A long-acting PDE5 inhibitor that support blood flow and helps achieve and maintain an erection. It is extended window of up to 36 hours allows for greater spontaneity.
A proven PDE5 inhibitor that supports increased blood flow to help achieve and maintain an erection when sexually stimulated.
Prescription required. Discuss with your provider to determine what’s best for you.
Take advantage of exclusive pricing on select peptide therapies this August.
Each plan is backed by lab insights to ensure your protocol is right for you.
A customized peptide plan designed around your goals, lifestyle, and results.
Real outcomes. Real Patients. Real Impact.

Average improvement in patient-reported outcomes with peptide therapy.

Patients reported satisfaction with their peptide treatment plans.
Internal patient satisfaction survey result from 2025

Average improvement in patient-reported outcomes with peptide therapy.

Your provider designs a personalized peptide protocol.

Begin your tailored plan with ongoing guidance and support.

We monitor progress and make adjustments for optimal results.
Weight, hormones, and energy restored within months
The combination of getting your hormones dialed back in, addressing the sleep apnea, sleeping better, and actually recovering at night, at 45, I feel as good as I ever have. I lift 4 days a week, I do cardio on those other days, I’m active with my family, I coach a lot. I feel great. Again, it’s a testament to the partnership I have with the 1st Optimal team.
Jesse B.
Weight loss & hormone optimization
Most of our members had a lot of questions before starting. We’d rather you ask them all than stay stuck wondering. These are the most common ones.
Memberships are set up with a card on file in your Patient Portal. You can change your card via our Patient Portal App.
Payment drafts for memberships are on the 1st or the 16th of each month.
For treatments, your orders are processed on the card on file, typically 6-7 weeks prior to the refill date, with advanced notification.
As a first-time member, enjoy 15% OFF your first purchase and take the first step toward personalized care designed around you.
Discover practical insights to help you feel better, perform better, and live optimally.
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