Cellular Metabolism
NAD+ participates in normal energy-related pathways.

A three-part, clinician-guided approach designed around cellular metabolism, growth-hormone signaling, and nutritional support.
RxPrescription treatment. Eligibility determined by a licensed clinician.
Includes compounded medications. Compounded drugs are prepared by a pharmacy for individual patients. They are not FDA-approved and are not commercially manufactured products. FDA does not review them for safety, effectiveness or quality.
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Combination of injectable prescription treatments.
Each medication is prescribed individually by a licensed Wasef Health clinician if clinically appropriate, then compounded and dispensed by VialsRx, a licensed 503A compounding pharmacy.

Metabolic health is influenced by nutrition, activity, sleep, hormones, genetics, medications, and many other factors.
The Metabolic Edit brings together three different treatment approaches within one clinician-guided plan.
The combination allows clinicians to consider cellular energy pathways, growth-hormone signaling, and nutritional support within a broader metabolic-care strategy.
Individual eligibility for each treatment is determined separately.
Use each treatment according to its individual prescription.
Do not assume that medications within the bundle share the same schedule, dose, or administration method.
THE SCIENCE
No single biological pathway determines metabolic health.
NAD+, Sermorelin, and nutrient-based formulations act through different mechanisms, allowing treatment to be considered from multiple perspectives while remaining individualized.

WHAT IT MAY SUPPORT
NAD+ participates in normal energy-related pathways.
Sermorelin supports the body’s own growth-hormone release.
Lipo-C provides selected nutrients within a prescribed formulation.
Designed to complement nutrition, movement, sleep, and medical care.
Individual results may vary. Each treatment is prescribed individually, only when a licensed clinician determines it is appropriate for you. This information is not medical advice.
Compounded Injection

Compounded Injection

Compounded Injection

Compounded Injection

HOW IT WORKS
Expert care, personalized for you, in five easy steps.
Answer a few quick questions so we can understand your wellness goals and help guide your bundle.
Choose the products that fit your needs, with flexible monthly or quarterly options designed around your routine.
A licensed medical provider reviews your answers to determine whether your selected treatment plan is appropriate for you.
If approved, you’ll receive a personalized treatment plan tailored to your selected bundle and wellness goals.
Your treatments are shipped directly from the pharmacy in their own packaging, so you receive your order quickly and discreetly.
FREQUENTLY ASKED QUESTIONS
Clinician review included. Free shipping. Cancel anytime.
Choose the treatment or bundle that fits your goals, create your account, and complete a short medical intake. A licensed provider reviews your information and, if clinically appropriate, issues your prescription. Your treatment is then fulfilled and shipped directly by a licensed pharmacy.
Yes. Prescription treatments available through VIVIE require review and approval by a licensed healthcare provider. Completing the intake or selecting a treatment does not guarantee a prescription.
Your provider will only prescribe a treatment they determine is medically appropriate for you. If your selected treatment isn’t a good fit, they may recommend another option, request additional information, or advise you on next steps.
If your treatment is not approved, you will not be charged. Any payment authorization placed on hold will be released back to your account.
Yes. You have access to your provider through secure doctor chat in your patient portal.
Message your provider through the patient portal chat, or email support@thevivie.com. If you think you are having a medical emergency, call 911.
It depends on the treatment and your individual response. Some people may notice changes sooner than others, while certain treatments may take more time and consistent use.
Yes. VIVIE takes the privacy and security of your personal and health information seriously. Your information is handled in accordance with applicable privacy and healthcare laws and is only shared as necessary to provide your care and services.
You can learn more in our Privacy Policy.
Yes. You can request to cancel or change your treatment through your patient portal or by contacting us.
Treatment changes require provider approval. Once a prescription has entered pharmacy fulfillment, we cannot guarantee that the current order can be changed, canceled, or refunded.
Your care is provided by Wasef Health, PC (Wasef Health Group), a Florida professional corporation. Dr. Michael Wasef, MD, is Medical Director and Dr. David Wasef, MD, is a clinical provider. Both are board-certified internal medicine physicians licensed in all 50 U.S. states and the District of Columbia.
Email: contact@wasef-health.com
Principal office: 7359 Sawgrass Point Drive N, Pinellas Park, FL 33782
Mailing: 5260 78th Ave N, Box 1697, Pinellas Park, FL 33780
Your medication is compounded and dispensed by VialsRx, a licensed 503A compounding pharmacy.
Phone: (713) 497-5590
Address: 6220 Westpark Dr., Houston, TX 77057
Website: vials.ai
Services are available through affiliated medical providers and pharmacy partners operating in accordance with applicable state licensure requirements. Medication availability, formulations, and fulfillment options may vary depending on your location and applicable state pharmacy regulations.
Clinician Review Included . Free Shipping . Cancel Anytime