U.S. licensed physicians, licensed to practice in Nevada, prescribing compounded semaglutide, tirzepatide, testosterone replacement, enclomiphene, and NAD+, shipped directly to Las Vegas, Henderson, Reno, and every zip code in the state.
No insurance required · HSA/FSA eligible · Nevada residents only
An evidence-based protocol tailored to your labs, history, and goals.
Each prescribed by a Nevada-licensed physician. Ships statewide.
From, and every smaller community in the state.
Nevada has a arid desert climate with extreme summer heat. Nevada’s desert heat requires heat-rated cold-chain packaging, every OPTML shipment into Nevada uses insulated, cold-chain packaging rated for extremes.
Nevada’s desert heat requires heat-rated cold-chain packaging, Las Vegas and Reno addresses typically receive shipments in 2-3 business days.
Our prescribing physicians hold active, unrestricted Nevada State Board of Medical Examiners licenses. Consultations are conducted via secure video and HIPAA-compliant messaging.
Eight evidence-based protocols, each prescribed by a physician licensed in Nevada.
The STEP-1 molecule. Compounded by 503A pharmacies. Average 15% body-weight reduction at 68 weeks.
from $249/mo →
The SURMOUNT-1 molecule. Dual-agonist compounded therapy. Average 20.9% body-weight reduction at 72 weeks.
from $299/mo →
Physician-supervised testosterone cypionate with full panels. TRAVERSE-trial-backed cardiovascular safety.
from $199/mo →
Subcutaneous NAD+ for mitochondrial support, cognitive clarity, and metabolic performance.
from $179/mo →
Raises endogenous testosterone without suppressing the HPG axis, ideal for men who want fertility preserved.
from $129/mo →
Sub-clinical sema or tirzepatide for insulin sensitivity, anti-inflammation, and gentle appetite control, not significant weight loss.
sema $199/mo · tirz $299/mo →
Bioidentical 17β-estradiol + micronized progesterone for perimenopausal and menopausal women. Sleep, mood, hot flashes, brain clarity, bone density.
starting at $199/mo →
GHRH peptide that stimulates your own growth hormone. Daily SC at bedtime for sleep, recovery, body composition, and skin/hair quality.
$189/mo →
From online intake to first shipment in under a week. No waiting rooms, no insurance runaround.
Tell us your goals, health history, and current meds. Takes less time than a drive to a Las Vegas clinic.
If your protocol needs bloodwork, we send an order to any Quest or Labcorp in Nevada.
A physician licensed in Nevada reviews your case.
Cold-chain packaging, tracked shipping, and delivery in 2-3 business days.
Every OPTML protocol is backed by a large, peer-reviewed randomized controlled trial.
Sources: Wilding JPH et al. NEJM 2021 · Jastreboff AM et al. NEJM 2022 · Lincoff AM et al. NEJM 2023.
Four reasons we’re different from generic telehealth platforms.
Every protocol is approved by a physician (MD or DO) licensed in Nevada.
Comprehensive panels through Quest and Labcorp with dozens of draw sites across Nevada.
OPTML partners with 503A compounding pharmacies licensed to ship into Nevada.
We prescribe what the trials support: STEP-1, SURMOUNT-1, TRAVERSE.
State-specific questions we get from Nevada patients.
5-minute intake. Physician review in under 48 hours. First shipment to your Nevada address in under a week.
Start your consultation