
Nx Protocol
Vitality
Help bring back sexual desire and enjoyment when testing confirms low hormone levels, with a treatment routine tailored to you.
Physician-designed protocolstailored to you.Nationwide physician-designed protocols tailored to you.
Answer a few questions. Find treatments for your goals.
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Start HereYour care, your way
Start with what matters to you. Get to know your options and the care behind them.
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Selected for discovery
Explore a few starting points across weight care, men’s and women’s health, energy, and recovery.
2 products
Treatment depends on your health history, state, and a clinician’s evaluation.
The Nirvanix community
A few words from the people who know us best.
Weight management
85%
Lost at least 5% of their weight with tirzepatide injections.[1]
Hormone balance
87%
Reached normal testosterone levels with adjusted-dose testosterone gel.[2]
Sexual health
84.5%
Reported improved erections with daily tadalafil.[3]
Results from separate studies of specific doses and formulations, not Nirvanix patient results. Findings may not apply to compounded preparations; individual outcomes vary.
5 mg tirzepatide injected weekly for 72 weeks: 85% achieved at least 5% weight reduction, versus 35% with placebo. Both groups received lifestyle support. SURMOUNT-1 enrolled 2,539 adults with obesity or overweight and a weight-related condition, without diabetes. The treatment-regimen result does not establish outcomes for unspecified low doses, oral troches, compounds, or NAD+ combinations.
SURMOUNT-1 · NEJM, 2022 (opens in a new tab)At day 180, 87% of 129 appropriately titrated men with hypogonadism and sufficient data had average serum testosterone within the normal range. AndroGel 1%, 50–100 mg daily; an active-comparator study, not a placebo response estimate. Normalization is a laboratory endpoint, not proof of symptom improvement or identical results with compounded cream or cypionate injections.
AndroGel 1% · Clinical studies, section 14.1 (opens in a new tab)5 mg oral tadalafil tablets daily for 12 weeks: 84.5% reported improved erections versus 28.3% with placebo. The trial enrolled 268 men with erectile dysfunction, including 109 assigned to 5 mg and 54 to placebo. A patient-reported endpoint, not a cure rate or evidence for a compounded combination, different dose, or formulation.
Daily tadalafil · European Urology, 2006 (opens in a new tab)How we work
Choose a treatment and complete its assessment when enrollment is available.
Review your options, including any labs or video visit needed for a decision.
If prescribed, begin treatment and stay connected through your patient portal.

Personal care.
Part of your everyday.
The people behind Nirvanix
Meet our founder and members of the Nirvanix clinical team. Your online clinician is assigned according to your treatment and state.

Founder
A board-certified emergency medicine physician who founded Nirvanix Health in Austin.

Physician Assistant
A physician assistant with experience in emergency medicine and a focus on listening to patient concerns.

Registered Nurse
A registered nurse with experience in emergency medicine and mental health.
Start with the health goal you want to discuss. Our By Need pages explain relevant options and compare ingredients, forms, and prices. The care finder can help narrow your starting point. You do not need to decide on a medication before speaking with a clinician.
Choose your option on its treatment page, then select Start assessment. Follow the account prompts within that assessment so your treatment stays selected. Returning patients use their existing care-account email. New patients follow the enrollment instructions shown for that option; if enrollment is not open, contact our team for help.
Availability depends on the treatment and the state where you will physically be during care. Check your service and state before starting. A product listing does not confirm eligibility; if enrollment is unavailable, our team can help you understand the next step.
Medical consultation and shipping are included with every treatment. The starting price helps you compare treatments. For a plan billed every few months, the monthly figure is an equivalent rounded up to a whole dollar; the exact full amount and actual billing interval appear beneath it. Open Billing details on the treatment page for renewal terms. Lab or other charges may be separate. Review your billing terms and final total before paying.
Go to Austin Clinic and select Book Austin clinic or the booking button for the service you want. Local appointments open in Boulevard. Online treatment assessments and the GenHealth care account are separate from clinic booking. If you are unsure which local service fits, start with an in-person consultation.
Start with what matters to you.