ASRX.LIFE — Start Your Protocol

Getting Started

Find out if ASRX.LIFE is right for you.

Complete this short intake to determine whether you qualify for a personalized physician-supervised peptide protocol.

What are your current health goals? *

Weight Loss

Fitness & Performance

Hormone Replacement Therapy

Health & Wellness

Cognitive Function

Sleep Support

Sexual Health

Hair Loss

Other

Lifestyle Assessment

Tell us about your lifestyle.

This helps your physician build the most effective protocol around your current habits.

How is your current diet? *

1. Excellent — High protein, minimal processed foods

2. Good — Mostly whole foods, occasional processed

3. Average — Mix of healthy and processed foods

4. Not great — Frequent processed foods

5. Terrible — Fast food most days

How is your exercise regimen? *

1. Excellent — Resistance training 4-5x/week + cardio

2. Good — Training 2-3x/week + cardio most days

3. Average — Exercise 1-2x/week

4. Not great — Rarely exercise

5. Do not exercise

How would you rate your sleep? *

1. Excellent — Fall asleep easily, wake refreshed

2. Good — Sleep well, occasionally tired

3. Average — Inconsistent, not always rested

4. Poor — Struggle to sleep, often fatigued

5. Terrible — Rarely get quality sleep

Have you used peptides or hormone therapy before? *

Never — This would be my first time

Researching — Looking into it, haven't started

Some experience — Used 1-2 compounds

Experienced — Multiple protocols/cycles

Pricing

Transparent pricing.

No hidden fees. Here's what to expect.

Physician consultation$199

Comprehensive blood work$199

Treatments / PrescriptionsVaries by protocol

Would you like an in-home lab kit sent to you? ($199) *

A baseline lab panel helps your physician build the most effective protocol. Kit ships to your door — no clinic visit.

Yes, send me a kit

No, I have recent labs

Your Information

Tell us about yourself.

Your information is encrypted and never shared without consent.

First name *

Middle

Last name *

Date of birth *

Phone *

Email *

Preferred contact *

Gender *

Male

Female

Street address *

Street address line 2

City *

State *

Zip code *

Final Step

Almost there.

A couple last things before we review your intake.

How did you hear about ASRX.LIFE?

Anything else you'd like us to know?