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