Built for People Who Can't Afford to Break Down
You've been carrying other people's worst days for years.
This is the stack that helps you carry yours longer.
How Performance Medicine Works
Performance medicine addresses recovery at the cellular level — targeting the systems that career-level exertion depletes over time.
Stimulate natural repair
Sermorelin prompts your pituitary to produce more growth hormone, accelerating muscle repair, improving sleep depth, and supporting the recovery your career demands.
Power your cells
NAD+ fuels mitochondrial energy production at the cellular level — restoring the biological engine that chronic stress and sleep disruption deplete over years of service.
Optimize circulation
Daily low-dose Tadalafil sustains vasodilation, supporting cardiovascular health, muscle blood flow, and the vascular resilience that protects you long-term.
Stimulate natural repair
Sermorelin prompts your pituitary to produce more growth hormone, accelerating muscle repair, improving sleep depth, and supporting the recovery your career demands.
Power your cells
NAD+ fuels mitochondrial energy production at the cellular level — restoring the biological engine that chronic stress and sleep disruption deplete over years of service.
Optimize circulation
Daily low-dose Tadalafil sustains vasodilation, supporting cardiovascular health, muscle blood flow, and the vascular resilience that protects you long-term.
The stack for when people are counting on you at work — and waiting on you at home.
Stimulates natural GH production · Improves sleep quality & recovery · Supports lean mass & body composition
Restores mitochondrial energy output · Supports cellular DNA repair · Improves cognitive performance & clarity
Better pumps & muscle blood flow · Higher post-exercise testosterone (vs. placebo) · Reduces DOMS-driving inflammation
Addresses recovery at multiple axes · Stacks with TRT without conflict · Builds long-term career resilience
The Three-Compound Protocol
Complete the Stack
Performance medicine works best alongside hormonal optimization. Explore our dedicated TRT and weight loss programs for first responders.
Frequently Asked Questions
About Our Medications
Our treatments contain active pharmaceutical ingredients that conform to USP (United States Pharmacopeia) monograph standards and are custom-compounded by licensed 503A and 503B pharmacies to meet your individual needs. Compounded medications are not FDA-approved finished drug products. The suggested formulations are provided for reference only and are based on formulations that have historically been prescribed by duly licensed prescribers. All medications are prepared in accordance with a valid prescription from a licensed healthcare provider following a medical consultation.
Medical Consultation Required
Our licensed medical providers will evaluate your health history and goals to determine the most appropriate treatment option for you. Prescriptions are subject to medical evaluation and are not guaranteed. If we are unable to prescribe treatment after your consultation, you pay zero. Independent clinical services provided by: Wasef Health, PC c/o Michael Wasef MD. Licensed in all 50 states + DC.
Clinical References
- 1Veldhuis JD, et al. Aging and the Male Reproductive Axis. Endocr Rev. 2005;26(1):10-63.
- 2Rajman L, et al. Therapeutic Potential of NAD-Boosting Molecules: The In Vivo Evidence. Cell Metab. 2018;27(3):529-547.
- 3Violanti JM, et al. Cardiovascular disease in police officers: the Buffalo Cardio-Metabolic Occupational Police Stress study. J Hum Hypertens. 2013;27(7):421-426.