Skip to main content
    Prescribed online by licensed U.S. physicians · Made in a licensed U.S. pharmacy · Delivered cold to all 50 states
    Board-certified physicians
    US-compounded via 503A partners
    Prescription only
    Ships cold, in a plain box
    Full blood panel at week 12
    All protocols

    Longevity & Cellular

    Ascend

    Four ageing pathways at once: mitochondria, cellular energy, telomeres and skin.

    RestoreProtectExtend

    Energy, healthy ageing and skin, in one plan.

    Get startedFrom $303/mo · if prescribedReserve your price
    • MOTS-c · feel it by 2 to 4 weeks
    • NAD+ · feel it by energy in days to 2 weeks
    • GHK-Cu · feel it by skin in 3 to 4 weeks
    • Epitalon · feel it by sleep in 1 to 2 weeks

    What is in it

    NEXPHORIAMOTS-c10mg/mLRx ONLY

    MOTS-c

    10 mg/mL · 2 mL vial

    NEXPHORIANAD+200mg/mLRx ONLY

    NAD+

    200 mg/mL · 5 mL vial

    NEXPHORIAGHK-Cu50mg/mLRx ONLY

    GHK-Cu

    50 mg/mL · 3 mL vial

    NEXPHORIAEpitalon100mg/mLRx ONLY

    Epitalon

    100 mg/mL · 2 mL vial

    Dose and format

    MOTS-c

    Dose
    5 mg twice a week, under the skin
    Format
    10 mg/mL · 2 mL vial

    NAD+

    Dose
    100 mg three times a week, under the skin
    Format
    200 mg/mL · 5 mL vial

    GHK-Cu

    Dose
    2 mg daily, under the skin
    Format
    50 mg/mL · 3 mL vial

    Epitalon

    Dose
    10 mg daily for 20 days, under the skin
    Format
    100 mg/mL · 2 mL vial

    NAD+ for cellular energy, MOTS-c for the pathways exercise switches on, GHK-Cu for collagen and skin, epitalon as a course for telomere maintenance. Four pathways no single peptide covers.

    Included in your monthly price

    Physician review and prescription

    Baseline kit, and the week-12 panel

    Made in a licensed U.S. pharmacy

    Cold shipping, plain packaging

    Your results, explained

    Dose adjustments

    What to expect

    Wk 1

    Your first doses. Energy is usually the first thing to change.

    Wk 6

    On schedule, the levels build. Skin renews on its own cycle.

    Wk 12

    Your blood panel, with metabolic and inflammation markers checked.

    Your blood panel

    Full panel

    Baseline panel with your first order, optimization panel at 90 days.

    See what is measured
    A physician on the Nexphoria review network

    Every Ascend prescription is written by a licensed U.S. physician who has reviewed your health questions.

    The Nexphoria clinical standard

    Asked plainly, answered plainly

    Is Ascend FDA-approved?

    Compounded Ascend is prepared for you by a licensed 503A pharmacy under a physician's prescription, and compounded medications are not FDA-approved. Where a branded, FDA-approved version of the active ingredient exists, that approval does not extend to the compounded preparation. Compounded medications are not evaluated by the FDA for safety, effectiveness, or quality.

    Do I need a prescription?

    Yes. A licensed U.S. physician reviews your health questions and writes the prescription if it is right for you. Everything happens online.

    What bloodwork is required?

    A free at-home blood kit ships with your first order, so your physician sets your Ascend dose against your numbers. At week 12, the same full panel is drawn again, included, and your dose is adjusted from what changed.

    What should I expect in the first weeks?

    Wk 1: Your first doses. Energy is usually the first thing to change. Everyone responds differently, which is why your blood panel at week 12 is part of the plan and your dose is adjusted from it.

    How is it billed?

    You buy a block of time, paid up front: one month to try it, or three, six or twelve months at 10, 15 or 20% less per month. Longer terms include more blood work. When your term ends, renewing is your choice.

    Safety first

    Is it right for you?

    Active malignancy

    Pregnancy

    Copper allergy

    Compounded preparations are not FDA-approved, and the FDA does not review them for safety or effectiveness. Where an active ingredient is FDA-approved in other products, that approval does not extend to a compounded preparation. Prescribed only where a licensed provider determines it appropriate. This page is educational and is not medical advice.

    Explore the other protocols

    Your doctor reviews first. Every vial is made on a prescription.

    Get started