Longevity
A personalized, physician-guided longevity service focused on optimizing your health today, and preserving it for the years ahead. We focus on optimizing metabolic health, resilience, and long-term well-being through science-informed care.
Get startedProvide information about your goals and medical history to fuel your metabolic health assessment.
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A licensed healthcare provider carefully reviews your health information and determines whether treatment is appropriate.
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Providers may recommend prescription treatments from licensed pharmacies.
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Stay connected with your clinician as your plan evolves.
Provide information about your goals and medical history to fuel your metabolic health assessment.
A licensed healthcare provider carefully reviews each case and determines whether treatment is appropriate.
Providers may recommend prescription treatments from licensed pharmacies.
Stay connected with your clinician as your plan evolves.
Many patients experience incremental changes over the first several months as care plans are adjusted and optimized.
Early adjustments as your care plan is implemented. Some patients report changes in their overall well-being and vitality.
More stable energy throughout the day. Ongoing refinement of treatment plan based on clinical response.
Deeper, more consistent results. Long-term habit formation. Measurable progress toward aging-related health goals.
Long-term health optimization strategies tailored to individual goals.
A clinician-guided program focused on supporting natural hormone production, and healthy aging goals using lifestyle guidance and supportive therapies when appropriate.
Adults looking to support natural hormone production, or overall wellbeing. Your clinician will screen for safety and fit.
A medical intake, clinician review, a personalized plan, and follow‑ups to adjust based on response and tolerability.
Some options may require baseline or follow-up labs depending on your history and goals. Your clinician will advise.
Some people notice changes within weeks; others see gradual improvements over 2–3 months. Results vary.
Through symptom check‑ins and, when relevant, biomarker tracking and plan adjustments over time.
Sometimes, but simpler is often better. Your clinician will prioritize the most appropriate approach for your goals.
No. Response is individualized, and evidence varies by therapy and outcome.
Duration depends on the therapy and your profile. Your clinician will set a course length and reassess regularly.
Side effects depend on the therapy. Mild GI upset, headache, or injection‑site reactions may occur for some options.
Some options are not appropriate. Tell your clinician so they can recommend safe alternatives.
Your clinician can reassess goals, adjust the plan, or recommend alternative approaches.
Conventional medicine operates on a simple model: you get sick, you get treated. But the entire premise of longevity medicine is that this model is backwards. By the time disease appears, decades of cellular decline have already occurred. The most impactful interventions happen before you're on the exam table — when you're still healthy enough to protect and optimize.
That said, your body does send signals when things are starting to slip. The challenge is recognizing those signals for what they are: not just "getting older," but correctable decline that longevity therapies can address.
Everyone feels tired sometimes. But if you're sleeping 7-8 hours and still waking up exhausted, if your afternoon energy crashes are getting worse, or if physical and mental stamina have noticeably declined — that's not normal aging. It's a signal.
Cellular energy production depends on mitochondrial function, which depends on NAD+. When NAD+ levels drop below a critical threshold, mitochondria can't produce ATP efficiently. No amount of coffee or sleep hygiene will fix a mitochondrial energy deficit.
NAD+ therapy through Luvo's longevity program — via injection, oral drops, or nasal spray — directly addresses this root cause. Patients consistently report that their energy levels improve within weeks of starting NAD+ therapy, often describing it as the return of a vitality they'd forgotten they could feel.
Forgetting where you put your keys is normal. But persistent brain fog — difficulty concentrating, word-finding problems, reduced mental processing speed, or a general sense that your thinking isn't as sharp as it used to be — is a signal worth paying attention to.
The brain is the most metabolically active organ in your body, consuming approximately 20% of your total energy output despite being only 2% of your body weight. It's exquisitely sensitive to NAD+ depletion, growth hormone decline, and methylation disruption — all of which impair neurotransmitter synthesis, neuroplasticity, and neural energy metabolism.
Luvo's longevity program addresses cognitive decline through multiple mechanisms. NAD+ (particularly via nasal spray) supports neural energy and sirtuin-mediated neuroprotection. Sermorelin supports natural hormone production, with downstream effects on neuroprotection and neuroplasticity. B12/MIC supports neurotransmitter synthesis and myelin maintenance through methylation pathways.
You're eating the same way. You're exercising the same amount. But your body is changing — more fat, especially around the midsection, and less definition overall. This frustrating pattern is one of the most common complaints among adults over 35.
It's driven by age-related hormone decline, which directly regulates fat metabolism. As growth hormone levels fall, the body shifts its metabolic set point, storing more fat, particularly visceral fat.
Clinician-guided hormone optimization through Sermorelin therapy helps the body return to a more favorable metabolic state. Combined with the fat metabolism support from B12/MIC and the cellular energy optimization from NAD+, Luvo's program addresses body composition from multiple angles.
Recovery is where aging becomes most tangible. Workouts that used to leave you pleasantly sore now leave you wrecked for days. Minor injuries linger. A cold that should take a week stretches to two. Your body's capacity to bounce back is diminishing.
Age-related hormone decline is a primary factor in how the body responds to physical stress. NAD+ depletion further impairs recovery by reducing the cellular energy available for these processes. Together, these declines create a situation where the body struggles to keep pace with everyday demands.
Luvo's combination of Sermorelin (for age-related hormone decline support) and NAD+ therapy (for cellular energy optimization) directly targets this recovery deficit. Many patients report that overall vitality and wellbeing noticeably improve within the first month of treatment.
Many people notice that their rest becomes less restorative with age — waking up less refreshed, experiencing more disrupted nights, and feeling like downtime doesn't recharge them the way it once did. This isn't just an inconvenience. Restorative rest is when growth hormone is primarily released, when cellular processes are most active, and when the brain clears metabolic waste. Declining restfulness accelerates every aspect of aging.
Sermorelin supports natural hormone production, which plays a well-documented role in restfulness and how refreshed you feel upon waking. NAD+'s role in sirtuin activation and circadian rhythm regulation also supports overall vitality and wellbeing.
If you recognize two or more of these signals, your body may be telling you it's time to get proactive about aging. Luvo's longevity program offers a clinical, evidence-based response. Explore the full program and learn about our therapies: Sermorelin, NAD+ injection, NAD+ oral drops, NAD+ nasal spray, and Vitamin B12/MIC.
The world of longevity peptides can feel like a maze. Sermorelin, Ipamorelin, CJC-1295, Tesamorelin, BPC-157 — the list of peptides marketed for anti-aging, recovery, and performance seems to grow monthly. For patients interested in growth hormone optimization, understanding the differences between these peptides is essential for making safe, informed choices.
Among the options, Sermorelin has emerged as the gold standard for clinically supervised growth hormone optimization — and there are compelling reasons why Luvo’s longevity program features it as a core therapy.
Sermorelin is a GHRH (growth hormone-releasing hormone) analog with the longest clinical track record of any growth hormone peptide. Sermorelin has been studied in clinical settings since the 1990s and was the subject of an FDA-approved formulation for pediatric GHD that has since been discontinued. It is currently available through compounding pharmacies for off-label use in adults.
The key distinction is how Sermorelin works. As a GHRH analog, it stimulates the pituitary gland to produce and release growth hormone through the body’s own regulatory mechanisms. This means growth hormone release remains pulsatile (released in natural bursts rather than continuous elevation), the hypothalamic-pituitary axis retains feedback control, and the risk of supraphysiological growth hormone levels is minimized.
Other peptides work through different mechanisms. Ipamorelin and GHRP-6 are growth hormone secretagogues that stimulate growth hormone release through the ghrelin receptor pathway. CJC-1295 is a long-acting GHRH analog that provides extended growth hormone stimulation. While these peptides can be effective, they have less long-term safety data and some carry additional side effect profiles, including increased hunger (ghrelin pathway peptides) and cortisol or prolactin elevation.
For physicians prescribing growth hormone optimization as part of a longevity protocol, safety is the primary consideration. These are therapies intended for long-term use in otherwise healthy adults — the risk-benefit calculation is different from treating an acute disease.
Sermorelin’s safety profile is well-established. Common side effects are mild and typically limited to injection-site reactions such as redness or swelling, transient headaches during the initial treatment period, and flushing or dizziness that usually resolves with continued use.
Serious adverse events are rare in the clinical literature. Because Sermorelin works through the body’s natural regulatory pathways, the risk of growth hormone excess — the primary concern with direct HGH injection — is inherently limited. Your pituitary gland has built-in mechanisms to prevent overproduction, and Sermorelin respects those mechanisms.
This safety profile is why Luvo’s medical team chose Sermorelin over newer, less-studied peptide alternatives. In longevity medicine, the goal is sustained benefit over years or decades — and that requires a therapy you can trust for the long haul.
Some clinics offer peptide “stacks” — combinations of multiple growth hormone peptides administered together for synergistic effect. While there’s theoretical logic behind some combinations, the clinical evidence supporting specific stacks is limited, and combining multiple peptides increases the complexity and unpredictability of treatment.
Luvo’s approach is different. Rather than stacking multiple growth hormone peptides, our longevity program combines Sermorelin with complementary therapies that work on entirely different pathways: NAD+ for cellular energy and DNA repair, and Vitamin B12/MIC for metabolic optimization. This creates true synergy without the risks of peptide polypharmacy.
The result is a protocol where each component has a clear, distinct role — and where the safety profile of each therapy is well-understood individually.
If you’re interested in growth hormone optimization, Sermorelin through Luvo’s longevity program offers the most clinically responsible path. Our providers will evaluate your health history, discuss your goals, and determine whether Sermorelin is appropriate for you.
Because Sermorelin’s effects develop gradually — optimal results typically emerge over 3-6 months of consistent use — it’s a therapy that rewards patience and commitment. The improvements in energy, body composition, and recovery are real, but they build over time rather than appearing overnight.
Learn more about Luvo’s Sermorelin therapy, or explore how it fits into the complete longevity program alongside NAD+ therapy and Vitamin B12/MIC.
If you’ve spent any time reading about longevity science, you’ve encountered NAD+. It’s arguably the most talked-about molecule in the aging research community — and for good reason. NAD+ (nicotinamide adenine dinucleotide) is involved in hundreds of metabolic reactions in every cell of your body. Without adequate NAD+, your cells can’t produce energy efficiently, repair damaged DNA, or activate the protective pathways that keep aging in check.
The problem is that NAD+ levels plummet as you age. By middle age, most people have roughly half the NAD+ they had in their twenties. This decline is now understood to be a key driver of age-related disease and functional deterioration — not just a consequence of it.
Luvo’s longevity program offers NAD+ therapy in three distinct delivery formats, giving patients flexibility to choose the method that fits their lifestyle and goals.
NAD+ is a coenzyme — a molecule that helps enzymes do their jobs. It participates in two broad categories of biological processes that are critical for aging.
First, energy metabolism. NAD+ is essential for converting the food you eat into cellular energy (ATP) through the mitochondrial electron transport chain. When NAD+ levels drop, mitochondrial function declines, and you feel it as fatigue, brain fog, and reduced physical stamina.
Second, cellular maintenance and repair. NAD+ activates a family of proteins called sirtuins (SIRT1-7), often called the “longevity genes.” Sirtuins regulate DNA repair, inflammation, mitochondrial biogenesis, and cellular stress responses. They’re essentially your cells’ maintenance crew — and they can’t work without NAD+ as fuel.
NAD+ is also consumed by PARP enzymes during DNA repair. As DNA damage accumulates with age, more NAD+ is diverted to repair, leaving less available for energy production and sirtuin activation. This creates a vicious cycle: aging causes NAD+ depletion, and NAD+ depletion accelerates aging.
Walk into any supplement store and you’ll find NAD+ precursors like NMN (nicotinamide mononucleotide) and NR (nicotinamide riboside) marketed as longevity supplements. While these precursors can modestly raise NAD+ levels, they face significant limitations.
Bioavailability is a major issue. Oral NAD+ precursors must survive the digestive system, be absorbed, and then be converted through multiple enzymatic steps into active NAD+. Each step involves loss. The actual amount of NAD+ that reaches your cells is a fraction of what’s on the label.
Quality control is another concern. The supplement industry is loosely regulated compared to prescription medications. Testing has repeatedly found that many NAD+ supplements contain less active ingredient than claimed, or contain contaminants.
This is why Luvo offers clinical-grade NAD+ therapy in formulations designed for superior delivery — not the same over-the-counter products you can buy at a health food store. Our NAD+ options include pharmaceutical-grade injection, oral liquid drops, and nasal spray, each with distinct absorption characteristics.
Luvo’s longevity program offers three ways to receive NAD+ therapy, each with specific advantages.
NAD+ injection delivers NAD+ directly into the bloodstream or subcutaneous tissue, bypassing the digestive system entirely. This provides the highest bioavailability of any delivery method. Injections are ideal for patients who want maximum cellular impact and are comfortable with self-injection. Many patients report feeling noticeable improvements in energy and mental clarity within days of starting.
NAD+ oral liquid drops offer a convenient, needle-free option. The liquid formulation is designed for sublingual absorption — held under the tongue where it can enter the bloodstream through the mucous membranes, partially bypassing digestive degradation. This method suits patients who want daily dosing simplicity.
NAD+ nasal spray delivers NAD+ through the nasal mucosa, which provides rapid absorption and potential advantages for brain-related benefits due to the proximity of the nasal passages to the central nervous system. Some research suggests intranasal delivery may support cognitive function more directly than other routes.
Your Luvo provider can recommend the delivery method — or combination of methods — best suited to your goals, whether that’s maximum systemic NAD+ restoration, cognitive focus, or lifestyle convenience.
NAD+ therapy affects people differently depending on their baseline levels, age, and overall health. However, patients commonly report improved energy levels and reduced fatigue, sharper mental clarity and reduced brain fog, better sleep quality, faster recovery from exercise, improved mood and reduced feelings of sluggishness, and a general sense of vitality and well-being.
These benefits typically emerge within the first few weeks of consistent therapy and continue to develop over months. NAD+ therapy is most effective as part of an ongoing protocol rather than a one-time treatment — which is why Luvo’s longevity program is designed for sustained use.
Explore Luvo’s NAD+ options: NAD+ injection, NAD+ oral liquid drops, and NAD+ nasal spray.
