Firefighter rowing in fire station
    Performance Medicine for Tactical Athletes

    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.

    Sermorelin to stimulate HGH production NAD+ for cellular health and repair Tadalafil pre-workout for optimal pumps
    The Science (For the Skeptics)

    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.

    Recovery & Longevity Stack
    Firefighter father holding his son by the fire truck

    The stack for when people are counting on you at work — and waiting on you at home.

    Sermorelin

    Stimulates natural GH production · Improves sleep quality & recovery · Supports lean mass & body composition

    NAD+

    Restores mitochondrial energy output · Supports cellular DNA repair · Improves cognitive performance & clarity

    Daily Tadalafil

    Better pumps & muscle blood flow · Higher post-exercise testosterone (vs. placebo) · Reduces DOMS-driving inflammation

    Combined Protocol

    Addresses recovery at multiple axes · Stacks with TRT without conflict · Builds long-term career resilience

    Recommended Protocols

    The Three-Compound Protocol

    Growth Hormone Secretagogue
    Sermorelin

    Sermorelin

    A peptide that signals your pituitary gland to produce more of your own growth hormone — not synthetic GH, but stimulated natural production.

    • Accelerates muscle repair after high-exertion shifts
    • Improves sleep depth and restorative quality
    • Supports lean body composition and fat metabolism
    Starting at$108/mo
    Full Details
    Cellular Energy & Longevity
    NAD+

    NAD+

    The coenzyme that powers every cell's mitochondria — responsible for energy production, DNA repair, and the biological machinery that keeps you functioning at a high level.

    • Restores the cellular energy depleted by chronic stress
    • Supports mitochondrial function and efficient ATP production
    • Improves cognitive performance and reduces mental fog
    Starting at$107/mo
    Full Details
    PRESCRIPTION GRADE PRE-WORKOUT
    Daily Low-Dose Tadalafil

    Daily Low-Dose Tadalafil

    Amplify nitric oxide signaling to keep blood vessels dilated — delivering more oxygen and nutrients to working muscles.
    Better pumps. Faster recovery.

    • Better muscle pumps — more blood volume in working muscle
    • Reduces inflammation & oxidative stress driving muscle soreness
    • Sustained vasodilation supports cardiovascular health long-term
    Starting at$22.5/mo
    Full Details

    Frequently Asked Questions

    Yes — Sermorelin and TRT are frequently used together and are complementary, not competing. TRT restores testosterone; Sermorelin supports growth hormone. They work through different axes (HPG vs. GH/IGF-1) and together provide more comprehensive hormonal optimization than either alone. Your provider will evaluate your labs and health history to confirm the right stack for you.

    NAD+ is the coenzyme that powers your mitochondria — your cells' energy factories. Without adequate NAD+, your cells can't produce ATP efficiently, which translates to fatigue, slower recovery, and cognitive fog. Levels decline with age and are further depleted by chronic stress and sleep disruption — both occupational constants for first responders. NAD+ supplementation supports cellular energy, DNA repair, and mitochondrial function. Think of it as maintenance for the engine.

    It's the same medication at a lower daily dose, used for a different purpose: sustained vasodilation rather than on-demand ED treatment. At 2.5–5mg daily, tadalafil keeps blood vessels relaxed and circulation improved continuously, which supports cardiovascular health, muscle blood flow during training, and recovery. It isn't right for everyone — it's contraindicated with nitrates, so appropriate use is determined by your provider based on your health profile.

    Most patients notice improved sleep quality and recovery within 2–4 weeks. Body composition changes — leaner muscle, reduced fat — typically develop over 2–3 months of consistent use. Sermorelin works by stimulating your pituitary to produce more of your own growth hormone, so the timeline mirrors natural GH rhythms. It's a long-game investment, not an overnight fix.

    Yes. Sermorelin, NAD+, and daily low-dose Tadalafil are all prescribed medications used under physician supervision. None pose any risk of impaired cognitive function, reaction time, or physical performance — the goal is to optimize those things, not compromise them. Review your department's specific medical standards and discuss with your provider if you have concerns.

    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

    1. 1Veldhuis JD, et al. Aging and the Male Reproductive Axis. Endocr Rev. 2005;26(1):10-63.
    2. 2Rajman L, et al. Therapeutic Potential of NAD-Boosting Molecules: The In Vivo Evidence. Cell Metab. 2018;27(3):529-547.
    3. 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.