Skip to main content
vektor.health

Treatments

What we treat — protocols designed by physicians, fulfilled by U.S. pharmacy partners.

Hormones, peptides, GLP-1, and metabolic care — the categories we've built the practice around. Every protocol below is either FDA-approved branded medication or compounded through a U.S. 503A pharmacy. No gray-market sourcing, no research peptides, no guesswork.

Reserve · 10% off for lifeRead the journal

On this page

Hormone optimization for men

Restoring energy, body composition, and drive — starting with the body's own machinery.

How we approach it

Most men in our practice begin on an enclomiphene-led protocol. It stimulates the body's own LH and testosterone production rather than replacing it, so endogenous function and fertility are typically preserved. We confirm a real diagnosis with morning labs (free + total testosterone, SHBG, LH/FSH, estradiol, prolactin) before any prescription is written. For men where enclomiphene isn't the right fit, we partner with a U.S. 503A pharmacy that supplies compounded testosterone cypionate under proper Ryan Haight-compliant clinical workflows.

Protocols offered

  • Enclomiphene citrate

    Compounded

    Selective estrogen receptor modulator that signals the pituitary to release more LH and FSH, raising endogenous testosterone. Typically the first-line option when fertility matters or testosterone is borderline-low.

  • Enclomiphene + tadalafil

    Compounded

    Combination protocol pairing testosterone restoration with daily-dose ED support — useful for men dealing with both vitality and erectile complaints together.

  • Anastrozole(Arimidex)

    Prescription

    Aromatase inhibitor used selectively when estradiol rises out of the optimal range during testosterone protocols. Dosed conservatively and only when labs justify it.

  • Testosterone cypionate (compounded)

    Compounded

    Standard injectable TRT — fully on the menu, fulfilled directly through our 503A pharmacy partner under Ryan Haight-compliant prescribing workflows. Available in MCT or grapeseed-oil carrier; weekly or twice-weekly dosing depending on your clinician's protocol.

  • Testosterone cream

    Compounded

    Compounded transdermal testosterone for men who can't or don't want to inject. Daily application; absorption varies more than injectable, so labs at week 6–8 confirm response and dose adjustment if needed.

  • HCG (human chorionic gonadotropin)

    Prescription

    The classic adjunct for preserving testicular volume and fertility during testosterone therapy — and an alternative on-ramp for men prioritizing natural production. Reconstituted injectable kit, dosed two to three times weekly alongside your primary protocol.

  • Oral testosterone undecanoate(Kyzatrex)

    FDA-approved branded

    FDA-approved oral testosterone for men who want needle-free TRT without the absorption variability of creams. Taken twice daily with food; labs at week 6–8 confirm response, as with every testosterone protocol we run.

Go deeper: Enclomiphene vs TRT: A Sports-Medicine Perspective →

Peptide therapy

GH-releasing, regenerative, and cellular-health peptides — full menu, sourced through a U.S. 503A pharmacy partner with deep peptide compounding capability.

How we approach it

Vektor offers a full peptide menu through our 503A pharmacy partner — the GHRH and GHRP families for sleep, recovery, and body composition; the regenerative peptides (BPC-157, TB-500) for tissue healing and gut repair; and the supporting cellular-health protocols (NAD+, glutathione, GHK-Cu). Every peptide protocol is paired with the hormone, sleep, and training work that makes it actually move the needle — peptides on their own are not a shortcut. Availability of any specific compound is subject to the current FDA 503A regulatory posture, which your physician will walk through during your consultation.

Protocols offered

  • Sermorelin

    Compounded

    Growth hormone-releasing hormone (GHRH) analog. Stimulates the pituitary to release the body's own growth hormone in a natural pulsatile pattern — versus exogenous HGH, which suppresses endogenous production. Used for sleep quality, body composition, and recovery. Available as injectable or sublingual troche (the troche ships to states where the injectable can't).

  • CJC-1295 / Ipamorelin

    Compounded

    Combination GHRH + GHRP protocol — the workhorse of peptide therapy. CJC-1295 extends GHRH signaling; Ipamorelin selectively triggers growth hormone release without spiking cortisol or prolactin. Most patients use this for deep sleep, lean body composition, and recovery from training.

  • Tesamorelin(Egrifta)

    Branded or compounded

    Stronger GHRH analog with FDA approval for visceral adipose tissue reduction in HIV-associated lipodystrophy. Used off-label by metabolic clinicians for visceral fat reduction, glycemic control, and recovery support.

  • BPC-157

    Compounded

    Body Protective Compound — a peptide derived from gastric juice with a strong evidence base for tissue repair, gut barrier integrity, and accelerated recovery from soft-tissue injury. Used in cycles, not continuously. Available as premixed injectable or oral capsule — the oral route is preferred for gut-focused protocols.

  • TB-500 (Thymosin Beta-4)

    Compounded

    Systemic tissue-repair peptide, used standalone for patients who need recovery support without BPC-157's gut emphasis — typically post-injury or around intensive training blocks. Premixed injectable, dosed once or twice weekly in cycles.

  • BPC-157 / TB-500 combo

    Compounded

    Combination injectable pairing BPC-157 with Thymosin Beta-4 (TB-500) for systemic tissue repair and recovery — particularly useful around training blocks or post-injury rehabilitation. Reviewed for indication and dosed by cycle.

  • BPC-157 / TB-500 / GHK-Cu triple

    Compounded

    Three-peptide regenerative blend combining tissue-repair signaling (BPC-157 + TB-500) with GHK-Cu's remodeling and collagen-support activity. Used in structured cycles for post-surgical or post-injury recovery, or alongside concentrated training blocks.

  • GHK-Cu (copper peptide)

    Compounded

    Copper tripeptide with research support for skin remodeling, hair restoration adjunct, and wound healing. Available injectable or topical depending on indication.

  • NAD+ injection

    Compounded

    Nicotinamide adenine dinucleotide — the cellular cofactor central to mitochondrial energy production and DNA repair. Injectable form gives the most reliable bioavailability; protocols typically run as a loading phase followed by maintenance.

  • NAD+ nasal spray

    Compounded

    Lower-intensity option for daily NAD+ support without injections. Patients often pair it with periodic injectable loading.

  • Glutathione

    Compounded

    Master antioxidant supporting detoxification pathways, oxidative stress management, and recovery. Available as injectable, oral capsule, or nasal spray depending on absorption and lifestyle preference.

  • Methylcobalamin (B12)

    Compounded

    Active form of vitamin B12. Used for energy, methylation support, and red blood cell production — particularly in patients with low serum B12 or MTHFR considerations.

Note: We do not prescribe research peptides like retatrutide, cagrilintide, or other compounds that haven't cleared FDA Phase II/III trials. Compounded availability of established peptides (BPC-157, TB-500, CJC, Ipamorelin, GHK-Cu) is subject to the current 503A regulatory posture and may be limited to specific clinical indications — your physician will discuss what's available and appropriate during your consultation.

GLP-1 weight & metabolic care

Semaglutide and tirzepatide protocols — branded or compounded where the 503A pathway permits — built into a real metabolic plan, not a quiz.

How we approach it

GLP-1 medications work, the data is clear, and they belong in the right patient's protocol. Vektor treats GLP-1 as one tool inside a broader metabolic plan — labs (A1C, lipids, CMP, TSH, fasting insulin), training and sleep coaching, and dose titration with a physician you can message directly. Patients can choose branded FDA-approved options or, where the FDA 503A pathway permits, a compounded option fulfilled by our LegitScript-certified U.S. pharmacy partner.

Protocols offered

  • Semaglutide injection(Wegovy, Ozempic)

    Branded or compounded

    Weekly GLP-1 receptor agonist. Slows gastric emptying, increases satiety, and improves insulin sensitivity. Branded and compounded options available depending on your goals and the current 503A regulatory posture.

  • Semaglutide sublingual

    Compounded

    Daily oral troche option for patients who can't tolerate injections or are titrating in. Bioavailability is lower than injectable, but useful as an entry-point or maintenance format.

  • Tirzepatide injection(Zepbound, Mounjaro)

    Branded or compounded

    Dual GLP-1 + GIP receptor agonist with stronger weight-reduction data than semaglutide. Branded FDA-approved formulations are the primary path; compounded options are protocol-by-protocol depending on current FDA posture.

  • Tirzepatide sublingual

    Compounded

    Daily oral option. Same caveats as semaglutide sublingual — useful as a bridge but not a substitute for the injectable for most patients.

  • Branded — Wegovy / Zepbound / Ozempic / Mounjaro

    FDA-approved branded

    FDA-approved branded GLP-1s shipped from the manufacturer. Cash-pay pricing applies; insurance coverage continues to improve for weight indications but is not yet consistent.

Note: Compounded GLP-1 access depends on FDA 503A posture, which has been actively evolving since 2024. Your physician will walk through what is and isn't available at the time of your protocol design — nothing is promised before that conversation.
Go deeper: GLP-1 Telehealth in NJ & NY: A 2026 Buyer's Guide →

Hormone optimization for women

Perimenopause, menopause, and sexual wellness care — bioidentical hormones with proper labs and clinical follow-up.

How we approach it

Women's hormone care at Vektor centers on bioidentical hormone therapy for perimenopause and menopause: estradiol delivered via gel, patch, or cream and progesterone where indicated, with labs reviewed line by line. We don't do the “testosterone for women” marketing pivot some clinics push without lab justification — if free testosterone is genuinely low and symptoms align, we'll discuss it; otherwise we don't. Sexual wellness protocols are offered as a separate thread.

Protocols offered

  • Estradiol — gel, patch, cream

    Branded or compounded

    Transdermal bioidentical estradiol for perimenopausal and menopausal symptoms — vasomotor symptoms, sleep disruption, mood, and bone health support. Delivery format chosen to fit your schedule and dose precision needs.

  • Estradiol — oral tablet

    Branded or compounded

    Oral bioidentical estradiol when transdermal isn't a fit. Discussed with your physician given the differing risk profile for oral vs transdermal in your specific history.

  • Progesterone (oral or topical)

    Compounded

    Bioidentical progesterone, used in cycled or continuous regimens for endometrial protection in women with a uterus, and sometimes for sleep and mood support on its own.

  • Biest / Triest creams

    Compounded

    Compounded combination estrogen creams (estradiol + estriol, optionally with estrone) used for vaginal and systemic symptoms. Preferred when fine dose adjustment matters.

  • PT-141 (bremelanotide)

    Compounded

    On-demand injectable for women with hypoactive sexual desire disorder. Acts on melanocortin receptors in the central nervous system rather than peripherally — different mechanism from anything else on the market.

  • Scream cream (compounded)

    Compounded

    Topical compounded blend used for arousal and clitoral sensitivity. Patient-applied as needed; reviewed for ingredient sensitivity before prescribing.

  • Liothyronine (T3) / T3-T4 thyroid support

    Compounded

    Sustained-release compounded T3, alone or combined with T4, for patients with persistent hypothyroid symptoms despite normal-range TSH — always driven by a full thyroid panel (TSH, free T3, free T4, antibodies), never prescribed empirically.

Sexual wellness for men

Sildenafil, tadalafil, and combination protocols — straightforward when that's all that's needed, and not a substitute for a hormone workup when it isn't.

How we approach it

ED is sometimes a vascular question and sometimes a hormone question. Vektor screens both. If your case is clearly the former, we treat it directly with first-line PDE5 inhibitors. If it's the latter, we treat the hormone picture first — PDE5s won't do the work if testosterone, sleep, or vascular health is the actual driver.

Protocols offered

  • Sildenafil(Viagra)

    Branded or compounded

    On-demand PDE5 inhibitor. Fast onset, shorter half-life. The original ED treatment and still appropriate for many men.

  • Tadalafil(Cialis)

    Branded or compounded

    On-demand or low-dose daily PDE5 inhibitor. Longer half-life makes it the choice when spontaneity matters; daily dosing also has urinary symptom benefits.

  • Combination protocols

    Compounded

    PDE5 + supplementary agents in a single compounded formulation for men who've had partial response to monotherapy. Reviewed and dosed individually.

Hair restoration

Finasteride, low-dose oral minoxidil, and topical compounds — used in combination because that's how the data works.

How we approach it

Hair loss is a long horizon. Vektor builds protocols you'll actually stay on for 12+ months — usually a finasteride-and-minoxidil backbone with a topical compound layered in for synergy. We monitor for the small subset of patients who experience side effects on finasteride, and have alternatives if that's you.

Protocols offered

  • Finasteride

    Prescription

    5-alpha-reductase inhibitor. Reduces DHT, the hormone driving male-pattern hair loss. The most evidence-backed oral option — discussed with full informed consent on side-effect risk.

  • Topical finasteride / minoxidil compounds

    Compounded

    Compounded scalp formulations combining finasteride, minoxidil, and supportive ingredients — designed to maintain efficacy with reduced systemic exposure.

Adjunct wellness

Vitamin and lipotropic protocols layered onto the primary plan — not standalone “wellness” theater.

How we approach it

These aren't the headline of any of our protocols, but they matter. Adjunct injectables and oral supplements address specific deficiencies surfaced on labs — D, B12, methylation cofactors — and in some cases support body composition or mitochondrial work the peptide and GLP-1 protocols are doing.

Protocols offered

  • Lipo-C / MIC+B12 injections

    Compounded

    Lipotropic injectable combining methionine, inositol, choline, and B12 — used for body-composition support alongside GLP-1 and metabolic protocols, not as a standalone weight-loss claim.

  • DHEA

    Prescription

    Dehydroepiandrosterone — adrenal androgen precursor. Prescribed selectively in men and women with documented low DHEA-S and aligned symptoms; not given empirically.

  • Low-dose naltrexone (LDN)

    Compounded

    Naltrexone compounded at a fraction of its standard dose (0.5–4.5mg, taken at bedtime), used off-label for inflammation modulation, autoimmune-adjacent symptoms, and sleep quality. A different tool from full-dose naltrexone; reviewed carefully against your medication list.

Deep dives

Protocol-specific guides

Per-protocol pages with mechanism, dosing, who it fits, what to expect, and how Vektor handles sourcing. Same editorial voice as the rest of the site.

Founding 100 — now open

Lock 10% off every protocol — for life.

No annual membership fee. Founding members lock a permanent 10% discount on every protocol, plus first access to new peptide and hormone protocols as they go live. The cohort caps at 100. Anchored in the NJ/NY area; launching across all 50 states.

Reserve · 10% off for life

Educational, not medical advice. The protocols above are described in general terms. Individual treatment plans are designed during your physician consultation based on labs, history, and goals. Vektor Health is a private physician-led telehealth practice; care is delivered by U.S.-licensed clinicians in the patient's state of residence.