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At Home Wellness › Healthy Aging

Hormones · Sexual Wellness · Longevity · Labs

Healthy aging, handled properly.

For people who stay active and intend to keep it that way. Hormone therapy, sexual wellness, longevity medicine and the labs to see where you stand, prescribed by licensed physicians online, with a nurse who can explain it at your kitchen table.

A couple in their sixties walking barefoot along the beach at sunset

Proactive, not reactive

Some of the most meaningful opportunities in healthcare happen before a problem becomes a crisis.

Most of my career was spent on the reactive side: surgery, recovery rooms, cardiology. The people who did best were the ones who'd been paying attention for years. This page is for paying attention: a baseline, a physician's judgment, and treatment only where it's appropriate.

01

A baseline

Labs that show where you stand

02

A physician visit

By video or phone

03

Only where appropriate

Treatment, if the physician agrees

04

Ongoing visits

Monitored, adjusted, explained

Every service here is prescribed by a licensed physician through Heally Health, only when medically appropriate, and monitored with ongoing visits.

01 · Hormone therapy

Hormones, after the labs, not before.

Hormone therapy starts with lab testing and a physician visit. Nobody here prescribes from a questionnaire.

How it starts

01

Lab testing

A baseline before anything is prescribed

02

Physician visit

Video or phone, through Heally Health

03

A monitored plan

Only where it is appropriate

04

Ongoing visits

Reviewed and adjusted over time

Hormone therapy is prescribed only after lab testing and a physician evaluation, and is monitored with ongoing visits.

01

Testosterone replacement therapy

For men

For men with low testosterone and the symptoms that come with it: low energy, lost muscle, low mood. A physician evaluation, labs, and a monitored plan.

$249

first month, then $149 / mo

3 months $450

02

Enclomiphene

For men · Labs included

A daily oral option that supports the body's own testosterone production, for men who want to preserve fertility. Labs included.

$129

per month, labs included

3 months $349

03

Hormone therapy for menopause and perimenopause

For women

For fatigue, brain fog, weight changes, mood shifts, low libido, hot flashes and sleep. A consultation, comprehensive labs, a follow-up to review them, and a personalized plan that may include estrogen, progesterone or testosterone.

$349

first visit, then $99 / mo

02 · Sexual wellness

Plainly handled, by a physician.

For men and women. Discreet, online, delivered. If you'd rather talk it through with a nurse first, call me.

01

Triple Action Performance Blend

For men · Dissolvable tablet

Tadalafil for blood flow, PT-141 for desire, and oxytocin for connection, in one dissolvable tablet.

$149

per month

2 months $249 · 3 months $299

02

Daily tadalafil

For men · Daily

A low daily dose that supports erectile function and healthy blood flow, and is also used for urinary symptoms from an enlarged prostate.

$99

per month

2 months $150

03

Oxytocin nasal spray

Men and women · Nasal spray

Sometimes called the connection hormone. Prescribed for mood, stress and intimacy, for men and women.

$149

per month

3 months $349

Inside the Triple Action blend

Three actions, one dissolvable tablet.

Tadalafil

for blood flow

PT-141

for desire

Oxytocin

for connection

Tadalafil, PT-141 and oxytocin only. Prescribed by a licensed physician when appropriate.

03 · Longevity medicine

The longevity shelf, explained in English.

Each is a monthly subscription that includes a physician visit and medication, cancel any time. Injections can be taught or given at home as a nursing visit.

NameFormEnergyRepairSleepCognitionAntioxidantMonthly
01

NAD+

A coenzyme your cells use to make energy and repair DNA; levels fall with age.

Spray or injection

$199 / mo

2 months $349 · 3 months $499

02

Glutathione

The body's main antioxidant, replenished directly.

Spray or injection

$125 / mo

2 months $199

03

Sermorelin

Supports your body's own growth hormone production, which matters for sleep, recovery and lean mass.

Injection or sublingual

$199 / mo

2 months $349

04

B12 injection

Weekly B12 for energy, red blood cells and nerve health, especially if you're low or absorb it poorly.

Weekly injection

$125 / mo

2 months $175

05

Methylene blue

An old compound with new interest for cognition and cellular energy. Low dose, physician-set.

Low dose

$149 / mo

3 months $299

06

Rapamycin

The most-studied molecule in longevity research, taken once a week at a low dose. Prescribed off-label with labs where indicated.

Weekly capsule

$99 / mo

3 months $249

What it is used to support, per the descriptionNot a focus

Your physician decides what, if anything, is appropriate.

NAD+, glutathione, sermorelin, methylene blue, rapamycin, oxytocin and PT-141 are not FDA-approved for the prevention or treatment of any disease and are prescribed off-label at a physician's discretion.

Compounded medications are prepared by licensed pharmacies and are not FDA-approved. They have not been reviewed by the FDA for safety, effectiveness, or quality. Your provider prescribes a compounded medication only when it is clinically appropriate for you.

Not sure where to begin? Book a Consultation

04 · Know where you stand

A baseline is the most proactive thing you can buy.

Results are reviewed with a physician. I'm happy to go through them with you afterwards, in plain English.

6

tests to choose from

3

sample types: blood, urine, stool

1

physician review, every time

Lab draws are available where our lab network operates and are confirmed at booking.

The Galleri test is not FDA-approved. It is intended to complement, not replace, standard cancer screening.

01

Super Human Labs

Blood

Lipids, hormones, thyroid, comprehensive metabolic panel, A1c, insulin and more. The starting point for weight, hormone and longevity care.

$199

one blood draw

02

DUTCH hormone test

Urine

A urine test that maps adrenal and sex hormones and how your body processes them.

$449

03

Methylation health panel

Panel

Genetic variations and nutrient status that affect energy, detoxification and mood, reviewed by a physician.

$549

04

GI Effects comprehensive profile

Stool

A stool analysis of digestion, absorption, inflammation and the microbiome.

$549

05

GI Effects + Microbiomix

Stool

The same profile with DNA sequencing of the specific bacteria and fungi in your gut.

$949

06

Galleri by GRAIL

Blood

A blood test that looks for signals of more than 50 cancers. Requires a physician's order and follow-up.

$1,095

see note below

A nurse and an older woman sharing iced tea on a sunlit porch at the Shore

At home · The nursing part

Injections taught, or given, at your kitchen table.

Several of these are injections. If you'd rather not learn from a leaflet, I'll come to the house, we'll do the first one together, and you'll know exactly what you're doing by the second. Medication setup and a check on everything else you take can happen in the same visit.

Request Concierge Care

Keep exploring

Questions

Asked often.

01

Do I need labs before hormone therapy?

Yes. Hormone therapy begins with lab testing and a physician visit, and is monitored with ongoing visits. Enclomiphene includes its labs.

02

Are these treatments FDA-approved for aging?

No. NAD+, glutathione, sermorelin, methylene blue, rapamycin, oxytocin and PT-141 are prescribed off-label at a physician's discretion, and your physician will tell you whether they're appropriate for you.

03

Can I get labs drawn in New Jersey?

Lab draws are available where our lab network operates and are confirmed at booking. The care team will tell you what's possible in your state.

04

Where does the medication come from?

A licensed US pharmacy, shipped to you. Some medications are compounded; see the note on this page.

05

Will you explain my results?

Your physician reviews them with you. I'm glad to go through them again with you afterwards, at home or by phone, so you actually understand them.

06

Can I cancel?

Monthly subscriptions can be cancelled any time.

Start with a baseline, or start with a conversation.

A free consultation, or the labs that show where you stand. Both are a sensible first step.

All medical services are provided by Heally Health through telehealth, available in all 50 states. At Home Wellness Concierge Nursing does not prescribe or dispense medication. Individual results vary. This page is informational and is not medical advice.

At Home Wellness Concierge Nursing
Book
At Home Wellness Concierge Nursing

Danielle Barilotti, BSN, RN · Over 20 years of nursing · Licensed in NJ and FL

Request Concierge CareBook a Consultation

At Home Wellness › Healthy Aging

Hormones · Sexual Wellness · Longevity · Labs

Healthy aging, handled properly.

For people who stay active and intend to keep it that way. Hormone therapy, sexual wellness, longevity medicine and the labs to see where you stand, prescribed by licensed physicians online, with a nurse who can explain it at your kitchen table.

Book a Consultation Browse the services ↓
A couple in their sixties walking barefoot along the beach at sunset
Book a Consultation Request Care

Proactive, not reactive

Some of the most meaningful opportunities in healthcare happen before a problem becomes a crisis.

Most of my career was spent on the reactive side: surgery, recovery rooms, cardiology. The people who did best were the ones who'd been paying attention for years. This page is for paying attention: a baseline, a physician's judgment, and treatment only where it's appropriate.

01

A baseline

Labs that show where you stand

02

A physician visit

By video or phone

03

Only where appropriate

Treatment, if the physician agrees

04

Ongoing visits

Monitored, adjusted, explained

Every service here is prescribed by a licensed physician through Heally Health, only when medically appropriate, and monitored with ongoing visits.

01 · Hormone therapy

Hormones, after the labs, not before.

Hormone therapy starts with lab testing and a physician visit. Nobody here prescribes from a questionnaire.

How it starts

01

Lab testing

02

Physician visit

03

A monitored plan

04

Ongoing visits

01For men

Testosterone replacement therapy

For men with low testosterone and the symptoms that come with it: low energy, lost muscle, low mood. A physician evaluation, labs, and a monitored plan.

$249

first month, then $149 / mo

3 months $450

Start
02For men · Labs included

Enclomiphene

A daily oral option that supports the body's own testosterone production, for men who want to preserve fertility. Labs included.

$129

per month, labs included

3 months $349

Start
03For women

Hormone therapy for menopause and perimenopause

For fatigue, brain fog, weight changes, mood shifts, low libido, hot flashes and sleep. A consultation, comprehensive labs, a follow-up to review them, and a personalized plan that may include estrogen, progesterone or testosterone.

$349

first visit, then $99 / mo

Start

Hormone therapy is prescribed only after lab testing and a physician evaluation, and is monitored with ongoing visits.

02 · Sexual wellness

Plainly handled, by a physician.

For men and women. Discreet, online, delivered. If you'd rather talk it through with a nurse first, call me.

01For men · Dissolvable tablet

Triple Action Performance Blend

Tadalafil for blood flow, PT-141 for desire, and oxytocin for connection, in one dissolvable tablet.

$149

per month

2 months $249 · 3 months $299

Start
02For men · Daily

Daily tadalafil

A low daily dose that supports erectile function and healthy blood flow, and is also used for urinary symptoms from an enlarged prostate.

$99

per month

2 months $150

Start
03Men and women · Nasal spray

Oxytocin nasal spray

Sometimes called the connection hormone. Prescribed for mood, stress and intimacy, for men and women.

$149

per month

3 months $349

Start

Inside the Triple Action blend

Tadalafil

for blood flow

PT-141

for desire

Oxytocin

for connection

03 · Longevity medicine

The longevity shelf, explained in English.

Each is a monthly subscription that includes a physician visit and medication, cancel any time. Injections can be taught or given at home as a nursing visit.

01Spray or injection

NAD+

A coenzyme your cells use to make energy and repair DNA; levels fall with age.

EnergyRepair

$199 / mo

2 months $349 · 3 months $499

Start
02Spray or injection

Glutathione

The body's main antioxidant, replenished directly.

Antioxidant

$125 / mo

2 months $199

Start
03Injection or sublingual

Sermorelin

Supports your body's own growth hormone production, which matters for sleep, recovery and lean mass.

Sleep & recovery

$199 / mo

2 months $349

Start
04Weekly injection

B12 injection

Weekly B12 for energy, red blood cells and nerve health, especially if you're low or absorb it poorly.

EnergyNerve health

$125 / mo

2 months $175

Start
05Low dose

Methylene blue

An old compound with new interest for cognition and cellular energy. Low dose, physician-set.

CognitionEnergy

$149 / mo

3 months $299

Start
06Weekly capsule

Rapamycin

The most-studied molecule in longevity research, taken once a week at a low dose. Prescribed off-label with labs where indicated.

Longevity research

$99 / mo

3 months $249

Start

NAD+, glutathione, sermorelin, methylene blue, rapamycin, oxytocin and PT-141 are not FDA-approved for the prevention or treatment of any disease and are prescribed off-label at a physician's discretion.

Compounded medications are prepared by licensed pharmacies and are not FDA-approved. They have not been reviewed by the FDA for safety, effectiveness, or quality. Your provider prescribes a compounded medication only when it is clinically appropriate for you.

Not sure where to begin? Book a Consultation

04 · Know where you stand

A baseline is the most proactive thing you can buy.

6

tests

3

sample types

1

physician review

01Blood

Super Human Labs

Lipids, hormones, thyroid, comprehensive metabolic panel, A1c, insulin and more. The starting point for weight, hormone and longevity care.

$199 one blood draw
Order
02Urine

DUTCH hormone test

A urine test that maps adrenal and sex hormones and how your body processes them.

$449
Order
03Panel

Methylation health panel

Genetic variations and nutrient status that affect energy, detoxification and mood, reviewed by a physician.

$549
Order
04Stool

GI Effects comprehensive profile

A stool analysis of digestion, absorption, inflammation and the microbiome.

$549
Order
05Stool

GI Effects + Microbiomix

The same profile with DNA sequencing of the specific bacteria and fungi in your gut.

$949
Order
06Blood

Galleri by GRAIL

A blood test that looks for signals of more than 50 cancers. Requires a physician's order and follow-up.

$1,095 see note below
Order

Lab draws are available where our lab network operates and are confirmed at booking.

The Galleri test is not FDA-approved. It is intended to complement, not replace, standard cancer screening.

Results are reviewed with a physician. I'm happy to go through them with you afterwards, in plain English.

At home

Injections taught, or given, at your kitchen table.

Several of these are injections. If you'd rather not learn from a leaflet, I'll come to the house, we'll do the first one together, and you'll know exactly what you're doing by the second. Medication setup and a check on everything else you take can happen in the same visit.

Request Concierge Care

Keep exploring

Weight & Metabolic Health GLP-1 care, metformin and glucose monitoring.Concierge Nursing Recovery, overnight care, medications and appointments at home.About Danielle The nurse behind both doors.

Questions

Asked often.

01

Do I need labs before hormone therapy?

Yes. Hormone therapy begins with lab testing and a physician visit, and is monitored with ongoing visits. Enclomiphene includes its labs.

02

Are these treatments FDA-approved for aging?

No. NAD+, glutathione, sermorelin, methylene blue, rapamycin, oxytocin and PT-141 are prescribed off-label at a physician's discretion, and your physician will tell you whether they're appropriate for you.

03

Can I get labs drawn in New Jersey?

Lab draws are available where our lab network operates and are confirmed at booking. The care team will tell you what's possible in your state.

04

Where does the medication come from?

A licensed US pharmacy, shipped to you. Some medications are compounded; see the note on this page.

05

Will you explain my results?

Your physician reviews them with you. I'm glad to go through them again with you afterwards, at home or by phone, so you actually understand them.

06

Can I cancel?

Monthly subscriptions can be cancelled any time.

Start with a baseline, or start with a conversation.

A free consultation, or the labs that show where you stand. Both are a sensible first step.

Book a Consultation Order labs

All medical services are provided by Heally Health through telehealth, available in all 50 states. At Home Wellness Concierge Nursing does not prescribe or dispense medication. Individual results vary. This page is informational and is not medical advice.