Dr. Rohan Patankar, DODoctor of Internal MedicineDirector of TeleMedicineCDR.0001656

Certain products offered through Axentra Health require a licensed telemedicine consultation before purchase. If a product is marked as prescription-only, you will be prompted to complete a secure intake form and meet with one of our licensed medical providers to ensure the treatment is safe and appropriate for you. Axentra Health's telemedicine services are designed to offer accessible care across the U.S., but they are not a replacement for in-person evaluation in all cases. Your provider may recommend an in-person follow-up or local testing if needed. Do not use Axentra Health services in emergencies; if you are experiencing a medical emergency, please call 911 immediately. Our products are fulfilled by RD3MG, a licensed compounding pharmacy that ships directly to consumers nationwide. While Axentra Health and its medical team are fully compliant with state regulations, laws regarding telehealth and prescription medication may vary by location. Prescriptions are written by providers licensed in your state, and all clinical decisions are made based on your unique health profile. We reserve the right to cancel or delay orders that cannot be lawfully fulfilled in your state. Axentra Health is not a subscription-based platform. All purchases are made one at a time. For each new order, you will be required to log in to your account, complete a new intake form, and undergo provider review for approval. This ensures that your treatment remains current and aligned with any changes in your health or lab work. There is no automatic renewal, and you will always have full control over what you order and when. All health data submitted through Axentra Health—including your medical history, lab results, and intake forms—is handled in accordance with strict privacy and security protocols. Lab work required for specific treatments (such as testosterone therapy) will be ordered by your provider and performed through integrated national lab partners like Quest Diagnostics or LabCorp. These results are securely transmitted through our electronic health record system and are reviewed by your provider before any prescription is approved.

NABP Accredited Compounding PharmacyPremium Peptides & Medical-Grade ProductsSigna Pharmacy Group, LLCPO BOX 7874
Horseshoe Bay, TX 78657

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Our most advanced injectable therapies for performance, recovery, and longevity.

NAD+ Nasal Spray

NAD⁺ (Nicotinamide Adenine Dinucleotide) is an essential coenzyme present in every cell of the body, playing a critical role in cellular energy production, mitochondrial function, and metabolic regulation. NAD⁺ is required for redox reactions that convert nutrients into usable cellular energy (ATP) and supports DNA repair, cellular signaling, and oxidative balance. NAD⁺ nasal spray is formulated for intranasal administration, allowing for rapid absorption through the nasal mucosa. This delivery method offers a non-injectable option for supporting systemic and neurological NAD⁺ availability and is commonly incorporated into energy optimization, cognitive support, recovery, and longevity-focused wellness protocols under licensed medical supervision. Mechanism of Action: NAD⁺: Serves as a coenzyme in oxidation–reduction reactions essential for ATP production Supports mitochondrial respiration and cellular energy metabolism Plays a role in DNA repair and cellular stress response pathways Contributes to regulation of sirtuins and enzymes involved in metabolic and longevity signaling Ideal For: Energy and fatigue support programs Cognitive and neurological wellness protocols Mitochondrial and metabolic optimization Recovery and cellular resilience support Patients seeking a non-injectable NAD⁺ delivery option Dosage & Protocols: Typical Nasal Dose: Determined by provider based on clinical goals Commonly administered once or multiple times daily as directed Dosage and frequency individualized based on patient response Intended for use under licensed medical supervision

$155

Selank Nasal Spray

Selank (Nasal Spray) Selank is a synthetic neuropeptide derived from the endogenous peptide tuftsin and is recognized for its role in supporting neurological balance, stress modulation, and cognitive function. Selank interacts with central nervous system pathways involved in anxiety regulation, emotional stability, and neurochemical signaling without exerting sedative or stimulant effects. Selank nasal spray is formulated for intranasal administration, allowing the peptide to interact with central nervous system pathways via the nasal mucosa. This delivery method provides a non-invasive option for neuropeptide support and is commonly incorporated into stress-support, cognitive wellness, and integrative mental health protocols under licensed medical supervision. Mechanism of Action: Selank: Modulates neurotransmitter systems involved in stress and anxiety regulation Influences GABAergic and serotonergic signaling pathways Supports emotional balance and cognitive clarity Exhibits neuroprotective and immunomodulatory properties Ideal For: Stress and anxiety support programs Cognitive and neurological wellness protocols Emotional balance and nervous system regulation Integrative mental health and resilience-focused therapies Patients seeking non-sedating intranasal neuropeptide support Dosage & Protocols: Typical Nasal Dose: Determined by provider based on clinical goals Commonly administered once or multiple times daily as directed Dosage and frequency individualized based on patient response Intended for use under licensed medical supervision

$225

Tirzepatide / GLP-1

Tirzepatide / Pyridoxine is a combination injectable formulation designed to support metabolic health, weight management, and energy balance. Tirzepatide is a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist that plays a key role in appetite regulation, glycemic control, and metabolic signaling. Pyridoxine (Vitamin B-6) is included to support amino acid metabolism, neurotransmitter synthesis, and energy production. This multi-dose vial formulation allows for precise dosing and individualized titration under licensed medical supervision. The combination is commonly incorporated into comprehensive metabolic and weight management protocols where appetite control, insulin sensitivity, and metabolic efficiency are clinical priorities. Mechanism of Action: Tirzepatide: Activates GIP and GLP-1 receptors to regulate appetite, slow gastric emptying, and support glycemic control Enhances satiety signaling and reduces caloric intake Supports insulin sensitivity and metabolic efficiency Pyridoxine (Vitamin B-6): Supports protein and amino acid metabolism Contributes to neurotransmitter synthesis and nervous system function Plays a role in energy production and metabolic pathways Ideal For: Medically supervised weight management programs Patients seeking appetite regulation and metabolic optimization Support for insulin sensitivity and glycemic balance Weight loss protocols incorporating GLP-1–based therapies Comprehensive metabolic health programs Dosage & Protocols: Typical Subcutaneous Dose: Determined by provider based on clinical assessment and patient response Dosing is individualized and may be titrated gradually Administered according to provider-directed schedule Requires ongoing monitoring for efficacy and tolerance

$444

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Where Clean Living Meets Credible Hormone Wellness

Crunchy Med exists at the intersection of clean living and credible hormone care, empowering women to take control of their health with confidence, clarity, and care. We believe women shouldn't have to choose between natural values and real science. That's why Crunchy Med is a women-first wellness brand and marketplace, designed for those who value clean living, informed choice, and long-term wellbeing. Clean, Hormone-Friendly Living — By Design Every product, resource, and recommendation is curated through a hormone-aware, non-toxic lens. Our focus is on minimizing endocrine disruptors, prioritizing ingredient transparency, and supporting sustainable, long-term wellness, not quick fixes or extremes. Built for Women at Every Stage Crunchy Med serves a diverse community of women who share a common mindset: - Pre-menopausal wellness seekers building strong foundations early - Perimenopausal women managing symptoms and searching for clarity - Post-menopausal women focused on vitality, balance, and long-term hormone support - Crunchy and eco-wellness adopters who read labels, avoid toxins, and want better options — without dogma