Trellis Vitality
Trellis Vitality publishes its medical group, its medical director's NPI and the address of the pharmacy that fills the vial. It publishes no milligram figure for anything it sells.
Review by Craig Palmer, peptide pharmacology writer · Updated September 2026
The short version
Two halves of this store were built by different instincts. The accountability half is genuinely strong: a named medical group, a named director with an NPI, a named compounding pharmacy with a street address, and a flat statement that compounded medicines are not FDA-approved finished products. The clinical half is empty, because across five product pages there is not a single strength, volume or frequency to compare anything on.
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Lowest listed: Glutathione injection, from $93/mo
All fifty states are claimed in the banner, the terms and the safety page, while the GLP-1 FAQ says the program is suppressed in Connecticut, Ohio and South Carolina at minimum
Visit Trellis Vitality →Trellis Vitality is a Texas company selling a short, deliberately narrow shelf: one GLP-1 program covering compounded semaglutide and tirzepatide, an NAD+ injection, a glutathione injection, a lipotropic blend of methionine, inositol, choline, B12 and L-carnitine, and compounded tesamorelin. Sermorelin used to sit on that shelf and no longer does, and the tesamorelin page explains the swap in pharmacological terms: a longer half-life and a stronger growth-hormone pulse. That is a real argument about how a growth-hormone-releasing peptide behaves, and it is the only place on the site where a mechanism drives a product decision the reader can see.
What Trellis Vitality prescribes, by goal
Weight
- SemaglutideFDA-approved
- Injection (compounded)From $150/mo
- TirzepatideFDA-approved
- Injection (compounded)From $199/mo
The GLP-1 program is the one place a full rung table is printed, and it is admirably plain: semaglutide at $150, $140 and $133 a month across one-, three- and six-month plans, tirzepatide at $199, $189 and $179. A footnote says longer plans cost less per month. Above the table sits the line that makes the whole thing incomparable, because it states that every dosage costs the same and then prints no dose. There is no dose, no strength and no titration ladder on the page, so a reader cannot tell whether $150 buys a starting vial or a maintenance one.
Longevity
- GlutathioneLegal to compound
- Injection (compounded)From $93/mo
- NAD+Legal to compound
- Injection (compounded)From $129/mo
NAD+ and glutathione are each sold as a floor rather than a rung: treatment plans starting at $129 a month for one and $93 for the other, with the three- and six-month figures the FAQ promises never printed anywhere public. There is no dose, no vial size and no frequency on either page. That matters more for NAD+ than for most things here, because the dose is what separates a subcutaneous injection from the clinic infusion the page spends a paragraph arguing against. The FAQ also says plans start at $129 a month, which its own glutathione page undercuts by $36.
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 telehealth consent names the medical group, its director and his registry number together: Arora Health & Aesthetics, LLC, medical director Sean Arora, NPI 1841729449, at a Seattle address, with a chief medical officer named separately on the about page. The same paragraph names the fulfilling pharmacy, VialsRX in Houston, with its street address and telephone number, and the terms repeat it. A careful reader will notice the pharmacy's name is spelled two ways across the site, and that the consent page adds a disclaimer distancing the clinical group from an endorsement of the store.
The default path is asynchronous: an intake questionnaire, hosted on an outside platform, reviewed by a clinician who may never speak to you. Where a state requires it, the consent says you may be asked to complete a phone or video call with a licensed provider before anything is prescribed. That is the ordinary shape of this category rather than a promise of contact. The assessment costs nothing, there is no membership, and the store says so in the same breath as its prices. A banner on every page advertises round-the-clock care while the support page gives weekday hours and a one-business-day reply.
Are labs required?
Yes, for two of five
Bloodwork is required for the two programs where a clinician has something to titrate against, and absent from the rest. The GLP-1 FAQ says a baseline through the company's own at-home kit and ongoing monitoring are part of the program, and the tesamorelin page goes further, calling an IGF-1 and metabolic baseline the thing that confirms candidacy before prescribing. The kit is described as free on both of those pages and is priced nowhere. The NAD+, glutathione and lipotropic pages carry no lab question at all.
Ready to start with Trellis Vitality?
Lowest listed price: Glutathione injection, from $93/mo. Confirm it on the seller’s own site.
What it claims, and what it cites
Nothing on any product page cites anything. Every outbound link on all five of them resolves to the company's own domain or a social profile, so the numbers the marketing leans on stand entirely on their own authority. The most consequential of them concerns body composition on a GLP-1, which is a live clinical question and the kind of claim that ought to carry a trial name. What the copy does well is hedge: several passages mark a mechanism as a mechanism rather than a promise, which is more discipline than the category usually shows.
| On Trellis Vitality’s site | Source it gives |
|---|---|
| On Trellis Vitality’s site“In clinical studies of GLP-1 weight loss, roughly a third or more of the weight lost can be lean mass — not fat.” | Source it givesNone given |
| On Trellis Vitality’s site“Of the peptides we offer, tesamorelin's active has the deepest human-RCT record.” | Source it givesNone given |
| On Trellis Vitality’s site“$4,000 — average patient savings per year. No membership. No consult costs. No hidden costs. Pure results.” | Source it givesNone given |
| On Trellis Vitality’s site“NAD⁺ shows up in sleep depth, not duration. Members report waking less and recovering more through the night.” | Source it givesFramed as what members report; no study, survey or sample size is given |
Sold by Trellis Vitality, not listed here
- Tesamorelin
- Approved only as Egrifta, for excess abdominal fat in adults with HIV-associated lipodystrophy. Its label says it is not indicated for weight loss. Egrifta became a biologic (BLA) on March 23, 2020, and FDA says compounded versions of these products do not qualify for the 503A or 503B compounding exemptions.
- Lipo-MIC + B12
- A lipotropic and vitamin injection rather than a prescribed peptide.
- The Vitality Lab Kit
- An at-home biomarker panel, described on two pages and priced on none.
How it bills
Billing is described as payment per protocol, monthly, with plans differing only by duration and no membership attached, and the store is consistent about that across every page. What a three- or six-month plan actually charges, and whether it charges once or monthly, is never stated. Shipping is free and expedited, health-savings and flexible-spending cards are accepted with an itemised superbill on request, and cancellation is offered at any time with no notice period and no minimum term hiding in the terms. Refunds are the gap: the terms say eligibility is decided per order by customer support, which is not a policy so much as an invitation to ask.
Availability: All fifty states are claimed in the banner, the terms and the safety page, while the GLP-1 FAQ says the program is suppressed in Connecticut, Ohio and South Carolina at minimum
For and against
- For: Medical group, director and NPI published
- For: Compounding pharmacy named with its address
- For: GLP-1 rung table printed in full
- For: Compounded status stated plainly on every page
- Against: No milligram figure on any product page
- Against: Longevity plan lengths priced only behind the intake
- Against: All fifty states claimed, three states excluded
- Against: Refunds decided case by case, with no published rule
The evidence behind what it sells
Right for
A reader who wants to know which medical group and which pharmacy stand behind the vial, and who is content to let a clinician choose the dose without seeing it first.
Look elsewhere if
Anyone comparing on cost per milligram, anyone in Connecticut, Ohio or South Carolina looking at the GLP-1 program, and anyone who wants a refund rule in writing before paying.
Other sellers for weight
50 Stars Health
Also prescribes Semaglutide, Tirzepatide.
Actin
Also prescribes Semaglutide, Tirzepatide.
AgelessRx
Also prescribes Semaglutide, Tirzepatide.
Trellis Vitality
Frequently asked questions
- Who writes a Trellis Vitality prescription?
- A clinician at Arora Health & Aesthetics, LLC, whose medical director is named as Sean Arora with NPI 1841729449. The consent page names the group, the director and the fulfilling pharmacy in one paragraph.
- Does Trellis Vitality publish a dose?
- No. None of its five product pages prints a milligram, a microgram or a vial size, and the GLP-1 page states that every dosage costs the same without saying what any of them are.
- Is bloodwork required before starting?
- For the GLP-1 program and for tesamorelin, yes: both FAQs say a baseline panel through the company's at-home kit is part of the program. The NAD+, glutathione and lipotropic pages say nothing about labs.
See what Trellis Vitality prescribes today
Trellis Vitality sets its own prices, plans and the states it serves. Check them before you start.