Questions
Questions, answered plainly.
Anything about your own health is answered by a licensed clinician on a visit, not here. Everything else is below.
Before you book
Before you book.
What you can expect from the first visit, and who is behind it.
Who prescribes?
Independent licensed clinicians, credentialed in your state, and only when treatment is appropriate. Sometimes the answer is no, and that is part of what you are paying for.
How fast is the visit?
Usually within minutes of finishing your intake, by video. Your intake is read before you meet, so the visit starts with your history already in hand. Availability varies by state.
Is the visit private?
Yes. It is a one-to-one video visit with a licensed clinician. Your intake goes to their clinical review, nothing else, and nothing on your kit says what is inside.
Do I need bloodwork first?
For hormone care, yes: those decisions are made on labs as well as symptoms, and your clinician tells you exactly what to test. For other treatments it depends on your history; your clinician will say.
Is it available in my state?
Availability varies by state. You will see yours before you book, and nothing is charged until a visit is confirmed.
The visit
The visit.
A real visit, not a form. What is decided, and how.
What does the clinician look at?
Your history, your goals and, where it matters, your labs. They ask, you ask, and they decide whether treatment is appropriate. Not every visit ends in a prescription, and that is by design.
What if treatment is not right for me?
Then your clinician says so, plainly, and tells you what they would look at instead. A prescription is a medical decision, never a sales target.
Will I keep seeing the same clinician?
Follow-ups by video or message are built in, with a check-in already booked when your treatment arrives. Where licensing allows, you keep the same clinician.
How is progress judged?
Against the goal you set together, at scheduled check-ins. Doses are adjusted on evidence, and treatment is changed or stopped when the evidence says so.
The medication
The medication.
Who prepares it, what it is, and what it is not.
Who prepares the medication?
A US state-licensed 503A compounding pharmacy prepares it for you, in your name, after your clinician decides. The pharmacy is named on the label. See The pharmacy.
Are compounded medications FDA-approved?
No. The FDA approves drugs that manufacturers make for the general market. A compounded preparation is made by a state-licensed pharmacy for one patient on a prescription, and the FDA does not review or approve it. We say so everywhere, including on the label.
Which peptides do you prescribe?
That depends on what FDA rules allow, what is available from a licensed pharmacy in your state, and what your clinician decides is appropriate for you. The visit is where that is answered, honestly.
Do I inject it myself?
Many treatments are self-administered. If yours is, the kit includes what you need, with written directions and a clinician a message away.
What does it cost?
The visit is [VISIT FEE]. If your clinician prescribes, your program is [PROGRAM FEE] a month, which includes the pharmacy, the kit and follow-ups. No prescription, no program fee.
Your kit
Your kit.
What arrives, how it travels, and what to do when it lands.
What arrives?
A sealed Mitoss kit, shipped cold: the pouch, your container, insulin syringes when your treatment needs them, alcohol pads, a card with your directions, and an ice pack, with a check-in already booked.
How is it shipped and how long does it take?
Sealed at the pharmacy, against an ice pack, inside the insulated pouch, at 2–8 °C in transit. Usually within days of your clinician’s decision; you see the date before you confirm.
What do I do when it arrives?
Into the fridge, check the seal, read the card. Your directions travel with it, and your clinician is a message away.
What if something arrives damaged or warm?
Do not use it. Message your clinician from the card in your kit; it is replaced.
Prescription required. A licensed provider decides whether treatment is appropriate. Compounded medications are prepared by US state-licensed 503A pharmacies for individual patients on a prescription; they are not FDA-approved. Availability varies by state.
Modern medicine, made personal.
Prescription required. A licensed provider decides whether treatment is appropriate.