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.
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
CompoundedSelective 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
CompoundedCombination protocol pairing testosterone restoration with daily-dose ED support — useful for men dealing with both vitality and erectile complaints together.
Anastrozole(Arimidex)
PrescriptionAromatase 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)
CompoundedTraditional injectable TRT for men with confirmed primary hypogonadism or where SERM-based protocols haven't produced clinical response. Sourced through our 503A pharmacy partner under Ryan Haight-compliant prescribing workflows.
Peptide therapy
Established GHRH peptides for recovery, body composition, and cellular performance — sourced through legitimate 503A compounding only.
How we approach it
Vektor focuses on the established peptide families with real clinical evidence — sermorelin and tesamorelin (GHRH-based), plus NAD+ and glutathione for cellular health. We deliberately do not prescribe research peptides, BPC-157, or TB-500 at launch — those sit in regulatory gray areas the FDA is actively reviewing, and a physician-led practice has no business gambling there. Peptide protocols are layered on top of hormone, sleep, and training work, not in place of it.
Protocols offered
Sermorelin
CompoundedGrowth 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.
Tesamorelin
CompoundedStronger GHRH analog with FDA approval for visceral adipose tissue reduction in HIV-associated lipodystrophy, and increasingly used off-label by metabolic clinicians for visceral fat and recovery support.
NAD+ injection
CompoundedNicotinamide 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
CompoundedLower-intensity option for daily NAD+ support without injections. Patients often pair it with periodic injectable loading.
Glutathione
CompoundedMaster 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)
CompoundedActive form of vitamin B12. Used for energy, methylation support, and red blood cell production — particularly in patients with low serum B12 or MTHFR considerations.
Methylene blue
PrescriptionMitochondrial-supporting compound studied for cognitive performance and oxidative stress. Prescribed selectively at low therapeutic doses, never alongside SSRIs without close monitoring.
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 compoundedWeekly 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
CompoundedDaily 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 compoundedDual 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
CompoundedDaily 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 brandedFDA-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.
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 compoundedTransdermal 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 compoundedOral 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)
CompoundedBioidentical 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
CompoundedCompounded combination estrogen creams (estradiol + estriol, optionally with estrone) used for vaginal and systemic symptoms. Preferred when fine dose adjustment matters.
PT-141 (bremelanotide)
CompoundedOn-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)
CompoundedTopical compounded blend used for arousal and clitoral sensitivity. Patient-applied as needed; reviewed for ingredient sensitivity before prescribing.
Sexual wellness for men
Sildenafil, tadalafil, vardenafil, 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 compoundedOn-demand PDE5 inhibitor. Fast onset, shorter half-life. The original ED treatment and still appropriate for many men.
Tadalafil(Cialis)
Branded or compoundedOn-demand or low-dose daily PDE5 inhibitor. Longer half-life makes it the choice when spontaneity matters; daily dosing also has urinary symptom benefits.
Vardenafil(Levitra)
Branded or compoundedAlternative PDE5 inhibitor — useful when sildenafil and tadalafil haven't worked or have caused side effects.
Combination protocols
CompoundedPDE5 + 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
Prescription5-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.
Oral minoxidil (low-dose)
CompoundedLow-dose (1.25–5mg) oral minoxidil — increasingly the standard of care for diffuse pattern hair loss. Different evidence profile from topical and often more effective.
Topical finasteride / minoxidil compounds
CompoundedCompounded scalp formulations combining finasteride, minoxidil, and supportive ingredients — designed to maintain efficacy with reduced systemic exposure.
Pro Hair Rx Spray
CompoundedCompounded prescription scalp spray combining standard hair-restoration agents with growth-supporting compounds. Used as an adjunct, not a replacement for the systemic protocol.
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
Vitamin D3 (high-dose)
CompoundedInjectable or oral high-dose vitamin D3 for documented insufficiency. Re-tested at 8–12 weeks to confirm response.
Lipo-C / MIC+B12 injections
CompoundedLipotropic 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
PrescriptionDehydroepiandrosterone — adrenal androgen precursor. Prescribed selectively in men and women with documented low DHEA-S and aligned symptoms; not given empirically.
Founding 100 — now open
Lock $149/mo Concierge for life.
Founding members get a permanent rate, quarterly check-ins with our medical director, and first access to peptide protocols as they go live. The cohort caps at 100. Anchored in the NJ/NY area; launching across all 50 states.
Reserve a founding spotEducational, 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.