Sharper mind.
More energy.
Faster recovery.
The prescriptions longevity clinicians reach for first — NAD+, glutathione, and methylene blue. Prescribed online and shipped each month.
What "longevity medicine" actually is
Most of what your body does to keep you running — make energy, repair wear-and-tear, clear out the byproducts — it does less well with age. Longevity medicine is just the term for the prescriptions that help.
It's not cosmetic anti-aging. It's not the supplement aisle. It's the same kind of compounded prescriptions that licensed physicians have been writing for decades — just made easier to get without a $400 IV-clinic visit or a six-month wait for a concierge appointment.
Pepvio carries three of them. NAD+ for energy — your body's natural energy supply, which fades with age. Glutathione for cleanup — what your liver makes to clear out the wear-and-tear from being alive. Methylene blue for focus — an old medication (in medicine since 1891) getting fresh attention from longevity circles for what low doses do for focus and clarity. A US-licensed physician reviews your online visit, writes the prescription if it fits, and a US pharmacy ships it each month.
What people are usually noticing
Most people don't come to a longevity protocol from a single dramatic moment. It's a few months of "huh, I used to bounce back from this." If any of these sound familiar, you're in the right place. Pick the protocol that fits your goal — your online visit confirms whether you qualify.
Energy that doesn't bounce back
You sleep enough. You eat reasonably well. You're still tired by 3pm in a way that wasn't true a few years ago, and the usual fixes — more coffee, more sleep, a vacation — aren't moving it.
Recovery takes longer than it used to
A workout that used to take a day to bounce back from now takes three. A late night used to be Monday, not the rest of the week. Stuff that used to be free now costs you something.
Mental fog that's new
Names slip. The word you need shows up an hour later. You're doing the same job but it takes more out of you. None of it is alarming on its own — it's just not the way you used to feel.
You've already tried the supplements
You did the oral NAD+ precursors. You did the antioxidant capsules. You're wondering if there's a real prescription version of what you've been buying at the vitamin store.
Longevity protocols, prescribed online
Each one is prescribed by a US-licensed physician after a short online visit, compounded by a licensed US pharmacy, and shipped to your door each month. Pause or cancel anytime — no annual commitment.
How it works
Your online visit
A 5-minute set of questions — your goals, what you're already taking, anything that wouldn't mix well. No video call. You're not charged until a provider says yes.
Physician review
A US-licensed physician reviews your online visit — typically within 24 hours — and writes the prescription if the protocol is appropriate.
Compounded + shipped
A licensed US compounding pharmacy fills the prescription and ships it to your door. Refills auto-renew each month — pause or cancel anytime, no annual commitment.
Licensed providers in your state
503A/B pharmacies, USP-grade
No charge until a provider approves
Common questions about longevity medicine
What's the difference between NAD+ injections and NMN or NR supplements?+
The injection puts NAD+ into your system directly. NMN and NR are oral precursors — your body has to break them down and rebuild NAD+ from them, and most of the dose is gone before it ever reaches the cells that need it. The injection skips that detour. It's also a prescription compounded by a US pharmacy, not an over-the-counter supplement, so dosing is standardized and the medication is regulated.What does longevity medicine actually do?+
It helps with the parts your body has started making less of as you get older — energy, cleanup, mental clarity. These aren't anti-aging cosmetics, and they aren't supplements. They're prescriptions that have been part of longevity practice for decades. Effects are gradual — it's more 'my baseline shifted' than 'I took something stimulating.'Do I need bloodwork before starting?+
For NAD+ and glutathione, no — you can start without labs. If you're considering methylene blue and you're on an SSRI or SNRI, the provider will ask about that during your online visit. Bloodwork is great for tracking progress over time, but it isn't a wall you have to clear to start.How is this different from getting NAD+ at an IV clinic?+
An IV clinic visit is $300–800 and means driving there, sitting for an hour, doing it once. Pepvio's NAD+ is a small injection you do at home each week, on a monthly subscription, prescribed by a US-licensed physician and compounded by a US pharmacy. Same active medication. Weekly instead of one-off. Around a tenth of the per-dose cost.Is methylene blue safe?+
It's been a real medicine since 1891, so its safety profile is well understood. The main thing to know: it doesn't mix well with SSRIs or SNRIs, so your provider will screen for that during your online visit, and it isn't right for people with a specific blood enzyme issue (G6PD deficiency). Side effects at the doses we prescribe are mild — the most-reported one is your urine briefly turning blue-green.How quickly will I notice anything?+
For NAD+, sustained energy and sleep changes tend to show up within 2–4 weeks. Glutathione builds slower — closer to 6–12 weeks. Methylene blue is dose-dependent and usually subtler. None of these are 'feel it in a day' — the experience is your baseline shifting over time, not a one-day jolt.Can I take more than one of these at the same time?+
Yes — many people do. NAD+ and glutathione paired together is common enough that Pepvio offers it as a discounted bundle. Adding methylene blue is also common for people focused on focus and clarity. Your provider checks the combination during your online visit to make sure the dosing and timing make sense.Where are Pepvio's medications made?+
Every Pepvio prescription is compounded in a licensed US pharmacy — the same kind of pharmacy that fills any compounded prescription a US physician writes. Pepvio doesn't source from international gray-market suppliers or research-chemical sites. If your pharmacist down the street fills compounded prescriptions, it's that.
Start with the protocol that fits your goal
A short online visit. US-licensed physician review, usually within 24 hours. Compounded in a US pharmacy, shipped to your door. Cancel anytime.