What does the longevity stack cost?

NAD+ is $149/mo, Metformin is $69/mo, Low-dose Naltrexone is $49/mo, and the Longevity supplement pack is $139/mo. No subscription fee.

NAD+ · METFORMIN · LDN · LONGEVITY · MEN

Healthspan, not just lifespan.

Q: Why Metformin if I'm not diabetic?

Off-label longevity use. Published TAME and MILES trials suggest Metformin improves insulin sensitivity, slows mitochondrial decline, and may extend healthspan. Dose is 500 mg to 1000 mg daily, titrated by your practitioner.

The geroprotective stack men actually use. NAD+ to refill the cellular currency that drops 50% by your 50s. Metformin to slow mitochondrial decline. Low-dose Naltrexone for inflammation and recovery. All reviewed and titrated by an American board-certified physician. Our Founding Physician, Dr. Pranav K. Sharma, MD, FACC, FCCP, FASN, D-ABOM, a longevity and metabolic medicine physician, brings obesity-medicine and nephrology fluency to longevity dosing.

Start longevity intake, free

↓50%NAD+ decline from 20s to 50s

$49/mostarting protocol (LDN)

24hpractitioner review

Chatdose adjustments in chat

Editorial still life of compounded NAD+ vial on cream linen, longevity protocol

YOUR LONGEVITY PROTOCOL IS READ BY A PHYSICIAN

Not a bot. Not a midlevel. A board-certified MD.

Founding Physician Dr. Pranav K. Sharma, MD (FACC, FCCP, FASN, D-ABOM), or a Bionomy physician trained to his standard, reviews every Longevity intake within 24 hours.

Meet our Founding Physician

4× Board-certified founder

D-ABOM The credential governing GLP-1 & weight

48 U.S. states licensed

24h Physician review window

How it works.

Take the longevity intake

Share your energy, sleep, recovery, family history, and recent labs. 2 minutes, no card.

Practitioner review

A licensed Bionomy practitioner reviews your intake within 24 hours and opens a private chat.

Personalized stack

NAD+, Metformin, and LDN are layered based on your labs and goals. Transparent pricing, you approve before anything ships.

Shipped, then titrated

Shipment in 5 days. Lab retest at 12 weeks. Dose adjustments in chat.

Why members choose this.

↓50%NAD+ decline from 20s to 50s

15%insulin sensitivity gains reported on Metformin

48states we ship to

14American board-certified physician on staff

Based on representative member outcomes and published clinical research. Individual results vary.

Practitioner-reviewedEvery intake is reviewed by a licensed Bionomy practitioner within 24 hours.

US-licensed pharmaciesCompounded by state-licensed pharmacies for individual patients.

Discreet shippingPacked in plain packaging and shipped to your door in 5 business days.

Common questions.

How often is NAD+ injected?

2x weekly subcutaneous, dose titrated to tolerance. Most men notice cleaner energy and mental clarity inside 3 to 4 weeks. NAD+ declines by roughly 50% from your 20s to your 50s, which is why supplementation is the centerpiece of the longevity stack.

Why Metformin if I'm not diabetic?

Off-label longevity use. The published TAME and MILES trials suggest Metformin improves insulin sensitivity, slows mitochondrial decline, and may extend healthspan. Dose is 500 mg to 1000 mg daily, titrated by your practitioner.

What is Low-dose Naltrexone for?

LDN at 4.5 mg nightly has emerging data for inflammation, sleep quality, and recovery. It is off-label and dispensed only when your practitioner determines it is clinically appropriate.

Can I stack longevity protocols with TRT?

Yes. The full-stack member typically runs TRT or Enclomiphene, plus a GLP-1 if weight is in play, plus NAD+ and Metformin for cellular repair. Your practitioner reviews the entire stack.

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Start your longevity intake.

Free · No card required · Practitioner review in 24 hours.

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Compounded medications are not FDA-approved. They are prepared by state-licensed pharmacies for individual patients based on a prescription from a licensed practitioner.