EDUCATION · SEXUAL PERFORMANCE

52% of men 40–70. Almost none of them talk.

Erectile dysfunction is one of the most common men's health patterns in the world, and one of the most over-medicalized. Here's the actual molecule, the actual dosing, and the daily option most clinics never recommend.

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No card · Practitioner reviews in 24 hours · 48 states

52%men 40–70 experience ED

73%successful intercourse on daily tadalafil

$59/mostarting sildenafil

5 daysaverage ship time

THE FOUR THINGS YOU SHOULD KNOW

What ED treatment actually involves.

1. Generic sildenafil and tadalafil are the same molecules as Viagra and Cialis.

Same active ingredient. Same FDA pathway. Same effect. The branded versions are $20–$80 per pill at the pharmacy counter. The compounded versions are pennies per dose. The only difference is the supply chain.

2. Daily tadalafil works differently than as-needed sildenafil.

Daily tadalafil at 5mg builds a baseline. You're "ready" without planning anything. In one large study, 73% of men on daily tadalafil reported successful intercourse, and most preferred it over the as-needed pattern because the spontaneity returned.

3. If oral pills aren't enough, there are options.

Tri-Mix is a compounded injection used for decades when oral therapy is insufficient. PT-141 is a melanocortin agonist that works on the brain pathway, not the vascular one. Both are prescribed only when clinically appropriate, by a licensed practitioner.

4. ED is often a signal, not a verdict.

ED is sometimes a cardiovascular signal, sometimes a hormonal signal, sometimes a stress signal. The Bionomy intake is designed to flag the underlying pattern, not to hand you a pill and leave. If your bloodwork suggests low T or something else upstream, your practitioner will tell you.

THE OPTIONS

Six prescriptions, one practitioner.

Your practitioner will recommend the lightest starting option based on your intake. Most start with sildenafil as-needed or tadalafil daily.

Sildenafil 50mg$59/mo. Same molecule as Viagra. As-needed.

Sildenafil 100mg$69/mo. Higher dose when 50mg isn't enough.

Tadalafil 5mg daily$89/mo. Spontaneous. Most men prefer this.

Tadalafil 20mg$99/mo. As-needed, higher dose.

Tri-Mix$149/mo. Compounded injection for PDE5 non-responders.

PT-141$199/mo. Brain-pathway peptide. Men and women.

THE QUIET PITCH

Performance, without the awkwardness.

Take a free 4-minute intake. A licensed Bionomy practitioner reviews within 24 hours and opens a private chat in your dashboard. When clinically appropriate, they send a protocol for your approval. You're charged only for what you approve. Compounded medication ships in plain packaging in 5 business days. Refills are automatic. The whole thing happens without a clinic visit and without a card on file until you say yes.

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4 minutes · No card · Compounded medications are not FDA approved. They are prepared by state-licensed pharmacies for individual patients based on a prescription from a licensed practitioner.