The essentials: This page summarizes common and serious risks for the categories of medication offered through the Medical Track. It is educational — not complete prescribing information, and not medical advice. Your prescribing physician reviews your full history and specific risks with you. Compounded medications are not FDA-approved. Not everyone qualifies, and no outcomes or weight-loss guarantees are made or implied. Telehealth is not for emergencies — for emergencies, call 911.
GLP-1 Metabolic GH-support peptides Sexual wellness Hormones / testosterone Longevity
GLP-1 medications (semaglutide, tirzepatide)
Common side effects can include nausea, vomiting, diarrhea, constipation, indigestion, and abdominal pain. Less common but serious risks associated with the GLP-1 class can include pancreatitis, gallbladder problems, kidney issues from dehydration, and thyroid C-cell tumors (seen in rodent studies). Do not use if you or a family member has had medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your physician about all your medical conditions and medications. This is not a complete list of risks.
Metabolic support (metformin)
Metformin’s most common effects are gastrointestinal — nausea, diarrhea, and stomach upset — which often ease over time. Long-term use can affect vitamin B12 levels. A rare but serious risk is lactic acidosis, which is more likely with significant kidney, liver, or heart problems or with heavy alcohol use; seek care for unusual muscle pain, trouble breathing, unusual tiredness, or severe weakness. A licensed physician reviews your kidney function, history, and medications and decides whether it is appropriate for you. This is not a complete list of risks — discuss any questions with your physician.
GH-support peptides (sermorelin, tesamorelin)
Sermorelin and tesamorelin are compounded peptides that support your body’s own GH release. They are not FDA-approved, and data on their long-term use is limited. Reported effects can include injection-site redness, swelling, or itching, and sometimes flushing, headache, or dizziness. A licensed physician reviews your history — including any personal or family history of cancer or of thyroid or other endocrine conditions — and decides whether either is appropriate for you, and reviews the risks with you. This is not a complete list of risks.
Sexual wellness (tadalafil, PT-141)
Tadalafil. Do not use if you take nitrates (such as nitroglycerin) or the blood-pressure medicines known as guanylate cyclase stimulators — the combination can cause a dangerous drop in blood pressure. Seek emergency care for an erection lasting more than four hours (priapism) or for sudden changes in vision or hearing. Reported effects can include headache, flushing, indigestion, back pain, and nasal congestion. PT-141 (bremelanotide) is a compounded option that is not FDA-approved; reported effects can include nausea, flushing, and headache, and it can temporarily raise blood pressure. Tell your physician about any heart conditions and all medications you take; your physician decides whether either is appropriate for you. This is not a complete list of risks.
Hormones / testosterone
Testosterone is a Schedule III controlled substance with the potential for misuse and dependence. It is prescribed only for low testosterone confirmed by laboratory testing and clinical evaluation — it is not established as safe or effective for age-related low testosterone alone, athletic performance, or anti-aging. Possible risks include increased red blood cell count (polycythemia), blood clots, worsening sleep apnea, prostate changes, reduced sperm production and fertility, mood changes, acne or oily skin, and possible cardiovascular effects. Topical forms can transfer to others through skin contact, so keep the application site covered and washed and avoid contact with women and children. Testosterone can harm a developing baby and must not be used by anyone who is pregnant or may become pregnant. Your physician reviews your labs, history, and risk factors, and monitors you during treatment.
Longevity (NAD+, glutathione)
NAD+ and glutathione are compounded and not FDA-approved, and the evidence on their use is limited. Reported effects can include injection-site reactions, flushing, nausea, or lightheadedness, and — when an infusion is given too quickly — a feeling of pressure or discomfort. As with any injectable, an allergic reaction is possible. A licensed physician reviews your history and allergies and decides whether either is appropriate for you. This is not a complete list of risks.
If you have an emergency
This page is not a complete list of risks or interactions for any medication. Complete information is provided with your specific prescription and is reviewed with you by your prescribing physician. Compounded medications are not FDA-approved. Telehealth is not appropriate for medical emergencies — if you have a medical emergency, call 911. For the full program disclosures, see our Safety & Disclosures.