
NAD+
A coenzyme central to cellular energy metabolism. Prescribed in longevity care for cellular energy support and general wellbeing.
$179/month — cancel anytime
Or $489 for three months. Save $48.
Get started Learn about NAD+Most people have no idea where they actually stand. Grade yourself across the eight domains that track with healthspan in three minutes, no bloodwork required. Then see what the measured version looks like.
Report card is educational and is not medical advice. Compounded medication is not FDA-approved. NAD+ $179/month · Sermorelin $189/month.
Prescription only
The Longevity Report Card
Answer as you go and the chart builds in real time. Every domain is scored against published population reference data for adults your age and sex, so you find out where you actually stand, not just how you feel.
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Your biggest lever
| Domain | Score | Grade | Percentile |
|---|
Percentiles are estimates from published U.S. population reference data, shown for education. They are not clinical measurements.
Educational use only. Not medical advice. Not a prescription. The Longevity Report Card is not a diagnosis and does not determine eligibility for any medication. Speak with a licensed physician about your individual health.
Physician-supervised protocols
Two compounded preparations used in longevity care, available on their own or together. Whether either is appropriate for you is determined by a U.S. licensed physician after reviewing your history and bloodwork.

A coenzyme central to cellular energy metabolism. Prescribed in longevity care for cellular energy support and general wellbeing.
$179/month — cancel anytime
Or $489 for three months. Save $48.
Get started Learn about NAD+
A growth-hormone-releasing hormone analog. Prescribed in the context of the GH axis, and commonly discussed for sleep quality and recovery.
$189/month — cancel anytime
Or $499 for three months. Save $68.
Get started Learn about sermorelin
NAD+ and sermorelin together, on one prescription and one monthly price, with a single physician reviewing both.
$348/month — cancel anytime
Or $988 for three months. Save $56.
Get started See what is includedYour monthly price includes everything. Physician consultation, prescription, and ongoing medical oversight. No hidden fees. No separate membership. Just your optml protocol. Compounded medications are prepared to prescription by FDA-registered 503A pharmacies and are not FDA-approved.
Bloodwork
Physician-ordered panels drawn at a lab near you. Results are reviewed and explained, not just handed over as a PDF.
The flagship
Your bloodwork, scored across the systems that drive how you age, then reviewed by a physician. It is the difference between how you think you are doing and what your labs actually say.
See the OPTML ScoreHow it works
Take the Report Card. Three minutes, no bloodwork, no signup. Find out where you stand.
Choose a longevity panel or the Apex Panel. Draw at a lab near you.
A U.S. licensed physician reviews your history and your results, then decides what is appropriate.
If a protocol is prescribed it ships monthly, with ongoing oversight and follow-up labs.
Questions
A free interactive assessment that grades eight domains linked to healthspan: cardiorespiratory fitness, strength and function, metabolic health, sleep, daily movement, nutrition, stress and recovery, and prevention. It takes about three minutes, requires no bloodwork, and returns a letter grade per domain plus an estimated percentile against U.S. adults of the same age and sex. It is educational and is not a diagnosis.
Each answer is scored against published population reference distributions for adults of the same age band and sex. Cardiorespiratory fitness uses an estimate of VO2 max derived from age and resting heart rate, compared against standard age and sex reference values. Percentiles are estimates shown for education, not clinical measurements.
The Report Card grades what can be observed without a blood draw: fitness, sleep, movement, nutrition, recovery and prevention habits. The OPTML Score reads what is happening inside, using your bloodwork. The Report Card is the starting point. The Score is the measured picture.
No. It is designed to work with no labs at all. One of the eight domains asks whether you know your recent bloodwork and blood pressure, because knowing your numbers is itself part of prevention.
Compounded NAD+ at $179/month and compounded sermorelin at $189/month, or both together as The Longevity Protocol at $348/month. Each includes a consultation with a U.S. licensed physician, the prescription, and ongoing medical oversight. Compounded medications are not FDA-approved. Whether any protocol is appropriate for you is determined by a licensed physician after reviewing your history and labs.
The Longevity panel covers the core markers most often reviewed in longevity care, at $229 for men and $249 for women. The Apex Panel is the flagship, covering 160+ biomarkers across 13 systems for $599 as a one-time purchase with no subscription.
Educational use only. Not medical advice. Not a prescription. The Longevity Report Card is not a diagnosis and does not determine eligibility for any medication. Compounded medications are prepared to prescription by FDA-registered 503A pharmacies under USP <797> standards and are not FDA-approved. Prescriptions are written only by U.S. licensed physicians after review of your history. Individual results vary.
OPTML offers compounded semaglutide and tirzepatide, prescribed and overseen by U.S.-licensed physicians. Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. OPTML is not associated with, endorsed by, or affiliated with the manufacturers of FDA-approved branded weight-loss medications, and does not sell or supply those branded products. Anyone interested in an FDA-approved branded medication should consult a licensed healthcare provider or pharmacist. Individual results vary; no specific result is promised, and weight management requires ongoing medical guidance.
The whole picture in one sitting: who it suits, what the labs decide, what the first year actually looks like. Every clinical claim is cited.
How to protect lean mass while losing weight on a GLP-1.
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