg, then you will take four pills in a single day (rather than four pills spread over the week) and be done until the next week.

Who is eligible to enroll?

You must be at least 40 years of age, clinically stable, and in relatively good health (all of which will be assessed during your initial and ongoing visits) to take Rapamycin. You must also be able to give informed consent of your willingness to take off-label Rapamycin and to undergo routine blood work, as well as technologically capable to join virtual meetings and fill out online forms. There are no limitations on sex or ethnicity, and no maximum age limit.

How does the process work?

Once approved, you will receive an automated email from our partners at LabCorp. Follow the instructions in the email to locate your nearest LabCorp location and schedule an appointment to complete your baseline blood work. You must either print your requisition form included in the email or display it from your phone when you check in.

Your blood work is required to determine your continued eligibility. It should be completed as soon as possible. Once received, our experts will review your results and notify you of your approval status.

If you are approved, our team will generate a prescription for you with our partnering, US-based pharmacy. You will also receive updates and tracking information for your first shipment and all subsequent shipments through your AgelessRx portal.

From there, you will continue to provide blood work, fill out questionnaires, and meet as needed with our AgelessRx physician to track any benefits/side effects and determine that you remain eligible.

Why might I be excluded from taking Rapamycin?

If you have anemia or other blood disorders, your doctor may suggest other medications. Similarly, premenopausal or menopausal females may not receive approval.

Those who are scheduled to undergo major surgery, chemotherapy or immunosuppressant therapy for a transplant within the next 6 months are also considered to have risk factors that could prevent your approval. Other exclusion criteria include: chronic infection (such as HIV/AIDS, Lyme disease, etc.); any primary or secondary immune dysfunction or deficiency, and allergy to Rapamycin.

At AgelessRx, physicians may not currently be open to discussing Rapamycin enrollment with women who are pregnant or planning to become pregnant.

Are there any side effects?

Side effects of Rapamycin are generally mild, especially if taken in lower doses. The most common side effect is stomatitis (mouth ulcers). Diarrhea and nausea are also common. More serious side effects include susceptibility to bacterial infections like pneumonia, but these are usually reported in transplant patients taking Rapamycin at higher doses.

When I look for Rapamycin, sometimes I see Sirolimus. Are they the same?

Rapamycin was the first name given to the compound isolated on Easter Island (for its native name, Rapa Nui), but the first name given to Rapamycin medications was Sirolimus. As such, there seems to have been a bit of a schism in the scientific community regarding the correct nomenclature for this compound/medication. However, Rapamycin and Sirolimus are effectively interchangeable terms that mean the same thing.

If I am already taking Rapamycin, am I eligible?

Our medical team may be able to work with you, depending on your current dosage and the reasons you are taking it, but ultimately this is a discussion between you and your prescriber.

If you are taking a lower dose of Rapamycin that is similar to the dosages listed on our protocols, you may be eligible. Work with your assigned prescriber to confirm.

If you are taking a higher dose of Rapamycin (>15mg), our medical team will need to better understand why you are at these doses to determine if it is safe to transition you to the lower doses of our protocols.

All who enroll must be able to follow the same titration plan, regardless of whether you are currently prescribed Rapamycin, were previously enrolled in the PEARL trial, or have never taken Rapamycin before.

Telmisartan

How often do I take Telmisartan?

Telmisartan is taken daily. Take it around the same time each day with a small glass of water, with or without food.

How long until I start to see some progress?

In most cases, Telmisartan can help to lower blood pressure within about two weeks. It often requires about four weeks to get the full effects of lowering blood pressure. However, everybody is different and it may take more or less time.

Should I avoid taking any other medications while taking Telmisartan?

There are some medications to avoid when taking Telmisartan, depending on your health. Talk to your healthcare provider prior to starting Telmisartan if you take blood thinners, have diabetes or kidney disease, take blood pressure medications like Aliskrien, and/or take nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen.

What dose of Telmisartan will I receive?

AgelessRx offers 20mg tablets of Telmisartan. We only offer Telmisartan with a quarterly plan, supplying 90 daily doses per quarter (1 tablet daily, or as prescribed).

Powers Hair Solution

How do I use the Powers Hair Solution?

Administer the topical spray once daily at bedtime, coating the desired surface area (approximately 12 sprays). Powers Hair Solution is gentle enough to be used on all skin types and is safe to use on color-treated hair.

What symptoms or conditions does this solution help treat?

Powers Hair Solution is uniquely formulated to help both men and women reduce balding, shedding, and thinning of hair by restoring and helping to grow (and regrow) hair follicles. Fight back against thinning of the crown, thinning through your natural part, and/or receding hairline.

When should I expect to see results?

When used daily, most patients begin to see growth within 2-3 months, with the most noticeable results within 4-6 months. To help restore a receding hairline, results typically take a bit longer, between 6-9 months.

What results and benefits should I expect to see from using this product?

Hair loss can be tricky. It can depend on heredity, age, health and overall wellbeing, nutritional habits, environmental factors, and even our stress levels. Problematic hair loss can present itself as a gradual shedding, thinning, and loss of hair on top of the head, patterned loss, circular or patchy bald spots, sudden loosening of hair, and in some cases rapid hair loss.

Powers Hair Solution brings life back into hair, healing the scalp and helping regrow hair from the inside out. Your hair will grow, and your confidence will show. Fresh, soft hair will help bring a more youthful, vibrant, and assured YOU.

My skin is irritated after using this product, why? And what should I do?

While this isn’t very common, it can happen. If you experience this condition you should reduce the number of sprays used at night. If the condition persists or is intolerable, stop using the solution and contact your prescriber.

Should I supplement with a Biotin gummy or multi-vitamin to help expedite growth?

As a general note, Biotin helps hair grow everywhere. If you only want to encourage hair growth on your scalp, the topical spray is all you need to do just that (Biotin is one of the ingredients, after all). Additional Biotin supplementation is not necessary, but probably will not affect the results either.

Can the formula be changed or customized for me?

At this time, we only offer Dr. Powers’ formula and do not have the ability to change or customize the formula.

Is the formula the same for both men and women?

Yes! Dr. Powers’ formula is designed to be equally effective for both men and women. You do not need a separate formula based on gender.

CGM Sensor

What are the benefits of using a CGM?

Originally created for diabetics, this device has since become popular among health conscious individuals who want an easy way to measure their glucose levels. It provides actionable insights into how food, exercise and other everyday activities impact blood glucose levels, and can help establish better lifestyle habits.

Do I need a special reader to use the CGM sensor?

Most people don’t need a separate reader and can use their smartphone. Most modern smartphones have NFC and support the LibreLink app. If you can download the LibreLink app, chances are good that all you need is the sensor. Here is the list of phones with NFC functionality, so that you can check if your phone is on the list. However, for non-compatible phones, patients will need to request a special reader that goes along with the sensor (for an extra cost).

What components are included in the FreeStyle Libre 14 day kit?

The sensor kit includes the following items: one Freestyle Libre sensor, sensor applicator, alcohol wipe, CGM patch (to help protect your device), and product insert.

Our partnering pharmacies will default to sending FreeStyle Libre v3, if available. If, for some reason, stock is not available, v2 will be provided.

The sensor is factory calibrated. You use your NFC enabled smartphone and Bluetooth technology to wirelessly review your glucose readings. If using a v2, you will need to manually scan your sensor every 8 hours. If using a v3, this is no longer necessary as readings are automatic.

CGM sensors are considered a medical device that requires a prescription.

Can I use the sensor for more than 14 days?

The FreeStyle Libre CGM will only function for 14 days. After that, it no longer reports readings and should be removed. If you want to monitor your glucose for more than 14 days, you need to buy multiple sensors. We offer package pricing when you purchase 3 or more sensors.

Is it safe to go about daily activities while wearing a CGM sensor?

Yes, the sensor is designed to be worn while running, showering, and doing any other daily activities. While you can go about your daily activities in a regular way, be careful not to pull the sensor off by accidentally tugging on it.

If you do plan to engage in strenuous activity while wearing the sensor, you may elect to purchase an OTC band or external adhesive for the CGM, or you could wrap it in an elastic bandage to ensure it remains intact.

What happens if my CGM sensor accidently falls off before the 14 days are done?

Once it falls off, it cannot be re-applied. A new CGM will need to be requested and ordered.

Does it hurt to insert the sensor? I heard there was a needle involved?

Most people feel either nothing, or a very small prick on their skin when they insert the sensor. The small needle that helps insert the CGM retracts immediately, leaving only a small filament that samples the glucose levels.

What are FreeStyle Libre 14 day system’s contraindications?

Remove the sensor prior to MRI, CT scan, X-ray or diathermy treatment.

I downloaded the FreeStyle LibreLink app, and it is asking me to set the Target Glucose Level Range. What should I set it at?

AgelessRx recommends non-diabetic patients aim for a range between 75-125. 70 to 80 is considered an ideal fasting sugar level, and meals should not spike sugar higher than 125mg/dl. However, there are some people who cannot tolerate these lower levels and need to work on bringing them down into this range over time. On the other hand, there are some people who are “fat adapted” and thrive on lower levels of blood glucose. The above guidelines are for non-diabetic people, who are using CGM.

My alarms keep waking me up at night. Is there a way to pause them?

You can pause CGM alerts to your mobile device by disabling Bluetooth and force closing the FreeStyle Libre app. Just remember to turn Bluetooth back on and open the app again in the morning!

While certain nighttime alarms from your CGM sensor can be an emergency for diabetics, it can also be a nuisance for non-diabetics. The low blood glucose alarm can be particularly persistent. In fact, Johns Hopkins Medicine reports that half of all episodes of low blood glucose occur during sleep. However, because AgelessRx does not prescribe CGMs to diabetics, these alarms are most often not a concern for our subscribers and can be safely ignored until the morning.

The app/reader is telling me to do a finger prick reading, what should I do?

The CGM is designed for diabetic patients and therefore many of the instructions and warnings are meant for diabetics. If you are non-diabetic and are prompted to verify the reading with a finger prick and you feel fine, then it is probably fine to ignore the instructions – you might need to adjust the warning parameters instead.

My CGM sensor doesn’t seem to be working right. Now what?

If you experience issues with your CGM sensor (e.g. it’s not working, not reading right, not sticking right), contact the manufacturer directly to see if you are eligible for a no-cost replacement at 855-632-8658.

Have the serial number of your CGM sensor handy to provide to the manufacturer. If you qualify for a replacement, the manufacturer rep will initiate a new shipment to you.

What should my ideal fasting glucose level be?

AgelessRx recommends a non-diabetic fasting glucose between 70-85. The goal is to eat foods that keep levels from rising higher than 125.

How accurate are CGM Sensors?

Due to the current limitations of the technology for CGM Sensors, there is an expected margin of error % within ±20/20%. This is true for all CGM Sensors on the market.

Additionally, there is about a 10-15 minute “phase” delay between what is measured by the CGM (interstitial fluid) and what can be measured by a finger stick (capillary blood).

Biological Age Test

What does the price of the Biological Age Test include?

The price of the Biological Age Test includes:

  • A doctor’s order for testing
  • All lab and testing fees
  • A copy of your results (revealing your Biological Age)
What steps do I need to take to complete my Biological Age Test?
  1. Purchase the Biological Age Test from AgelessRx
  2. Schedule your blood draw at Quest or a lab of your choice
  3. Collect your blood draw results
  4. Enter your results into the Biological Age Calculator
  5. Reveal your Biological Age
Do I need to visit a doctor to get a lab order before getting tested?

No. As part of your test price, AgelessRx provides an order from a licensed doctor in your state through our network.

Can I use my insurance to cover the cost of the test?

Unfortunately, no. All laboratory testing must be privately paid for at the time of purchase.

If you would like to see if this test will be reimbursed by your insurance, you can download a copy of your receipt from your account dashboard.

Can I use my FSA or HSA cards to cover the cost of the test?

Yes, you can use both FSA or HSA cards.

Additionally, you can download a copy of your receipt from your account dashboard should you wish to get reimbursed from your FSA or HSA accounts.

Where will I have my blood drawn?

If you purchased your blood test through AgelessRx, you can go to any of the thousands of Quest Lab locations nationwide.

Once your order has been confirmed, you will receive the Biological Age Test User Guide which will guide you through the process of setting up an appointment.

Can I go to my own doctor and have him/her order the tests for me?

If it is possible, yes. We encourage everyone to use their own doctor and health insurance for blood tests. However, if that is not possible or not as affordable, AgelessRx can help you arrange a blood draw at a local Quest Labs.

Once you have submitted your order, you will receive access to the Biological Age Test User Guide that outlines how to schedule an appointment at Quest Labs.

When is the best time to do the test?

We encourage everyone to complete a Biological Age Test before starting a certain therapy. Then, repeat the test again within the next 6-12 months to see how the therapy has impacted your aging process.

Do I need to fast prior to my blood test?

For the most accurate values, you will be required to fast for ten hours prior to your scheduled blood draw.

Ideally, try and schedule an appointment as early in the day as possible to minimize fasting to the recommended ten hours.

FYI: Do your best to increase your water intake on both the day before your scheduled blood draw and the day of. This will help prevent your blood from getting too concentrated/thick—making it easier on you and the technician or nurse to get your blood.

What will my results show?

After completing the calculator exercise, you will receive a personalized report detailing your Phenotypic Age and Chronological Age. Specifically, the difference between the two ages.

What are the 9 blood markers that are part of the Biological Age Test?
  1. Albumin – Liver function
  2. Alkaline Phosphatase – Liver function
  3. Creatinine – Kidney function
  4. Glucose – Metabolism
  5. C-reactive Protein – Inflammation
  6. Lymphocyte – Immune System
  7. Mean Cell Volume – Immune System
  8. Red Cell Distribution Width – Immune System
  9. White Blood Cells – Immune System

You can learn more about each of the 9 blood markers on our Product Science Page.

How do I interpret my results?

If your Phenotypic Age is lower than your chronological age, keep up the great work! But don’t just stop here—take this opportunity to consider doing even more to increase the gap between your chronological age and Phenotypic age. Better sleep and diet, more exercise, and certain longevity treatments can all make an impact.

If your Phenotypic Age is equal to or higher than your chronological age, you have the opportunity to make improvements to your lifestyle, environment, and/or adherence to longevity protocols. The higher your Phenotypic Age, the more likely you may be to experience co-existing morbidities, physical functioning problems, and increased risk of coronary heart disease.

TruMe

How do I collect my saliva sample?

First, be sure you are hydrated before beginning the process. Spit directly into the circles on the provided sample selection card. Wait about 45 minutes (or until your saliva completely soaks into the card). Then, package your sample into the designated collection bag, seal inside the pre-paid envelope, and drop it off at your local post office.

How is this test different from genetic testing?

Other genetic tests, such as 23andMe, simply look at the genetic sequencing of an individual, which you have no control over. With an epigenetic test, such as TruMe™, you can address the modifiable parts of your DNA (gene expression) with lifestyle changes to better take control of things like disease risk and rate of aging.

As an example, think about a light bulb and its components. Looking at the way the light bulb is constructed is like looking at DNA sequences (genetics). However, looking at epigenetic modifications is like looking at if the light bulb is on or off.

What is epigenetics?

Genetics tells you what genes you have. More importantly, epigenetics tells you what genes are active. Epigenetics is the study of how the body adds and removes chemical “tags” to our DNA, to turn specific genes on or off. These tags record events that happen in your life–diseases, lifestyle, diet, environmental conditions.

Epigenetic changes happen way before symptoms of disease appear, and that makes epigenetics the most effective way to predict diseases. As a result, your epigenetic profile is often more important than just your genome because it reflects your ACTUAL state of health and predicts your health’s near or mid-term future.

How do I activate or register my kit?

Once you receive your kit in the mail, register the code on your saliva sample here.

How accurate are my results?

The technology TruMe™ uses measures your DNA methylation at only a tiny fraction of the billions of nucleotides (the components that make up your DNA) and is subject to statistical error. Based on TruMe™ studies, they have approximately a 4.75 years’ error rate. If you see what you think is an error, please feel free to contact TruMe™ directly. Also, keep in mind that these are initial results. As people continue to join we will continue to update and improve your testing accuracy.

How often can I take this test?

We recommend taking the test every six months because your DNA methylation measurably changes within that time. Plus, by taking the test more than once, you’ll be able to notice if the treatments (e.g. Metformin) and lifestyle changes (e.g. diet or exercise) you have applied to your health have been effective in reducing your biological age.

Is TruMe™ CLIA certified?

No. The TruMe™ test is a research study. The protocols TruMe™ uses are suitable for genetic research only, not for clinical genetic testing like you would receive at a hospital or doctor’s office. Clinical genetic testing is held to higher standards and is done in laboratories, which are certified by governmental regulations called CLIA (Clinical Laboratory Improvement Amendments). If you use the TruMe™ data for diagnostic purposes, you should always contact the doctor and have the results confirmed by tests recommended by a medical professional.

Core Longevity Panel

What is the Core Longevity Panel from AgelessRx?

Our Core Longevity Panel is a first-of-its-kind blood test that helps assess your risk for heart disease, diabetes/insulin resistance, and inflammation. This test measures 10 key biomarkers critical to your health and longevity.

When your sample is processed and reviewed by our world-class medical team, an easy-to-read copy of your digital lab report will be made available to you on your AgelessRx portal. You should always discuss results with your doctor, especially for any abnormal values.

When will I get my results?

We strive to deliver test results within 2 weeks.

If 7 business days have passed and you still have not received your results, please contact us via your AgelessRx portal.

How do I receive my results as a patient?

You will receive your results through your patient portal, approximately 2 weeks after your blood draw.

Furthermore, once your results are ready, you’ll receive a notification from us. You can then login and view your results within your AgelessRx portal.

Are tests suitable for those under the age 18?

Tests are currently only for adults aged 18 and older.

What studies reinforce AgelessRx’s testing methodology?

A comprehensive list of scientific journal references that reinforce our testing methodology are included below.

Cardiovascular health:

  1. Courtney Nagel Sandler, MDMarie E. McDonnell, MD 2016 May, The role of hemoglobin A1c in the assessment of diabetes and cardiovascular risk Cleveland Clinic Journal of Medicine ; 83 Suppl 1(5):S4-S10
  2. Ivana R Sequeira, Sally D Poppitt1 2017, HbA1c as a marker of prediabetes: A reliable screening tool or not, Review Article – Insights in Nutrition and Metabolism () Volume 1, Issue 1
  3. Ho-Pham LT, Nguyen UDT, Tran TX, Nguyen TV. August 17, 2017, Discordance in the diagnosis of diabetes: comparison between HbA1c and fasting plasma PLOS ONE. doi:10.1371/journal.pone.0182192
  4. Simmons RK, Rahman M, Jakes RW, et al. 2011, Effect of population screening for type 2 diabetes on mortality: long-term follow-up of the Ely cohort. Diabetologia.; 54(2): 312–319.
  5. Couderc R1, Antar M1, Bonnefont-Rousselot D2, Paul JL3, Therond P4. Couderc R, et al. Ann Biol Clin (Paris). 2017. Blood lipid tests in 2017. Review article
  6. Screening for Dyslipidemia in Younger Adults: A Systematic Review for the U.S. Preventive Services Task Force. Chou R, Dana T, Blazina I, Daeges M, Bougatsos C, Jeanne TL Ann Intern Med. 2016;165(8):560.
  7. Clinical utility of different lipid measures for prediction of coronary heart disease in men and women. Ingelsson E, Schaefer EJ, Contois JH, McNamara JR, Sullivan L, Keyes MJ, Pencina MJ, Schoonmaker C, Wilson PW, D’Agostino RB, Vasan RS. JAMA. 2007;298(7):776.
  8. Lipid parameters for measuring risk of cardiovascular disease. Arsenault BJ, Boekholdt SM, Kastelein JJ; Nat Rev Cardiol. 2011 Apr;8(4):197-206. Epub 2011 Feb 01.
  9. Clinical Utility of a Fingerstick Technology to Identify Individuals With Abnormal Blood Lipids and High-Sensitivity C-Reactive Protein Levels Parin Parikh, MD, Heidi Mochari, MPH, RD, and Lori Mosca, MD, MPH, PhD; Am J Health Promot. 2009 Mar–Apr; 23(4): 279–282. doi: 10.4278/ajhp.071221140

Diabetic health:

  1. Courtney Nagel Sandler, MDMarie E. McDonnell, MD 2016 May, The role of hemoglobin A1c in the assessment of diabetes and cardiovascular risk Cleveland Clinic Journal of Medicine ; 83 Suppl 1(5):S4-S10
  2. Ivana R Sequeira, Sally D Poppitt1 2017, HbA1c as a marker of prediabetes: A reliable screening tool or not, Review Article – Insights in Nutrition and Metabolism () Volume 1, Issue 1
  3. Ho-Pham LT, Nguyen UDT, Tran TX, Nguyen TV. August 17, 2017, Discordance in the diagnosis of diabetes: comparison between HbA1c and fasting plasma PLOS ONE. doi:10.1371/journal.pone.0182192
  4. Simmons RK, Rahman M, Jakes RW, et al. 2011, Effect of population screening for type 2 diabetes on mortality: long-term follow-up of the Ely cohort. Diabetologia.; 54(2): 312–319.
  5. Couderc R1, Antar M1, Bonnefont-Rousselot D2, Paul JL3, Therond P4. Couderc R, et al. Ann Biol Clin (Paris). 2017. Blood lipid tests in 2017. Review article
  6. Screening for Dyslipidemia in Younger Adults: A Systematic Review for the U.S. Preventive Services Task Force. Chou R, Dana T, Blazina I, Daeges M, Bougatsos C, Jeanne TL Ann Intern Med. 2016;165(8):560.
  7. Clinical utility of different lipid measures for prediction of coronary heart disease in men and women. Ingelsson E, Schaefer EJ, Contois JH, McNamara JR, Sullivan L, Keyes MJ, Pencina MJ, Schoonmaker C, Wilson PW, D’Agostino RB, Vasan RS. JAMA. 2007;298(7):776.
  8. Lipid parameters for measuring risk of cardiovascular disease. Arsenault BJ, Boekholdt SM, Kastelein JJ; Nat Rev Cardiol. 2011 Apr;8(4):197-206. Epub 2011 Feb 01.
  9. Clinical Utility of a Fingerstick Technology to Identify Individuals With Abnormal Blood Lipids

Inflammation:

  1. High-Sensitivity C-Reactive Protein Levels Parin Parikh, MD, Heidi Mochari, MPH, RD, and Lori Mosca, MD, MPH, PhD; Am J Health Promot. 2009 Mar–Apr; 23(4): 279–282. doi: 10.4278/ajhp.071221140

Multi-Cancer Early Detection Test

What is the Multi-Cancer Early Detection Test?

The Multi-Cancer Early Detection Test detects more than 50 types of cancer, many of which are not commonly screened for today, through a simple blood draw. The test does not diagnose cancer and not all cancers may be detected in the blood.

How can the test blood test detect cancer?

The test looks for signals present in the blood that may be associated with cancer at the time of your blood draw. If a cancer signal is detected, results can point to where in the body the cancer is coming from to help your healthcare provider guide next steps.

Who can take the Multi-Cancer Early Detection Test?

The test is recommended for use in adults with an elevated risk for cancer, such as those aged 50 or older.

The test is intended to be used in addition to, and not replace, other cancer screening tests your healthcare provider recommends.

I am not at risk for cancer nor do I have a family history, is the test really for me?

Family history is only one of many risk factors associated with cancer development. These risk factors include eating habits, lifestyle, living or working environments, genetics, and many others. Talk to your healthcare provider to determine whether the test is right for you.

What cancers does the test detect?

In a large-scale, clinical validation sub-study of CCGA, the test detected more than 50 cancer types across all stages.

Where is the test currently available?

The test is only available in the U.S. at this time. It is only available by prescription.

What is the recommended screening interval for the test?

Annual screening provides the opportunity to detect more cancers early. It is up to your healthcare provider to determine the appropriate screening interval based on your underlying risk factors. You should discuss a recommended interval with your primary healthcare provider.

Why is the test recommended to be used in addition to, and not to replace, guideline-recommended cancer screening tests?

The test is not intended to replace guideline-recommended cancer screening tests. One of the most pressing unmet needs in early cancer detection is to identify cancers for which there are no existing recommended screening tests. This test is designed to detect many cancer types, including those that lack routine screenings. The United States Preventive Services Task Force (USPSTF) currently recommends screening paradigms for lung (for high-risk smokers), breast, cervical, prostate, and colorectal cancers.

Furthermore, the test detects more than 50 cancers, and not all cancers may be detected in the blood. Recommended routine cancer screening tests such as colonoscopy or mammograms are commonly used and have been shown to reduce cancer deaths. This test is intended to be used in addition to and not replace these tests and can help maximize the benefits of early cancer detection. Missing recommended screening or ignoring symptoms could lead to a delayed diagnosis of cancer. Ask your healthcare provider about what cancer screening tests are right for you.

How do I complete my blood draw?

Visit a local Quest Labs or contact Quest via phone to schedule an appointment or determine if the location allows walk-ins. You will need an unopened sample collection kit (shipped directly to you from our lab partner) for your blood draw.

I was shipped a collection kit. How do I handle the collection kit once I receive it?

Once you receive your collection kit, please do not break the quality seal on it. The collection kit should be opened by the trained practitioner who draws your blood sample. Make sure you store it at room temperature until your blood draw appointment. The contents are sensitive to extreme temperatures. For example, avoid storing your collection kit in the trunk of your car for long periods of time.

How do I return the sample collection kit after my blood draw?

The trained practitioner who draws your blood will pack and ship your sample back to the laboratory for processing.

Do I need to fast prior to the blood draw?

No preparation or fasting is required for the test.

How much blood is needed for the test?

Approximately 1.5 tablespoons (or about 20 mL) of blood in two tubes typically from a vein in your arm.

When will results be ready?

Test results should be available within about 2 weeks following your blood draw and receipt of your kit by the lab.

What does it mean if I receive a cancer ​“Signal Detected” result?

This means that there is a suspicion of cancer but not a diagnosis of cancer. The test can point to where in the body the cancer is coming from to help your healthcare provider guide next steps. Your healthcare provider will discuss appropriate follow-up testing to confirm if cancer is present.

What does it mean if I receive a cancer ​“Signal Not Detected” result?

This means that no cancer signal was found. However, not all cancers can be detected by the test. Continue with all routine screening tests that your healthcare provider recommends. Missing routine screenings or ignoring symptoms can lead to a delayed diagnosis of cancer.

Why should I take the test again in the future if a cancer signal is not detected?

The test does not measure your genetic risk of developing cancer in the future and is instead looking for the presence of cancer at the time your blood is drawn. You may develop cancer in the future. Your healthcare provider is the best person to determine when to take the test again as apart of your routine screening based on any underlying risk factors.

Can you share my test result with one of my healthcare providers?

All results are automatically shared with the provider who ordered the test. If you would like us to fax your results to an additional healthcare provider, please contact Customer Service by emailing info@agelessrx.com or sending us a message via your AgelessRx Portal.

Longevity Consultation

What is a Longevity Consultation?

A Longevity Consultation is an opportunity to speak one-on-one with a longevity expert regarding possible treatment options. You will first provide information about your medical history for the expert to review and customize a Longevity Report specific to your needs. Together, you will discuss the report recommendations via a virtual consultation at a date/time of your choosing.

How do I schedule my Longevity Consultation?

Once your personalized longevity report is ready, our team will email you to schedule your consultation. To schedule your consultation, simply:

  1. Click on the scheduling link provided by AgelessRx
  2. Choose your desired date/time & click “Continue”
  3. Enter your contact info & click “Complete Appointment”
How do I connect with a longevity expert?

All consultations are virtual (phone or video). When you book your longevity consultation, information will be provided on how to connect with your expert at the time of your appointment.

Should you wish to use video, please be sure to have a working webcam.

I purchased an Advanced Consultation. How do I complete my blood draw?

If you purchased an Advanced Consultation, you can complete your blood draw at a local Quest Lab in your area. An AgelessRx Customer Service team member will provide you with Quest registration details and instructions on how to book your appointment within 1-3 business days following your order. Blood draw results will automatically be made available to AgelessRx staff. All you will be required to do is book and attend your Quest appointment.

If, for any reason, Quest Labs is unavailable in your area or you prefer to visit a lab or clinic of your choice, AgelessRx can provide a manual requisition. Please note that these lab costs are separate and not included in the Longevity Consultation fee. If desired, you may run these labs through your insurance. Additionally, you will be required to fax or email blood draw results to AgelessRx prior to receiving your personalized Longevity Report.

What does my personalized Longevity Report contain?

Your personalized Longevity Report contains:

  • Age-Related Recommendations & Therapies
  • Lifestyle Ratings & Recommendations
  • Suggested Longevity Interventions (Rx &
  • Supplements)
  • Suggestions for Additional Testing
  • AgelessRx Patient Checklist
  • Tips for Next Steps/Getting Started
  • Lab Results (Advanced Consultation Only)
  • Aging Score (Advanced Consultation Only)
What happens if I miss my consultation appointment?

You will be awarded a 5-minute grace period at the start of your consultation time. If you fail to show up for your consultation appointment, you will be required to pay a $35 rescheduling fee prior to rebooking an appointment. This fee, as with all Longevity Consultation fees, is non-refundable.

Where can I buy the Rx and Supplements recommended in my report?

For any Rx recommended interventions, you can complete an order on Agelessrx.com. You will receive approval within 24-hours and your prescription will be shipped direct to your door within a few business days.

For any Supplement recommended interventions, you will be provided with a personalized link to FullScripts or other online platform. You can place an online order for your supplements and have them shipped directly to your door.

My report recommended additional testing. Where do I go to complete this?

If your longevity expert recommended additional testing, they will provide you with information about next steps (such as a link to register).

If you are unsure about where to go for your test, or have other questions regarding testing options, you can always email info@agelessrx.com for assistance.

Do I get to keep my Longevity Report?

Yes! A copy of your report will be emailed to you at the time you book your consultation. You can download, print, or save for future reference.

How can I communicate with my longevity expert after my consultation?

If you need to communicate with your longevity expert following your consultation, please email info@agelessrx.com and include a detailed message about your request. Customer Service staff will work with your longevity expert to provide any follow-up.