Sildenafil

Our programs are tailored to 6 and 12 month curriculums based on your unique BMI and weight goals. In our pilot members saw initial results within their first week and continued throughout the months.

Membership ranges from $89 per month to $169 per month depending on your level of 1-1 coach support. The base price includes your medical visits, daily monitoring, coaching & access to member exclusive content.

At JRNYS we focus on your underlying metabolic system through doctor prescribed medications in order to reset core bodily functions. Your metabolic system includes appetite control, the stimulation of gluconeogenesis (the process where the body makes glucose from protein and fat), blood sugar optimization and more.

Members must regularly check their weight at least three times a week, a quick process taking no more than two minutes. This routine is essential for our doctors to closely monitor your body's response to prescribed medications.

Additionally, you are scheduled for bi-weekly 20-minute coaching sessions to ensure you are making progress and achieving the desired results. Apart from adhering to their prescribed regimen, members have the flexibility to select the lifestyle choices they wish to incorporate to enhance their programs, such as physical activity, meal planning, and following our blog articles, among others.

Our doctors review your medical history, risk factors, weight loss goals & BMI to come up with a customized plan that fits your unique body. Based on that our providers will determine which medication will be indicated for your plan. This process can take anywhere from 30 minutes to 1 hour.

Our members lose an average of 2-4 pounds per week depending on the medication you are prescribed.

Our doctors carefully assess your BMI, medical history, and weight objectives in order to create a personalized treatment and dosage plan.

The majority of our members who enroll in our monthly program receive our Metabolic Reset GLP-1s (glucagon-like peptide-1s). These GLP-1s are available in various formulations, including tirzepatide, dulaglutide, semaglutide, and liraglutide, which are often recognized by their brand names like Wegovy®, Ozempic®, Mounjaro™, or Saxenda®, among others. However, depending on their BMI and weight loss goals, some members may be prescribed fat absorption blockers or appetite suppressants.

GLP-1s are naturally-occurring hormones made by your gut that send signals to the brain to decrease your appetite, improve your metabolic system, and regulate your digestion.

JRNYS providers use a variety of GLP-1s to help reset our metabolic rate at the cellular level.

Our providers navigate all insurance plans on your behalf in order to get cost effective access to your GLP-1 medications. GLP-1s for most members with commercial insurance should be capped at $25 per month after any deductible is met.

The cost of the JRNYS program is HSA/FSA eligible.

Sildenafil is the generic name for a medication that is commonly known by its brand name, Viagra®. It is a prescription medication used to treat erectile dysfunction (ED), a condition in which a man has difficulty achieving or maintaining an erection sufficient for sexual activity.

Sildenafil belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the smooth muscles in the blood vessels of the penis, which allows for increased blood flow to the genital area. This improved blood flow can help men with ED achieve and sustain an erection when sexually aroused.

Here are some key points about sildenafil:

1. Usage: Sildenafil is primarily prescribed to treat erectile dysfunction in men. It is not intended for use by women or children.
2. Effectiveness: It has been shown to be effective in a significant percentage of men with ED, but individual results may vary. It is important to note that sildenafil does not increase sexual desire; it helps facilitate an erection when sexual stimulation occurs.
3. Dosage: Sildenafil is available in various dosages, and the appropriate dose is typically determined by a healthcare provider based on the individual's needs and response to the medication.
4. Duration of Action: The effects of sildenafil usually last for several hours, allowing for a window of opportunity for sexual activity.
5. Safety and Side Effects: Like any medication, sildenafil can have side effects, which may include headache, flushing, upset stomach, nasal congestion, and visual disturbances. Rarely, it can cause more serious side effects, and individuals with certain medical conditions or those taking specific medications should consult with a healthcare provider before using sildenafil.
6. Prescription Required: Sildenafil is available by prescription only, and it is important to obtain it from a licensed healthcare provider to ensure proper evaluation, dosing, and monitoring.

Generic viagra® typically costs around $4 per pill 

Viagra, which contains the active ingredient sildenafil, typically begins to work within 30 to 60 minutes after taking the medication. However, several factors can influence the onset of action:

1. Timing of Dosage: Taking Viagra on an empty stomach may lead to a faster onset of action compared to taking it with a heavy meal. A meal high in fat can delay the absorption of the medication, potentially causing it to take longer to work.
2. Individual Variability: The time it takes for Viagra to work can vary from person to person. Some individuals may experience the effects sooner, while it may take longer for others.
3. Sexual Stimulation: Viagra does not cause an automatic erection; sexual arousal and stimulation are necessary for it to be effective. It helps facilitate an erection when sexual arousal triggers the release of nitric oxide in the body.
4. Dosage: The dosage of Viagra can also affect how long it takes to work. Higher doses may take longer to take effect, and the appropriate dosage should be determined by a healthcare provider.

In general, it is advisable to take Viagra approximately 30 to 60 minutes before engaging in sexual activity to allow time for the medication to take effect. However, individual responses can vary, so it's essential to follow the guidance of a healthcare provider and take the medication as prescribed.

Yes, there are potential interactions between sildenafil (Viagra) and other medications, as well as certain medical conditions. It's essential to inform your healthcare provider of all medications you are taking, including prescription and over-the-counter drugs, supplements, and herbal products, to minimize the risk of interactions. Here are some key points to consider:

1. Nitrates: Sildenafil should not be used in conjunction with nitrates, which are commonly prescribed for chest pain (angina) and certain heart conditions. The combination of sildenafil and nitrates can lead to a dangerous drop in blood pressure, which can be life-threatening.

2. Alpha-Blockers: Some medications used to treat high blood pressure or prostate conditions, known as alpha-blockers, may interact with sildenafil. These interactions can also lead to a drop in blood pressure, so adjustments in dosage may be necessary.

3. Protease Inhibitors: Certain antiretroviral medications used to treat HIV, known as protease inhibitors, can increase the levels of sildenafil in the bloodstream. Your healthcare provider may need to adjust the sildenafil dosage if you are taking these medications.

4. CYP3A4 Inhibitors: Some medications, such as certain antifungal drugs and antibiotics, can inhibit the enzyme CYP3A4, which is involved in the metabolism of sildenafil. This can lead to increased levels of sildenafil in the body and may require dosage adjustments.

5. Hypotension-Related Conditions: If you have a history of low blood pressure or certain cardiovascular conditions, it's essential to discuss potential interactions and risks with your healthcare provider, as sildenafil can lower blood pressure.

6. Eye Conditions: Sildenafil may cause changes in vision or interact with certain eye conditions, such as retinitis pigmentosa. Inform your healthcare provider if you have a history of eye problems before taking the medication.

Always follow your JRNYS healthcare provider's guidance and prescription instructions when taking sildenafil. They can help you assess potential interactions and determine the safest and most effective treatment plan for your specific situation. Never self-adjust the dosage or combine sildenafil with other medications without consulting a healthcare professional. If you experience any adverse effects or unexpected reactions while taking sildenafil, seek immediate medical attention.

Sildenafil (generic Viagra) and tadalafil (generic Cialis) are both medications used to treat erectile dysfunction (ED), but they have some key differences:

1. Duration of Action:
   • Sildenafil: Sildenafil typically has a shorter duration of action, with effects lasting for about 4 to 6 hours. This means that it should be taken relatively close to the time of planned sexual activity.
   • Tadalafil: Tadalafil has a longer duration of action, with effects lasting up to 36 hours. This extended window of effectiveness has earned it the nickname "the weekend pill" because it allows for more spontaneity in sexual activity.
2. Onset of Action:
   • Sildenafil: Sildenafil generally starts to work within 30 to 60 minutes after ingestion.
   • Tadalafil: Tadalafil has a slower onset of action, typically taking effect within 30 minutes to 2 hours after taking the medication.
3. Food Interactions:
   • Sildenafil: Sildenafil can be affected by food, particularly high-fat meals, which can delay its onset of action. It is often recommended to take sildenafil on an empty stomach for faster results.
   • Tadalafil: Tadalafil is less affected by food and can be taken with or without meals. This flexibility can be more convenient for some users.
4. Dosage Options:
   • Both medications are available in different dosages to accommodate individual needs. The appropriate dosage should be determined by a healthcare provider based on factors like the severity of ED and the individual's response to the medication.
5. Daily vs. On-Demand Use:
   • Tadalafil is available in a lower daily dose (typically 2.5 mg or 5 mg) for continuous use, allowing for spontaneous sexual activity without planning ahead. This is known as "daily dosing."
   • Sildenafil is typically taken on an as-needed basis before sexual activity.
6. Interactions with Other Medications:
   • Both sildenafil and tadalafil can interact with certain medications, especially nitrates and alpha-blockers. These interactions can lead to potentially dangerous drops in blood pressure. It's essential to inform your healthcare provider of all medications you are taking to minimize risks.
7. Side Effects:
   • Both medications can cause similar side effects, including headache, flushing, upset stomach, nasal congestion, and visual disturbances. However, individual responses may vary.

The choice between sildenafil and tadalafil often depends on individual preferences and needs. Tadalafil's longer duration of action may be appealing for those seeking more flexibility and spontaneity in sexual activity. Conversely, sildenafil's quicker onset of action may be preferable for others. It's crucial to consult with a healthcare provider to determine the most suitable medication and dosage for your specific situation and to discuss potential interactions and side effects.

Generic forms of Viagra® (sildenafil) and Cialis® (tadalafil) are safe and effective when obtained and prescribed by licensed healthcare providers. The generic versions of these medications are approved by regulatory agencies,  U.S. Food and Drug Administration (FDA) in the United States, after undergoing rigorous testing to ensure their safety and efficacy.

Here are some key points to consider regarding the safety of generic forms of these medications:

1. Regulation: Generic drugs are subject to the same regulatory standards as brand-name drugs. Regulatory agencies review the safety, quality, and efficacy of generic medications before granting approval for their sale.
2. Active Ingredient: Generic versions of Viagra® and Cialis® contain the same active ingredients (sildenafil and tadalafil, respectively) as their brand-name counterparts. These active ingredients are responsible for the therapeutic effects of the medication.
3. Bioequivalence: Generic drugs must demonstrate bioequivalence to the brand-name drugs, meaning they are absorbed into the bloodstream at the same rate and to the same extent. This ensures that the generic versions produce the same clinical effects as the brand-name medications.
4. Quality Control: Reputable generic manufacturers adhere to strict quality control standards to ensure the consistency and quality of their products.
5. Prescription Requirement: Like brand-name Viagra® and Cialis®, generic versions typically require a prescription from a licensed healthcare provider. This ensures that the medication is appropriate for your specific health condition and that you are taking it under professional guidance.

At JRNYS, we provide a comprehensive approach to sexual wellness by offering a combination of treatments that may include PT141, oxytocin, pleasure-enhancing creams, and more. 

These therapies are designed to address various aspects of sexual health, promoting intimacy, desire, and satisfaction. Our goal is to personalize treatment plans to help individuals achieve optimal sexual well-being and enhance their overall quality of life.

PT-141, also known as Bremelanotide, is a medication that is used to enhance libido and sexual arousal. It works by targeting the central nervous system to stimulate sexual desire and arousal. Here's how PT-141 enhances libido:

1. Neurotransmitter Activation: PT-141 acts on certain receptors in the brain, specifically in the hypothalamus, which plays a key role in regulating sexual function. It interacts with melanocortin receptors, primarily the MC4R (melanocortin 4 receptor), which are involved in sexual arousal and desire.
2. Increase in Sexual Desire: When PT-141 binds to these receptors, it triggers a cascade of neural signals that lead to an increase in sexual desire and arousal. It essentially acts on the brain's pleasure and reward centers, enhancing the perception of sexual pleasure.
3. No Direct Effect on Blood Flow: Unlike medications like sildenafil (Viagra), which work by increasing blood flow to the genital area, PT-141 primarily affects the brain's sexual response pathways. It does not have a direct effect on vascular function or genital blood flow.
4. Psychological and Emotional Component: PT-141 is thought to have a psychological and emotional component, as it can enhance the emotional and mental aspects of sexual desire, making it particularly useful for individuals whose low libido is related to psychological or emotional factors.
5. Individual Response: It's important to note that the effectiveness of PT-141 can vary from person to person. While it can be effective for some individuals with low sexual desire or arousal issues, it may not work for everyone.
6. Prescription Required: PT-141 is available by prescription only, and its use should be supervised by a healthcare provider. It's essential to discuss your medical history and any potential contraindications with your healthcare provider before using PT-141.

Oxytocin is often referred to as the "love hormone" or "bonding hormone" because of its role in promoting social bonding, emotional connections, and attachment between individuals, including romantic partners. Here's how oxytocin promotes bonding with your partner:

1. Enhances Trust: Oxytocin is associated with increased trust and social bonding. When released in the brain, it can lead to feelings of trust and emotional openness. This can be especially important in building and maintaining trust within a romantic relationship.
2. Facilitates Emotional Connection: Oxytocin is involved in emotional regulation and empathy. It can enhance your ability to understand and respond to your partner's emotions, fostering emotional intimacy and connection.
3. Promotes Physical Touch: Physical touch, such as hugging, kissing, and cuddling, can stimulate the release of oxytocin. These actions, often associated with romantic relationships, help create a sense of physical closeness and reinforce the emotional bond between partners.
4. Supports Pair Bonding: Oxytocin has been shown to play a role in pair bonding, which is the deep emotional connection that forms between romantic partners. It may contribute to feelings of attachment, commitment, and loyalty in a relationship.
5. Reduces Stress: Oxytocin has stress-reducing properties, which can be beneficial for couples facing challenging situations. When oxytocin levels rise, it can counteract the stress response and promote feelings of calm and security, making it easier for partners to support each other during stressful times.
6. Enhances Social Reward: Oxytocin can influence the brain's reward system, making social interactions, including those with your partner, more rewarding and pleasurable. This reinforces the desire to spend time together and engage in activities that strengthen the bond.

*It's important to note that oxytocin's effects on social bonding and relationships can vary among individuals, and it is just one factor within the complex dynamics of human relationships. The information presented here is not meant to replace advice from your JRNYS healthcare provider. 

The NHSLS, a major survey conducted in the U.S. in the early 1990s, reported that about 43% of women surveyed reported experiencing sexual dysfunction, which included issues related to desire and arousal. It's important to note that this figure encompasses various aspects of sexual function, not just low libido.

JRNYS is your trusted telemedicine platform designed to meet you wherever you are on your health and wellness journey. 

Whether you're seeking personalized guidance on sexual health, weight management, or overall well-being, we're here to provide expert care and support. 

With a team of dedicated healthcare professionals, we offer tailored solutions to help you achieve your goals and improve your quality of life. 

Your journey is unique, and JRNYS is committed to being your partner every step of the way.

At JRNYS, you begin your health journey by completing a detailed medical intake and questionnaire addressing your specific concerns. 

Our team of licensed medical providers then thoroughly reviews your information, gaining a deep understanding of your specific needs. With this knowledge, we prescribe the appropriate treatments, customized just for you. 

JRNYS is dedicated to your well-being, and we're here to support you on your path to better health.

Compounded semaglutide, or GLP-1, is a prescription medication injected weekly to help people lose weight.
JRNYS offers the base form of compounded semaglutide - not the sodium or acetate versions.

Semaglutide (GLP-1) works by stimulating insulin release, reducing glucose production in the liver, and slowing digestion, which helps control blood sugar levels and reduce hunger.
This hormone helps decrease blood sugar and slows down how quickly the stomach empties, so you feel fuller sooner and for longer.

In our patient cohort, we typically see an average weight loss of 6-11 pounds in the first month with semaglutide, when paired with healthy lifestyle changes. 

Our JRNYS providers commonly prescribe semaglutide and partner exclusively with licensed, FDA-inspected U.S. compounding pharmacies.

Tirzepatide is a prescription medication injected weekly to help manage blood sugar levels and support weight loss. It is a dual-acting treatment targeting metabolic health, providing significant results for those with type 2 diabetes or obesity.

JRNYS offers the base form of compounded tirzepatide—not the sodium or acetate versions.

Tirzepatide is a dual GLP-1 and GIP receptor agonist. It works by stimulating insulin release, reducing glucose production in the liver, and slowing digestion. This combined action helps control blood sugar levels, reduce hunger, and increase feelings of fullness.

By slowing how quickly the stomach empties, tirzepatide helps you feel satisfied for longer, making it easier to manage weight and blood sugar.

Our JRNYS providers commonly prescribe tirzepatide and partner exclusively with licensed, FDA-inspected U.S. compounding pharmacies to ensure safety, quality, and consistency.

In our patient cohort, we typically see an average weight loss of 10-16 pounds in the first month with tirzepatide, when paired with healthy lifestyle changes. Additionally, many patients experience improved blood sugar control and increased energy levels.

Metformin is an oral prescription medication commonly used to manage blood sugar in individuals with type 2 diabetes. It is often the first-line treatment to improve insulin sensitivity.

Metformin works by reducing glucose production in the liver and improving the body’s ability to use insulin effectively. This helps lower blood sugar levels and supports metabolic health.

Metformin is widely used and trusted by JRNYS providers as a safe and effective treatment. Our medications are sourced exclusively from licensed, FDA-inspected U.S. pharmacies.

Patients typically see improvements in blood sugar levels and modest weight loss over time, especially when combined with lifestyle changes like diet and exercise.

With your GLP-1 therapy through JRNYS, you’ll receive:

• A consultation with a licensed provider
• A personalized treatment plan
• Medication delivered to your door
• Ongoing medical support

Your GLP-1 medication (if prescribed) will be delivered directly to your door with dosing instructions and continuous monitoring to ensure optimal results. You’ll also have access to regular check-ins and regimen adjustments through our platform.

GLP-1 medications are typically injected weekly under the skin using a small needle. Your provider will guide you through proper dosing, injection techniques, and timing to ensure you get the best results.

At JRNYS, we uphold the highest quality standards. All medications are sourced from licensed pharmacies and compounded to meet rigorous safety, purity, and efficacy requirements, ensuring you receive only the best.

GLP-1 medications are generally well-tolerated, but some people may experience mild side effects such as nausea, bloating, or fatigue. These symptoms often subside as your body adjusts. Your provider will discuss any potential concerns and help you manage side effects if they arise.

GLP-1 medications are not suitable for everyone. Inform your provider of your medical history, including thyroid disorders, gastrointestinal issues, or pancreatitis. Regular monitoring will help ensure this treatment is safe and effective for you.

GLP-1 treatments are eligible for reimbursement through your Flexible Spending Account (FSA) or Health Savings Account (HSA). Check with your provider for documentation to submit for reimbursement.

Zepbound is an FDA-approved prescription medication specifically for chronic weight management. It is injected weekly to help individuals with obesity or overweight conditions achieve significant weight loss.

Zepbound is a branded version of tirzepatide.

Zepbound targets GLP-1 and GIP receptors, enhancing insulin production, lowering blood sugar, and slowing digestion. This dual action reduces hunger and helps you feel fuller for longer, leading to reduced calorie intake and sustained weight loss.

Zepbound is FDA-approved and trusted by JRNYS providers. We partner exclusively with licensed, FDA-inspected pharmacies to ensure medication safety and consistency.

In our patient cohort, Zepbound users typically achieve 5-10 pounds of weight loss within the first month, supported by healthy lifestyle adjustments.

Compounded tirzepatide, or GLP-1, is a prescription medication taken sublingually daily to help people lose weight. Starting doses are 3 mg tablets per day. 

Tirzepatide is a dual GLP-1 and GIP receptor agonist. It works by stimulating insulin release, reducing glucose production in the liver, and slowing digestion. This combined action helps control blood sugar levels, reduce hunger, and increase feelings of fullness.

By slowing how quickly the stomach empties, tirzepatide helps you feel satisfied for longer, making it easier to manage weight and blood sugar.

Our JRNYS providers commonly prescribe tirzepatide and partner exclusively with licensed, FDA-inspected U.S. compounding pharmacies to ensure safety, quality, and consistency.

In our patient cohort, we typically see different habits such as hunger supression within 72 hours.  Additionally, many patients experience improved blood sugar control and increased energy levels.

Yes. JRNYS providers can prescribe Mounjaro® (tirzepatide) online after reviewing your health history. No office visit required. Provider review is completed within 24 hours.

Pricing depends on your prescription and subscription plan. JRNYS membership starts at $89/month. Medication pricing is confirmed after your provider consultation. Insurance navigation support is available, or self-pay options can be arranged.

Yes. Tirzepatide is the generic name for Mounjaro®. Zepbound™ is the same active ingredient (tirzepatide) approved specifically for weight loss. Your JRNYS provider will recommend the right option based on your goals and coverage.

Mounjaro® (tirzepatide) works through a dual mechanism - activating both GIP and GLP-1 receptors. Most other GLP-1 medications activate a single receptor. Your JRNYS provider will review your health history and recommend the medication that's the right fit for your goals and clinical profile.

Not everyone qualifies - your JRNYS provider determines clinical appropriateness during your evaluation. If Mounjaro isn't the right fit, your provider may recommend an alternative. You won't be charged for medication if you don't qualify.

BPC-157 is used in regenerative wellness settings to support the body's natural recovery processes. At JRNYS, it's delivered through a structured protocol with clear dosing and clinical oversight. Rather than a stand-alone solution, it is part of a broader recovery strategy with recommendations for supplementation and lifestyle support.

BPC-157 may be considered for adults seeking to support recovery and overall musculoskeletal function as part of a physician-guided care plan. It is often discussed in the context of supporting the body’s natural recovery processes and physical resilience, particularly in individuals experiencing strain from activity or age-related changes

The Wolverine Stack combines BPC-157 and TB-500, two peptides with distinct and complementary mechanisms. BPC-157 is known for its localized role in supporting natural recovery in specific tissues. TB-500 works systemically, and may support recovery across a broader range of tissue. Together, they address recovery at both the local and systemic level.

BPC-157+TB-500 may be appropriate for individuals looking to support recovery, manage physical stress, or maintain performance during periods of increased activity or strain. Treatment is prescribed based on a medical evaluation to determine if this product is medically appropriate for you based on your goals and health history.