Free intake, reviewed by a triple American board-certified physician, shipped in 5 days, 48 states

For the man everyone leans on

He carries everyone.
We carry him.

Testosterone, GLP-1, recovery peptides and longevity protocols, prescribed by a board-certified physician on Dr. Sharma's network. The intake is free, the chat is real, and you only pay for the medicine he approves. From $49 a month, shipped in 5 days, across 48 states.

Begin intake, free →
2-minute intake Physician-reviewed in 24 hours Pay per Rx, no subscription 48 states · HIPAA
TRT Cypionate $149/mo
Tirzepatide $249/mo
Sermorelin $169/mo
NAD+ $149/mo

The slow drift you've been calling “getting older” has a name.

The flat mornings. The slow climb in waist size. The recovery that takes a day longer every year. That's not weakness or age, that's biology nobody told you about. Hormones drift down. Visceral fat creeps up. Muscle and cellular repair quietly stall. We focus on the four pillars that move the needle: testosterone, weight loss, peptide recovery and longevity.

1 in 4 men over 30 have clinically low testosterone, most never get tested (Western Michigan Urological)
73% of American men are overweight or obese. Tirzepatide trials show 20% mean weight loss at week 72 (NEJM, 2022)
↓ 50% drop in NAD+ from age 20 to 50. Repair, energy and sleep all run on it (Cell Metabolism, 2018)
280 → 720 avg total T, ng/dL (on protocol, member-reported)
85% feel a difference by week 6
14 American board-certified physician on staff
48 states we ship to

Self-reported member outcomes. Individual results vary. Compounded and generic prescriptions dispensed when clinically appropriate.

Board Certifications

4×

American board-certified.
Internal Medicine, Nephrology, Critical Care, Obesity Medicine.

College Fellowships

3

FACC, FCCP, FASN.
Fellow of the American Colleges of Cardiology, Chest Physicians, and Nephrology.

Peer-Reviewed Papers

16

Published in JACC, JASN, AJKD.
Cardiometabolic risk, acute nephrology, and critical care.

Years In Training

20

Mount Sinai, Rutgers, Einstein.
Two decades inside America’s teaching hospitals.

Dr. Pranav K. Sharma, MD, Founding Physician of Bionomy

Dr. Pranav K. Sharma, MD
Founding Physician, Medical Director

PHYSICIAN-LED · FOUNDING DOCTOR

Every protocol is signed by a physician with four boards.

DR. PRANAV K. SHARMA · MD · FACC · FCCP · FASN · D-ABOM

Bionomy's Founding Physician is quadruple American board-certified in Internal Medicine, Nephrology, Critical Care, and Obesity Medicine. He is Medical Director of Intensive Care Services at Lake Cumberland Regional Hospital and Clinical Professor at the University of Pikeville Kentucky College of Osteopathic Medicine. Your intake is read by him or by a physician trained to his standard.

  • 4× American board-certified
  • D-ABOM, the credential governing GLP-1
  • FACC, FCCP, FASN college fellow
  • 16 peer-reviewed publications
  • ICU Medical Director, Kentucky
  • Clinical Professor, U Pikeville KYCOM
Meet our Founding Physician →

THE BIONOMY HEALTH PHYSICIAN NETWORK

A team trained to Dr. Sharma's standard.

Every Bionomy protocol is read by an American board-certified physician. Our network spans Internal Medicine, Cardiology, Endocrinology, Critical Care, Obesity Medicine and Functional Medicine, anchored by Founding Physician Dr. Pranav K. Sharma, MD.

Meet the team
4× American boards held by Founding Physician
48 U.S. states licensed
24h Physician review window
16 Peer-reviewed publications

Chapter one

Four pillars. One founding physician.

Pillar one · Testosterone

Testosterone.
The hormone your day runs on.

Two clean entry points: enclomiphene 25mg oral, the lowest-friction starter that signals your body to make its own. Or testosterone cypionate injection, the most predictable lever when levels are too low. Our Founding Physician, Dr. Pranav K. Sharma, MD, reads your labs and picks the right one.

From $99/month · Enclomiphene or TRT · Lab review included
Explore testosterone →
Glossy amber testosterone vial on cream surface

Pillar two · Weight loss

GLP-1.
The shape under the dad bod.

Compounded tirzepatide or semaglutide, the two molecules behind the biggest body-recomp shift in a generation. Paired with a muscle-preservation supplement pack so you lose weight, not strength. Practitioner-titrated. No clinic visits.

From $189/month · Semaglutide · Tirzepatide · Muscle preservation included
Explore GLP-1 →
Glossy amber GLP-1 vial on cream surface

Pillar three · Recovery

Sermorelin.
Recovery, sleep, lean muscle.

A growth-hormone-releasing peptide that nudges your own pituitary instead of replacing it. The protocol men in their forties run for deeper sleep, faster recovery from training, and slower loss of lean mass. Reviewed by an American board-certified physician.

From $169/month · Sermorelin · Nightly subcutaneous
Explore peptides →
Glossy amber peptide vial on warm surface

Pillar four · Longevity

NAD+ and Metformin.
The boring drugs that age you slowly.

NAD+ injections to support cellular repair, energy and DNA maintenance. Off-label metformin, the most-studied longevity compound on earth. Add LDN for low-grade inflammation when appropriate. The stack the longevity clinics charge ten times more for.

From $49/month · LDN · Metformin · NAD+ · Stackable
Explore longevity →
Glossy amber bottle of longevity compounds on slate

Stories from the protocol

Three men who finally stopped pushing through.

A surgeon, a founder, a husband. What changed at three, six, and eight months. In their labs, in their mornings, in their marriages. Compensated members, self-reported, individual results.

Marcus, a 41-year-old surgeon, pouring coffee in his Los Angeles kitchen on a Saturday morning TRT · 6 months
Marcus, 41Surgeon · Father of two · Los Angeles

I stopped running my life on empty. The first morning I woke up before the alarm I almost didn't trust it.

Where he was
Two kids under six, an OR schedule, and an afternoon energy crash he'd been writing off as "just dad life" for three years.
What changed
Intake at month zero, lab review on day five, weekly cypionate injections from month one. Practitioner adjusted dose at month three after follow-up labs.
Where he is now
Gym four mornings a week, present for the bedtime routine, sleeping seven hours without waking. He says the second one is what surprised him.

Total T

240 → 690 ng/dL

Self-rated energy

3 → 8 / 10

Compensated member · Self-reported · Individual results vary

David, a 35-year-old founder, mid-laugh at his home-office desk Enclomiphene · 4 months
David, 35Founder · Soon-to-be dad · Austin

I didn't want to pin needles forever, and we're trying for a second kid. This kept the door open.

Where he was
A flat mood and a flat libido after his thirty-fifth birthday. Two clinics wanted to put him on cypionate without lab review. He stalled for a year.
What changed
Started Enclomiphene 25mg oral at month zero. Fertility-preserving by design. Practitioner check-in at week six after the first follow-up panel.
Where he is now
Back in the gym three days a week, sharper at work, and his wife noticed before he did. Sperm parameters held in the second panel.

Total T

310 → 680 ng/dL

Mood score

4 → 8 / 10

Compensated member · Self-reported · Individual results vary

James, 47, on his porch at golden hour with his golden retriever TRT + Sermorelin · 8 months
James, 47VP, fintech · Husband · Malibu

The morning energy was just the canary. What I really got back was the version of me my wife married.

Where he was
Forty pounds heavier than at his wedding, in bed by nine, and quietly convinced this was the next thirty years. A primary-care visit went nowhere.
What changed
Combined protocol: weekly cypionate plus nightly sermorelin to deepen sleep and protect recovery. Both reviewed by the same licensed practitioner. Labs at baseline, month three, month six.
Where he is now
Down twenty pounds with a real practitioner finally in his corner. Walks with the dog before dawn. The energy returned in week three; the rest took the whole year.

Total T

280 → 720 ng/dL

Resting HR

78 → 62 bpm

Compensated member · Self-reported · Individual results vary

Chapter two

From intake to your door in five days.

How Bionomy works.

From intake to shipment in roughly a week. No insurance, no waiting rooms, no membership.

01

2-minute intake

Free, no card. Tell us your goals, symptoms, and history.

02

See your protocol

Based on your intake, you'll see the suggested medicines and transparent pricing the same day.

03

Pay only what you approve

Add a card and approve the line items you want. We hold the charge, no money moves until a licensed practitioner signs off.

04

Practitioner approval in 24h

A licensed Bionomy practitioner reviews everything. Anything they don't approve is refunded to your card automatically.

05

Shipped in 5 days

Approved prescriptions ship discreetly from a US pharmacy. Refills handled in chat.

The numbers nobody told you.

Ten stats your primary-care visit didn't cover. Real research, sourced, sobering. Read them once, then ask yourself why nobody's talked to you about any of this.

Low testosterone
1 in 4

American men over 30 have clinically low testosterone. About 13 million men. Most never get tested.

Western Michigan Urological
Testosterone decline
1–2%

Drop in testosterone every year after age 30. By 50, most men are running on a fraction of what they had at 25.

Cleveland Clinic
GLP-1 weight loss
20.9%

Mean body weight reduction at week 72 on tirzepatide 15mg in the SURMOUNT-1 trial. Largest weight-loss effect in any pharmacologic trial to date.

NEJM, 2022
Visceral fat
68%

Of American men carry harmful visceral fat. Visceral fat, not subcutaneous, is what drives insulin resistance, low testosterone and cardiovascular risk.

CDC obesity data
Enclomiphene
+187%

Average testosterone increase on enclomiphene 25mg in a phase II trial, from 209 to 604 ng/dL in 6 weeks. Sperm count preserved.

BJU International, 2013
Sermorelin recovery
+39%

Average GH pulse amplitude increase on sermorelin in healthy adult men. Translates to deeper REM sleep, faster soft-tissue repair, and slower lean-mass loss with age.

J Clin Endocrinol, 1997
Metformin longevity
15%

Lower all-cause mortality in non-diabetic adults on metformin vs. matched controls. The most-studied geroprotective drug in the world.

Diabetes Obes Metab, 2014
TRT user satisfaction
86%

Of men on testosterone therapy rate it as very effective. Long-term users are 2.6x more likely to say so than new starters.

Imperial College London, 2025
NAD+ decline
↓ 50%

Drop in NAD+ levels from age 20 to 50. Cellular repair, DNA maintenance and mitochondrial output all run on it. NAD+ supplementation is the closest thing to a longevity lever in clinical use.

Cell Metabolism, 2018
Men who delay
25%

Of men with low-T symptoms wait years before talking to anyone. Average delay: long enough to lose strength, sleep, and patience.

Imperial College London survey
Swipe →

In their own words.

The kind of thing men actually say to their practitioner three months in. No actors. No gym shots. Composite reflections from member chats, names changed.

“

I didn't realize how flat I'd been feeling until I wasn't anymore. It's not a high. It's just, me again.

Marcus, 41 · 6 months on TRT
“

The intake took less time than my coffee order. The protocol came back the same afternoon.

David, 35 · 4 months on enclomiphene
“

My wife noticed before I did. She said, you're sleeping like you used to.

James, 47 · 8 months on TRT + sermorelin
“

I'd been told for a decade it was just stress. One blood draw and a real conversation, turns out it wasn't.

Andre, 44 · 3 months on TRT
“

I went in for the GLP-1. I left with a practitioner who actually asked how I was sleeping. That was new.

Sam, 38 · 5 months on tirzepatide
“

No clinic. No waiting room. Just a chat thread that answers within the hour. This is what healthcare should feel like.

Wes, 52 · 1 year on TRT
“

Approved what I needed, refunded the rest. Never had a clinic send money back before.

Tom, 39 · 2 months on metformin + NAD+
Swipe →
Begin intake, free →

What we most prescribe.

The eight medications a Bionomy practitioner writes most often. Transparent pricing. Tap any one to start the intake.

GLP-1 · Body recomp
Tirzepatide
$249/mo
Start intake
GLP-1 · Starter
Semaglutide
$189/mo
Start intake
Peptide · GH releaser
Sermorelin
$169/mo
Start intake
TRT · Topical
Testosterone Cream
$179/mo
Start intake
TRT · Injection
Testosterone Cypionate
$149/mo
Start intake
Longevity · Cellular
NAD+ injection
$149/mo
Start intake
Testosterone · Oral
Enclomiphene 25mg
$99/mo
Start intake
Longevity · Metabolic
Metformin
$69/mo
Start intake
Longevity · Anti-inflammatory
Low-dose Naltrexone
$49/mo
Start intake

Common questions.

Is the intake actually free? What's the catch?
No catch. No card to start. You only pay if a licensed practitioner prescribes something and you approve the protocol. Anything the practitioner doesn't approve is refunded to your card automatically. If nothing is prescribed, you pay nothing.
When am I charged? What if the practitioner doesn't approve everything?
After your intake, you'll see your suggested protocol with transparent pricing. You add a card and approve the line items you want, but we only place a hold. The card isn't actually charged until a licensed Bionomy practitioner signs off, usually within 24 hours. Anything the practitioner doesn't approve is refunded automatically. You're only ever charged for what ships.
Do I have to talk to anyone on a video call?
No video calls required. Bionomy is async, your intake is reviewed in a private chat with your licensed practitioner. Ask anything in writing, on your time.
Is enclomiphene legal without a TRT clinic?
Yes. Enclomiphene is a non-controlled prescription medication. A licensed Bionomy practitioner reviews your intake and prescribes when clinically appropriate.
Do I need bloodwork to start?
Not to begin the intake. You can start without any prior labs. If your practitioner decides bloodwork is needed before prescribing. Common for TRT, optional for enclomiphene, they'll order it through our partner lab as part of your protocol.
Can I cancel anytime?
Yes. There's no membership and no subscription lock-in. Pay per refill, pause whenever, come back whenever.
How fast is shipping?
Prescriptions ship in 5 business days, discreetly. Refills are handled in chat.
See all questions →
RX
Physician-ledEvery protocol reviewed by a board-certified physician
℞
US-licensed pharmaciesCompounded & generic, shipped from inside the US
🔒
HIPAA-compliantYour intake, labs and chat stay private
📦
48 states · 5-day shippingDiscreet packaging, no clinic visit

You've held it up long enough

Take the two minutes.

Free intake. No card to start. A licensed practitioner reviews your answers within 24 hours and only prescribes what's clinically appropriate, anything they don't approve is refunded automatically.

Begin intake, free →
2 min 18 sec · average intake 24 hours · practitioner review $0 · if nothing's prescribed

Compounded medications are not FDA-approved. They are prepared by state-licensed pharmacies for individual patients based on a prescription from a licensed practitioner. Generic medications are FDA-approved.

Begin intake, free