Both therapies from one evaluation, at $199 less a month.

The Stack: NAD+ and sermorelin together, on one plan: $249 first month, then $349/month. Bought separately, the two are $548 a month. One evaluation, one physician decision, one bill.

Start your Stack evaluation $249 first monththen $349/month. Pay only if a physician approves.

Compounded NAD+ and compounded sermorelin, each under its own prescription, with physician review, supplies and shipping included.

Verify LegitScript Approval for kesbury.com

Physician-owned · LegitScript Certified · Prescriptions compounded by a licensed U.S. pharmacy · Care across 10 states, with more on the way

Illustration: two small clear glass vials side by side with silver caps and white labels with a green band, one reading NAD+ 1,000 mg total and one reading Sermorelin 9 mg total, on a light stone counter.
Medication
NAD+
Total in vial
1,000 mg total
Concentration
100 mg/mL
Vial
10 mL
Rx only
Medication
Sermorelin
Total in vial
9 mg total
Concentration
0.9 mg/mL
Vial
10 mL
Rx only
Illustrative packaging: two separate medications, two prescriptions in your name. Dispensing pharmacy packaging may vary. Not a depiction of a dose.
$249 first month
Then $349/month. Physician review, prescription, compounding, supplies and shipping included.
A physician decides
Every completed evaluation is read by a U.S. licensed physician. Not everyone is approved.
Every 90 days
The physician re-evaluates you before treatment continues.
10 states
Care across 10 states, with more on the way.

Who asks about Longevity Stack

The Stack is for people who already want both. The physician still decides on each.

You want both, and one process
One evaluation, one physician reading it, one monthly charge, rather than two of each.
You compared the prices
$548 for the two separately against $349 together. The saving is the whole reason the Stack exists.
You want one physician across both
One physician decides on both medications, with a re-evaluation of both about every 90 days.

One monthly price. Nothing hidden.

The monthly price includes physician review, your prescription, the compounded medication, injection supplies and shipping.

First month: $149 for NAD+ or sermorelin, $249 for both. Then $249 · $299 · $349 a month.

Sermorelin alone

Sermorelin Therapy

Growth-hormone signalling

First month
$149
Then
$249/month
How it’s taken
Small under-the-skin injection at home
How often
Nightly injection
Included
Physician review, prescription, compounding, supplies, shipping
Start your sermorelin evaluation
NAD+ alone

NAD+ Therapy

Cellular energy metabolism

First month
$149
Then
$299/month
How it’s taken
Small under-the-skin injection at home
How often
Three injections a week
Included
Physician review, prescription, compounding, supplies, shipping
Start your NAD+ evaluation
Best value · both

Longevity Stack

The Stack: NAD+ and sermorelin together

First month
$249
Then
$349/month
Separately
$548/month. $199 less.
Compared
Sermorelin plus a full NAD+ vial (1,000 mg a month) for $100 more a month.
How it’s taken
Small under-the-skin injections at home
How often
NAD+ 3×/week, sermorelin nightly
Included
Physician review, prescription, compounding, supplies, shipping
Start your Stack evaluation

Nothing is due when you submit. Your card is saved and charged only if the physician approves. Cancel anytime. Cancellation takes effect at the end of the current paid period. No proration.

Florida notice: THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.

Prefer to start with one? NAD+ or sermorelin on their own, at $149 for the first month.

How it works, including the parts where the answer is no

A physician sits in the middle of the process and can stop it.

  1. 01

    Start the online evaluation

    Two quick questions, your state, then the medical questions, one screen at a time. About 5 minutes.

    If an answer rules treatment out the preliminary safety screen tells you right away. The evaluation is not completed, so it does not go to a physician; your answers are kept on file, and no card is collected.

  2. 02

    Physician review

    A U.S. licensed physician reviews your evaluation and decides whether treatment is appropriate. Not everyone is approved, and you will hear back either way.

    If you want to talk first You can ask the physician to speak with you before anything is approved or charged. Approval waits until that conversation has happened.

  3. 03

    Approval and charge

    Nothing is due when you submit. Your card is saved and charged only if the physician approves. If you are not approved, you are not charged.

  4. 04

    ID check, then the pharmacy

    A secure link to upload a photo ID; a person checks it before anything ships. Your prescription then goes to the licensed pharmacy, which compounds it for you.

  5. 05

    Delivered, then followed up

    Medication ships cold-chain from the licensed pharmacy. Refrigerate it as soon as it arrives. About 30 days in, you receive a text with a short check-in questionnaire. About every 90 days, the physician re-evaluates you with a more detailed one before treatment continues.

Start your Stack evaluation → Read the full process

★★★★★

“Kesbury made the process incredibly convenient. I didn’t have to rearrange my schedule around appointments or make unnecessary trips, and getting started was straightforward from beginning to end.”

AndrewSermorelin patient · Miami

Shared with permission. Individual experiences may vary. More from patients.

What the Stack is, and what it is not

NAD+ is a coenzyme your cells use in energy metabolism; sermorelin is a growth-hormone-releasing hormone analogue that acts on the pituitary. They are two separate compounded medications, taken on their own schedules: NAD+ three times a week in the day, sermorelin nightly before bed.

The Stack is a price and a process, not a claim that the two do more together. A U.S. licensed physician decides on both medications after reading your evaluation. If the Stack is not appropriate for you, you are not charged for it.

Both are compounded by a licensed U.S. compounding pharmacy when prescribed. Compounded medications are not FDA-approved.

How it is taken: Two small subcutaneous injections on their own schedules: NAD+ three times a week in the day, sermorelin nightly before bed. Both prescriptions carry the physician’s instructions.

One decision

The physician reviews your case once and decides on both medications.

Two prescriptions

Each carries its own dose and instructions. You follow each one.

$199 less a month

$548 separately, $349 as the Stack. $249 for the first month.

What arrives at your door

Two prescriptions in your name, compounded for you and shipped cold-chain by the dispensing pharmacy.

  1. Compounded NAD+ and compounded sermorelin, each dispensed under its own prescription
  2. Syringes and alcohol swabs for both
  3. Both prescriptions with the physician’s instructions

Medication ships cold-chain from the licensed pharmacy. Refrigerate it as soon as it arrives. Your prescription carries the physician’s dose and titration instructions. You follow them at home. Read the injection guide.

Safety, said plainly

Common and usually mild

  • The same mild, usually short-lived injection-site effects as each therapy on its own
  • Brief flushing or warmth after the NAD+ injection
  • Mild early headache or site reactions as your body adjusts to sermorelin

What the physician does about it

  • A U.S. licensed physician reads your history against both medications before prescribing either
  • Both are compounded by a licensed U.S. compounding pharmacy
  • Each prescription carries its own dose and instructions
  • About every 90 days the physician re-evaluates you before treatment continues
  • You can message through the secure patient portal. Kesbury Health is not an emergency service. If you think you are having an emergency, call 911.

This is general information, not a complete list of risks. The physician reviews the side effects and contraindications specific to you. Kesbury Health is not an emergency service. If you think you are having an emergency, call 911. Individual results vary; no outcome is promised.

Longevity Stack questions

What is included in the Stack?

Physician review, both prescriptions, compounded NAD+ and compounded sermorelin, syringes and alcohol swabs, and shipping, for $349 a month after a $249 first month.

Do I inject both at the same time?

No. NAD+ is taken in the day, three times a week; sermorelin is taken nightly before bed. Each prescription carries its own instructions.

Why is the Stack less than buying both separately?

One evaluation, one physician decision and one bill cost less to run than two of each, and that saving is priced in: $349 instead of $548.

Can I later switch to one therapy?

Cancel anytime. Cancellation takes effect at the end of the current paid period. No proration. If you want to continue with one therapy on its own, email [email protected] and we will tell you what the physician recommends and how billing changes.

Is combining the two right for everyone?

No. Every prescription requires physician approval, and some histories rule one or both out. The evaluation tells you right away if one of yours does.

Can I add the Longevity Lab Panel to the Stack?

Labs are optional. If you add the $129 Longevity Lab Panel, it is charged with your first month only if a physician approves. The Quest Diagnostics draw is included.

All questions, on one page

Reference material and sources

Find out whether the Stack is appropriate for you.

Start the online evaluation. Nothing is due when you submit, and nothing is charged unless a physician approves.

Start your Stack evaluation

Your evaluation is reviewed by a licensed physician. Submitting an evaluation does not guarantee treatment or a prescription.