Questions, answered.

No catch. No card to start. You only pay if a licensed practitioner prescribes something and you approve the protocol. Anything they don't approve is refunded to your card automatically. If nothing is prescribed, you pay nothing.

After your intake, you'll see your suggested protocol with transparent pricing. You add a card and approve the line items you want, but we only place a hold. The card isn't actually charged until a licensed Selvara practitioner signs off, usually within 24 hours. You're only ever charged for what ships.

Anything they don't approve is refunded to your card automatically. We never charge you for medication that wasn't dispensed.

Average member intake time is 2 minutes 18 seconds. Your goals, symptoms, history. That's it.

Our Founding Physician, Dr. Pranav K. Sharma, MD, or an American board-certified physician trained to his standard. Dr. Sharma is quadruple board-certified (Internal Medicine, Nephrology, Critical Care, Obesity Medicine), holds three college fellowships (FACC, FCCP, FASN), and serves as Medical Director of Intensive Care Services at Lake Cumberland Regional Hospital. Every intake is read within 24 hours. No bots. No video calls required.

Yes, on prescriptions.

Yes. There's no membership and no subscription lock-in. Pay per refill, pause whenever, come back whenever.

An oral medication that signals your body to make more of its own testosterone. No injections, fertility preserved. The lowest-friction protocol for most men under 45.

Yes. Enclomiphene is a non-controlled prescription medication. A licensed Selvara practitioner reviews your intake and prescribes when clinically appropriate.

Not to begin the intake. You can start without any prior labs. If your practitioner decides bloodwork would help refine your protocol, they'll order it through our partner lab.

Phase II research showed average testosterone rising from 209 to 604 ng/dL in 6 weeks on 25mg. Most members report noticing energy changes around week 4–6.

Usually, yes. TRT is dosed off your baseline labs. If you have recent comprehensive bloodwork, upload it. If not, your practitioner will order it through our partner lab as part of your protocol.

Weekly cypionate injection is the most common protocol. Steady levels, lowest cost. Cream is a daily topical option for members who prefer not to inject.

Enclomiphene is our standalone fertility-preserving option. Men who want testosterone support without shutting down endogenous production typically start with Enclomiphene 12.5 mg or 25 mg before considering injectable TRT.

Standard cadence is baseline, month 3, and month 6, then annually. Your practitioner adjusts dose based on each panel.

Tirzepatide ($249) is a dual GLP-1 / GIP agonist with stronger weight loss data, around 20.9% body weight loss at 72 weeks. Semaglutide ($189) is a GLP-1 only agonist with around 15% loss. Your practitioner picks based on your goals, side-effect profile, and history.

Without resistance training and protein, you can. We pair every GLP-1 protocol with a Muscle Preserve supplement pack and a written training note from your practitioner so the weight you lose is fat, not lean mass.

Most members run a 6 to 12 month protocol, then taper to a maintenance dose or cycle off. Practitioners review every 90 days.

Sermorelin is a growth-hormone-releasing peptide. Members report deeper sleep, faster recovery from training, and gradual lean-mass gains. Published data shows roughly 39% increase in IGF-1 over a 12 to 16 week course.

Nightly subcutaneous injection, 30 minutes before bed, on an empty stomach. We ship insulin-style syringes and a written 8-step guide with every kit.

Yes. Sermorelin pairs especially well with TRT for recovery and with a GLP-1 for muscle preservation. Your practitioner reviews the full stack.

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.

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.

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.

Approved prescriptions ship within 5 business days, discreetly. Refills are handled in chat.

48 states. We're working on the remaining two.

Compounded medications are prepared by US-licensed pharmacies for individual patients based on a practitioner's prescription. They are not FDA-approved as finished products. Generic prescriptions are FDA-approved.

Yes. All communication with your practitioner is encrypted and shared only with your reviewing practitioner.