Physician-Guided Medical Care

Medical Support That Complements Whole-Person Wellness

Physician Guided Medical Care is a streamlined medication-access pathway for individuals seeking prescription-based metabolic, hormone, peptide, and longevity therapies through licensed medical providers. This includes access to GLP-1 medications (such as semaglutide and tirzepatide) as well as hormone therapy options, testosterone optimization, non-hormonal menopausal support, peptide therapies, NAD+ options, and vitamin or amino-acid injectables when clinically appropriate.

If you are specifically looking for a medically guided GLP-1 weight loss program, this pathway provides a simple and direct process for completing a medical intake, meeting with a provider, and—if eligible—receiving GLP-1 medication with ongoing prescription management. This option prioritizes autonomy, simplicity, and responsible clinical oversight without structured coaching or lifestyle programming.

What Is Physician-Guided Medical Care Program?

The Physician-Guided Medical Care is a medication-access pathway designed to provide individuals with access to prescription-based therapies through licensed medical providers without structured coaching or lifestyle programming.

Through a secure intake and provider evaluation process, individuals may qualify for GLP-1 medications for weight management, hormone therapies (estrogen, progesterone, and testosterone), non-hormonal menopausal symptom management, testosterone modulators, peptide and longevity compounds, NAD+ therapies, and vitamin or amino-acid injectables when clinically appropriate.

Once approved, medications are managed through a secure patient portal with ongoing access to refills, follow-up care, and prescription coordination, creating a simple and streamlined experience focused on medical oversight and autonomy.

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Gottman Method-Sound Relationship House

Who Is This Program For?

The Physician-Guided Medical Care Program is designed for individuals who want access to prescription-based therapies with medical oversight, without participating in coaching or structured lifestyle programs.

This program is a good fit for individuals who:

  • Are seeking GLP-1 medication for weight management

  • Want access to metabolic, hormone, peptide, or longevity therapies

  • Prefer a self-directed, low-touch experience

  • Are comfortable managing nutrition, movement, and lifestyle independently

  • Want a simple, provider-guided pathway for ongoing medication access

What’s Included in the Physician-Guided Medical Care Program

  • Medical intake and provider visit through partner portal

  • Prescription eligibility determined by a licensed medical provider

  • Access to approved medications when clinically appropriate, including GLP-1 medications, hormone therapies, peptide and longevity compounds, and supportive therapies

  • Ongoing prescription management and refill coordination

  • Secure patient portal for communication and follow-ups

  • Ongoing weekly care coaching through our medical partner
  • Access to select educational wellness resources

  • 10% monthly discount on all purchases in our online Shop

Gottman Method-Sound Relationship House

Physician-Guided Medical Care Program

Complete Your Medical Intake

Begin by completing a secure online medical intake through our partner portal. This health history allows the licensed medical provider to understand your goals, current medications, and medical background in order to determine which therapies may be appropriate, including GLP-1 medications, hormone therapies, peptide and longevity compounds, or supportive medications.

Provider Review & Prescription Determination

A licensed medical provider reviews your intake and conducts a provider visit to assess eligibility. Based on clinical appropriateness, prescriptions may be issued for GLP-1 therapy, metabolic medications, hormone support, testosterone optimization, non-hormonal menopausal support, peptide therapies, or longevity-focused compounds.

Medication Fulfillment & Ongoing Access

Once approved, medications are dispensed through partner pharmacies and managed through a secure patient portal. Individuals have ongoing access to refills, dose adjustments when appropriate, and prescription coordination under medical oversight.

Ongoing Management, Optional Coaching & Member Benefits

Continue your program with streamlined access to medications, provider communication, and ongoing prescription management. For those who desire additional support, optional add-on coaching sessions for accountability are available through our medical partners care team. Members also receive a 10% monthly discount on all purchases in our online Shop to support additional wellness and supplementation needs.

Medication Offerings

GLP-1 & Metabolic Weight Loss Therapies

GLP-1 / GIP Metabolic Medications

Semaglutide (Injectable)
What It Is:
Semaglutide is a GLP-1 receptor agonist that mimics the body’s natural glucagon-like peptide-1 hormone, supporting appetite regulation, glucose control, and insulin signaling.

How It Works:
Slows gastric emptying, increases feelings of fullness, and helps regulate appetite and blood sugar levels.

Common Uses & Benefits:

  • Appetite suppression and reduced cravings

  • Support for weight management

  • Improved insulin sensitivity

  • Blood sugar regulation

  • Support for metabolic health

Who It May Be For:
Individuals seeking medically guided GLP-1 medication for weight management or metabolic support.

Semaglutide (Oral Sublingual ODT)
What It Is:
An orally dissolving tablet formulation of semaglutide for individuals who prefer a non-injectable GLP-1 option.

How It Works:
Absorbed through oral mucosa to activate GLP-1 receptors and support appetite regulation.

Common Uses & Benefits:

  • Appetite control

  • Weight management support

  • Improved satiety

  • Metabolic optimization

Who It May Be For:
Individuals who prefer oral GLP-1 therapy.

Tirzepatide (Injectable)
What It Is:
A dual GLP-1/GIP receptor agonist targeting two incretin pathways involved in metabolic regulation.

How It Works:
Enhances satiety, reduces caloric intake, and improves insulin sensitivity.

Common Uses & Benefits:

  • Enhanced appetite suppression

  • Weight management support

  • Blood sugar control

  • Metabolic efficiency

Who It May Be For:
Individuals seeking dual-action metabolic medication support.

Tirzepatide (Oral Sublingual ODT)
What It Is:
Orally dissolving dual GLP-1/GIP formulation for non-injectable therapy.

How It Works:
Supports metabolic regulation and appetite control via oral absorption.

Common Uses & Benefits:

  • Appetite regulation

  • Weight management support

  • Metabolic optimization

Who It May Be For:
Individuals seeking oral dual-action metabolic therapy.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.

Antiemetic & GLP-1 Side-Effect Support

Ondansetron (Oral)
What It Is:
Ondansetron is a prescription antiemetic commonly used to prevent and treat nausea and vomiting.

How It Works:
It blocks serotonin (5-HT3) receptors involved in triggering nausea signals, helping reduce gastrointestinal discomfort.

Common Uses & Benefits:

  • Nausea support during GLP-1 medication initiation or dose changes

  • Improved tolerability and comfort

  • Supports adherence for individuals sensitive to GI side effects

Who It May Be For:
Individuals who experience nausea related to GLP-1 therapy or other medications, when clinically appropriate.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.

Peptide, Longevity & Performance Therapy Add On

NAD+ (Injectable)
What It Is:
NAD+ is a coenzyme central to cellular energy production and mitochondrial function.

How It Works:
Supports metabolic pathways that convert nutrients into cellular energy and supports mitochondrial performance.

Common Uses & Benefits:

  • Cellular energy and vitality support

  • Cognitive support and mental clarity

  • Recovery and resilience support

Who It May Be For:
Individuals seeking energy, longevity, and performance support under medical oversight.

NAD+ (Nasal)
What It Is:
A non-injectable NAD+ delivery option for individuals who prefer nasal administration.

How It Works:
Absorbed through nasal mucosa to support systemic NAD+ availability.

Common Uses & Benefits:

  • Convenient administration

  • Cognitive and energy support

  • Daily performance support

Who It May Be For:
Individuals seeking non-injectable NAD+ support when appropriate.

NAD+ (Oral Dropper)
What It Is:
Oral NAD+ option designed for convenient daily use.

How It Works:
Supports cellular health and metabolic pathways under provider direction.

Common Uses & Benefits:

  • Energy support

  • Metabolic resilience

  • Mitochondrial support

Who It May Be For:
Individuals wanting oral longevity support options.

Sermorelin (Injectable)
What It Is:
A peptide that stimulates the pituitary to release growth hormone naturally (as clinically appropriate).

How It Works:
Encourages physiologic pulsatile growth hormone release rather than providing exogenous growth hormone.

Common Uses & Benefits:

  • Recovery support

  • Sleep quality support

  • Lean body composition support

  • Vitality and performance support

Who It May Be For:
Individuals seeking peptide-based recovery and longevity support under provider oversight.

B12 MIC Injection
What It Is:
A compounded injection typically containing Vitamin B12 plus MIC (Methionine, Inositol, Choline) to support metabolic pathways.

How It Works:
B12 supports energy metabolism and neurologic function; MIC components support fat metabolism and liver-related pathways.

Common Uses & Benefits:

  • Energy and metabolism support

  • Fat utilization support

  • Liver-supportive nutrient pathway support

Who It May Be For:
Individuals seeking metabolic and energy support as part of a provider-guided plan.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.


Common Compounded Add-On Ingredients

L-Carnitine
What It Is:
An amino-acid derivative involved in transporting fatty acids into mitochondria for energy production.

How It Works:
Supports fatty-acid oxidation pathways, which can aid energy production and metabolic efficiency.

Common Uses & Benefits:

  • Supports fat metabolism and energy production

  • Exercise performance and recovery support

  • Metabolic efficiency support

Who It May Be For:
Individuals seeking energy and metabolic support under provider guidance.

Vitamin B12 (Methylcobalamin / Cyanocobalamin)
What It Is:
A critical vitamin for red blood cell production, nerve function, and energy metabolism.

How It Works:
Supports methylation and cellular energy pathways and helps maintain neurologic health.

Common Uses & Benefits:

  • Energy support

  • Neurologic support

  • Metabolic support

Who It May Be For:
Individuals with low B12 levels, fatigue, or increased metabolic needs.

Methionine
What It Is:
An essential amino acid involved in methylation, detoxification, and liver-support pathways.

How It Works:
Supports cellular repair processes and liver-related metabolic pathways.

Common Uses & Benefits:

  • Liver pathway support

  • Fat metabolism support

  • Methylation support

Who It May Be For:
Individuals seeking metabolic/liver pathway support under provider oversight.

Inositol
What It Is:
A compound involved in cell signaling that supports metabolic regulation and nervous system balance.

How It Works:
Supports insulin signaling and neurotransmitter pathways tied to mood and metabolic health.

Common Uses & Benefits:

  • Insulin sensitivity support

  • Metabolic balance support

  • Mood support

Who It May Be For:
Individuals seeking metabolic and mood support, as clinically appropriate.

Choline Chloride
What It Is:
A nutrient involved in liver function, fat transport, and neurotransmitter production (acetylcholine).

How It Works:
Supports hepatic fat metabolism and cell membrane integrity.

Common Uses & Benefits:

  • Liver function support

  • Fat metabolism support

  • Cognitive support

Who It May Be For:
Individuals needing liver/metabolic support under provider guidance.

Magnesium
What It Is:
An essential mineral involved in hundreds of enzymatic reactions including muscle, nerve, and energy function.

How It Works:
Supports neuromuscular relaxation and metabolic enzyme activity.

Common Uses & Benefits:

  • Sleep quality support

  • Muscle relaxation

  • Stress and nervous system support

Who It May Be For:
Individuals seeking sleep, recovery, or stress-support nutrients when appropriate.

L-Theanine
What It Is:
An amino acid known for supporting calm focus and nervous system balance.

How It Works:
Promotes relaxed alertness by supporting alpha brainwave activity and balanced neurotransmission.

Common Uses & Benefits:

  • Calm energy and focus

  • Stress reduction

  • Sleep support for some individuals

Who It May Be For:
Individuals seeking calm-focus support within a provider-guided plan.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.

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Wellness

Hormone Optimization & Reproductive Health Therapies

Female Hormone Therapy (Menopause / Perimenopause)

Estradiol (Oral Tablet)
What It Is:
Estradiol is a form of estrogen used in hormone therapy to support symptom relief related to perimenopause and menopause.

How It Works:
It restores estrogen levels that commonly decline during midlife, helping regulate temperature control, mood, sleep, and tissue health.

Common Uses & Benefits:

  • Hot flash and night sweat reduction

  • Mood and sleep support

  • Bone density support

  • Overall menopausal symptom relief

Who It May Be For:
Individuals with menopausal symptoms who qualify for estrogen therapy based on provider evaluation.

Estradiol Transdermal Patch
What It Is:
A patch that delivers estradiol through the skin for steady systemic absorption.

How It Works:
Provides continuous estrogen delivery, which may support stable symptom management and consistent blood levels.

Common Uses & Benefits:

  • Relief of hot flashes and night sweats

  • Mood and sleep support

  • Convenient delivery with steady dosing

Who It May Be For:
Individuals who prefer transdermal delivery or need consistent symptom control, when appropriate.

Estradiol Topical Cream
What It Is:
A topical estradiol formulation used for localized support and, depending on formulation, may provide broader symptom support.

How It Works:
Applies estrogen directly to targeted tissues (or systemically depending on use and formulation).

Common Uses & Benefits:

  • Vaginal and vulvar tissue support

  • Comfort and lubrication support

  • Symptom relief where localized therapy is appropriate

Who It May Be For:
Individuals seeking localized estrogen support, as determined by a provider.

Estradiol Vaginal Gel (1 g/day)
What It Is:
A vaginal estradiol gel formulated to support vaginal tissue health and genitourinary comfort.

How It Works:
Provides localized estrogen support to improve tissue integrity, moisture, and comfort.

Common Uses & Benefits:

  • Vaginal dryness relief

  • Tissue elasticity and comfort support

  • Urinary/genitourinary symptom support

Who It May Be For:
Individuals with vaginal or urinary symptoms related to menopause, when appropriate.

Estradiol Vaginal Insert (10 mcg)
What It Is:
An ultra-low-dose vaginal estradiol insert designed for localized symptom relief.

How It Works:
Delivers small-dose estrogen directly to vaginal tissues to support moisture and tissue integrity.

Common Uses & Benefits:

  • Vaginal dryness and irritation relief

  • Comfort with intimacy

  • Local symptom support with low-dose delivery

Who It May Be For:
Individuals seeking low-dose localized vaginal estrogen support under provider oversight.

Progesterone (Oral)
What It Is:
Progesterone is a hormone often used alongside estrogen therapy (when indicated) and may also be used for symptom support in specific cases.

How It Works:
Supports endometrial protection in appropriate candidates using estrogen therapy and may support sleep and calming pathways.

Common Uses & Benefits:

  • Uterine protection when used with systemic estrogen (when indicated)

  • Sleep quality support

  • Mood balance support

Who It May Be For:
Individuals who require progesterone as part of a medically guided hormone plan.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.

Non-Hormonal Menopause Symptom Management

Paroxetine 10 mg
What It Is:
A low-dose SSRI used as a non-hormonal option for menopausal vasomotor symptoms and mood support.

How It Works:
Modulates serotonin pathways involved in temperature regulation and mood stability.

Common Uses & Benefits:

  • Reduction in hot flashes (when appropriate)

  • Mood and anxiety support

  • Sleep support for some individuals

Who It May Be For:
Individuals seeking non-hormonal symptom relief or those who are not candidates for estrogen therapy.

Desvenlafaxine 50 mg
What It Is:
An SNRI that may be used as a non-hormonal option for hot flashes and mood support.

How It Works:
Affects serotonin and norepinephrine pathways that can influence vasomotor symptoms and emotional regulation.

Common Uses & Benefits:

  • Reduced hot flashes (when appropriate)

  • Mood stability and anxiety support

  • Improved daily functioning for some individuals

Who It May Be For:
Individuals needing non-hormonal symptom support based on provider evaluation.

Desvenlafaxine 100 mg
What It Is:
A higher-dose SNRI option for individuals who need additional symptom support.

How It Works:
Provides stronger serotonin/norepinephrine modulation as clinically directed.

Common Uses & Benefits:

  • Enhanced vasomotor symptom control (when appropriate)

  • Mood support and stabilization

Who It May Be For:
Individuals requiring higher-dose non-hormonal support under provider oversight.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.

Testosterone Optimization & TRT

Testosterone Cypionate (Injectable)
What It Is:
An injectable form of testosterone used for testosterone replacement therapy (TRT) in appropriate candidates with clinically low testosterone.

How It Works:
Replaces testosterone levels to support normal physiologic function and symptom improvement when low levels are confirmed.

Common Uses & Benefits:

  • Energy and vitality support

  • Libido and sexual health support

  • Lean muscle and strength support

  • Mood and motivation support

Who It May Be For:
Individuals with clinically verified low testosterone who qualify for TRT after provider evaluation.

Testosterone Gel (Topical)
What It Is:
A daily topical testosterone replacement option applied to the skin.

How It Works:
Absorbs through the skin to provide steady testosterone support across the dosing window.

Common Uses & Benefits:

  • Hormone replacement without injections

  • Energy and libido support

  • Mood and body composition support

Who It May Be For:
Individuals who prefer topical therapy and are appropriate candidates for TRT.

Testosterone (Oral)
What It Is:
An oral testosterone therapy option prescribed in select cases.

How It Works:
Provides testosterone support via oral dosing under medical oversight.

Common Uses & Benefits:

  • Symptom improvement related to low testosterone

  • Alternative route for individuals who prefer oral therapy

Who It May Be For:
Individuals who qualify for oral TRT based on provider guidance and monitoring needs.

Anastrozole
What It Is:
A medication that reduces conversion of testosterone to estradiol by inhibiting aromatase (used only when indicated).

How It Works:
Helps manage estrogen levels in specific clinical situations during testosterone optimization.

Common Uses & Benefits:

  • Supports estrogen balance when clinically necessary

  • May improve tolerability of TRT in select cases

Who It May Be For:
Individuals on TRT who require estrogen management based on labs and provider evaluation.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.

Non-Steroid Testosterone Modulators

Enclomiphene (ODT 12.5 mg)
What It Is:
A selective estrogen receptor modulator (SERM) used to support the body’s natural testosterone production (often fertility-preserving).

How It Works:
Stimulates signaling that can increase endogenous testosterone production and support hormone balance.

Common Uses & Benefits:

  • Supports natural testosterone production

  • May preserve fertility (when appropriate)

  • Energy, mood, and libido support

Who It May Be For:
Individuals seeking an alternative to TRT, especially when fertility preservation is a goal.

Enclomiphene (ODT 25 mg)
What It Is:
A higher-dose enclomiphene option for additional endogenous testosterone support.

How It Works:
Provides stronger stimulation of endogenous production pathways as clinically appropriate.

Common Uses & Benefits:

  • Increased support for natural testosterone production

  • Symptom improvement (energy, mood, libido) when appropriate

Who It May Be For:
Individuals who require additional support based on provider evaluation and lab monitoring.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.

Fertility & HPT-Axis Support (Adjunct Therapies)

Gonadorelin (Oral ODT)
What It Is:
A GnRH analog used as an adjunct therapy to support hypothalamic-pituitary-gonadal (HPG/HPT) axis signaling in appropriate clinical contexts.

How It Works:
Supports upstream hormone signaling that influences LH/FSH production and downstream reproductive hormone balance.

Common Uses & Benefits:

  • Support for reproductive-axis signaling

  • May assist with fertility-oriented hormone optimization plans

  • Adjunctive support in select endocrine protocols

Who It May Be For:
Individuals needing fertility or axis-support therapy as determined by a licensed provider.

All medications listed below are prescribed only when clinically appropriate and approved by a licensed medical provider following medical intake and evaluation. Ongoing use occurs under medical oversight through partner providers.

Invest in Yourself

If you are exploring peptide therapy, medical weight-loss support, hormone support, or other physician-guided wellness services, we would be honored to help you take the next step.

Pricing

Medical Provider Services & Program Costs

Medical care for this program is delivered through our licensed third-party telehealth medical partner.

The medical partner offers a bundled program fee that includes physician evaluation, prescription medications when clinically appropriate, medication shipping, and ongoing weekly care coaching.

All medical services, prescriptions, and clinical decisions are provided and managed directly by the licensed medical provider and partner pharmacy. Eligibility for treatment, medication selection, dosing, and care plans are determined solely by the medical provider based on medical evaluation.

Thrive Restorative Health coordinates access to this program and supports the overall wellness pathway but does not provide medical services or bill for medical treatment.

We believe in transparent, ethical care and will review all cost categories with you before you proceed.