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Each therapy in this stack targets a different problem, which is why they are prescribed together rather than as alternatives to each other.
Tirzepatide activates both the GLP-1 and GIP receptors, hormone pathways involved in blood sugar regulation, stomach emptying and appetite signalling. In practice most patients describe it as hunger becoming quieter and portions becoming easier to manage. It is a once-weekly injection, titrated by your provider rather than started at a full dose.
NAD+ is a coenzyme every cell uses to convert fuel into usable energy, and levels decline with age. Supporting NAD+ is used in longevity protocols to support cellular energy production and recovery capacity. It is worth being precise about what this is not: it is not a stimulant, it does not replace sleep, and it will not make an unsafe driving shift safe.
Sermorelin encourages the body’s own growth-hormone release rather than replacing it, and is dosed at night because that release naturally peaks during deep sleep. Patients commonly choose it for sleep quality, recovery and body composition. Evidence for sleep specifically is limited compared with the metabolic research, so treat improved sleep as a reported benefit rather than a guaranteed one.
They act on separate systems, so they stack rather than overlap: appetite and metabolism, cellular energy, and overnight recovery. Sleep is the one most drivers rate as their worst problem, and it is also the one that makes the other two harder, since short sleep raises appetite and drains daytime energy on its own. Improving all three at once is the reason this is sold as a program rather than three unrelated prescriptions.
This program is not suitable if you:
Tell your provider before starting if you:
Common side effects may include: nausea, reduced appetite, diarrhea or constipation, injection-site reactions, headache, and flushing. Gastrointestinal effects are most common when a dose is first increased.
Serious but less common risks may include: pancreatitis, gallbladder disease, kidney injury from dehydration, severe hypoglycemia when combined with insulin or sulfonylureas, and allergic reaction.
A note specific to driving: nausea, low blood sugar and disturbed sleep can all impair alertness. Do not drive if you feel unwell after a dose. Discuss dose timing with your provider so increases fall on your days off where possible.
This is not a complete list. Compounded medications are not FDA-approved. Report any concerning symptom to a licensed healthcare provider promptly. Individual results vary.
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Complete a short online wellness quiz so we can understand your goals, health history, and what’s right for you.
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A healthcare provider reviews your information to determine if you qualify for prescription medication. No waiting rooms, no hassle.
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If approved, your medication ships directly to your door in as little as 1–2 days; with ongoing support to keep you on track.
Every plan is reviewed by a licensed healthcare provider before medication is dispensed.
Medication arrives in discreet packaging on a consistent schedule; no pharmacy trips required.
Reach your care team with questions about dosing, side effects, or your progress; support is part of the program.
One flat rate covers your plan. No surprise fees, no insurance runaround.
That decision belongs to your certified medical examiner, not to us. Revive Longevity does not perform DOT physicals and does not determine certification status. What we can tell you is that you should disclose every medication you take, including these, at your exam. Many drivers take prescription therapies and remain certified; the examiner evaluates your whole picture under FMCSA rules. Bring your prescription details with you.
Three prescription therapies: tirzepatide for appetite and body composition, NAD+ for cellular energy, and sermorelin for sleep and recovery. Each is the same therapy we prescribe on its own, and each has its own product page with fuller detail. Your provider confirms the dosing for all three based on your intake.
Yes. The whole process is online: you complete an intake, a licensed provider reviews it, and your therapy ships to the address you choose. We serve all 50 states. If you are away from home for long stretches, tell us at intake so shipping can be timed to where you will actually be.
Tirzepatide is once weekly, NAD+ is used during the day, and sermorelin is taken at night because natural growth-hormone release peaks during deep sleep. Your provider sets the specific doses and can time increases around your driving schedule, which matters because side effects are most likely just after a dose goes up.
Choose a plan above and complete the intake, which takes a few minutes. A licensed provider reviews your information and you are not charged until your plan is approved. If the provider decides this program is not appropriate for you, you are not billed.