U.S. licensed physicians, licensed to practice in North Dakota, prescribing compounded semaglutide, tirzepatide, testosterone replacement, enclomiphene, and NAD+, shipped directly to Fargo, Bismarck, Grand Forks, and every zip code in the state.
No insurance required · HSA/FSA eligible · North Dakota residents only
An evidence-based protocol tailored to your labs, history, and goals.
Each prescribed by a North Dakota-licensed physician. Ships statewide.
, and every smaller community in the state.
North Dakota has a continental climate with severe winters. Every OPTML shipment into North Dakota uses insulated, cold-chain packaging rated for extremes.
North Dakota shipments typically arrive in 2-3 business days, cold winter temperatures actually aid medication stability during transit.
Our prescribing physicians hold active, unrestricted North Dakota Board of Medicine licenses. Consultations are conducted via secure video and HIPAA-compliant messaging.
Eight evidence-based protocols, each prescribed by a physician licensed in North Dakota.
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 Fargo clinic.
If your protocol needs bloodwork, we send an order to any Quest or Labcorp in North Dakota.
A physician licensed in North Dakota 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 North Dakota.
Comprehensive panels through Quest and Labcorp with dozens of draw sites across North Dakota.
OPTML partners with 503A compounding pharmacies licensed to ship into North Dakota.
We prescribe what the trials support: STEP-1, SURMOUNT-1, TRAVERSE.
State-specific questions we get from North Dakota patients.
5-minute intake. Physician review in under 48 hours. First shipment to your North Dakota address in under a week.
Start your consultation