Physician-Designed Health Programs

Feel Like
Yourself Again.

Most healthcare waits until something goes wrong. We start with you — your goals, your energy, your stage of life — and build a personalized plan around that. Whether the goal is sustainable weight loss, deeper sleep, sharper focus, or longevity that lasts decades, every protocol is physician-designed and continuously calibrated to your biology, not a template. Modern medicine, finally working for you.

◆ Take the Optimize Me Quiz → ◆ Talk to a Care Coordinator
View Protocols → All Treatments →
11
Curated Protocols
6
Goal Categories
M.D.
Physician Designed
Rx
Prescription Required
100%
Online & Discreet
HIPAA
Compliant Intake
Happy couple together
What brings you here?
Weight Loss
Energy
Body Composition
Max Optimize
Longevity
Performance
◆ Start the Quiz → Or take the full quiz from scratch →
⚕ Physician-Prescribed
🏛 Licensed Compounding Pharmacy
🚚 Discreet Delivery
🔒 HIPAA Compliant
✦ Obsidian Quality Standard
Why Obsidian Exists

The drugs work.
The approach is broken.

GLP-1s have changed the weight loss conversation. But somewhere along the way, millions of people found themselves thinner — and exhausted. Losing muscle. Feeling depleted. Trading one problem for three others.

That's not a drug problem. That's a protocol problem. GLP-1 alone suppresses appetite, but it doesn't protect muscle mass, doesn't restore energy systems, and doesn't address the underlying metabolic environment. Without Sermorelin to stimulate growth hormone release and NAD⁺ to fuel cellular energy, you're running one engine on three cylinders — and wondering why you feel off.

That's why we build protocols, not single prescriptions. Pairing the primary drug with the supporting compounds your body needs alongside it produces better results and fewer side effects than the same drug taken alone. Each piece supports the next — your protocol works with your physiology instead of against it.

"I'm losing weight but feel terrible"

GLP-1 alone can cause significant muscle loss, fatigue, and low energy — especially without a growth hormone stimulus or cellular energy support running alongside it.

"I've tried everything. Still exhausted."

NAD⁺ depletion, suboptimal GH release, and metabolic slow-down accumulate silently. Sleep doesn't fix them. Coffee masks them. The underlying biology needs addressing.

"My doctor says my labs are normal."

Normal for a population isn't normal for you. If your testosterone, hormones, or metabolic markers have declined significantly from your personal baseline, "within range" means nothing.

You don't walk into a mechanic, point at a random part, and say "replace this." You describe the problem. The mechanic diagnoses it. Then — and only then — do you decide what to fix.

Medicine shouldn't work backwards either. Shopping for a drug and then finding a symptom it treats is how people end up on five prescriptions with four side effects each — none of which actually solve the underlying issue.

We built Obsidian around a different model: start with your goal, understand your biology, then build the precise protocol to close the gap between where you are and where you want to be.

That's not radical. It's just how good medicine should work.

Our Approach

Goal-first.
Not drug-first.

Phase 1 of the Obsidian Method is already live: understand your goals, identify the Obsidian programs that may match your needs, and route everything to a licensed provider who decides whether treatment is appropriate.

Phase 2 is coming: DNA testing, labs, and precision-matched training and nutrition that connect directly to your protocol. Every layer informed by the one before it.

This is how preventative medicine should work — proactive, personalized, and designed to help you never need the reactive stuff.

Look Through Protocols ◆ Take the Quiz Talk to a Care Coordinator
✓Goal-driven, not drug-driven — your outcome is the starting point, not a SKU.
✓Personalized intake — protocols matched to your specific needs, sent to a licensed physician to review on your behalf.
✓Physician-reviewed — no prescription is issued without an independent licensed sign-off.
◆ The Obsidian Method
01
Understand Your Goal
Fat loss, strength, longevity, energy — your outcome drives the protocol.
Live Now
02
Optimize Me Quiz
5-question goal matcher. Physician-validated. Instant program guide — provider review required.
Live Now
03
Your Pharmaceutical Protocol
Compounds matched to your goal, dispensed from a licensed compounding pharmacy.
Live Now
04
DNA Testing (ACTN3)
Muscle fiber profile to personalize training, nutrition, and recovery.
Coming Soon
05
Labs Panel
Hormones, metabolic markers, and inflammation — your real baseline.
In Development
06
Dietitian + Training Match
Obsidian-vetted coaches matched to your DNA profile and goals.
In Development
07
Talk to a Care Coordinator
Custom plan for your unique situation — peptides, hormones, and specialty compounded options outside our standard catalog.
Always Available
Phase 1 — Goal Matching

Same goal. Different life.
One solution.

The gym guy who's always tired. The mom running on empty. The executive who can't turn off at night. The athlete who needs every edge. On the surface, different people — but often the same underlying biology, and the same pharmaceutical support that helps.

← swipe to see all 6 →
The Active Adult
Training hard. Not recovering.
6 days a week in the gym, maxed out on protein, but gains stalled and energy is shot by 3pm. The drive is there. The biology isn't keeping up.
Matched Protocol
Sermorelin + NAD⁺ + B12
Recovery is the missing variable — not more reps.
The Mom
Running three lives. Running on empty.
School runs, work deadlines, kids' activities — and somehow still expected to show up fully. The fatigue isn't laziness. It's a depleted system that needs refueling.
Matched Protocol
NAD⁺ + Sermorelin + B12 + MIC
Same root cause as the gym guy. Different daily reality. Same solution.
The Executive
Sharp mind. Fading engine.
Boardroom focus, client dinners, red-eye flights — the body is the last thing that gets attention until it demands it. High stress depletes NAD⁺ and disrupts GH faster than almost anything.
Matched Protocol
NAD⁺ + Sermorelin + Rapamycin
Performance medicine isn't just for athletes. It's for anyone who performs.
The Weight Loss Fighter
Tried GLP-1. Felt worse.
Lost the weight. Lost the muscle. Lost the energy. GLP-1 is a tool — but without growth hormone support and cellular energy backing, it takes more than it gives.
Matched Protocol
GLP-1 + Sermorelin + NAD⁺
The flagship protocol. Appetite, muscle, energy — all three, together.
The Longevity-Focused
Optimizing for 80 at 45.
Not sick. Not broken. But watching markers creep in the wrong direction and wanting to get ahead of it before the conversation changes. Proactive, not reactive.
Matched Protocol
Rapamycin + NAD⁺ + Sermorelin
mTOR, senescence, cellular repair — the long game compounds.
The Weekend Athlete
Competing against a younger body.
Still in the game — soccer league, cycling, trail runs — but recovery takes two days when it used to take one. Performance medicine bridges that gap without shortcuts.
Matched Protocol
Sermorelin + NAD⁺ + B12 + MIC
Recovery speed is a performance variable, not a side note.

Not sure which protocol is yours?

Take the Optimize Me quiz — five minutes, physician-validated logic — and we'll match you to the right protocol from our 11-protocol catalog. Or browse the full catalog directly if you already know what you're looking for. Either way, every protocol is designed for a real outcome, not a brochure.

◆ Take the Optimize Me Quiz View All 11 Protocols →
What Our Patients Say

Real people. Real results.

← swipe to read all →

"I'd tried GLP-1 on my own and lost 18 pounds — but felt terrible. Adding the full protocol changed everything. I have energy again, I'm not losing muscle, and I actually feel like myself."

Jennifer M.
Jennifer M.
42, Marketing Director
GLP-1 + Sermorelin + NAD⁺

"My doctor kept telling me my labs were 'normal.' But I didn't feel normal. Obsidian actually looked at my personal baseline and found what was off. I feel 10 years younger — no exaggeration."

David R.
David R.
51, Small Business Owner
Sermorelin + NAD⁺ + Enclomiphene

"As a mom of three, I thought exhaustion was just part of life. Within six weeks I noticed a real difference in energy, mood, and sleep. I wish I'd done this sooner."

Maria T.
Maria T.
38, Teacher & Mother of 3
NAD⁺ + Sermorelin + B12

Individual results vary. Testimonials reflect personal experiences and do not guarantee similar outcomes.

The Bigger Picture

The US healthcare system
is designed to treat you once you're sick.

Almost everyone agrees: the American healthcare system is broken. Premiums have risen an average of 7–9% annually in recent years — and projections suggest that trend isn't slowing. Most families never reach their deductible. Preventative care is effectively an out-of-pocket expense. And insurance companies routinely decline coverage for anything that isn't tied to an active diagnosis.

~8%
Average annual increase in employer-sponsored health insurance premiums
Source: KFF Employer Health Benefits Survey, 2023–2024

The system isn't incentivized to keep you healthy — it's incentivized to treat you when you're not. Big Pharma develops drugs for diagnosed conditions. Insurance covers what's approved. And somewhere in the middle, tens of millions of people sit in a grey zone: not sick enough to be treated, but far from the version of themselves they could be.

Preventative care is the real path to a long, high-quality life. The boring parts — sleep, nutrition, movement — are the foundation. But sometimes the biology needs support that lifestyle alone can't provide. That's exactly where we step in.

What insurance doesn't cover

Hormone optimization. Peptide therapy. NAD⁺ infusions. Most longevity protocols. Preventative bloodwork beyond a basic panel. Anything that addresses how you function rather than whether you technically qualify as ill.

These aren't fringe interventions. They're some of the most evidence-backed tools available — just not covered, because there's no sick person to bill for.

What we offer instead

Transparent pricing. No insurance games. Physician-authorized protocols from an licensed compounding pharmacy. Monthly delivery, flexible plans, and a medical team that actually has time to understand your goals.

You don't need to be broken to deserve good medicine. You just need a provider who starts from that premise.

Example — Tadalafil

A $30/month drug that insurance won't cover — and probably should.

Tadalafil (the generic form of Cialis) is one of the most consistently underutilized preventative medications available for men. Originally developed for erectile dysfunction, the research on its broader cardiovascular and metabolic profile has quietly become one of the more compelling cases for low-dose daily use.

Insurance covers it only for specific diagnosed conditions. But for healthy men looking to protect their cardiovascular system, improve circulation, and maintain sexual health as they age — it's off-label, out-of-pocket, and largely invisible in primary care conversations.

What the Research Shows
44%
Lower all-cause mortality
in men taking PDE5 inhibitors regularly
55%
Lower cardiovascular death
compared to men who didn't take them
32%
Reduction in dementia risk
observed in 500,000+ man population study
27%
Fewer heart attacks
among regular users in large registry data
Kloner et al. (2024), Clinical Cardiology — ~29,000-man cohort study — cardiovascular outcomes in men with ED | Jehle et al. (2024), American Journal of Medicine — 500,000+ men — all-cause mortality, cardiac events, and dementia incidence
Observational studies. Association does not confirm causation. Individual results vary. A prescription from a licensed physician is required.
Free Consultation

Not sure where to start?
Talk to a Care Coordinator.

Sometimes you know something is off — but you don't know what to ask for. That's exactly what our Care Coordinators are here for. Share your goals and what's going on, and your Care Coordinator will help you identify which Obsidian programs may match your situation, then prepare a clear summary for our licensed provider to review on your behalf. We work with peptide therapies, GLP-1s, hormone optimization, and other specialty compounded options.

Care Coordinators are not licensed providers and cannot diagnose conditions or prescribe medications. All clinical decisions are made by a licensed physician.

  1. 1
    Tell us what you're experiencing. Symptoms, issues, what's not working — energy, weight, sleep, hormones, performance, anything on your mind.
  2. 2
    Tell us your goal. Fat loss, more energy, body recomp, longevity, peak performance — where do you want to land?
  3. 3
    We reach out to you. Phone call, text, or email — you choose how we connect.
  4. 4
    We summarize your situation for the provider. Your Care Coordinator pulls together the goals and problems you shared, identifies Obsidian protocols and products that may match, and prepares a clear summary for our licensed provider to review on your behalf.
  5. 5
    Suggested programs go in your cart. The Obsidian programs that match your goals are added to your cart for your review. Order and complete your medical intake when you're ready — no pressure, no obligation.
  6. 6
    A prescriber reviews everything. Once your intake is in, your protocol and treatment summary route to a licensed physician for final review. Nothing ships without their independent sign-off.
⚕

Every consultation is reviewed by a licensed physician before any protocol is recommended.

Talk to a Care Coordinator
Free · No obligation · Usually responds within 2 hours

🔒 HIPAA compliant. Your information is never shared or sold.

What happens next
1 A Care Coordinator reviews your submission, usually within 2 hours.
2 They reach out via your preferred channel — phone, text, or email.
3 Together we prepare a clear summary of your goals and matching programs — the licensed provider makes the final decision.
Know Your Baseline

Your hormones aren't
a population average.
They're yours.

One of the most important — and most neglected — things medicine can do is establish your hormonal baseline when you're young and healthy. Because the "normal range" your doctor uses is built on averages across a broad population. It says nothing about what's normal for you.

Testosterone — Men
The most misread lab result in men's health

The standard testosterone reference range is 300–1,000 ng/dL. That's an enormous window — and it tells you almost nothing about whether you're functioning at your optimal level.

The Baseline Problem
If you were at 850–1,000 ng/dL at 20 and you're at 320 ng/dL at 42, your doctor will say you're "within the normal range." Technically correct. But you've lost two-thirds of your testosterone — and you'll never know it unless you have baseline data from when you were young.

Men's average testosterone levels have declined approximately 1% per year since the 1980s across population studies — independent of age. That means the "normal range" itself is built on a declining population.

Low T — relative to your baseline — doesn't just affect libido. It affects muscle maintenance, fat distribution, mood regulation, sleep quality, cognitive clarity, motivation, and cardiovascular health. Men who restore their testosterone to their personal optimal often describe it as feeling like themselves again — energy, drive, body composition, and focus returning together.

Chronic fatigue Brain fog Muscle loss Irritability Low libido Sleep disruption Fat gain (visceral) Loss of motivation
Support options — beyond TRT
Enclomiphene — stimulates your own T production (no suppression)
Sermorelin — GH support that works synergistically with T
TRT — when appropriate, physician-supervised and labs-based
Labs required for all hormone-related protocols. Physician review included.
Estrogen & Progesterone — Women
The conversation medicine keeps having too late

Most women are only told about estrogen and progesterone decline when they're officially in menopause. But perimenopause — the transition period where hormones start to fluctuate — can begin in a woman's mid-to-late 30s, often more than a decade before a formal diagnosis.

The Same Baseline Problem
Estrogen and progesterone levels fluctuate naturally with the menstrual cycle, which makes baseline tracking more nuanced — but no less important. A woman who had consistently high progesterone output in her 20s and now has low progesterone in her late 30s may show labs that fall "within range" for her age group — while experiencing disrupted sleep, mood instability, anxiety, and irregular cycles that her provider attributes to stress.

It's not stress. It's her biology changing — and without a personal baseline, there's no way to quantify how much.

Women also produce testosterone — and its decline is equally under-discussed. Low testosterone in women contributes to fatigue, low libido, reduced muscle tone, and flattened motivation. It's often the missing piece in a wellness picture that looks complete on paper but feels incomplete in daily life.

Sleep disruption Mood instability Anxiety Brain fog Low libido Fatigue Irregular cycles Weight changes
Support options
Bioidentical Hormone Therapy (BHRT) — estrogen + progesterone
Low-dose testosterone — for energy, libido, and muscle tone
NAD⁺ + Sermorelin — cellular and GH support across the transition
Hormone protocols for women require labs and physician review. Coming as part of the full Obsidian Method.
Obsidian Athletics

Now you can do
what the pros do.

DNA-driven training profiles, recovery protocols, and genetic insights — the same playbook the highest tier of athletes use, now opening to everyone.

The Origin

Obsidian's athletics program was first built for competitive and semi-professional athletes — and for parents of young athletes who wanted to understand their child's physical potential from an early age. The idea was simple: if you know your muscle fiber profile at 14, you can train smarter, recover better, and understand your body's strengths and limits before a coach, an injury, or a decade of wrong training decides it for you.

Now we're opening it up. Whether you're a pro who needs the same edge your competitors have, a semi-pro pushing for the next level, or a weekend athlete who refuses to slow down — you get the same playbook the highest tier of athletes use: DNA-driven training profiles, performance and recovery protocols, hormone optimization, and physician-supervised support built around what your body actually needs, not what works for a population average.

What's available and coming next: ACTN3 muscle-fiber genotyping (live to early-access soon), BPC-157 + Sermorelin recovery protocols, Tesamorelin and Tadalafil performance support, plus genetic profiles for injury susceptibility, hormone sensitivity, and metabolism — rolling out as part of the full Obsidian Method.

For parents of young athletes, that means knowing your kid's biology before they're told to "just train harder" — and for adult competitors, it means closing the gap between you and the people winning at the next level.

Obsidian Athletics — DNA Report
Sample
ACTN3 Genotype
TT
Fiber Profile
Slow-Twitch Dominant
Power (Fast-Twitch) Endurance (Slow-Twitch)
72% Endurance Profile
What This Means
→ Optimal rep range: 8–15 (hypertrophy + endurance hybrid)
→ High fatigue resistance — volume training responds well
→ Nutrition: protein 2.0g/kg + higher carbohydrate allocation
→ Recovery: 48–72h between major sessions
→ Protocol match: GLP-1 + Sermorelin + NAD⁺ (body recomposition)
FAQ

Common questions.

Real answers — no marketing fluff.

  • Why a protocol instead of a single compound? −
    Compounds that target different parts of the same biological pathway produce compounding results — not additive ones. GLP-1 addresses appetite and insulin signaling. Sermorelin stimulates nightly growth hormone release. NAD⁺ fuels mitochondrial energy and cellular repair. Together, they address fat loss, muscle preservation, and energy simultaneously. Alone, any one of them delivers a fraction of that effect.
  • Do I have to buy a protocol? +
    No. Every individual treatment we offer is also sold on its own. The protocols exist because most goals are easier to hit when the right compounds run together — but if you already know exactly what you want (semaglutide only, NAD⁺ only, tadalafil only, B12 only, etc.), you can buy the single product directly. Browse all treatments →
  • What is the Optimize Me quiz? +
    Launching this Friday — a 5-question goal-matching tool built with physician input. You describe your goals, health history basics, and lifestyle, and the algorithm matches you to the most appropriate protocol from our catalog. It's Phase 1 of the Obsidian Method: start with the goal, find the fit, then build from there.
  • Do I need a prescription for any of this? +
    Yes — all protocols are physician-prescribed. You complete a health intake, a board-certified physician reviews your information and authorizes the appropriate protocol, and your compounds are dispensed from a licensed compounding pharmacy. This isn't a supplement store. It's medicine with a proper chain of oversight.
  • Why doesn't insurance cover any of this? +
    Insurance is designed to cover treatment of diagnosed conditions — not optimization, prevention, or performance. Most compounded peptide protocols, hormone optimization programs, and longevity-focused interventions don't fit neatly into the ICD-10 billing code system. That doesn't make them less effective. It makes them invisible to the system — which is exactly why we built Obsidian outside of it.
  • What is the Obsidian Method and when does it fully launch? +
    The Obsidian Method is our goal-driven health framework: Goal → DNA → Labs → Dietitian + Training → Your Protocol. Phase 1 (protocols + Optimize Me) is live now. DNA testing and labs are coming soon. The full integrated method — with dietitian and trainer matching — is in development. We're accepting early access applications for select patients who want to be part of the initial rollout.
  • I'm a woman — is Obsidian for me? +
    Absolutely. Several protocols are designed for both men and women — NAD⁺ + Sermorelin, the energy protocols, and the longevity protocols in particular. Hormone-specific protocols (estrogen, progesterone, testosterone for women) are being developed as part of the full Obsidian Method and will require labs. If you're interested in being part of our early women's hormone protocol testing, reach out directly.