
Semaglutide Program
The most studied GLP-1, titrated slowly with labs, messaging and monthly reviews included.
For guests who have done a NAD+ infusion series and want to hold the line between visits. Small subcutaneous doses two or three times a week, shipped monthly.
01
A full metabolic panel, thyroid, A1c and lipids, plus a real conversation about what you have already tried and what went wrong.
02
If the therapy suits you, your provider writes the starting dose and a titration schedule. If it does not, we say so and refund the consult.
03
Monthly check-ins, unlimited messaging and dose adjustments as your body responds. Refills ship straight to you on your schedule.
The mechanism, in plain terms — including where the evidence is strong and where it is not.
Subcutaneous dosing gives a lower, slower peak than infusion — less flushing and chest tightness, less intensity, far more practical between visits.
Cells recycle NAD+ continuously through the salvage pathway. Smaller frequent doses fit that turnover better than one large monthly load.
The mechanistic case is strong and the long-term outcome data is not there yet. That is true for every route.
Labs are drawn first and reviewed by your provider before anything is prescribed. Bring current medications, supplements and any prior weight or treatment history.
Your first injection is taught in person. The dose itself takes seconds; the teaching visit takes about twenty minutes, including what to do about side effects.
Message your provider at any point. Check-ins are monthly, doses escalate no faster than every four weeks, and labs repeat at week twelve.
Subcutaneous NAD+ avoids the flushing and chest tightness of a fast infusion but shares the same limited long-term evidence base. Injection-site redness is common and self-limiting. We teach the first dose in person rather than by video.
Screened for contraindications at every visit. Not intended to diagnose, treat, cure or prevent any disease. Speak with your provider if you are pregnant, nursing, or managing kidney, liver or cardiac conditions.
Real reviews from real visits. Read more

Farima was both extremely professional as well as competent and caring. They spent a lot of time with us, catering exactly what we needed medically and whole body wellness wise as well. They got here on time and on a weekend - it really made us feel cared for in a way we wouldn't at an urgent care or after hours at the ER. Totally worth the money - which was extremely affordable compared to clinics, etc and we had the added benefit of not having to leave the house! We definitely recommend!!!

Truly a wonderful experience! They were professional, friendly and knowledgeable. I learned a lot and feel so much better. Will definitely use them again!

Farima is truly the best. As someone with a chronic illness who needs IVs regularly, it can be really difficult to find nurses who are both skilled and genuinely caring. They always make me feel comfortable, listened to, and cared for the entire time. They are incredibly gentle, always get my veins easily, and make sure everything is done perfectly and professionally. You can tell they truly care about their patients and want the experience to be as stress-free as possible. I'm so grateful for their kindness, patience, and expertise!! I would recommend them to anybody who Is looking for a great IV experience 😊
Yes — always, for any prescription therapy. We arrange a draw at your home or a lab near you, and results are usually back within three business days.
Nausea, early fullness and constipation are the common ones with GLP-1s, and they are usually dose-related. Slow titration is the main defence, which is why we do not rush it.
The monthly program fee covers your provider, labs review, titration, unlimited messaging and check-ins. Medication is billed separately and varies by dose.
Weight regain is common after stopping GLP-1s without a maintenance plan. Your provider will build one with you before you taper — that conversation is part of the program.
IV first for a loading dose, injections to hold it.
Slower injection and a smaller dose keep the flush down.

The most studied GLP-1, titrated slowly with labs, messaging and monthly reviews included.

Dual-agonist therapy for patients who need more than a GLP-1 alone, with the same managed wrapper.

A growth-hormone-releasing peptide taken nightly — for sleep quality, body composition and recovery.
One monthly credit toward any drip, member pricing on every add-on and program, and priority same-day booking anywhere we serve. Pause any month; cancel any time.
Typical course; individual results vary and the provider adjusts at each check-in.
Compounded for your prescription by an state-licensed 503A pharmacy in the United States, with each batch tested by an independent lab for potency and sterility, shipped overnight in refrigerated packaging, labeled with your dose. NAD+ is not FDA-approved as a treatment; compounded by prescription; we say so plainly.
We accept HSA and FSA cards. We do not bill insurance; an itemized receipt (superbill) is provided for reimbursement.
We cite the research we rely on and say when evidence is early. Selected studies:
NAD+ is a prescription medication dispensed only after evaluation by a licensed provider. Common side effects: flushing and nausea if given too fast; injection sting. Do not use if pregnant or breastfeeding, with an active cancer, or without disclosing all medications and conditions. Stop and contact your provider for any severe or unexpected reaction; for an emergency call 911. This page is general information, not medical advice, and not a promise of results.

NAD+ is the coenzyme cells use to turn food into energy and to run DNA repair. Levels fall by about half between 20 and 60. Shipped self-injections deliver a smaller, steadier dose than an IV.
Moderate. Human studies confirm NAD+ decline with age and that supplementation raises levels; outcome trials for energy and aging are early.

Here is how the visit usually feels, from the chair to the next morning.
Not for pregnancy or breastfeeding, or active cancer without oncologist sign-off. Flushing, nausea, headache if injected fast.
Monthly provider check-in.
The Zen IV Difference

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