Physician decision, not a checkout
No medication on this site can be purchased directly. Every prescription is an independent clinical decision made by a U.S.-licensed physician after reviewing your structured intake and baseline laboratory results. The physician may prescribe as requested, prescribe an alternative, require additional testing, or decline to prescribe. Declining is a real outcome: you are not charged for medication that is not prescribed.
Laboratory gating
Baseline bloodwork is required before a first prescription, and follow-up panels are drawn on a roughly 90-day cadence. Dose changes follow the measured trend, not symptoms alone. If required labs are not completed, refills pause until they are.
Off-label and compounded medications
Many peptide protocols are prescribed off-label, meaning the FDA has approved the practice of medicine such that licensed physicians may prescribe medications for uses beyond the approved label when clinically justified. Compounded medications prepared by state-licensed 503A pharmacies are not FDA-approved products; each batch is prepared per prescription under state pharmacy law with third-party testing for identity, potency, and sterility. These disclosures are repeated in the Telehealth Consent you sign before any consultation.
When we decline
Physicians decline to prescribe when contraindications are present — including active malignancy, pregnancy or nursing, and condition-specific exclusions listed on each protocol page — when required labs are missing or out of range, when the requested compound is restricted in your state, or when the clinical picture does not support treatment. Controlled substances are not prescribed through this platform.
Adverse events
Report side effects to your physician through the secure portal or to [email protected]. Serious adverse events should be treated as medical emergencies — call 911 first.
Nexphoria Research LLC · 670 Flushing Ave, Brooklyn, NY 11206 · (929) 728-2869 · [email protected]