Modern care,delivered.
Tirzepatide and NAD+ injections, if a licensed clinician decides they’re right for you after an online visit — plus medical foods for sleep, pain, focus and metabolic health.
- Discreet shipping
- Prescription medication
- No membership
- Shipped nationwide
Weight loss
Tirzepatide
Weekly Tirzepatide, prescribed only if a licensed clinician decides it’s right for you.
Get startedEnergy & longevity
NAD+ injections
NAD+ injections, prescribed only if a licensed clinician decides they’re right for you.
Get startedSleep
Sentra PM & GABAdone
Medical foods for the dietary management of sleep disorders, used under medical supervision.
Get startedPain
Theramine & Percura
Medical foods for the dietary management of pain and inflammation, used under medical supervision.
Get startedFocus
Sentra AM
A medical food for the dietary management of fatigue and cognitive disorders.
Get startedMetabolic health
AppTrim
A medical food for the dietary management of obesity and metabolic syndrome.
Get started
Real medication, delivered
Skip the pharmacy line.
Prescription treatment from an independent licensed provider, shipped in discreet packaging — reorder in a tap, with no counter conversations.
- US
- Shipping nationwide
The doctor behind it
Care held to a real standard.
Every prescription is written by an independent licensed clinical provider after an online visit, and only if that provider decides it is right for you — delivered without the waiting room.
How it works
From cart to your door in three steps.
No waiting rooms, no pharmacy lines — just pick, check out, and let it show up.
- 1
Shop your treatment
Browse by what’s on your mind and start a quick consultation for the treatment you need.
- 2
Answer a few questions
A quick health check at checkout — no appointment, no waiting room. A licensed provider handles the prescription behind the scenes.
- 3
Delivered discreetly
Your treatment ships in plain, discreet packaging — reorder in a tap whenever you need more.
Treatmentprescribedonlinebyindependentlicensedprovidersanddeliveredtoyourdoor—nowaitingrooms,nopharmacylines.
Why Systems Medicine Institute
Skip the pharmacy. Skip the markup.
Licensed pharmacies
Prescribed by an independent licensed U.S. provider after an online visit, and dispensed by a licensed U.S. pharmacy.
Discreet delivery
Shipped in plain, unmarked packaging, right to your door — and reorder in a single tap whenever you need more.
No membership, ever
Transparent prices, shown before you buy. Cancel a subscription anytime. No hidden fees, no surprises — the honest way to get care.
Honest pricing. Discreet shipping.
No membership and no hidden fees. Some treatments are subscriptions you can cancel any time from your account — and you always see the price before you buy.
$0
Membership. Pay only for treatment.
Plain
Discreet packaging on every order.
Upfront
Price shown before you check out.
Secure
Encrypted, HIPAA-protected checkout.
The end of the pharmacy run.
Same care you’d get in an office — without the office.
Typical telehealth
- Waiting rooms and pharmacy lines
- Retail markups and surprise costs
- Refills you have to chase
- Awkward counter conversations
With Dr. Segal
The difference- Shipped to your door
- One clear price, shown up front
- Reorder in a single tap
- 100% private and discreet
Questions, answered.
No. Compounded medications are not FDA-approved. The FDA does not review them for safety, effectiveness or quality before they are marketed. A compounding pharmacy being licensed or regulated, including a “503A” pharmacy, does not mean the medications it compounds are FDA-approved. Here a compounded medication is prescribed only by an independent licensed clinical provider after an online visit, and only if that provider decides it is appropriate for you.