Ascend Vitality
The clinical network and six pharmacies are named. The peptide shelf is down to one NAD+ injection, and its page and checkout disagree on the monthly price.
Review by Leah Garner, clinical-evidence editor · Updated September 2026
The short version
Ascend Vitality names the clinical network behind its prescribers and the pharmacies that dispense for it, which answers the first question a buyer should ask. The care behind that is thinner: an asynchronous questionnaire, no named clinician, and no dose on any product page. For peptides, one compound can actually be ordered.
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Lowest listed: NAD+ injection, from $189/mo
US and DC except LA, MS, KS, NM, WV
Visit Ascend Vitality →Ascend Vitality is a cash-pay telehealth storefront run by Ascend Vitality LLC, a Wyoming company. Its terms call it a technology and administrative platform and say it does not practice medicine or pharmacy. The pages that take an order sell compounded semaglutide as a weekly injection or a daily tablet, compounded tirzepatide as a weekly injection, and a compounded NAD+ injection. Generic sildenafil and tadalafil sit on a separate men's health shelf. The homepage also names BPC-157, CJC/Ipamorelin and glutathione, but none of the three has a product page or a price.
What Ascend Vitality prescribes, by goal
Weight
- SemaglutideFDA-approved
- Injection (compounded)From $199/mo
- Oral (compounded)From $199/mo
- TirzepatideFDA-approved
- Injection (compounded)From $249/mo
- Oral (compounded)Price not published
Compounded semaglutide is $199 a month on a one-month plan, as a weekly injection or a daily tablet. Compounded tirzepatide is $249 a month on the same plan, as a weekly injection. Each page leads with a three-month rate instead: $99 a month for the semaglutide injection, $149 for the tablet and $149 for tirzepatide. No page prints a dose in milligrams. The tirzepatide tablet link now returns to the homepage, so oral tirzepatide cannot be ordered from a product page.
Longevity
- NAD+Legal to compound
- Injection (compounded)From $189/mo
- GlutathioneLegal to compound
Listed by the seller; no price we hold.
NAD+ is sold as a subcutaneous injection. The product page prints $189 a month on a one-month plan, or $129 a month on a three-month plan billed as $387 at once. The checkout behind the one-month button shows $179.00 a month, so the page and its checkout differ by $10. No dose, vial size or injection schedule is printed. Glutathione is named in the homepage copy, but its link returns to the homepage.
Each “From” figure is the seller’s own starting price, in the unit the seller states. Where a required fee or a package length changes what one month costs, the smaller line under it is our arithmetic, not a figure the seller prints. Compounded preparations are not FDA-approved.
Who prescribes
A licensed clinician
The about page says each intake is reviewed by a U.S.-licensed provider within the Rimo Health network. It calls Rimo Health its partner for clinical oversight and compliance. No individual clinician is named, and no license or credential is attached to anyone. The homepage describes board-certified clinicians without saying certified in what. The terms put the relationship on the record: a patient's provider-patient relationship is with a provider or professional entity, not with Ascend Vitality. Dispensing is named in more detail. A partner pharmacies page lists six compounding pharmacies with addresses and phone numbers: Epiq Scripts, The Pharmacy Hub, Southend Pharmacy, AbsoluteRX, Emerald Compounding Pharmacy and Dr. Telx. The page does not say which pharmacy fills which product.
The intake is an online questionnaire that the site times at two minutes. A licensed provider then reviews it asynchronously, which the site says takes 24 to 48 hours. The about page states that no video calls or appointments are necessary. A phone visit is not mentioned on any product page, although the terms allow for video, telephone or messaging where a provider permits it. After a prescription, each plan includes unlimited provider messaging and ongoing dose adjustments, according to the product pages. Refills, lab results and dose changes run through a patient portal. A private patient community is included at no charge, with coaching, meal plans and weekly check-ins run by the company rather than the prescriber.
Are labs required?
Not asked for up front
No bloodwork is asked for before a prescription. The homepage says "No labs," and the weight loss page lists separately billed lab work among costs it does not add. The terms are less absolute: some programs may require lab testing, billed by the lab unless the checkout includes it.
Ready to start with Ascend Vitality?
Lowest listed price: NAD+ injection, from $189/mo. Confirm it on the seller’s own site.
What it claims, and what it cites
The weight-loss claims name a trial, but not a trial of what is sold. The semaglutide page cites STEP-1, a 68-week study of weekly semaglutide with lifestyle support. The tirzepatide page cites SURMOUNT-1 at 72 weeks and says tirzepatide lost more weight than semaglutide head to head. Both trials used the branded drugs, and the pages do state that compounded versions are not FDA-approved. The NAD+ page claims more than it cites. It says NAD+ may ease symptoms of depression and anxiety by raising serotonin, with no source beside that line. It also says NAD+ is being explored for withdrawal symptoms and cravings. Its FAQ does link two review articles and a randomized trial in older adults. That answer describes the human evidence as coming from NAD+ precursors such as nicotinamide riboside, not from an injection. The page's own footnote calls its support mechanism-based and early human data. Two trust claims do not agree with other pages. Every product page reads "Licensed in all 50 states," while the about page excludes Louisiana, Mississippi, Kansas, New Mexico and West Virginia. The homepage FAQ says most U.S. states. The NAD+ page's safety note also says compounded sermorelin is not FDA-approved, a product the site no longer sells.
| On Ascend Vitality’s site | Source it gives |
|---|---|
| On Ascend Vitality’s site“Lose up to 20% of your body weight” | Source it givesNone given |
| On Ascend Vitality’s site“In SURMOUNT-1 (72 weeks), GLP + GIP (Tirzepatide) produced substantial average weight loss” | Source it givesThe trial is named without a link, and it studied branded tirzepatide |
| On Ascend Vitality’s site“May alleviate symptoms of depression and anxiety by increasing serotonin levels” | Source it givesNone given |
| On Ascend Vitality’s site“Multiple randomized trials with NAD+ precursors raise blood/tissue NAD+ in humans” | Source it givesLinks a trial in older adults and a ClinicalTrials.gov record; the answer itself says the studies used precursors |
| On Ascend Vitality’s site“Licensed in all 50 states” | Source it givesThe about page excludes five states, and the homepage FAQ says most states |
Sold by Ascend Vitality, not listed here
- BPC-157
- On no 503A list (removed from Category 2 in April 2026, never in Category 1). The FDA's compounding advisory committee voted 8–6 (one abstention) in July 2026 to favor listing it; the vote is a recommendation, not binding on the FDA, and pharmacies may not compound it until final rulemaking.
- CJC-1295
- On no FDA compounding list. The name does not appear in the 503A bulk drug substances categories (updated May 14, 2026) or in the 503B categories (updated March 21, 2025), so neither a 503A pharmacy nor a 503B outsourcing facility has a listed route to it.
- Ipamorelin
- "Ipamorelin Acetate" is in 503B Category 2, bulk drug substances that raise significant safety risks (list updated March 21, 2025). It is named on no 503A list, so neither an outsourcing facility nor a 503A pharmacy has a listed route to it.
- BPC-157
- On no 503A list (removed from Category 2 in April 2026, never in Category 1). The FDA's compounding advisory committee voted 8–6 (one abstention) in July 2026 to favor listing it; the vote is a recommendation, not binding on the FDA, and pharmacies may not compound it until final rulemaking.
- CJC-1295 with ipamorelin
- On no FDA compounding list. The name does not appear in the 503A bulk drug substances categories (updated May 14, 2026) or in the 503B categories (updated March 21, 2025), so neither a 503A pharmacy nor a 503B outsourcing facility has a listed route to it.
- Glutathione
- Named in the homepage copy, but its product link returns to the homepage and no price is shown.
- Generic sildenafil and tadalafil
- Erectile dysfunction drugs, outside the peptides this site covers.
- The prescribing clinicians
- The about page names the Rimo Health network but no individual provider.
How it bills
Every product card leads with a three-month plan and puts the monthly plan underneath, after the words "Prefer monthly?" A three-month plan is billed in one charge and renews each quarter until stopped. A one-month plan renews monthly on the same basis. Both are said to cover the provider evaluation, shipping, unlimited messaging and dose changes, with no membership fee. The terms reserve more than the product pages mention. They list clinical, administrative and pharmacy fees a program may include, and warn that fees for an abandoned intake may still be owed. The checkout, by contrast, states that you will not be charged if no medication is prescribed. To cancel, you use the account portal if one is available, or email support from the address on the account. The request has to arrive at least five business days before the next charge, or that charge still goes through. All sales are final, and pausing is at the company's discretion. Shipping is free. The shipping page promises processing within 48 hours and two-day delivery, while the homepage says about three days on average in temperature-controlled packaging. A banner advertises $120 off, and the homepage a 15% code, without saying which plans either applies to.
Availability: US and DC except LA, MS, KS, NM, WV
LegitScript: seal displayed on the seller’s site
For and against
- For: Names its clinical network and six pharmacies
- For: Every live product has a one-month price
- For: Unlimited provider messaging is included
- For: Checkout says no charge without a prescription
- Against: NAD+ reads $189 on the page, $179 at checkout
- Against: No milligram dose on any product page
- Against: Five business days' notice to cancel, no refunds
- Against: State coverage is stated three different ways
- Against: Named peptides with no product page behind them
The evidence behind what it sells
Right for
Someone starting compounded semaglutide or tirzepatide who wants the dispensing pharmacy named and is comfortable with an asynchronous review.
Look elsewhere if
Anyone shopping for peptides beyond NAD+, since the other compounds the homepage names cannot be ordered from a product page.
Other sellers for weight
50 Stars Health
Also prescribes Semaglutide, Tirzepatide.
Actin
Also prescribes Semaglutide, Tirzepatide.
AgelessRx
Also prescribes Semaglutide, Tirzepatide.
Ascend Vitality
Frequently asked questions
- Who prescribes at Ascend Vitality?
- A U.S.-licensed provider in the Rimo Health network, according to the about page. No individual clinician is named anywhere on the site.
- Which peptides can you order from Ascend Vitality?
- Only a compounded NAD+ injection has a working product page. BPC-157, CJC/Ipamorelin and glutathione are named on the homepage with no page or price.
- How much is the NAD+ injection at Ascend Vitality?
- $189 a month on the product page's one-month plan, or $129 a month billed as $387 each quarter. The one-month checkout shows $179.00.
- Is there a video visit?
- No. The about page says no video calls or appointments are necessary, and a provider reviews the questionnaire within 24 to 48 hours.
See what Ascend Vitality prescribes today
Ascend Vitality sets its own prices, plans and the states it serves. Check them before you start.